Clinical Practice Guidelines for Traumatic Vascular Injury of Hand in Srinagarind Hospital
Keywords:
Hand injury, Vascular injury, Open wound, HandAbstract
Hands have sophisticated anatomy, and each anatomy has its own ubiquitous functions. Because of the nature of the upper extremity, it is susceptible to injury and ischemia. Hand injuries range from laceration wounds to amputation. Neglected injury to some structures of the hand often occurs. An open wound on hand does not mean only a skin problem; otherwise, the first doctor who evaluates the patient should recognize the vital organ that is capable of devastating injury. Misdiagnosis of the structure at hand leads to a poor outcome, despite the late reconstruction. To reduce neglected injuries, the authors reviewed the literature and developed clinical practice guidelines for evaluating open hand injuries during the pre-, intra-, and post-operative periods.
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