Abstract
A self-mutilated severed finger is when the patient cuts his own finger off if he or she has an emotional disorder, depression or is intoxicated. It is characterized by the following:
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(a)
Most cases are young men with a bad temper.
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(b)
Most fingers severed in this way comprise the middle and final segments of the left little finger.
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(c)
The wound is smooth with no other injuries, which makes it easy to replant.
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(d)
The patient does not cooperate with treatment for a long time as he or she has so many negative emotions such as regret, angry, and guilt.
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(e)
The replantation is easier compared with other replantations, but postoperative nursing is more difficult because of the patients’ noncompliance.
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References
Lin J, Yu Y. 14 cases report of replantation of self-destructive severed fingers. J Pract Hand Surg. 2004;18(3):176–7.
Xiaolei S, Zhiguo D, Mingbin D, et al. Observation of hibernation therapy used in replantation of self-destructive severed fingers. Chin J Hand Surg. 2013a;29(1):62.
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Lin, J., Zheng, HP., Xu, YQ., Zhang, TH. (2018). Replantation of Self-mutilated Severed Fingers. In: Special Type of Finger Replantation. Springer, Singapore. https://doi.org/10.1007/978-981-10-6229-2_17
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DOI: https://doi.org/10.1007/978-981-10-6229-2_17
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