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Penile replantation： report of two cases and review of the literature

Chinese Journal of Traumatology 2013年第1期16卷 54-57页

作者： LI Gui-zhong HE Feng HUANG Guang-ling MAN Li-bo LIU Kun SHEN Yu-ming Department of Urology Beijing Jishuitan HospitalBeijing 10035 China Department of Hand Surgery Beijing JishuitanHospital Beijing 10035 China Department of Burn Surgery Beijing Jishuitan HospitalBeijing 10035 China

Penile amputation and successful replantation is very uncommon, and there is no routine standardized procedures for dealing with this medical condition. Here we report two cases of penile amputation and replantation involving different degrees of vascular insult leading to different pathogenesis, clinical presentation, surgical approach and prognosis. This report described the microsurgical procedure and postoperative care using bipedicled scrotal flap to achieve successful engraftment and function. A review of the published data and future methods to increase success of such surgical procedures is provided.

关键词： Penis amputation, traumatic Replantation Surgical flaps

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Ectopic major transplantation for salvage of upper anct ower extremity amputations

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Chinese Journal of Traumatology 2013年第6期16卷 330-333页

作者： Shahram Nazerani Hamed Vaseghi Saied Hesami Tina Nazerani Firuzgar Medical Center Iran University of MedicalSciences Tehran Iran Medical Student Research Committee Iran Universityof Medical Sciences Tehran Iran

Objective：Ectopic tissue transplantation is not a new *** and his colleagues pioneered this method in the *** method is a last resort method of preserving an amputated body part,which consists of banking the amputated segment in an ectopic area and returning it to its native place at a later *** this article we present our experience with this demanding ***：Debridement was the mainstay of this *** stump and amputated part are carefully debrided and the stump was either closed primarily or covered by a *** amputated part was transplanted to one of several banking sites in the body and at a later date it will be transferred to its native site in an elective ***：Seven patients meeting the set criteria for ectopic transplantation were enrolled in this *** overall success rate was about 70%,lower than expected but these are cases of severe crush *** the functional recovery of these patients are very low,all of the successful cases except one could find a job as a janitor or light manual *** patient could return to his previous ***：Ectopic transplantation of body parts is an accepted method of treatment of severely crushed extremity or finger *** our country an amputee has very little chance of finding a job instead a disabled person *** addition in Iran cultures amputation is seen as punishment of either the God or the society,so it is not well accepted and many patients persist on saving the limb even with no functional *** of our successful cases could return to his previous occupation but almost all of them could find a job as janitors or light manual workers.

关键词： Replantation Transplantation Extremities amputation, traumatic

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Patterns of extremity traumas leading to amputation in Iran： results of Iranian National Trauma Project

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Chinese Journal of Traumatology 2009年第2期12卷 77-80页

作者： Majid Moini Mohammad R Rasouli Ali Khaji Farshad Farshidfar Pedram Heidari Sina Trauma and Surgery Research Center Sina Hospital Tehran University of Medical Sciences TehranIran

Objective： To determine the patterns of traumatic extremity injuries leading to amputation in Iran. Methods： Data of Iranian National Trauma Project was used to identify patients with upper and lower extremity traumas undergoing amputation. This project was conducted in 8 major cities during 2000-2004. Results： Of 17 753 traumatic patients, 164 （0.92%） had injuries to the extremities that resulted in the limb amputation. Of these, 143 （87.2%） were men. The patient＇s mean age was 29.0 years ± 15.4 years and the highest incidence was seen in the age group of 21 to 30 years （34.1%）. One hundred and four cases were occupational accidents （63.4%）. Blunt trauma was in 54.9% of the cases. The most common reasons for amputation were respectively stabbings （37.8%） and crush injuries （31.7%）. amputation of hand fingers was the most frequent type of amputation （125 cases, 76,2 %）. One patient died from severe associated iniuries. Conclusions： This study shows the patterns of traumatic limb amputation in Iran, a developing country. Results of this study may be used in preventive strategic planning.

关键词： amputation, traumatic Extremities Accidents, occupational

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