Falcone Marc-Olivie, Kilinc Alexandre
Clinique Jouvenet, Paris, France. Hôpital privé Paul-d'Égine, SOS mains Val-de-Marne, Champigny-sur-Marne, France. Maison de santé pluridisciplinaire La Francilienne, SOS mains antenne Seine-et-Marne, Pontault-Combault, France.
Clinique Jouvenet, Paris, France. Hôpital privé Paul-d'Égine, SOS mains Val-de-Marne, Champigny-sur-Marne, France. Hôpital Privé Claude-Galien, SOS mains Essonne, Quincy-sous-Sénart, France.
Rev Prat. 2024 Feb;74(2):149-153.
SURGICAL INDICATIONS FOR HAND WOUNDS. Hand injuries are common, with potentially severe consequences. When a patient is seen in the emergency department, a lesion assessment must be carried out to distinguish between extreme emergencies such as amputation or devascularization, which require immediate treatment in a specialized centre. If there is no immediate indication of seriousness, a clinical examination, possibly combined with meticulous exploration, helps to identify the lesions. The presence of tendon, nerve or vascular damage requires surgical management in the operating theatre. Any wound that cannot be reliably explored should be managed in the operating room by a hand surgeon.
手部创伤的手术指征。手部损伤很常见，可能会产生严重后果。当患者在急诊科就诊时，必须进行损伤评估，以区分诸如截肢或血管损伤等极端紧急情况，这些情况需要在专科中心立即进行治疗。如果没有立即表明严重程度的迹象，临床检查（可能结合细致的探查）有助于识别损伤。肌腱、神经或血管损伤的存在需要在手术室进行手术处理。任何无法可靠探查的伤口都应由手外科医生在手术室进行处理。
