Types of ectopic replantation of severed fingers

Applicable to the damage of the palm and wrist, there are still some cases of complete fingers. Treatment of diseases: replantation of severed fingers Indication Applicable to the damage of the palm and wrist, there are still some cases of complete fingers. Contraindications Avoid smoking, alcohol and spicy food, diet is based on high-nutrient and digestible foods, eat more fresh vegetables, fruits, drink plenty of water, keep the stool smooth. Preoperative preparation 1 Establish a good relationship between nurses and patients. Respect each other and trust each other. 2 adjustment support system patients often have some worries after hospitalization, such as worry about the economic burden, worry about work problems, worry about how others see their own re-creation of fingers, etc. Nursing staff should try to get the encouragement and support of family members and colleagues to receive treatment 3 Creating a good environment for a good medical environment is important for normal people. It is more important for patients. A quiet and clean environment is conducive to calming the patient's mood. Watching TV and listening to music, outdoor walks and other activities can distract the patient's attention and reduce the patient's psychological burden. 4 The use of cognitive therapy Cognitive therapy is through the communication between the nurse and the patient. Through the communication, the patient understands the meaning of the conversation. The common sense of the surgery answers the various concerns of the patient, so that they can re-recognize and let them put down their thoughts. Burden Surgical procedure When the thumb, index finger or thumb and middle finger are intact, and there is a "tiger mouth" connected, the thumb is planted on the tibia, and the index finger or middle finger is implanted on the ulna. When there are four fingers intact, and there are finger joints, remove the middle finger, remove the little finger, implant the indicator finger on the tibia, and ring the finger on the ulna. When there are three fingers intact and the fingers are connected, the middle finger is removed, and the root skin is sutured to form a "tiger mouth". One finger is implanted on the tibia and one finger is implanted on the ulna. When the two fingers are intact and there are finger joints, divide the finger into two fingers, one finger on the humerus and one finger on the ulna. The two fingers are cross-stitched with two triangular flaps on the forearm to form a "tiger mouth". Only two single fingers are intact. When there is more skin connected at the root, one finger is implanted on the humerus, one finger is implanted on the ulna, and the finger root is used to form the finger. Both hands were damaged at the same time, one hand was completely destroyed, the other hand was intact, and all fingers were connected. It can be cut into two parts from the middle and middle fingers. The thumb and the index finger are respectively planted on the ipsilateral humerus and ulna; the ring finger is removed, and the middle finger and the little finger are respectively planted on the contralateral humerus and ulna. Rebuild part of the hand function on both sides of the forearm. The five fingers are complete and the fingers are connected. The ring and the little finger are removed, and the thumb is implanted on the tibia. The middle and middle fingers are planted on both sides of the ulna. The thumb, the indicator, the middle finger, or the thumb, the middle, and the ring are intact, and the fingers are connected. Put the thumb on the humerus and the other two fingers on both sides of the ulna. The four fingers are in good condition and are connected by fingers. Excluding the middle finger, the skin of the root is sutured to form the "tiger mouth", the indicator finger is planted on the tibia, and the ring and the little finger are planted on both sides of the ulna. The reconstructed two fingers or three fingers must be in good alignment; the relative fingers should be kept at a separation angle of 20 to 30 degrees; the original "tiger mouth" must be retained or the "tiger mouth" must be rebuilt; the reconstructed thumb can be retained. The metacarpophalangeal joint, other reconstruction refers to the removal of the metacarpophalangeal joint. Complications and interventions to ensure the patient's good coordination have been in an emergency state, and the postoperative position is forced, which can easily lead to anxiety and sleep disorder. At the same time, reconstruction refers to a high risk of surgery, a failure or complications. Patients are often difficult to accept, so nurses should do postoperative health education work. Inform patients that the postoperative ward is absolutely non-smoking, because the smoke contains nicotine, easy to cause vasospasm, prevent active and passive smoking: ensure that the local temperature of the lamp is constant, Can not arbitrarily change the lamp distance, greatly change the body position, such as turning over, sitting up, getting out of bed, etc., will seriously affect the re-creation of the blood circulation, induce vascular crisis, various adverse stimuli and emotional instability, are easy to lead to blood vessels The occurrence of a crisis.

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