open access

Vol 60, No 1-2 (2009)
Original article
Submitted: 2013-02-18
Published online: 2009-12-17
Get Citation

Successful hand replantation in a seafarer after long-distance helicopter evacuation. A case report Hand amputation at sea (editorial comment by Eilif Dahl)

Javier Fernandez-Palacios, Orlando Garcia Duque, Ruben Alvarado Benitez, Luis Fabelo Bolanos, Jose Guterrez Calderin
International Maritime Health 2009;60(1-2):14-17.

open access

Vol 60, No 1-2 (2009)
MARITIME MEDICINE Original article
Submitted: 2013-02-18
Published online: 2009-12-17

Abstract

After sustaining a clean-cut mid-carpal hand amputation on a tanker 120 miles north of Lanzarote, a 28- -year-old seafarer was evacuated by helicopter to a microsurgical unit in Gran Canaria. The amputated hand was cooled according to precise instructions. The 6-hour flight time included two refuelling stops and transfer time. The hand had been revascularized thirteen hours after the accident and was still well circulated at repatriation 3 weeks later.

Abstract

After sustaining a clean-cut mid-carpal hand amputation on a tanker 120 miles north of Lanzarote, a 28- -year-old seafarer was evacuated by helicopter to a microsurgical unit in Gran Canaria. The amputated hand was cooled according to precise instructions. The 6-hour flight time included two refuelling stops and transfer time. The hand had been revascularized thirteen hours after the accident and was still well circulated at repatriation 3 weeks later.
Get Citation

Keywords

words: hand replantation; seafarer; evacuation

About this article
Title

Successful hand replantation in a seafarer after long-distance helicopter evacuation. A case report Hand amputation at sea (editorial comment by Eilif Dahl)

Journal

International Maritime Health

Issue

Vol 60, No 1-2 (2009)

Article type

Original article

Pages

14-17

Published online

2009-12-17

Bibliographic record

International Maritime Health 2009;60(1-2):14-17.

Keywords

words: hand replantation
seafarer
evacuation

Authors

Javier Fernandez-Palacios
Orlando Garcia Duque
Ruben Alvarado Benitez
Luis Fabelo Bolanos
Jose Guterrez Calderin

References (11)
  1. Canals ML, Gómez F, Herrador J. Maritime health in Spain: integrated services are the key. Int Marit Health. 2001; 52(1-4): 104–116.
  2. Memoria Salvamento Maritimo, 2001-2008. In: www.salvamentomaritimo.es — actividades — informeAnual — estadisticas.
  3. Haagensen R, Sjøborg KA, Rossing A, et al. Long-range rescue helicopter missions in the Arctic. Prehosp Disaster Med. 2004; 19(2): 158–163.
  4. Freund KG. [Evacuation of patients from the North Sea]. Tidsskr Nor Laegeforen. 1989; 109(16): 1757–1758.
  5. Valentić D, Stojanović D, Mićović V, et al. Work related diseases and injuries on an oil rig. Int Marit Health. 2005; 56(1-4): 56–66.
  6. Vuksanovic P, Goethe H. Diseases and accidents among seamen--an international comparison of distribution of diagnoses. Bull Inst Marit Trop Med Gdynia. 1982; 33(1-2): 13–33.
  7. Roberts SE. Mortality from disease among seafarers in British merchant shipping (1976-1995). Int Marit Health. 2002; 53(1-4): 43–58.
  8. Inoue G, Nakamura R, Imamura T. Revascularization of digits after prolonged warm ischemia. J Reconstr Microsurg. 1988; 4(2): 131–138.
  9. Brunelli G, Vigasio A, Brunelli F. [Muscular elementarization in the "borderline" replantation and revascularization of the forearm]. Ann Chir Main. 1985; 4(4): 337–339.
  10. Buncke GM. Replantation and revascularization. . In: Hentz VR. ed. Mathes Plastic surgery: the hand and upper limb. Saunders Elsevier , Philadelphia, USA .
  11. Paavilainen P, Nietosvaara Y, Tikkinen KAO, et al. Long-term results of transmetacarpal replantation. J Plast Reconstr Aesthet Surg. 2007; 60(7): 704–709.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl