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Use of a near‐infrared vein visualization device in partial second toe pulp flap transfer for fingertip reconstruction

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Dear Editor, Fingertip amputation is a common injury, and various kinds of reconstructive methods have been described (Lee et al., 2008). Partial toe transfer is a viable option, enabling functionally… Click to show full abstract

Dear Editor, Fingertip amputation is a common injury, and various kinds of reconstructive methods have been described (Lee et al., 2008). Partial toe transfer is a viable option, enabling functionally and aesthetically pleasing reconstruction of the lost fingertip, with minimal donor-site morbidity (Koshima, Inagawa, Urushibara, Okumoto, & Moriguchi, 2000). However, this technique remains challenging because identification and dissection of the donor and recipient veins can often be difficult (Lee et al., 2008; Yamamoto et al., 2014). The near-infrared vein visualization device (AccuVein AV400, Cold Spring Harbor, NY) can be an effective solution for the detection of veins in partial toe transfer. The AccuVein is a portable device (size, 5 × 6 × 20 cm; weight, 275 g) that emits a near-infrared laser light (785 nm wavelength) and a red visible light (642 nm wavelength).

Keywords: infrared vein; toe; near infrared; vein visualization; transfer; device

Journal Title: Microsurgery
Year Published: 2020

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