Hand Transplantation-Risks and Benefits

• Tipo: Outra Publicação em Revista Científica Internacional
• Data: 2021

Autores

Ricardo Horta (Autor) FMUP

Revista

A Revista está pendente de validação pelos Serviços Administrativos.

Título: Journal of Hand and Microsurgery - J Hand Microsurg

Vol. 13

Páginas: 207-215

ISSN: 0974-3227

Indexação

Scopus - 0 Citações

Outras Informações

ID Authenticus: P-00V-PNG

DOI: 10.1055/s-0040-1715427

Abstract (EN): Composite tissue allotransplantation (CTA) is the culmination of progress in transplantation, allowing the reconstruction of the hand in amputees. Worldwide, more than 100 procedures have been performed. The aim of this work was to understand the hand allotransplantation approach, making known current aspects, risks, and benefits. A PubMed research was realized between October 2018 and March 2019, including terms like Hand transplantation AND Composite tissue allotransplantation, Hand transplantation AND Functional outcomes, Hand transplantation AND Immunosuppression, Hand prosthetics, Hand Transplantation AND Ethics. There were included papers between 1995 and 2018, with English language, amputee human adults, systematic reviews, and clinical studies. Seventy-two papers were fully evaluated. There are technical aspects that influence the procedure like team coordination or surgical technique. It requires a long-life treatment, which has risks such as toxicity or infections. However, it allows the recovery of fine movements, and independence, to perform detailed tasks. The indications must be carefully considered, because some patients benefit from the use of prosthesis. CTA has become an option for amputees so it is important to do more research, to determine the benefits of this procedure. It is not considered a life-saving procedure, so there is an ethical debate because of the risks.

Idioma: Inglês

Tipo (Avaliação Docente): Científica