Author/Editor     Janežič, Tomaž; Arnež, Zoran
Title     Indikacije za replantacijo
Translated title     Indications for replantation
Type     članek
Source     Zdrav Vestn
Vol. and No.     Letnik 67, št. 4
Publication year     1998
Volume     str. 241-4
Language     slo
Abstract     Background. Factors affecting the decision whether the replantation is technically feasible are described. The quidelines for indications for replantation according to expected functional results are discusses. Absolute and relative indications are outlined. Indications for replantation are divided into general and specific. Specific indications are further described according to the amputated body part and the level of amputation. Factors affecting the decision about the replantation are the amputated body part, the patient, time elapsed from injury to revascularisation and the sugeon. Conclusions. Surgeon who is going to perform the replantation has to make a fast clinical decision about the operative procedure to be performed. Replantation is usually a long lasting procedure, tehnically rather complex and requires complicated and long lasting rehabilitation. The surgeon has to predict the functional and aesthetic result of the replanted part taking into an account patients's work, hobbies and his ability to cooperative in the process of rehabilitation.
Summary     Izhodišča. V članku so navedeni dejavniki, ki vplivajo na odločitev, ali je replantacija tehnično izvedljiva in ali je sploh smiselna glede na pričakovano funkcijo. Indikacije za replantacijo delimo na absolutne in relativne ter na splošne in posebne. Posebne indikacije za replantacijo so obravnavane glede na del telesa, ki je amputiran, ter glede na mesto amputacijo. Dejavniki, ki vplivajo na odločitev o replantaciji, so del telesa, ki je amputiran. Bolnik, poškodba, čas med poškodbo in vzpostavitvijo prekrvitve ter kirurg. Našteti in opisani so faktorji, ki vplivajo na odločitev o replantaciji. Zaključki. Kirurg, ki bo replantacijo opravil, mora vedno sprejeti hitro klinično odločitev o operativnem posegu, ki je po navadi dolgotrajen in tehnično precej zapleten ter zahteva kompleksno in dolgotrajno rehabilitacijo. Precej natančno mora predvideti funkcionalni in estetski rezultat glede na bolnikove potrebe na delonem mestu in doma ter njegove zmožnosti za sodelovanje v procesu rehabilitacije.
Descriptors     HAND INJURIES
REPLANTATION
MICROSURGERY
LEG
ARM
AMPUTATION, TRAUMATIC