By Palmina Petruzzo, Marco Lanzetta, Jean-Michel Dubernard
Hand Transplantation has been the dream of humanity until eventually 1998, whilst a bunch of foreign surgeons accumulated in Lyon played the 1st of many hand transplantations performed given that then.
This ebook provides the worldwide overseas experimental and scientific adventure on limb transplantation and different composite tissue allografts. It represents the main entire and accomplished evaluate of all points of this leading edge and floor breaking approach. they vary from the experimental foundation of hand transplantation, to surgical thoughts, to immunology and antirejection drug ideas, to number of the correct applicants and education of a winning hand transplantation software, to the dermatological, mental and medico-legal implications of this new method, to the rehabilitation of the transplanted hand together with mind remodelling and sensibility restoration, to the presentation of the present practical effects and destiny instructions, together with the prospect to introduce face and uterus transplantation to the medical perform. a piece of chosen video clips outlines the functionality of the transplanted hand within the day-by-day residing actions and the pro lifetime of those sufferers. This e-book signify a milestone within the clinical .literature and is a brilliant asset for each medical library.
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Additional resources for Hand Transplantation
The anterior section innervates m. iliacus and pectineus muscle (m. pectineus) while the posterior division supplies quadriceps femoris muscle (m. quadriceps femoris). The third branch from the femoral nerve (n. femoralis) is the sensory saphenous nerve (n. saphenous) . Surgical Procedure Choosing the side of the animal on which to perform the surgery is the first step. For the righthanded surgeon, right hind-limb transplantation is more convenient. However, surgery time for left hind limb was found to take on average only 7 min longer.
The surgical procedure begins on the donor. A circumferential skin incision of the donor hind limb is made at mid-thigh level. The inguinal fat flap with pedicle superficial epigastric artery (a. epigastrica superficialis) and superficial epigastric vein (v. epigastrica superficialis) and sensory nerve branch from n. saphenus is sharply dissected and after isolation of the pedicle flap is reflected distally. This flap can be retained in place, or after ligature of the pedicle, it can be removed (Fig.
This is necessary to avoid wrist arthrodesis and conserve movement of flexion/extension at the wrist joint. A few days after the operation, the patient is already using her new joint 18 M. Lanzetta Fig. 9. Esophageal malignant tumor (arrow) requiring resection of the esophagus from the oral cavity to the stomach. At 2 weeks postoperatively, contrast shows a patent neoesophagus, the external part of the flap is removed and the patient is allowed to feed normally Hand Transplantation as an Evolution of Microsurgery 19 Fig.
Hand Transplantation by Palmina Petruzzo, Marco Lanzetta, Jean-Michel Dubernard
Categories: Physical Medicine Rehabilitation