Replantation Surgery: Experience, Decision-Making and Practical Algorithms
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Replantation is not only about connecting vessels under a microscope. This lecture follows the real-world decision-making of a plastic surgery team managing amputated fingers and hand segments, including complex traction injuries, crush injuries, frostbite and delayed presentations.
The discussion covers indications and contraindications, preservation and transport of amputated parts, operative priorities, fixation, tendon and nerve repair, vascular anastomoses, postoperative monitoring and rehabilitation. Several cases highlight how the team adapts when standard options fail — including unconventional venous outflow strategies and staged reconstruction.
Particularly valuable are the practical lessons from difficult cases: when to proceed with revision, how to recognize arterial versus venous compromise, when surgery can be divided into stages, and why patient motivation may be as important as the microsurgical technique itself.
The discussion covers indications and contraindications, preservation and transport of amputated parts, operative priorities, fixation, tendon and nerve repair, vascular anastomoses, postoperative monitoring and rehabilitation. Several cases highlight how the team adapts when standard options fail — including unconventional venous outflow strategies and staged reconstruction.
Particularly valuable are the practical lessons from difficult cases: when to proceed with revision, how to recognize arterial versus venous compromise, when surgery can be divided into stages, and why patient motivation may be as important as the microsurgical technique itself.
PRAS-04
Course
Upper Extremity and Hand Reconstruction: From Congenital Anomalies to Complex Trauma
01
45:14
Reconstruction of Post-Traumatic Tissue Defects of the Upper ExtremityA practical lecture on staged reconstruction after severe upper-limb war trauma: soft-tissue coverage, bone defects, nerve repair, fixation timing, microsurgery, and case-based decision-making.
02
54:36
Basic Principles of Surgical Treatment and Postoperative Management of SyndactylyA practical overview of syndactyly surgery, from timing and incision design to full-thickness skin grafting and the often underestimated challenge of postoperative immobilization in young children.
03
1:02:11
Surgical Restoration of Thumb OppositionA focused lecture on restoring thumb opposition after nerve injury and complex hand trauma, with a practical comparison of tendon and muscle transfer techniques.
04
1:03:36 Now playing
Replantation Surgery: Experience, Decision-Making and Practical AlgorithmsA practical look at replantation surgery built around real clinical cases, from patient selection and correct transport of amputated segments to microsurgical reconstruction, salvage strategies and staged rehabilitation.
05
1:42:12
Microsurgical Reconstruction of the Upper Extremity in a Level 1 Trauma CenterA practical look at complex upper-extremity trauma reconstruction, from aggressive debridement and limb-salvage decisions to free flaps, nerve grafts, flow-through flaps and functional rehabilitation.
06
1:40:27
The Role of Hand Therapy in Restoring Upper Limb Function After Trauma and SurgeryA practical introduction to hand therapy and the often underestimated role of edema management in protecting motion, preventing stiffness, and improving recovery after hand trauma and surgery.
07
1:05:39
Spaghetti Wrist Injury: Repair Strategy, Microsurgery and RehabilitationA practical lecture on complex volar forearm injuries involving multiple tendons, nerves and arteries—from injury mechanism and operative sequencing to microsurgical repair, immobilization and long-term hand rehabilitation.
08
1:31:56
Toe Transfer for Thumb and Finger ReconstructionAn advanced lecture by Prof. Fu-Chan Wei on toe-to-thumb and toe-to-finger transfer in complex hand reconstruction, including indications, surgical planning, technique selection, functional outcomes, donor-site considerations, and rehabilitation.
09
1:32:17
Management of Gunshot Injuries to Peripheral NervesAn evidence-informed lecture on diagnosing and reconstructing gunshot peripheral nerve injuries in polystructural limb trauma. Andrii Vysak combines a treatment algorithm, clinical cases, and practical decisions on timing, ultrasound, EMG, nerve grafting, and tendon transfers.
Replantation Surgery: Experience, Decision-Making and Practical Algorithms