by The Welthi Bureau
The team of surgeons from Yashoda Hospitals have rejoined cut off hand even when they received the patient with a cut hand almost 4 hours beyond golden time(6 hours). Akhilesh Kumar(18) was brought to the hospital with completely cut had between 8-10 hours after the accident. The team of surgeons consisting Dr Sasikanth Maddu (Senior Plastic & Reconstructive Surgeon), Dr.Devender Singh (Senior Vascular Surgeon), Dr Sunil Dachepalli (Orthopedic & joint replacement Surgeon ), Dr K.Sashikiran (General Physician) and Dr Vasudev (Anaesthetist) at Yashoda Hospital(Somajiguda) replanted and restored the hand of the teenage rubber factory worker from Choutuppal. Akhilesh Kumar while working with the rubber cutting machine had accidentally cut off his hand up to wrist completely. Yashoda Surgeons team has done Plastic reconstructive & Micro-vascular surgeries to restore in a marathon surgery. It was done with such a precision that it seemed nothing has happened and saved the livelihood of a factory worker. The patient from Bihar state is happily going home after he was discharged today.
Accidentally cutting off the hands and fingers is common in industries and other work places where mechanized tools are in use. It’s a costly human error where many a times people permanently lose their limbs and fingers. But with Modern surgery coming to rescue for these victims it is able to save limbs and other parts of the body by restoring them. Now surgeons are able to salvage hand and upper limb amputations in most of the cases. Replantation is the reattachment of a completely detached body part. Fingers hands are the most common but the ear clap, nose, arm have all been replanted. Generally, replantation involves restoring blood flow through arteries and veins, restoring the bony skeleton and connecting tendons and nerves as required.
Parts without major muscles such as fingers can be preserved for many hours, while major muscle containing parts such as arms need to be re-attached and revascularized within 6–8 hours to have a viable limb. But the advances in Plastic surgery and Microvascular surgery is making this possible to replant the hand event after that time. Precisely these advanced surgical techniques were used by Yashoda Surgeons team in the case of Akhilesh Kumar.This worker from Choutuppal rubber factory while working with rubber cutting machine on August 3rd, accidentally cut off his left hand up to wrist completely. Immediately he was taken to a local hospital and they have referred him to Yashoda Hospitals Somajiguda for definitive management. The cut-off part of the hand was placed in saline and preserved in the icebox to bring it to Hyderabad.
“We have immediately evaluated his hand condition and done the bone stabilisation initially. Later blood supply to the hand was restored,” said Dr.Devender Singh, Dr Sasikanth. As the there was a delay in bringing the patient with cut off hand to the hospital the Yashoda surgeons team has decided to wait for a day once the blood supply was stabilised the process of connecting the rest of the structure the hand like the bony skeleton, tendons and nerves were done. This laborious part of the surgery took 8 hours. Within 48 hours after that patient has begun moving a fingers of that hand. As he recuperated well and has been discharged.
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