Thumb pulp defect repair

Suitable for thumb and abdomen defects. Treatment of diseases: hand trauma, open hand injury Indication Suitable for thumb and abdomen defects. Preoperative preparation 1. Establish a good relationship between nurses and patients. Respect each other and trust each other. 2, adjustment support system patients often have some worries after hospitalization, such as worry about the economic burden, worry about work problems, worry about how others see their own re-creation of fingers and other caregivers should try to get the encouragement and support of family members and colleagues to receive treatment. 3. Creating a good environment for a good medical environment is important for normal people. It is more important for patients. A quiet and clean environment is conducive to calming the patient's mood. Watching TV, listening to music, walking outdoors and other activities can distract the patient's attention and reduce the patient's psychological burden. 4, the use of cognitive therapy cognitive therapy is through the interaction between the nurse and the patient through the communication to make the patient understand the meaning of the conversation related to the common sense of the patient to answer the various concerns of the patient to re-recognize it to let go of the mind Various burdens. Surgical procedure There are several ways to repair the thumb and abdomen defect. Transplanted with the lateral toe abdominal flap of the big toe, the reconstructed thumb has a full shape and feels good with fingerprints. Electrical injury of the right thumb, after debridement, revealed the dorsal vein, ulnar artery and nerve. According to the size of the thumb and abdomen defect, the flap was designed on the lateral side of the thumb. The skin was dissected, the temporal vein and the dorsal vein of the toe were separated, and the plantar artery and nerve of the toe was removed. The flap was lifted according to the design, and the toe-bottom artery and vein were temporarily retained as the vascular pedicle, and other tissues were disconnected. The flap was moved to the receiving area. The flap is sutured with the margin of the affected area. The fingertip nerve is sewed, the finger artery and vein are anastomosed, and the blood circulation of the flap is reconstructed. The wound in the donor area was repaired with a full thickness skin. Two years after surgery, the repaired lateral view of the fingertips. The fingertips are full and sweating, and the two points are 6.0mm. Refers to the side of the abdomen. The skin has a fingerprint. The function of the toeball is unobstructed.