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J Reconstr Microsurg 1988; 4(2): 131-135
DOI: 10.1055/s-2007-1006911
ORIGINAL ARTICLE

© 1988 by Thieme Medical Publishers, Inc.

Revascularization of Digits after Prolonged Warm Ischemia

Goro Inoue, Ryogo Nakamura, Takakazu Imamura
  • Department of Orthopaedic Surgery, Division of Hand Surgery, Nagoya University School of Medicine, Nagoya, Japan
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Publication History

Accepted for publication 1987

Publication Date:
08 March 2008 (online)

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ABSTRACT

Four cases of digit revascularization after prolonged warm ischemia are presented. Amputation injuries occurred in the summer, with the average temperature above 23°C. The average warm ischemia time was 24 hr (range: 20 to 30 hr) from injury to the time of establishment of arterial inflow. Complete survival was achieved in three cases and partial survival in one case.

Previously, eight to ten hours were believed an acceptable limit for warm ischemia; however, this study indicates that successful revascularization is still possible, even after a much longer period of time.