Avtor/Urednik		Planinšek, F
Naslov		Vpliv kajenja na kožno temperaturo replantiranih in zdravih prstov
Prevedeni naslov		The effect of smoking on the skin temperature of replanted and healthy fingers
Tip		monografija
Kraj izdaje		Ljubljana
Založnik		Medicinska fakulteta
Leto izdaje		1994
Obseg		str. 48
Jezik		slo
Abstrakt		There is a common belief, that smoking or any other use of tobacco in the early postoperative period after microsurgery is a risk factor for a thrombosis at the level of the anastomosis. It is known, that nicotine increases the tone of peripheral vessels several months after surgery. The vascular spasm is mediated by neural mechanisms. In the replanted finger or in the free flap all vessels are completely denervated in the early postoperative period. The aim of the present study was to investigate the effect of sympathetic stimulus (smoking) on the denerevated vessels in replanted fingers. Nine patients, all smokers with traumatic amputation of one or more fingers were included in the study. The skin temperature of a replanted and symetrical healthy finger was measured with a digital two-channel thermometer (with semiconductor). Periods of 5 minutes immediately before smoking and 5 minutes after were statistically analysed. They found a significant fall of temperature in the healthy finger after smoking, of 0.77 deg C (p=0.023). The temperature of replanted finger fell only 0.08 deg C. The fall was not significant (p=0.13). The temperature of the replanted finger before smoking was lower than the temperature of the symetrical healthy finger by 0.94 deg C (p=0.022). Variability of temperatures of each healthy finger was higher than the variability of temperatures of replanted fingers in the same period. After smoking the difference was smaller, though still significant, being 0.115 seg C (p=0.001). Temperatures in replanted fingers with proximal anastomoses on the dorsal branch of the radial artery were higher than the temperatures in replanted fingers with direct anastomoses to the digital arteries. The difference was 0.61 deg C (p less th. 0.05). Use of tobacco in the early postoperative period is not a risk factor for acute spasm of vessel at the level of the anastomosis of the replanted finger or free tissue transfer.(trunc.)
Deskriptorji		FINGER INJURIES REPLANTATION SMOKING SKIN TEMPERATURE FINGERS AMPUTATION, TRAUMATIC