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The microsurgical instrument tray is an excellent assistant for replant surgery. Its
silicone finger mat firmly and atraumatically holds the parts to be replanted, allowing
fine adjustments of position to be made to ease microsurgical dissection (Fig. 1). The coloured base provides a good microsurgical background. Previously described
techniques for stabilising amputated parts include using hypodermic needles and a
cork board, stay sutures attached to the operating table
We have found the microsurgical instrument tray to be superior by comparison: it
is always available (the instruments arrive in it), tremor free and simpler to set
up and subsequently adjust. It allows the unassisted surgeon to start tagging the
nerves and vessels of the amputated parts, whilst the patient and the operating theatre
are prepared and a second surgeon arrives. This results in a shorter operation time
for the patient, and a shortened ischaemia time for the amputated part.
Figure 1Three fingertips supported by the silicone finger mat of the microsurgical instrument
tray.
