Published online Nov 6, 2020. doi: 10.12998/wjcc.v8.i21.5394
Peer-review started: June 27, 2020
First decision: September 12, 2020
Revised: September 23, 2020
Accepted: October 1, 2020
Article in press: October 1, 2020
Published online: November 6, 2020
Processing time: 126 Days and 2.6 Hours
To report the application of supermicroscopy combined with arterio-venolization without venous anastomosis for replantation of digits following traumatic amputation in young children.
In March 2016, we treated two children aged 2 years and 7 years with traumatic digit amputation, no venous anastomosis, and bilateral digital inherent arteries on the palmar side. Supermicroscopy combined with an arteriovenous technique was adopted to improve the replantation surgery. Postoperative management involved auxiliary treatments such as anticoagulation, composure, anti-inflammatory drugs, and insulation. After treatment, the amputated fingers survived completely without major complications, with good recovery.
Supermicroscopy combined with arterio-venolization is a safe and effective approach to treat traumatic digit amputation in young children without venous anastomosis.
Core Tip: Young children with traumatic digit amputation and no venous anastomosis are considered a technical challenge clinically. Traditional surgical methods, flap repair, in situ suture, and only suture of the artery and blood-letting therapy have been used for treatment, with low success rate, perioperative complications, pain, and poor prognosis. Supermicroscopy combined with arterio-venolization is effective for digit replantation, without causing new donor site injury but with a high survival rate, finger integrity preservation, and good prognosis.