Before that, the PNP patient (49 years old, residing in Hoa Vang, Da Nang City) was admitted to the emergency room of Da Nang Hospital in a complicated wound, his left hand was cut by a chainsaw.
Specifically, the patient had severed the 1st (thumb) and 3rd (middle finger) fingers, the remaining fingers were damaged. Of the two severed fingers, the thumb was lost at the scene, only the middle finger was brought to the emergency room.
Immediately, the doctors on duty of Trauma - Orthopedics decided to reattach the severed finger by microsurgery technique for the patient.
The patient's thumb is connected from the previously severed middle finger
After nearly 5 hours, the doctors successfully connected the middle finger to the thumb, and at the same time treated the lesions of the remaining fingers.
The surgical team said that the decision to connect the middle finger to the thumb was because the thumb accounts for 50% of the function of the hand. In the opposite position, the thumb combines with the other 4 fingers to form a pincer to grasp and pick up objects.
Therefore, the injuries that cause the loss of the thumb will reduce the hand function, seriously affecting the patient's work and daily activities, so the reconstruction of the thumb is very important.
According to doctors, the difficulty of this case is the complicated hand injury. In particular, the arteries and veins of the severed finger were crushed for a long time, accompanied by the incompatibility of the lumen size of the two anastomosis, leading to the difficulty in blood vessel anastomosis and the very high risk of embolism. High. Therefore, the surgery time is long, requiring high perseverance and meticulousness.
Up to now, the patient's thumb has been moved and the patient has been discharged from the hospital.
Da Nang Hospital recommends that, for the severed limb, it should be preserved by wrapping it with gauze or a clean cloth (be careful not to wrap it too thickly) around the severed part and then put it in a thin plastic bag, tightly tied. the mouth of the bag so that water cannot seep in. Put the bag in the ice box, ice bucket and quickly bring it with the patient for timely emergency.
