Emergency microsurgical reattachment of severed fingers, hands or limbs — restoring blood supply, nerve function and long-term use by Dr. Pranav Thusay.
Replantation surgery involves the microsurgical reattachment of a completely severed (amputated) digit, hand or limb. Using an operating microscope and sutures finer than a human hair, Dr. Thusay reconnects bones, tendons, nerves and blood vessels to restore circulation and ultimately function. Success depends on the level of injury, the warm ischaemia time, the condition of the amputated part and the expertise of the surgical team.
Time is critical. The patient and the amputated part must reach the surgical team as quickly as possible. Call us immediately: +91-77199-22888
The severed part is examined for crush, contamination and injury level. X-rays of both the stump and the part are taken.
Under general anaesthesia. Bone fixed first with K-wires. Tendons repaired. Artery and vein joined microsurgically. Nerve repaired. Skin closed.
Hourly Doppler and clinical monitoring of the replanted digit/limb. Temperature and colour assessed continuously. Anticoagulation administered.
Hand therapy begins at 3–4 weeks. Nerve regeneration occurs at 1 mm/day. Sensory and motor recovery takes 3–12 months depending on injury level.
1. Apply pressure to stop bleeding. 2. Wrap the amputated part in moist gauze, place in a sealed plastic bag, and put the bag on ice (not directly on ice — never freeze). 3. Go to hospital immediately and call +91-77199-22888. Speed is critical — do not delay.
Not always. Replantation is most successful for clean-cut (guillotine) amputations. Severely crushed, avulsed or contaminated parts may not be suitable. Thumb amputations are almost always replanted regardless of mechanism due to the thumb's critical functional importance.
When replantation is not feasible, Dr. Thusay performs stump revision surgery and plans for reconstruction — including prosthetic fitting, or in selected cases, toe-to-thumb or toe-to-finger transfer to reconstruct the missing digit.
Full function is not always achievable — it depends on injury level, nerve damage and patient factors. However, most replanted digits achieve protective sensation and useful grip. Thumb replantation in particular achieves excellent functional outcomes that justify the procedure even with modest expectations.
Single digit replantation: 4–6 hours. Multiple digits: 6–12+ hours. Major limb replantation: 8–12+ hours. The surgical team works continuously until all structures are repaired.
Essential. A structured hand therapy programme beginning at 3–4 weeks prevents tendon adhesions, improves range of motion and maximises functional recovery. Dr. Thusay coordinates closely with hand therapists throughout recovery.
Replantation refers to a completely severed part. Revascularisation refers to restoring blood supply to a partially attached (incompletely amputated) part that is ischaemic. Revascularisation has generally better outcomes than replantation as some structural connections are preserved.
Yes — limb and digit replantation is an emergency service. Dr. Thusay can be contacted at any time for replantation emergencies. Call +91-77199-22888 immediately.
Dr. Pranav Thusay will personally assess your case and create a tailored plan.