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Emergency Medicine Journal 2005;22:478-480; doi:10.1136/emj.2003.008797
© 2005 BMJ Publishing Group Ltd and the College of Emergency Medicine.

ORIGINAL ARTICLE

Preoperative management of the amputated limb

M S Lloyd, T C Teo, M A Pickford, P M Arnstein

Department of Plastic Surgery, Queen Victoria Hospital, Holtye Road, West Sussex, England

Correspondence to:
Correspondence to:
MrM S Lloyd
The Hospital Royal Free, 3rd Floor, Dawson Ward, Pond Street, London NW3 2QG; marksheldonlloyd{at}yahoo.co.uk

Little literature exists on storage and preparation of an amputated limb prior to transfer to a reconstructive plastic surgical unit for possible macroreplantation. This paper describes practical measures used to prolong ischaemia time allowing macroreplantation, tissue harvesting, or fashioning of a useful stump. A simple protocol is used to summarise these points.

Keywords: macroreplantation; tissue preservation fluid; hypothermia


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Transporting amputated digits for replantation
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EMJ Online, 6 Oct 2005 [Full text]

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