Hand replantation using loupe magnification in a resource constrained environment: Case report
F.W. Nangole,
S.O. Khainga,
W.A. Okello,
P. Ajujo,
J.P. Ogallo,
D. Jowi,
A. Muoke,
F. Wanjiru
Affiliations
F.W. Nangole
Corresponding author: University of Nairobi Department of Surgery P.O. Box 2212 Nairobi, Nairobi Kenya; Department of Surgery, University of Nairobi, P.O. Box 2212 00202, Nairobi, Kenya
S.O. Khainga
Department of Surgery, University of Nairobi, P.O. Box 2212 00202, Nairobi, Kenya
W.A. Okello
Department of Surgery, University of Nairobi, P.O. Box 2212 00202, Nairobi, Kenya
P. Ajujo
Department of Surgery, University of Nairobi, P.O. Box 2212 00202, Nairobi, Kenya
J.P. Ogallo
Department of Surgery, University of Nairobi, P.O. Box 2212 00202, Nairobi, Kenya
D. Jowi
Department of Surgery, University of Nairobi, P.O. Box 2212 00202, Nairobi, Kenya
A. Muoke
Department of Surgery, University of Nairobi, P.O. Box 2212 00202, Nairobi, Kenya
F. Wanjiru
Department of Surgery, University of Nairobi, P.O. Box 2212 00202, Nairobi, Kenya
Hand replantation is a common surgical procedure worldwide. However, this practice is underdeveloped in many resource-constrained countries in part due to a lack of surgical microscopes. We present a patient successfully managed using loupe magnification.A 17-year-old patient presented with an amputated right hand secondary to a chaff cutter. After an 8-hour surgical procedure, the amputated hand was successfully re-attached to the stump using loupes. The patient's functional recovery was satisfactory after two years of follow-up.In conclusion, replantation of extremities can be successfully achieved using loupe magnification. Loupes should be considered an alternative to operating microscopes for replantation of extremities especially in resource-constrained countries.
