Mistakes in the Organization of Specialized Care for Patients with Traumatic Amputation of Hand Segments

Abstract

The aim of the study appears to focus on identifying and analyzing errors or inadequacies within the organization of specialized care for patients who have experienced traumatic amputation of hand segments. The specific goals might include understanding the flaws in the existing care structures, improving patient outcomes, and developing recommendations to enhance the quality of specialized care provided to patients who have suffered hand segment amputations.Methods. 2020 to 2022 to the clinic of the National Scientific Center for Surgery named after Syzganov, 165 patients with acute injuries of limb segments were urgently hospitalized to provide specialized surgical care, leading to decompensation of blood circulation in the hand or fingers. Results. Due to incorrect actions in 24 patients, it was not possible to replant the delivered segments (33 segments). These patients underwent stump formation.At the same time, 50-75% still allow diagnostic, technical and tactical errors in the treatment of this category of patients. The possibility of replantation and revascularization, as well as their outcome, largely depended on the timeliness and quality of first aid, compliance with the conditions for preserving the cut-off segment, the speed of transportation and other organizational factors. Conclusions. The use of modern methods of microsurgical restorative interventions with the reconstruction of injured vessels can significantly expand the possibilities of preserving and restoring completely and partially torn segments of the hand and fingers. The improvement of the results of treatment of patients with traumatic amputations and injuries of the neurovascular bundles of limb segments was significantly affected by the provision of timely specialized microsurgical care