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Venous system mapping of the digits and the hand : an anatomical study and potential surgical applications

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Lhuaire, Martin, Wavreille, Guillaume, Hivelin, Mikael, Aumar, Aurélien, Hunsinger, Vincent, Derder, Mohamed, Lellouch, Alexandre G., Abrahams, Peter H., Lantieri, Laurent and Fontaine, Christian (2022) Venous system mapping of the digits and the hand : an anatomical study and potential surgical applications. JPRAS Open, 33 . pp. 171-183. doi:10.1016/j.jpra.2022.04.008 ISSN 2352-5878.

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Official URL: https://doi.org/10.1016/j.jpra.2022.04.008

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Abstract

Background:
Venous anatomy of the digits and the hand is poorly reported in the literature compared to arterial anatomy. While knowledge of the venous anatomy is crucial to ensure safe skin incisions, skin flap design, or blood return restoration for digital replantations, data in anatomical and clinical textbooks are rather limited. The purpose of this anatomical study was to describe the venous anatomy of the digits and the hand.

Method:
Our series reports descriptive results from 10 non-embalmed hand dissections from 5 different corpses. Hands were previously co-injected by arteries followed by veins with a different colored latex before being dissected under optical magnification (x4). Each anatomical specimen was photographed before being analyzed.

Results:
Each injection revealed both arterial and venous vascular systems. Latex injections were a useful technique to show the dorsal, volar superficial, and deep venous system. There was a constant and reliable topographic vascular anatomy of the superficial venous system of the digits and hand. However, we could not observe a high density of dorsal superficial venous valves as previously reported.

Conclusion:
The knowledge of the arrangement of the venous system of the digits and the hand should help the surgeon when performing surgical procedures in the hand. The surgeon should take into consideration this venous anatomy when performing skin incisions, skin flaps, or replantation procedures which would preserve the normal venous physiology as much as possible.

Item Type: Journal Article
Subjects: Q Science > QM Human anatomy
R Medicine > RD Surgery
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
SWORD Depositor: Library Publications Router
Library of Congress Subject Headings (LCSH): Hand -- Anatomy, Hand -- Surgery , Veins, Venous valves , Surgery, Plastic
Journal or Publication Title: JPRAS Open
Publisher: Elsevier
ISSN: 2352-5878
Official Date: September 2022
Dates:
DateEvent
September 2022Published
14 May 2022Available
21 April 2022Accepted
Volume: 33
Page Range: pp. 171-183
DOI: 10.1016/j.jpra.2022.04.008
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 17 October 2022
Date of first compliant Open Access: 18 October 2022

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