Replantation is the surgical reattachment of a body part by microsurgical means, such as a finger, hand or arm, that has been completely cut & separated from a person's body. Replantation of amputated parts is performed on fingers, hands, forearms, arms, toes, feet, legs, ears, avulsed scalp injuries, a face, lips, penis and a tongue. Dr.Ramakant Bembde has done the first successful Replantation of hand during postgraduate training only at Topiwala National Medical College & Nair Hospital in 1997.
He has presented his exclusive clinical work in Replantation & Hand Surgery in many International & National Conferences.
Replantation requires microsurgery and must be performed within specific hours after amputation,at a center with specialized equipments, Plastic surgeons and supporting staff.
Preservation & Transport of Amutated Parts:
To improve the chances of a successful replantation, it is very important to preserve the amputated part as soon as possible in a cool(close to freezing, but not at or below freezing) and sterile or clean environment. Parts should be wrapped with moistened gauze and placed inside a clean or sterile plastic bag floating in ice water. Dry ice should not be used as it can result in freezing of the tissue.
Parts without muscles such as fingers can be preserved for many hours, while major muscled containing parts such as arms need to be re attached and revascularized within 6 hours to survive.
Bembde Hospital team has done lot of efforts to educate the society & industrial workers for spreading the knowledge of "Preservation & transport of Amputated parts in scientific way in cold,dry & sterile environment so that they are suitable for Replantation ".
It is important also to collect and to preserve those amputated parts which do not look like being "replantable". As microsurgeon may needs all available parts of human tissue to cover the wound at the stump and thus to prevent further shortening of the stump. In some cases (e.g. forearm) the task of an important joint (e.g. elbow) can be conserved for improved prosthetic success using such amputated parts.
Some of the severe crush injuries, multilevel injuries, avulsion injuries, and in some cases jagged tearing of tissue, may not be suitable for replantation and salvage, requiring revision amputation of the stump.But do not discard any body parts till the Microvascular Plastic Surgeon decides it's use.
Bembde Hospital has performed the first successful Replantation (reattachment) of amputated Hand,thumb,fingers,middle three finger ray,wrist joint& elbow joint etc in Marathwada since 1999. We have 24 hours helpline for Replantations:8805013088,8888125588 to guide about first aid,preservation & transport of amputated parts.