Distal replantation of postoperative treatment.docVIP

 PAGE \* MERGEFORMAT 5 Distal replantation of postoperative treatment Distal replantation is a common special type of digital replantation. In this small plane on the finger vein, the vein anastomosis for very few, often accompanied by micro, vein contusion, so this type of finger on the tiny blood vessels of the anastomosis is extremely demanding, even if it is difficult to ensure the return venous anastomosis patency. clinical use more consistent use of small incisions mean arterial blood after the alternative method of venous return to maintain blood circulation of replanted fingers in order to improve the the survival rate of finger types. I use this type of finger families of two arterial anastomosis, a vein, after intravenous infusion of low molecular weight dextran to maintain continuous bleeding 3 days to maintain a bed method, and achieved good results. From January 2004 -2009 were treated on January 9 cases of 9 patients of this type means. now report the following experience: 1 Clinical data 1.1 General Information finger 9 patients in this group, 7 males and 2 females, aged from 12 to 59 years. Are just talking about amputation. This group of cases in 1 case the thumb, index finger in 2 cases, 2 cases of the middle finger, ring finger 3 cases, 1 case of the little finger. stamping injury in 1 case, 1 case of avulsion injuries, cuts in 7 cases. ischemic time of 20min ~ 3h. 1.2 Methods of proximal finger and finger without any treatment. All patients were consistent with two arteries, a subcutaneous vein in the finger distal nail bed plan a longitudinal depth of the nail bed thickness of 1 / 3 of the incision, the surface coverage of low molecular weight heparin to maintain a wet gauze sheet bed wetting, bleeding, regular replacement of wound dressings, try to keep dressing dry. Meanwhile, the low molecular weight dextran intravenously to maintain 3. 1.3 Results 9 that, in addition to a severe contusion on that due to dry nec