Successfully reattached a patient's severed finger using microsurgery

Báo Thanh HóaBáo Thanh Hóa11/05/2023


Recently, doctors at the Trauma Department of Thanh Hoa General Hospital successfully reattached a severed finger to a patient who had a work accident using microsurgery.

Successfully reattached a patient's severed finger using microsurgery

The team of doctors used a microscope to reattach the patient's finger.

A male patient named NVL, 29 years old, residing in Tho Cuong commune (Trieu Son), had an accident while working with a mechanical iron machine. He was crushed by the machine, resulting in the near-severance of the second finger of his right hand, leaving only a bit of skin attached. The patient was taken to Trieu Son District General Hospital for first aid by his family and then transferred to Thanh Hoa Provincial General Hospital for treatment.

Trauma specialists quickly consulted to assess the injury and decided to reattach the patient's severed finger using microsurgery.

However, because the mechanical iron machine pressed too hard, the patient suffered a rupture of the flexor tendon, extensor tendon, and blood vessels on both sides of the second finger, so the team of doctors performed two surgeries. The first time used a microsurgical microscope to connect the extensor tendon, combining the bone of the first phalanx of the second finger with a Kirchner nail, and the second time was surgery to connect the flexor tendon of the second finger of the patient's right hand.

Successfully reattached a patient's severed finger using microsurgery

Patient's finger after surgery with microsurgical glasses.

After more than 3 hours of microsurgery, the doctors successfully reconnected the blood vessels, nerves, tendons, and broken finger bones, returning the patient's hand to its original state. About 6 hours after surgery, the patient's finger was warm and pink again, with good blood supply.

After 2 weeks of treatment, the reattached finger could move gently, the reattached part had good capillary feedback, the patient was instructed by the doctors to perform rehabilitation exercises to ensure the movement of the reattached finger. The patient was discharged from the hospital and returned to normal life.

Successfully reattached a patient's severed finger using microsurgery

The patient recovered after 2 weeks of treatment.

Dr. Hoang Tuan Long, Deputy Head of the Department of Traumatology - the doctor who directly performed surgery and treated patient L., said: "In the case of patient L., when he was admitted to the hospital, his hand was almost completely severed, with only a little skin left. However, we assessed that the recovery rate was high, so we promptly performed surgery to reattach it to ensure the hand's function as well as the patient's aesthetics."

“The difficulty and complexity of this case is that the blood vessels in the finger are small, so it requires high dexterity and meticulousness in every operation. We had to use a microscope to magnify the surgical field, a specialized microsurgical instrument set, and skilled expertise to be able to perform the operations of suturing the arteries and veins with small sizes. We are very happy that the surgery was successful, helping the patient restore an intact hand. Previously, before this technique was implemented, in the case of patient L., first aid was usually given and transferred to a central hospital, or the severed limb would be amputated and a stump created if the severed tissue became necrotic.”

It is known that since 2022, after sending a team of doctors to receive formal training at Central Hospitals, Thanh Hoa Provincial General Hospital has successfully performed 3 limb reattachment surgeries, including difficult cases such as completely severed arms. The patients after limb reattachment have all recovered very well and returned to normal work and daily life. The successful implementation and application of this technique has brought positive results, giving hope to many cases of limbs that unfortunately were severed during work and daily life, receiving timely emergency surgery right at the local level, reducing severe sequelae for patients, helping them easily return to normal life.

To Ha



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