Chinese
doctors have saved a man's severed hand by grafting it to his ankle, it is
reported.
Xiao Wei
lost his right hand in an accident at work but could not have it reattached to
his arm right away.
Instead,
the hand was kept alive by stitching it to Mr Wei's left ankle and
"borrowing" a blood supply from arteries in the leg.
A month
later, surgeons were able to remove the hand and replant it back on his arm,
according to Rex Features.
According
to the report, Mr Wei's doctors from the Changsha region say he will need to
undergo several other operations but they are hopeful that he will regain full
function of his hand.
"His
injury was severe. Besides ripping injuries, his arm was also flattened.
"We
had to clear and treat his injuries before taking on the hand reattachment
surgery."
Mr
Cairian Healy of the Royal College of Surgeons in England said although
procedures such as these were rare, they were not inconceivable.
"The
Chinese are pretty experienced in microsurgery," he said.
"And
the concept of saving a severed part of the body by attaching it to another
part of the body to give it a blood supply is well recognised.
"The
ankle is a hard place to graft though. Usually surgeons would go for the armpit
because the blood supply is better."
He said
there were many reasons why a surgeon might not want or be able to reattach a
hand to its rightful home straightaway.
"The
patient might not be fit enough for the surgery. It can take a skilled surgeon
between eight and 15 hours to reattach a hand."
The vital
factor is keeping the hand alive.
On ice,
it may survive slightly longer, but Mr Healy said few surgeons would contemplate
replanting a hand that had been detached for more than a few hours because the
muscle inside it would be dead.
He said
that, sadly, not all replantations are a success. Some patients do not like the
end result and may later opt for amputation because of side-effects, such as
pain and stiffness. (BBC)
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