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Replantation Surgery

Replantation Surgery at Bembde Hospital

Reattaching Lives with Precision and Expertise

Replantation surgery is a highly specialized procedure that involves the reattachment of a completely severed body part using advanced microsurgical techniques. At Bembde Hospital, we take pride in being a pioneering center for replantation surgery since 1999, providing comprehensive emergency care and limb-saving procedures. Our mission is to restore functionality, sensation, and appearance to the reattached part, helping patients regain their quality of life.

What is Replantation Surgery?

Replantation is the surgical reattachment of a body part that has been completely amputated. The procedure involves meticulous microsurgical repair of:
  • Blood vessels – To restore circulation.
  • Nerves – To regain sensation and movement.
  • Tendons & Muscles – To restore function.
  • Bones – For structural stability.
In cases where the part is not fully detached but has critical ischemia (lack of blood supply), the procedure is called Revascularization.

Why Choose Bembde Hospital for Replantation Surgery?

Since 1999, Bembde Hospital has been a leader in replantation and reconstructive surgery in Central Maharashtra. Under the leadership of Dr. Ramakant Bembde, an acclaimed microsurgeon trained at Tata Memorial Hospital and Nair Hospital, Mumbai, we have successfully reattached amputated body parts, including:
  • Fingers, hands, forearms, and arms
  • Toes, feet, and legs
  • Ears and avulsed scalp injuries
  • Face, lips, tongue, and penis
Dr. Bembde performed Marathwada’s first successful replantation in June 1997 during his postgraduate training at Topiwala National Medical College, Mumbai. He further honed his skills at Ganga Hospital, Coimbatore (2004) under Dr. Raja Sabapathy, a world-renowned microvascular surgeon.

Critical Timeliness in Replantation Surgery

Replantation surgery must be performed within a critical time window to increase success rates. The sooner the amputated part is revascularized, the higher the chances of survival and functional restoration.

Optimal Preservation Time

  • Fingers: Several hours if properly preserved.
  • Larger limbs (arms/legs): Ideally within 6-8 hours.
  • Ischemia Time: Should be minimized to reduce tissue death and infection.

Storage & Transport of Amputated Parts

Proper preservation and transport of the amputated part significantly impact replantation success. Follow these steps:
  • Clean the amputated part with sterile water (avoid scrubbing).
  • Wrap it in sterile, moistened gauze (avoid direct water exposure).
  • Place the wrapped part in a sterile plastic bag.
  • Submerge the bag in ice water (4°C) but avoid direct contact with ice.
  • Do not use dry ice, as it can freeze and damage tissues.
At Bembde Hospital, we conduct educational programs for doctors and the public on correct preservation and transport techniques to improve replantation outcomes.

Special Infrastructure for Replantation at Bembde Hospital

We have state-of-the-art microsurgical infrastructure to handle even the most complex replantation cases. Our specialized equipment includes:
  • Zeiss Microscope – First private plastic surgery setup in Marathwada, ensuring high-precision microsurgical reattachment.
  • Carl Zeiss Magnifying Loups – Enhances visual accuracy for delicate surgeries.
  • S&T Micro-Instruments (Switzerland) – World-class tools for precise microvascular repairs.
  • C-Arm Machine – Provides real-time intraoperative imaging for bone alignment and fixation.

Replantation Surgery Best Results / Before & After

ALL RESULT

Preoperative Evaluation and Planning

Before replantation, our team carefully assesses:
  • Level and type of injury
  • Ischemia time
  • Viability of tissues
  • Overall health condition
  • Expected functional recovery and rehabilitation plan

Indications for Replantation

  • Thumb amputation – Essential for hand function.
  • Multiple digit amputations – Crucial for grasp and dexterity.
  • Amputations near the palm – To preserve grip strength.
  • Child finger amputations – Due to high healing potential.

Relative Contraindications

  • Severe crush or mangling injuries
  • Heavily contaminated wounds
  • Prolonged ischemia (>6-8 hours)
  • Medically unstable patients

Postoperative Care & Rehabilitation

Replantation is just the first step. Postoperative care and rehabilitation are crucial for success. Our specialized care includes:
  • Blood flow monitoring – Ensuring continued circulation.
  • Infection prevention – Strict wound care and antibiotics.
  • Early physiotherapy & hand therapy – To restore movement and strength.
  • Adaptive splinting & elevation – Preventing stiffness and swelling.
  • Lifestyle advice – Avoiding smoking and cold exposure to protect circulation.

Is Replantation Surgery Right for You?

Replantation surgery involves the reattachment of a severed body part, such as a finger, hand, or limb, using advanced microsurgical techniques. This complex procedure is often time-sensitive and aims to restore both function and appearance.

  • Performed in emergency cases of traumatic amputation
  • Aims to restore sensation, movement, and appearance
  • Requires expert microsurgical skills and advanced equipment
  • Comprehensive post-surgery rehabilitation for best outcomes

Frequently Asked Questions (FAQs)

Surgery duration depends on complexity but typically takes 6 to 24 hours.
Not always. Success depends on factors like injury type, preservation quality, ischemia time, and patient health.
Risks include infection, vascular compromise, nerve damage, and incomplete functional recovery. Our advanced techniques minimize these risks.
Yes, intensive rehabilitation is essential for restoring mobility, strength, and fine motor skills.
Recovery varies, but with proper surgery and rehabilitation, most patients regain significant function.

Why Choose Bembde Hospital for Replantation Surgery?

  • Expertise: Decades of experience with complex limb replantations.
  • Advanced Microsurgical Techniques: Ensuring high success rates.
  • Round-the-Clock Emergency Care: Dedicated team ready for urgent cases.
  • Personalized Rehabilitation Plans: Tailored to maximize functional recovery.
  • Patient-Centered Approach: Comprehensive support from emergency response to post-surgery rehabilitation.

Take the First Step Toward Recovery

If you or your loved one has suffered an amputation, time is crucial. At Bembde Hospital, we are committed to offering life-changing replantation surgery with the highest standards of care. Contact us immediately for urgent assistance and specialized treatment.

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