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Hand replantation using loupe magnification in a resource constrained environment: Case report.


ABSTRACT: Hand replantation is a common surgical procedure worldwide. However, this practice is underdeveloped in many resource-constrained countries in part due to a lack of surgical microscopes. We present a patient successfully managed using loupe magnification. A 17-year-old patient presented with an amputated right hand secondary to a chaff cutter. After an 8-hour surgical procedure, the amputated hand was successfully re-attached to the stump using loupes. The patient's functional recovery was satisfactory after two years of follow-up. In conclusion, replantation of extremities can be successfully achieved using loupe magnification. Loupes should be considered an alternative to operating microscopes for replantation of extremities especially in resource-constrained countries.

SUBMITTER: Nangole FW 

PROVIDER: S-EPMC7704419 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature

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Hand replantation using loupe magnification in a resource constrained environment: Case report.

Nangole F W FW   Khainga S O SO   Okello W A WA   Ajujo P P   Ogallo J P JP   Jowi D D   Muoke A A   Wanjiru F F  

JPRAS open 20201118


Hand replantation is a common surgical procedure worldwide. However, this practice is underdeveloped in many resource-constrained countries in part due to a lack of surgical microscopes. We present a patient successfully managed using loupe magnification. A 17-year-old patient presented with an amputated right hand secondary to a chaff cutter. After an 8-hour surgical procedure, the amputated hand was successfully re-attached to the stump using loupes. The patient's functional recovery was satis  ...[more]

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