Uzelac O, Nikolić Z
Acta Chir Iugosl. 1982;29 Suppl 2:323-8.
Errors happen most often in emergency cases because of insufficient theoretical and practical knowledge and disrespect of the basic principles for the hand management. It is neglected in many surgical wards because of overworking of surgeons with other emergency cases. The hand is usually managed by a junior physician, quickly and inadequately because he is insufficiently trained for such a complicated job. To prevent the consequences of such work which more or less leads to disability, in each medical institution one surgeon should be educated in the modern care of the injured hand. Nowadays, the centres for hand surgery are being established where the hand is reconstructed in team work. It includes the plastic surgeon, orthopedic surgeon and physiatrist and the microsurgical methods are applied for ideal suturing of the nerve or the blood vessel. After hemostasis, immobilization, elevation, pain relieving, protection against infection have been performed the general surgeon should refer complicated cases to the institution where the hand is managed by the team.
由于理论和实践知识不足以及对手部处理基本原则的不尊重，错误最常发生在急诊病例中。在许多外科病房，由于外科医生忙于处理其他急诊病例，这一点被忽视了。手部通常由一名初级医生快速且不充分地处理，因为他对此类复杂工作的培训不足。为了防止这种或多或少会导致残疾的工作带来的后果，每个医疗机构都应有一名外科医生接受现代手部损伤护理的培训。如今，正在建立手部外科中心，在手外科中心，手部重建是团队协作完成的。团队包括整形外科医生、骨科医生和物理治疗师，并且应用显微外科方法进行神经或血管的理想缝合。在进行止血、固定、抬高、止痛、抗感染等处理后，普通外科医生应将复杂病例转诊至由该团队处理手部问题的机构。
