Morning News (Peninsula Morning News, 39 Degrees Video Reporter Huang Fengtong) Before the Spring Festival, 46-year-old Ms. Wang accidentally broke 5 fingers of her right hand by a grass cutter. The family immediately bandaged the wound, but only found four broken fingers. In Dalian Central Hospital, all four replanted fingers survived after the “rescue battle against severed fingers”. At the same time, Ms. Wang’s hand function was restored to the greatest extent by ectopic replantation of the little finger on the thumb.
On the afternoon of January 29, after the accident, Ms. Wang was sent to the emergency department of the Central Hospital. Dong Yujin, assistant director of the first department of hand and foot surgery, and Shang Yaohua, deputy chief physician, found that the missing finger was the right thumb. . According to the routine, even if all the four replanted fingers survive, the patient’s hand function will be lost by more than 60% because of the loss of the thumb. At this time, Dong Yujin thought of replanting the twisted little finger ectopic on the thumb to restore the function of the affected hand to the greatest extent.
The golden time for replantation and recanalization of severed fingers is 6-8 hours. The longer the ischemia time, the lower the survival probability of severed fingers. At this time, it has been 2 hours since the severed finger occurred. According to Dong Yujin, the replantation of a severed finger is divided into three steps. The first step is to fix the fracture, the second step is to anastomose the tendon, and the third step is to anastomose the blood vessels and nerves under the microscope. During the operation, it takes about 2-3 hours for each finger, and about 8-12 hours for the replantation of 4 fingers.
Therefore, the surgical team immediately decided to use the method of connecting the arteries first, so that all four fingers had arterial blood supply in the shortest time, and then two groups of doctors alternately performed the operation without interruption, which can achieve high-quality and high-efficiency. Guarantee the success rate of surgery. At 4 am the next day, the 9-hour operation was successfully completed. Under the careful care of the medical staff, Ms. Wang’s severed fingers all survived, as well as the ectopic replanted thumb, and her hand function will slowly recover after a period of rehabilitation training.