Lifting a plant from a nursery bed and planting in its permanent home is one type of replanting. Another type is when a field is planted, but is lost early in the season due to flooding or other factors, and the field is planted again that same season.
Replantation refers to reattachment of a completely severed part, meaning there is no physical connection between the part that has been cut off and the person.
There are several important factors necessary to successful replantation, including special instrumentation and transportation of the amputated finger.
the reinsertion and splinting of a tooth that has been avulsed (knocked or torn out) of its socket
Edward Joseph Barrett has written: 'A prospective longitudinal outcome study of avulsion-replantation of the permanent maxillary incisors in children'
only permanent teeth are replanted. Primary teeth (baby teeth) do not usually have long enough roots for successful replantation. The only exception may be the canine teeth, which have longer roots
the dentist or oral surgeon will first administer a local anesthetic to numb the patient's gums. He or she will then reinsert the avulsed tooth in its socket and anchor it within the mouth by installing a splint made of wire
The tooth and the patient should go to the dentist within 30 minutes of the accident since fibroblasts begin to die within that time. Rapid treatment improves the chances for successful replantation.
Antibiotics may also be given for infection. The patient should avoid rinsing the mouth, spitting, or smoking for the first 24 hours after surgery. He or she should limit food to a soft diet for the next few days.
buncke, harry j. microsurgery: transplantation-replantation. 2002 [cited April 25, 2003]. chang, James. "principles of microsurgery." emedicine. august 5, 2002 [cited April 25, 2003]. ."microsurgery." California pacific medical center
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DefinitionReplantation of digits is surgery to repair completely amputated fingers or toes.Alternative NamesRevascularization of amputated digits; Reattachment of amputated fingersDescriptionThe patient is sedated using regional or general anesthesia. The bone ends may be shortened to remove tension on the repaired blood vessels. The finger or toe is put in place and the bone is stabilized with wires or a plate and screws. Tendon repairs are done next.The nerves and vessels are then repaired with special surgical instruments. This part of the surgery is most critical to its success. The skin is then closed. A bulky dressing is applied.Young children may need to wear a cast to protect the area from injury.With an incomplete amputation, part of the digit stays attached to the body by skin, artery, vein, or nerve. A process called revascularization is used to reattach the rest of the digit.Why the Procedure Is PerformedThe surgery is recommended in a case of amputated fingers or toes, when the fingers or toes are in a condition that would allow replantation.RisksRisks for any anesthesia include the following:Reactions to medicationsProblems breathingRisks for any surgery include the following:BleedingInfectionAdditional risks include the following:Death of the replanted tissueReduced nerve or movement function in the replanted digitAfter the ProcedureChildren are especially good candidates for replantation surgery because of their great ability to heal and regenerate tissue. Replantation of an amputated part is ideally performed within 4 - 6 hours after the injury. However, success has been reported up to 24 hours after the injury if the amputated part has been cooled.Proper care of the amputated part or parts is critical to successful replantation. Under the right conditions, there is a good likelihood that the surgery can restore the use of the finger or toe.Outlook (Prognosis)Special care is needed in the hospital to monitor and maintain the blood flow to the replanted part. The arm or leg will be kept raised. The room may be kept warm to ensure that blood flow to the skin is not changed due to cooling.After discharge from the hospital in about a week, you may need to wear a cast to protect the part. The health care provider will need to continue checking blood flow in the digit.ReferencesChai Y, Kang Q, Yang Q, Zeng B. Replantation of amputated finger composite tissues with microvascular anastomosis. Microsurgery. 2008;28:314-320.
Normal anatomyThe fingers and toes are supplied by vessels and nerves which run up the lateral aspects of each digit.IndicationsThe surgery is recommended in a case of amputated fingers or toes, with salvaged digits in a condition that would enable replantation. This usually requires a clean cut across the digit, with minimal damage to the digital vessels and nerve. Amputated digits should be brought to the hospital with the patient, wrapped in moist paper towels, in a plastic bag, and on ice. Ice should be placed in a second plastic bag, into which the first plastic bag containing the severed digit is placed, to prevent direct contact between the ice and the severed digit.Procedure, part 1While the patient is sleepy (sedated) or deep asleep and pain-free (regional anesthesia or general anesthesia),the bone ends are shortened to eliminate tension on the repaired vessels. The bone is stabilized with wires. Tendon repairs are done next.Procedure, part 2Digital nerves and vessels are repaired with microsurgical instruments. This part of the surgery is most critical to its success. The skin is then closed. A bulky dressing is applied. Young children may have a cast applied to protect the area from injury.AftercareThe function of the replanted digit varies depending on the type of injury, the quality of the repair, and the post-operative healing course. Physical therapy after surgery is required to optimize function.Reviewed ByReview Date: 07/28/2010Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
Yes, he wears a wig. If you look at his films before he took a break from acting ie. Insaniyat etc. you'll see that he had fairly waspy hair and was thinning. Equally if you take a look at Mrityudaata its fairly obvious that he started off with a poor wig. This followed in a few films until Baghban onwards when the piece looked more authentic. The giveaway is the back of the head where if you look carefully you can see where the wig meets natural hair - in line with the ears. The hairpiece in Waqt and in fact Kyun Ho gaya Naa were the most obvious. Also note carefully that he has no actual parting! You can't see any scalp in his parting at all. That's only because its a hairpiece. There aren't many people who keep a full head to that age save for the likes of Shatrughan Sinha perhaps! Even Dharmendra is sporting a weave to cover his rear bald patch.