Free Toe Tissue Transfer using Infiltration Method of Local Anesthetic Agent
Journal of the Korean Microsurgical Society
; : 63-67, 2007.
Article
Dans Ko
| WPRIM
| ID: wpr-724752
Responsable en Bibliothèque :
WPRO
ABSTRACT
This study was designed to introduce free toe tissue transfer using infiltration method of local anesthetic agent. Four toe pulp tissues were transferred to reconstruct finger tip defect in four patients who were not suitable for general anesthesia. Two flaps taken from the lateral side of the great toe was used for reconstruction of thumb defect and two flaps from the medial side of the second toe for resurfacing of the index and fifth finger. Flap sizes were various from 2.0x2.0 cm2 to 1.6x4.0 cm2. Anesthesia was induced by infiltration of 2% lidocaine hydrochloride (with 1:100,000 epinephrine) with dilution of normal saline in same volume unit, as like as in ordinary digital block. All vessels were anastomosed within 2 cm of distance from the proximal margin of the defect. Whole operative procedures were carried out by one team. All flaps were successfully taken without complication. The average operation time was 4 hours 10 minutes. The amount of anesthetic agent used in whole operative procedures was roughly 4 mL in the toe, 8 mL in the finger, and 12 mL totally. In conclusion, free toe tissue transfer using infiltration method of local anesthetic agent would be good strategy for finger tip reconstruction in the patient not suitable for general anesthesia.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Procédures de chirurgie opératoire
/
Pouce
/
Orteils
/
Doigts
/
Anesthésie
/
Anesthésie générale
/
Lidocaïne
Limites du sujet:
Humans
langue:
Ko
Texte intégral:
Journal of the Korean Microsurgical Society
Année:
2007
Type:
Article