Patient: My child is 5 years old, boy, last night about 9 o’clock, accidentally right hand tiger mouth position by a knife cut a blood vessel on one side, is by the thumb position, now the thumb activities are normal, the thumb can feel hot and cold, touch the thumb has a numb feeling, last night also went to the hospital to see, the first hospital said, your situation to do vascular connection surgery, the nerve can not be connected, later can slowly recover, because the child has The first hospital said that you have to do the surgery to connect the blood vessels, the nerves can be connected, and the child can slowly recover later, because the child has a cold and cough, the surgery paralysis does not dare to play, said to play general anesthesia, in case the general anesthesia in the case of phlegm will cause the child suffocation, so the child’s surgery was not done, the hospital let me transfer to the emergency department of the Children’s Hospital, to the emergency department that the doctor took a look, said that your case does not need to connect the blood vessels, the nerves to connect, because your thumb there is a side of the blood supply, will not affect the growth of the finger, so I just I wondered why there was such a difference between the doctors of the two hospitals. The doctor in the emergency department said, “In this case, I can sew up the wound first, and we can do the nerve connection surgery within 20 days, so the doctor sewed up the child’s wound first (because of the cough). The doctor at this hospital said that in your child’s case, there is no need to do vascular connection and nerve connection, because your child’s hand can move and sense, the finger also has temperature, and there is no bruising, if the vein is broken, there is no need to care about it, if the artery is broken, you still have one side of the artery can still supply blood. It will not affect the growth of the thumb. So I would like to ask you to give me some advice on what I should do. Please give me advice from Dr. Ma. Does my child need surgery for the connection of the nerve or the connection of the blood vessel. The hand surgery department of Hangzhou Plastic and Reconstructive Hospital, Hangzhou Plastic and Reconstructive Hospital, Ma Liang: As you mentioned, it is recommended that the nerve should be connected, and even if it is not connected in one phase, it is better to perform nerve anastomosis within one month. As for the blood vessels, if the vein is broken, no anastomosis is needed; for the artery is broken, it is best to anastomose in one phase, but there is no condition to anastomose in one phase, and it is okay to choose not to anastomose. However, for specialized treatment, it is better to repair the nerve and artery in one stage. Patient: I’ll have the surgery when my child’s cough clears up. About how much will it cost to repair together? How many days can I usually be discharged from the hospital. Hangzhou Plastic Surgery Hospital Hand Surgery Ma Liang: The cost varies from hospital to hospital. The nerve repair surgery in our hospital requires hospitalization for about a week, the cost is about 5000 patients: if not surgery, what is the impact on the future, to do surgery are what risks? The hand surgery department of Hangzhou Plastic Surgery Hospital Ma Liang: If you do not do surgery, the nerve on the healthy side can generally compensate to restore some of the sensation on the affected side, but the effect is not as good as the surgical anastomosis.