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For dozens of years microsurgical techniques have been successfully applied in various procedural areas mainly in ophthalmology, laryngology, female infertility treatment, urology, plastic surgery and reconstruction as well as hand surgery. Courses enabling acquisition of basic qualifications within the microsurgical techniques area are the starting point for such activity, there is however an urgent need for further training as it goes without saying that without adequate training one may quickly forget all the experience gained during such trainings. Our department have been using foetal placenta obtained from maternity ward (following a written consent from a parturient) to carry out microsurgical trainings for 13 months now.
Trans-metacarpal hand replantation is one of the most complex and difficult procedures in the reconstructive microsurgery. As far as we know the arrangement of the palmar arterial network, the problem lies in the absence of accurate venous maps at the dorsum of the hand. The quality of venous circulation structure at the replanted hand determine the success of the surgery. In this paper we present a case of a failed replantation of a metacarpal hand after early thrombosis at the venous microcirculation system.
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