Kentucky ? A Michigan man who lost his right hand in a work-related accident more than 30 years ago became the third successful hand transplant recipient in the United States, doctors said Thursday.

David F. Savage was doing well the day after the surgery at Jewish Hospital in Louisville.

Doctors said the transplant for Savage, 54, presented unusual challenges because of the length of time between losing his hand in a machine press and the surgery. The blood vessels leading to Savage’s hand had shrunk because they were not in use, said Dr. Warren Breidenbach, the lead surgeon.

The procedure involved two surgeries and 32 doctors over 16 hours Wednesday, the day the anonymous donor died.