Preservation and Transport of the Amputated Part for Replantation: Principles, Practice, and Pitfalls

Abstract

Traumatic amputation remains one of the most dramatic emergencies in reconstructive surgery, where the fate of the amputated part is determined not only in the operating theatre but, crucially, at the scene of injury and during transport. The interval between injury and definitive microsurgical repair represents a vulnerable window during which inappropriate handling can irreversibly compromise tissue viability. Accordingly, the preservation and transport of the amputated part are cornerstones of successful replantation, directly influencing survival rates, functional recovery, and long-term outcomes. However, unfortunately, the majority of patients who suffer traumatic amputations do not present properly. Dissemination of awareness and education to referring facilities may improve outcomes for patients who experience a traumatic amputation of an extremity or digit.