Amazing surgery: right hand first "foster in left leg, right hand after 3 weeks back-surgery-IT information
Sun master, 50 years old this year, while operating the machine tools, his right hand was accidentally lives squeezed off. Taken to the hospital were diagnosed: direct Re-implantation of the possibility. In order to get the patient back "retrieve" right hand, Mercy Hospital of Xuzhou has developed a special programme--surgery right "species" in the patient's left leg, through "foster, then transplant it back. On July 16, Mercy Hospital of Xuzhou experts completed a difficult surgery, the patient right wrist section below, was successfully "planted" in the left calf, observed a few days after the operation, patients with right wrist well, about 3 weeks or so, right wrist is transplanted back to back.
Serious accidents
Operation machine accident, the man squeezed off the right hand
Sun master Xiao County, Anhui Province, 50 people this year, on July 15, he works in the factory when operating machine, accidentally crushed by machine the right wrist and right wrist amputated the following section. Worker Sun master will be sent to the hospital after preliminary treatment, the evening was transferred to Mercy Hospital of Xuzhou.
Presenting to doctors, patients are weighing several tons of machines extrusion, resulting the wrist fully severed. Although patients with amputated limbs are preserved, but the crowd seriously injured the wrist, damaged a large number of organizations. "Many patients sent there has been shock, hemorrhage, a critical condition", says Shi Rongjian, President of Mercy Hospital of Xuzhou, he transferred over, mutilation, has ischemia for about 6 hours, these factors suggest that the limb transplant back again is no longer possible.
In accordance with the general approach in General, and only in patients with replantation of amputate or shortened. However, the unacceptable result of master Sun and his family, family, master Sun was the pillar of the family, usually physically strong, he simply could not accept the amputation of combat. Family Hospital, at any rate what risk they must master to keep Sun's hand.
Amazing surgery
Severed hand foster leg surgery success
Mercy Hospital of Xuzhou limbs microsurgery expert team after repeated arguments, developed a "hand". The specific method is: the patient's right wrist "kind" legs, patients in foster care after physical survival, general condition good, to foster planting back limbs.
Foster care body operated for 8 hours, the Shi Rongjian led several limbs microsurgery specialists, work together in performing the operation. Doctors for the patients with right wrist before debridement, calf blood vessels agree well with the wrist artery and external fixation of metacarpal bone in the leg, leg Island skin flap to repair the hand wound, again remaining arteriovenous anastomosis, stump clearing invasive vascular nerve of forearm tendon VSD suction cover wounds after labeling, final break perfectly "species" in the thighs.
Experts at the hospital said the operation has two big problems, one must coincide with the legs vascular patient wrist blood vessels due to wrist and leg blood vessel variation, expert amputation vascular and medial leg veins to be match fit as much as possible, provide sufficient blood supply for amputation, facilitate the mutilation, survival, recovery. Experts select the inside of the left leg of patients as a "soil", Palm down, guaranteed circulation channels more smoothly. Secondly, the patient's wrist, calf skin organization to make the cut, the experts ensure as far as possible reduce the damage area.
Foster survived after hand replantation
Experts said the amputation after successful surgery of foster care, right now has been successfully adapted to the new "soil", yesterday was the fifth day after the operation, according to the instrument display, with right hand looks Scarlet red, the blood circulation is very good. Next, the crisis of his patients have to spend about 10 days. Severed hand on the leg in foster care after about 3 weeks, you can smoothly replantation surgery.
"Given the current situation, the patient's right hand is recovering well," experts say, on the right hand "foster" period, and further inflammation in patients with drug therapy, for right hand overall vessel recovery. "' Foster care surgery ' successful, means that the biggest difficulty has been a breakthrough. ”
Still, experts said, patients "back" after the right hand, and for a long period of rehabilitation training, various functions so that the arm back in place.
Yangtse evening post reporter learned that foster replantation is the field of replantation of replantation of the most difficult and demanding, not only have strong technical skills, but also the patient's physical condition and strength test. Surgical follow-up process, reporters will pay further attention.
