In daily life, accidents always strike unexpectedly, casting a heavy shadow over life and health. Recently, a 70-year-old man suffered a severe hand injury due to an accidental operation with a reed cutter. Facing this sudden accident, the patient's family was in a state of great anxiety, and they visited multiple hospitals, but were informed that amputation was necessary. However, the family refused to accept this cruel reality. After much inquiry and recommendation from friends, they came to Yantai Hospital of Traditional Chinese Medicine, and a difficult "hand preservation" battle began.

At 8 p.m., Dr. Li Liang, the director of the Hand and Foot Microsurgery Department, received a call from the patient's family for help. After carefully reviewing the examination report sent by the family, Dr. Li Liang had a deep conversation with the family,详细了解 the patient's injury situation. He expressed that limb preservation could be attempted， which gave the anxious family a glimmer of hope.
The repair surgery should be performed within 6-8 hours after the injury to significantly increase the success rate of the operation. The patient arrived at our hospital at 10 p.m.， 6 hours after the injury. The hand and foot microsurgery team， which was fully prepared， seamlessly connected with the emergency department， opened a green channel for the patient， and quickly conducted preoperative examinations and simultaneously notified relevant departments such as anesthesia and the operating room. The patient was pushed into the operating room just one hour after arriving at the hospital. This "race against time" hand preservation surgery officially began.
The elderly man was elderly and had diabetes， which could lead to difficult wound healing and peripheral small blood vessel and nerve lesions. Coupled with a 20-year smoking history， nicotine could trigger small artery spasm. However， the challenges did not end there. The multi-planar wound caused by the绞伤 also greatly increased the possibility of vascular spasm during the operation. These unfavorable factors were like a series of thorns， increasing the difficulty and risk of the operation.
Inside the operating room， the lights were bright， and the atmosphere was solemn. The patient's injury was shocking. The thumb， index finger， and middle finger were almost completely severed， and only a small amount of skin on the back maintained the connection. Nerves， blood vessels， tendons， and bones were exposed. There were a large number of weeds， debris， and small stones in the wound. The doctors immediately performed thorough debridement to remove debris and necrotic tissue， reducing the infection rate of the operation.
The diameter of the microvessels in the hand is approximately 0.25mm. Fusing such vessels usually requires 6-8 stitches. During the operation， the doctors held their breath， operated precisely to the micron level， strictly controlling each step to ensure the precise connection and patency of the anastomosis， to avoid the occurrence of vascular spasm. Throughout the entire operation， the surgical team overcame difficulties， concentrating fully on "threading and connecting"， fusing nerves， blood vessels， and tendons， every second was condensed with respect and value for life.
After several hours of meticulous "carving and polishing"， the operation was successfully completed at 5 a.m. the next day. The doctors， with their superb medical skills and meticulous operation techniques， successfully completed the anastomosis of more than 20 nerves， arteries， and veins， and precisely repaired and reconstructed multiple bone defects. Not only did they successfully achieve the suture of hand tissue， completely preserving the hand for the patient， but more importantly， the normal function of the patient's hand was effectively restored， allowing the patient to regain hope for life. This news also brought great joy to the patient's family waiting outside the operating room.

"Reconstruction and functional recovery of hand injuries are crucial for the quality of life of patients. For a long time， our hospital has been committed to improving the treatment level of severe hand injuries， always placing the quality of life of patients on an equal footing with the survival time， and minimizing the impact of severe hand injuries on patients' future lives to the greatest extent." Dr. Li Liang said.
For this treatment， the doctors of the Hand and Foot Microsurgery Department formulated the most meticulous surgical plan. With rich clinical experience and proficient surgical skills， they overcame one difficulty after another， effectively improving the quality of life of the patient. This is the best interpretation of our hospital's "patient first" service concept.