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Preservation of upper extremity devascularizations and amputations for replantation.

Cooling the amputated part and the partially amputated devascularized extremity is critical for a successful replantation attempt. Cooling devascularized or amputated tissue is the simplest and most effective method for preventing the detrimental effects of ischemia. Successful microsurgical revascularization begins with proper treatment in the local referring emergency room. Proper care and transportation of the patient and his devascularized or amputated extremity are essential.