This topic has been discussed on various occasions in the last 50 years and was first subject of European Consensus Conference (Modena, March 1999) organized by SICM (Italian Society Hand Surgery), SIM Microsurgery) FESUM (European Federation Emergency Services) 1, with patronage FESSH Surgery Societies) subsequently State Regions Italy (Gazzetta Ufficiale No. 285 07/12/2001) who formalized req...