神奇手术：先将右手“寄养”在左腿，3周后右手归位 - 手术 - IT资讯
今年50岁的孙师傅，操作机床时，右手不慎被生生挤断。送到医院被诊断：直接回植已无可能。为了让患者重新“找回”右手，徐州仁慈医院制定了一个特殊的手术方案——将右手“种”在患者左腿上，通过“寄养”，再移植回去。7月16日，徐州仁慈医院专家们完成了一台高难度手术，这名患者右腕以下部分，被成功“种”在左小腿上，术后几天观察看，患者右腕情况良好，大约3周左右，右腕就将被重新移植回位。
严重的事故
操作机床出意外，男子被挤断右手
今年50岁的孙师傅是安徽萧县人，7月15日下午，他在工厂操作机床时，不慎被机床挤伤右腕，致右腕以下部分离断。工友将孙师傅送到医院初步处理后，当晚就被转院到徐州仁慈医院。
接诊医生介绍，患者是被几吨重的机床挤压，导致整体的手腕完全离断。虽然患者离断肢体保存尚完好，但是手腕挤伤严重，损伤了大量组织。“患者送来时已出现休克、出血较多现象，病情危重”，徐州仁慈医院业务院长石荣剑表示，伤者转院过来时，断肢已经缺血约6个小时，这些因素表明，断肢重新移植回去已无可能。
按照一般的常规处理办法，患者只能选择截肢或者短缩再植。然而，这样的结果让孙师傅和家人无法接受，家人表示，孙师傅是家里的顶梁柱，平时身体强壮，他根本无法接受截肢的打击。家人请求医院，无论如何产生何种风险，他们一定要保住孙师傅的手。
神奇的手术
断手寄养在腿上，手术初步成功
徐州仁慈医院手足显微外科专家团队经过反复论证，制定了“保手”方案。具体方法是：将患者的右腕“种”在小腿上，待患者寄养肢体成活、全身情况恢复良好后，再开展寄养肢体原位回植术。
寄养肢体手术进行了8个多小时，该院的石荣剑带领多名手足显微外科专家，共同协作完成手术。医生先为患者右腕清创、小腿血管和腕部动脉血管吻合，然后外固定支架固定掌骨于小腿上，小腿岛状皮瓣修复手背创面，再次吻合剩余动静脉血管，前臂残端清创血管神经肌腱标记后VSD负压吸引覆盖创面，最终断手完美地“种”在了小腿上。
该院专家表示，该台手术存在两大难点，一是必须让患者手腕血管与小腿血管相吻合，因手腕和腿部血管存在变异，专家要将断肢血管和小腿内侧的血管尽可能实现匹配吻合，为断肢提供足够血供，利于断肢成活、恢复。专家们选择了患者的左小腿内侧作为“土壤”，手掌部分向下，保证了血液循环通道更加通畅。其次，患者的手腕、小腿侧皮肤组织都要进行相应的切割，专家们尽可能保证减少损伤面积。
寄养成活后，右手将进行回植
专家表示，断肢寄养手术成功后，右手如今已成功适应了新“土壤”，昨天是术后第五天，根据检测仪器显示，患者的右手看起来血色红润、血液循环非常好。接下来，患者还要度过约10天的危险期。等到断手在小腿上寄养3周左右成活后，就可以顺利进行回植手术。
“从目前情况看，患者的右手恢复情况良好”，专家表示，在右手“寄养”期间，患者要进行进一步的消炎及药物治疗，便于右手整体血管恢复。“‘寄养手术’成功，意味着最大难点已经被突破。”
不过专家也表示，患者“装回”右手后，还要进行长时间的康复训练，以便让手臂各项功能逐步恢复到位。
扬子晚报记者了解到，寄养再植是断肢再植领域难度最大、要求最高的再植技术，不但要求术者具备过硬的技术能力，同时也是对患者身体条件和意志力的考验。手术的后续进程，记者将进一步关注。