{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T16:18:34Z","timestamp":1740154714454,"version":"3.37.3"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T00:00:00Z","timestamp":1682985600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Major self-mutilations include injury to limbs, eyes, or genitals due to various psychiatric illnesses. Limb amputations are grievous injuries that radically decrease the quality of life. Controversy exists as to the advisability of replantation of the self-amputated limb. We report a case of self-amputation of the hand in a 54-year-old gentleman in a fit of psychosis. He underwent replantation of the hand and was given timely psychiatric help. Interdisciplinary management helped in improving the mood of the patient and he cooperated well with the rehabilitation schedule. Recent literature encourages surgeons to replant the limb and treat the mental illness with close observation for warning signs. We conclude that replantation along with early initiation of psychiatry treatment can help the patient overcome psychosis, realize the implications of his actions, and provide the motivation to perform physiotherapy to achieve the optimum outcome possible in the replanted hand.<\/jats:p>","DOI":"10.1055\/s-0043-1768916","type":"journal-article","created":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T23:09:20Z","timestamp":1683068960000},"page":"273-275","source":"Crossref","is-referenced-by-count":0,"title":["Replantation of an Amputated Hand at Wrist Level Due to Self-Mutilation: Considerations in Management"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5719-2715","authenticated-orcid":false,"given":"Ashwini","family":"Vardharajan","sequence":"additional","affiliation":[{"name":"Department of Plastic, Hand, and Microsurgery, Ganga Hospital, 313, Mettupalayam Road, Coimbatore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monusha","family":"Mohan","sequence":"additional","affiliation":[{"name":"Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dakshana","family":"Pushpanathan","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, KMCH Institute of health Sciences and Research, Coimbatore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hari","family":"Venkatramani","sequence":"additional","affiliation":[{"name":"Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. Raja","family":"Sabapathy","sequence":"additional","affiliation":[{"name":"Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,5,2]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"6","DOI":"10.5430\/css.v2n3p6","article-title":"Major self-mutilation leading to complete amputation of the hand during an acute psychotic episode","volume":"2","author":"S J Davies","year":"2016","journal-title":"Case Stud Surg"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1093\/schbul\/sbn040","article-title":"Major self-mutilation in the first episode of psychosis","volume":"35","author":"M Large","year":"2009","journal-title":"Schizophr Bull"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1177\/070674378002500208","article-title":"Replantations surgery following self-inflicted amputation","volume":"25","author":"D E Stewart","year":"1980","journal-title":"Can J Psychiatry"},{"issue":"10","key":"ref4","doi-asserted-by":"crossref","first-page":"e3191","DOI":"10.1097\/GOX.0000000000003191","article-title":"\u201cOn Arrival Block\u201d-management of upper extremity trauma with resuscitation in the operating room","volume":"8","author":"S R Sabapathy","year":"2020","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1177\/1039856215604479","article-title":"Self-amputation of the hand: issues in diagnosis and general hospital management","volume":"24","author":"A Crawford","year":"2016","journal-title":"Australas Psychiatry"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1016\/j.psym.2018.06.011","article-title":"Limb Self-amputation without replantation: a case report and management considerations","volume":"60","author":"J Van Bezooyen","year":"2019","journal-title":"Psychosomatics"},{"issue":"10","key":"ref7","first-page":"e5858","article-title":"Self-amputation of the upper extremity: a case report and review of the literature","volume":"11","author":"E Marques","year":"2019","journal-title":"Cureus"},{"issue":"06","key":"ref8","first-page":"381","article-title":"Replantation of amputated extremities. Report of five cases","volume":"71","author":"S Jaffe","year":"1975","journal-title":"Ohio State Med J"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/0163-8343(83)90039-7","article-title":"Self-amputation and restitution","volume":"5","author":"G W DeMuth","year":"1983","journal-title":"Gen Hosp Psychiatry"},{"issue":"11","key":"ref10","doi-asserted-by":"crossref","first-page":"793","DOI":"10.4088\/JCP.v60n1117","article-title":"Self-amputation of left hand: a case report","volume":"60","author":"R Tavcar","year":"1999","journal-title":"J Clin Psychiatry"}],"container-title":["Indian Journal of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1768916.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T00:19:09Z","timestamp":1689034749000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-1768916"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,2]]},"references-count":10,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2023,7,10]]},"published-print":{"date-parts":[[2023,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1768916","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0970-0358","1998-376X"],"issn-type":[{"type":"print","value":"0970-0358"},{"type":"electronic","value":"1998-376X"}],"subject":[],"published":{"date-parts":[[2023,5,2]]}}}