Reconstruction of finger V degree defect

Suitable for the left index finger is V degree defect. Treatment of diseases: hand trauma, open hand injury Indication Suitable for the left index finger is V degree defect. 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 fingers. Nursing staff should try their best to get the encouragement and support of their family members, friends, colleagues and leaders, and receive treatment with peace of mind. 3. Create a good medical environment. A good environment is important to normal people and more important to patients. The quiet and clean environment is conducive to the patient's calm mood, watching TV, listening to music, outdoor walks and other activities can distract the patient's attention and reduce the patient's psychological burden. 4. Using cognitive therapy Cognitive therapy is carried out through conversations between nurses and patients. Through communication, patients can understand the meaning of conversation, relevant surgical knowledge, and answer all kinds of patient concerns, so that they can re-recognize and let It puts down all kinds of burdens on the mind. Surgical procedure 1. The left indicator is V-degree defect. 2. Select the contralateral second toe graft to reconstruct the defect. Toe incision design. 3, cut the skin, separate the toe and dorsal vein, the first metatarsal artery, both sides of the toe nerve, toe extension, flexor tendon. 4. Cut the phalanges at the base of the proximal phalanx, and cut the long extensor tendon of the toe, the long flexor tendon of the toe, the artery, the vein and the nerve. The second toe is completely disconnected. 5, because the index finger flexor tendon has been deficient, take the ring finger finger shallow flexor tendon displacement, replace the finger flexor tendon. 6, indicating the stump of the sagittal incision, find the bilateral finger nerves, the finger ulnar side of the common artery, and the metacarpal head vein. Trim the phalanx stump. The second toe moves to the receiving area. 7, the toe, phalanx with the steel wire for cross fixation, suture the periosteum. 8, suture finger, toe extensor tendon and finger, toe flexor tendon. Adjust your tendon tension to keep your fingers in rest. 9. The dorsal vein of the ankle is anastomosed to the vein between the head through a subcutaneous tunnel, and the skin of the finger is sutured. The both sides of the finger and toe nerve are sewn on the volar side. The first metatarsal artery is then anastomosed to the common finger artery, and reconstruction and reconstruction refer to blood circulation. 10. Adjust the skin, suture the wound, and rebuild it. complication Nursing intervention to ensure that the patient is well coordinated with the patient has been in an emergency state, and the postoperative position is forced, which can easily lead to anxiety and sleep pattern disorder. At the same time, reengineering means that the risk of surgery is very high. If a failure or complications occur, the patient is often difficult to accept, so the nurse should do a good job in post-operative health education. Inform the patient that the postoperative ward is absolutely non-smoking, because the cigarette contains nicotine, which is easy to cause vasospasm and prevent active and passive smoking. Ensure that the local temperature of the lamp is constant, and the lamp distance cannot be changed arbitrarily. The body position can be changed greatly, such as turning over, sitting up, getting out of bed, etc., which will seriously affect the revascularization, induce vascular crisis, various adverse stimuli and emotions. Instability, it is easy to cause vascular crisis.

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