Type of Surgery
Last updated: 11/24/2009
Postoperative care is vital for successful finger reattachment. The hand is wrapped in a bulky compression dressing and usually elevated. If arterial flow is impaired, then the hand should be lowered, since this maneuver will promote blood flow...
from the heart to the reattached finger. If venous outflow is slow, the hand must be elevated. Medications to increase blood flow (peripheral vasodilators) and an anticoagulant (heparin) are used. A tranquilizer may be given to reduce unnecessary blood vessel movement (vasospasm) that can occur due to anxiety. Careful examination of the reattached digit(s) is necessary. The surgeon frequently monitors color, the capacity of blood vessels, capillary refill, and warmth to monitor replant progress. The YSI telethermometer monitors the digital (finger) temperature with small surface probes. Skin temperature falling below 86Â°F (30Â°C) indicates poor blood perfusion
(poor blood and oxygen delivery to the affected area) of the replant. The cause of poor blood circulation must be investigated and corrected, if possible. The patient's room should be warm, and bed rest for two to three days is recommended. Patients must refrain from smoking and take antibiotics for one week after surgery. Follow-up consultations are necessary for continued wound care and rehabilitation.
This animation shows the function of the main skeletal muscles in the body. At the microscopic level, artists have animated how actin and myosin, (two muscle proteins) interact to make muscles contract.
Finger reattachment (or replacement) is defined as reattachment of the part that has been completely amputated. Replantation refers to reattachment of a completely severed part, meaning there is no physical connection between the part that has been cut off and the person. Reattachment can be surgically performed for the finger and such other detached body parts, as the hand or arm.
New procedures like minimally invasive procedures are often subject to scrutiny, but I think that one of the biggest problems facing these innovative procedures is for people to understand exactly what we do.
-Dr. Michael Perry, Laser Spine institute
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