Postoperative care after finger replantation

Replantation of severed fingers is very necessary in many dangerous jobs. This is an operation that affects overall health, so postoperative care is particularly important. Special attention should be paid to psychological counseling, dietary guidance, room temperature adjustment, etc. Isolation care is usually also required. Always pay attention to whether the blood circulation of the replanted finger is normal, and use drugs to dilate surrounding blood vessels.

1. Nursing after finger replantation includes many aspects

1. Psychological counseling: Psychological counseling should try to eliminate the patient's nervousness;

2. Dietary guidance: After finger replantation surgery, the patient needs to stay in bed for 7-10 days. The gastrointestinal function will be reduced, and constipation, difficulty in defecation and other problems may occur easily. When such patients are admitted to the hospital, they are advised to eat more crude fiber foods, such as apples and celery, and to avoid milk products as much as possible;

3. Room temperature: The temperature in the ward is generally maintained between 23℃-25℃. Patients are advised to lie flat and are strictly prohibited from leaving the bed.

II. Specific Suggestions

1. Routine treatment after reimplantation

(1) Isolation care: Place the patient in a special isolation ward, maintain a room temperature of 20-25°C and a certain humidity, and strictly implement the disinfection and isolation system.

(2) Raise the limb.

(3) Local heating.

(4) Observe the blood circulation of the replanted finger, including color, elasticity, skin temperature, capillary refill time, etc.

(5) Use drugs that dilate peripheral blood vessels, commonly tolazodone and papaverine.

(6) Prevent infection and routine tetanus.

2. Systemic anticoagulant drugs

There is still controversy over whether systemic anticoagulants should be used after finger replantation. In routine use, it is believed that anticoagulant therapy helps reduce or prevent anastomotic thrombosis. In fact, sophisticated vascular suturing technique is the most important. At present, low-molecular-weight dextran, aspirin and some vasospasmodic drugs are generally used. Anticoagulant therapy such as heparin should be used with caution only when blood vessels are severely damaged or when surgical exploration to remove blood clots or vascular transplantation is required.

After reading the expert’s explanation above, I believe you should have a certain understanding of how to care after finger replantation. Accidents are inevitable in life. When misfortune befalls people and causes accidents such as broken fingers or cuts, in order to avoid more serious consequences, you need to go to the hospital in time for finger replantation surgery to avoid regrets.