CURRENT STATE OF BILATERAL UPPER EXTREMITY TRANSPLANTATION IN MEXICO: ALL THE CASES AND PERSPECTIVES. ramirezbustamanteliber@gmail.com

462-08

CURRENT STATE OF BILATERAL UPPER EXTREMITY TRANSPLANTATION IN MEXICO: ALL THE CASES AND PERSPECTIVES.

3

 

 

 

 

Mexico

Oral or Poster

Since 2010, Mexico has had three Bilateral Upper Extremity Transplants (BUETs), all of them performed under the leadership of Dr. Martin Iglesias Morales, pioneer of Vascularized Composite Allotransplants (VCAs) in Latin America.

In this work, we present the the mexican BUET program\'s evolution through the years, as well as the current state of the transplantated patients, and the future strategies of the program.

The first patient undergoing a BUET, a 17 y/o female, was a surgical success but ended in sudden death due to malpractice in thymoglobulin administration. In 2012, a 51 y/o male with bilateral proximal limb amputation became the second BUET patient, and the first patient of the team in accomplishing 13 years living with his new arms. The third BUET was made in 2015 on a 51 y/o male that suffered High-Tension Electrical Burns (HTEB), whom suffered sugical humerus neck amputation on the right arm and transhumeral amputation on the left arm. This patient became the first full arm transplantation patient in the world and currently preserves his new, transplanted arms after 9 years of the procedure. In 2016, we received a new candidate for BUET, a young female patient with bilateral arm amputation (BAA) due to HTEB.

Disability due to BAA remains a significant public health concern. Therefore, we conclude that despite the many challenges involved, BUETs represent a viable option to improve life quality in amputated patients, with promising long term results that impact both physical and mental health.