[Postoperative treatment in the surgery of acute hand injuries]

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.