What are the problems of amputated finger replantation surgery?

Prevention of bacterial infection, connection of all nerves, treatment of wounds, no way to fix the tissue, some difficulty in sewing the skin, preservation technique.

The difficulty of finger replantation is mainly vascular anastomosis, which is also difficult due to the thin blood vessels of the fingers. In general, patients with mild injuries have a higher survival rate of replantation of severed fingers; If the severity of the disease is severe, such as severe crush injury, the survival rate of replantation is not optimistic; The key to the success of finger replantation lies in whether the blood vessels can be connected.

The difficulty of finger replantation is related to the degree of finger injury, which is divided into the following according to the cause of injury: 1. Cutting injury, such as chainsaws and blades, this kind of sharp cutting injury, the survival probability of replantation is relatively high; 2. Blunt crush injury, like lathe crush injury, is relatively difficult; 3. Lacerations, such as high-speed rotating belts, fingers are pulled into and broken, at this time, the blood vessels, nerves, and tendons are pulled out, and they are also contaminated, and it is more difficult to successfully replant the severed fingers; 4. Composite tissue injury, such as high temperature and thermal explosion injury, resulting in complete destruction of the finger, in this case, there is no way to do replantation; 5. Complex injuries, such as the injury is very complex, and the environment for replantation of the proximal end of the severed finger is very poor, and there is no way to replant in situ.

The finger will not be shortened after the procedure, because the purpose of this is only to connect the severed finger.

After the surgery, there will be no shortening of the fingers, and there may be a slight effect, but it is basically not noticeable.

Fingers that are amputated and replantated may be shortened. Finger replantation is a delicate procedure to reconnect a completely or incompletely severed finger back into place and restore its function. If the severed finger is relatively intact, the vascular nerve is not severely damaged, the bone is not defective, and there is no need for shortening, the vascular nerve can be fixed in situ and anastomosed.

Finger amputation replantation surgery needs to be operated under the microscope, the difficulty of the operation mainly lies in the anastomosis of blood vessels, it is recommended to choose Shunde Peace Surgery Hospital, which is Shunde 120 emergency network hospital, Foshan medical insurance, work-related injury medical designated hospital and work-related injury ** designated hospital, as well as a number of commercial insurance medical designated hospitals. [Click on manual consultation to learn more**plan].

Surgery is more difficult in the following situations:

a) Distal disconnection, the more distal the finger, the smaller the blood vessels, the more difficult.

2) Avulsion breaks, the blood vessels are avulsed, and the soft tissue damage within them is not in the same plane.

3) Polydactyly severed.

4) Multi-terminal disconnection.

5) Severed fingers in children.

If you want to know more about 3D holomorphic finger reconstruction, we recommend consulting Shunde Peace Surgery Hospital. Shunde Peace Surgery Hospital has been focusing on the research of hand surgery, and has rich clinical experience in finger replantation, finger reconstruction, and various complex hand trauma.

This surgery is also relatively common, because the human finger is very important, and it can be surgically connected after the finger is broken, so that it will not affect the movement of the finger and can make the human body more beautiful. This surgery is also complicated when performing, after all, there are many nerves in the human finger, and if one of the wrong nerves is connected, it may affect the flexibility of the finger and make the finger very stiff. Therefore, when performing finger amputation surgery, you must be quick and careful, and you can't be careless.

After the finger is broken, it is necessary to protect the broken finger and go to the hospital as soon as possible, so as to maintain the activity of the finger and make the operation faster, so that the finger can recover as soon as possible. The cost of this surgery is also relatively expensive, so we must be mentally prepared before the operation, but it can also be reimbursed through medical insurance.

Severed finger replantation surgery can help the person who accidentally cut off the finger to connect the finger again, but for this replantation surgery, the patient needs to meet the corresponding requirements, the severed finger must also be preserved, and the operation should be performed in a short time, this surgery is not very risky, and the cost is not high, for many patients, it is a very good thing.

You need to do a good job of nursing, you need to pay attention to the diet plan, you need to pay attention to the problems of the surgical process, you need to pay attention to the risks, you need to consult in advance, the risks of surgery are not very high, but you will encounter a lot of problems.

There are many risks in the process of surgery, it is necessary to fix the finger, pay attention to the process of surgery, understand the problems of surgery, and the operation method is more troublesome, which may cause other problems.

In our work, we often encounter many finger breaks caused by trauma, machine strangulation, ploughing, and sawing wood chips. There are two types of dissociation, the first is that the distal part of the limb is completely separated from the hands.

In addition, there is a part of ** or soft tissue connected to the injured hand, but the contusion is very, very serious, we must remove this part of the tissue during the operation, which is called complete finger amputation;

Another kind of partial cut injury, we found that there is a part of the ** or tendon connected to the tissue, but if the blood vessels are not connected, it will still cause necrosis of the limbs in the future, which requires urgent surgery in the hospital, and then go to the hospital as soon as possible to anastomoses the severed finger blood vessels and tendons to ensure that the fingers survive, such surgery is called finger amputation and replantation surgery.

Segment finger on-the-job surgery, issues to be paid attention to. It is necessary to pay attention to the position of the wound, and also pay attention to the repair after the operation, do not use force, do not touch the affected area.

