Vascular microsurgery in ischemic hand due to repetitive traumatisms Young patient, miner, diverse symptoms of bad vascularization in his hand like the bluish coloration of his fingers. The diagnosis points to an ischemic upper limb due to poor irrigation, 20 February, 2018 | bypass, Dr. Piñal, fingers surgery, Francisco del Piñal, ischemia, ischemic hand, microsurgery, thrombosis, thrombus, ulnar artery, wrist surgery |