Hand Surgery

Front Matter....Pages I-XXI
Front Matter....Pages 1-1
Cosmas and Damian Revisited....Pages 3-10
Hand Transplantation as an Evolution of Microsurgery: A Logical Step Towards Better Reconstructive Options....Pages 11-23
Front Matter....Pages 25-25
Hind-Limb Transplantation in the Rat: Surgical Technique, Anaesthesia and Early Postoperative Management....Pages 27-40
Indefinite Survival and Functional Recovery of Limb Allografts in Rodents....Pages 41-46
Induction of High-Level Chimerism in Composite Tissue Transplants....Pages 47-56
Simultaneous Vascularised Bone Marrow Transplantation to Promote Acceptance of Limb Allografts....Pages 57-59
Experimental Approaches to Composite Tissue Allograft Transplants....Pages 61-77
A Review of Current Strategies to Achieve Tolerance in Animal Models....Pages 79-88
The History of Experimental Hand Transplantation in Primates....Pages 89-94
Hand Transplantation in Monkeys: Technical Details and Immunological Aspects....Pages 95-104
Front Matter....Pages 105-105
Ethical Aspects of Non-Life-Saving Allografts with Special Regard to the Hand....Pages 107-109
Ethical Issues of Organ Transplantation in Non-Life-Saving Situations....Pages 111-114
Informed Consent, Medico-Legal Implications, Public and Private Insurance Issues and Quantification of Disability in Hand Transplantation....Pages 115-123
Living with Two Different Fingerprints: Legal Implications and Identification Issues....Pages 125-130
Front Matter....Pages 131-131
Selection of Candidates and Waiting List, Dealing with the Media and the Public, Setting Up a Pilot Study, Clinical Trial Organization, Staff Requisites for Hand Transplantation: The Lyon Experience....Pages 133-136
Selection of Candidates and Waiting List, Dealing with the Media and the Public, Setting Up a Pilot Study, Clinical Trial Organization, Staff Requisites for Hand Transplantation:The Milan Experience....Pages 137-148
Selection of Candidates and Waiting List, Dealing with the Media and the Public, Setting Up a Pilot Study, Clinical Trial Organisation, Staff Requisites for Hand Transplantation: The Innsbruck Experience....Pages 149-156
Selection of Candidates and Waiting List, Dealing with the Media and the Public, Setting Up a Pilot Study, Clinical Trial Organization, Staff Requisites for Hand Transplantation: The Brussels Experience....Pages 157-166
Patient Management and Follow-up....Pages 167-170
Front Matter....Pages 171-171
Instruments, Sutures and Needles for Hand Transplantation....Pages 173-178
Front Matter....Pages 171-171
Anaesthetic Management....Pages 179-185
Harvesting the Hand....Pages 187-189
Preparing the Recipient....Pages 191-196
Technical and Surgical Details of Hand Transplantation....Pages 197-203
Hand Replantation and Transplantation: More Differences than Similarities....Pages 205-206
Front Matter....Pages 207-207
Current Concepts....Pages 209-214
Front Matter....Pages 215-215
Induction and Maintenance Therapy....Pages 217-221
Side-Effects and Potential Complications....Pages 223-226
CMV Infection and Reactivation....Pages 227-235
Specific T-Cell Response to HCMV Infection....Pages 237-240
Ocular Complications after Hand Transplantation....Pages 241-246
Front Matter....Pages 247-247
Skin Rejection in Human Hand Allografts: Histological Findings and Grading System....Pages 249-258
Pharmacological Treatment of Rejection....Pages 259-261
Monitoring Rejection with a Distant Sentinel Skin Graft....Pages 263-268
Front Matter....Pages 269-269
Bone Healing in Hand Transplantation....Pages 271-277
Return of Sensibility and Motor Recovery of Extrinsic and Intrinsic Muscles....Pages 279-289
From Silent Neuroma to Reactivation of Axonal Growth: How a Peripheral Nerve can Start to Regenerate into a Transplanted Hand?....Pages 291-302
Modified Visual Feedback in Rehabilitation....Pages 303-306
Analysis of Motor Unit Reinnervation in Muscles of the Transplanted Hand....Pages 307-315
Role of the Sympathetic Nervous System on Arterial Distensibility....Pages 317-325
Front Matter....Pages 269-269
An Instrumental Kit for a Comprehensive Assessment of Functional Recovery....Pages 327-339
Human Brain Plasticity after Bilateral Hand Allograft....Pages 341-346
The Sensor Glove in Preoperative Conditioning and Postoperative Rehabilitation....Pages 347-354
A Comprehensive Functional Score System in Hand Transplantation....Pages 355-362
Quality of Life in Hand Transplant Patients....Pages 363-366
Front Matter....Pages 367-367
Psychological Evaluation and Patient’s Profile....Pages 369-374
Hand Transplant and Body Image....Pages 375-379
Psychological Effects of Hand Transplantation....Pages 381-387
Front Matter....Pages 389-389
Allogeneic Vascularised Knee Transplantation....Pages 391-398
Laryngeal Transplantation....Pages 399-408
Uterus Transplantation....Pages 409-420
Abdominal Wall Transplantation: A Review of the Literature....Pages 421-424
First Human Face Allograft: Report at 4 months....Pages 425-433
Lower-Extremity Hindquarter Transplantation in Conjoined Twins....Pages 435-441
Front Matter....Pages 443-443
Limb Transplantation in Congenital Deformities....Pages 445-452
Mechanisms Involved in the Induction of Tolerance in Allogeneic Hand Transplantation: A Proposal....Pages 453-460
Induction of Tolerance in Allotransplantation....Pages 461-474
Front Matter....Pages 475-475
The International Registry on Hand and Composite Tissue Transplantation (IRHCTT)....Pages 477-482
Front Matter....Pages 483-483
An Extensive Bibliography on Hand Transplantation....Pages 485-490
Back Matter....Pages 491-493