Attention needs to be paid to the issue of blood group matching. It is necessary to transplant a piece of skin from one's body and wrap around the injured part so that the bone can be regenerated.

After the severed finger is replanted, the bleeding should be stopped as soon as possible, but it is necessary to pay attention to the ways and means, and the hemostasis can not be stopped with a handkerchief, nor can it be stopped with a belt or a leather tube, otherwise it will lead to an increase in bleeding and affect the normal circulation of blood. The correct way is to stop the bleeding directly with a clean face tag, mainly by compressing the hemostasis, stopping the blood and then carrying out local bandaging.

It is also necessary to prevent infection, and to take proper care of the wound in the early stage, do not touch it with your hands, otherwise more bacteria will be brought into the wound. After surgery, it is necessary to disinfect the local area frequently, which can be disinfected with hydrogen peroxide or disinfectant alcohol, and the gauze should be changed frequently every day, or directly bandaged with sterilized dressings, which can reduce the degree of infection.

After the finger amputation and replantation surgery, it is necessary to prevent the aggravation of the injury of the finger part, do not do tiring things in a short time, do not lift heavy objects, and do not lift heavy objects directly, otherwise it will affect the local normal blood vascularity, resulting in damage to the stump of the finger, and then causing the local color to turn purple. After the operation, it should be fixed with a small wooden board and iron sheet. If there are painful symptoms after finger replantation, it is recommended to combine analgesics**.

Precautions are generally as follows.

First, you must be absolutely bedridden, not move on the ground casually, and urinate and defecate smoothly.

Second, heat preservation, after surgery, patients will generally be irradiated with infrared lamps or baking lamps, so that the blood circulation state will become better and the blood vessels can be filled.

Third, smoking is prohibited. Not only is it forbidden to smoke, but all patients and family members in the ward are not allowed to smoke, because the smoke contains nicotine and nicotine, which can cause blood vessels to spasm. After spasms, it is difficult for the finger body to survive.

Fourth, the affected finger should be elevated, which is conducive to venous return. If the venous return is good, the arterial blood can pass, and if the venous blood is stagnant, the arterial blood will not pass. Arterial blood cannot pass, and the original limb will be ischemic and hypoxic, and it will die.

Therefore, the above items must be noted.

Fifth, the patient should maintain a good mood, which is conducive to the recovery of the disease. If you are always depressed, your fingers will recover more slowly.

Before the severed finger is replanted, in fact, it is necessary to pay attention to the preservation of the severed finger, the cleaning of the wound, the physical examination of the whole body, the psychological preparation of the patient, etc., the first, the preservation of the severed finger, we routinely require drying, refrigerated storage, and do not remove any liquid, and the second, the patient's wound should be bandaged with clean gauze.

To prevent cross-infection, it is necessary to stay in bed for at least 10 days after surgery, etc. Prevent cross-infection, keep the ward clean and well-ventilated; You need to stay in bed for at least 10 days after surgery to prevent healing from being affected by changes in blood pressure in the body.

Antispasmodic, antithrombosis, anti-inflammatory**, analgesia, rehydration and other measures are also required.

There may be problems with infection, it may also cause bone necrosis, or affect the dexterity of the fingers, and it can affect the body, and there will be more serious lesions, which is not good in any way.

There may be old diseases, antibodies may appear in the body, there may be some adverse reactions, there may be some***, and there may be intolerance.

After the operation, you must follow the doctor's instructions, eat more light and nutritious things, should supplement enough nutrients, drink more warm water, avoid body fire, do not let the wound meet water, have a good sleep, should enhance resistance, so that the wound will recover faster.

It must be well maintained, if it is not well maintained, it will lead to necrosis of the severed fingers, and it needs to be rested, and it needs to promote blood circulation.

Nowadays, science and technology are becoming more and more developed, many new technologies have changed people's lives, and many scientific research technologies are widely used.

After the severed finger is replanted, because the blood vessels, bones, bones, and nerves, tendons, muscles, and subcutaneous ** are all reanastomosed. If you survive after transplantation, these aspects in the future, as well as various joints, tendons and joint capsules, these functions need to be restored, so it is very important to take into account the joints, tendons, nerves, blood vessels, arteries and veins, and even the skin in front of the skin hole.

Of course, not all patients can return to normal functioning, because everyone's physical condition is different, and the degree of recovery is also different. But after recovery training, there is no difference between the appearance and normal people, and the functionality may not be as flexible as normal people, at least in the future, you can work normally, take something a little heavy, it is no problem, the benefits in life are still great, and there is no problem with cutting vegetables and cooking by yourself, although you have experienced such a big trauma, you may be a disabled person in the eyes of outsiders, and you will inevitably feel very sad. Let them live better and more optimistically.

In fact, there are many such people around, because of the different nature of work, there are chefs, there are workers, there are accidents at work and lose their fingers, in an instant may feel that they can not be like normal people in the future, in fact, as long as they are repaired by surgery in the first time, **, they can still be like normal people in the future, we can't help but sigh that it is technology that has changed patients and made them have a better life!

1 is relatively cheap on the **, 2 special group is not easy to recover, 3 the trauma is not particularly large, 4 can finally let me guess that they go to work normally, 5 and normal people are no different.