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4-year-old gets back his hand in one piece
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Doctors reattach the child’s severed limb in a complex more than 6 hours surgery
Sagaya Fernando
Mumbai: 7 February 2020
4-year-old Shaurya was playing in his father Mukesh Undre’s farm at Manjri in the outskirts of Pune city in India on January 31 evening, when innocently he started fidgeting with a chaff cutting machine in the field. Not knowing the danger he was putting himself into, he started playing with it by rotating it. Instantaneously, the sharp blades cut off the toddler’s left arm at his wrist, severing his hand. Hearing him scream in pain, his parents rushed to see his hand cut in two and bleeding, the bone exposed and flesh dangling.
The parents rushed the child and the amputated hand to Noble Hospital – about 8 kilometers away -- where he was immediately attended by micro vascular surgeon Dr Abhishek Ghosh.
“The child had suffered an avulsion amputation of his left hand when it got accidentally stuck in a grass cutting machine. His left hand was completely avulsed with part of the bones attached to the body while the hand skin and muscle got detached,” said Dr Ghosh, who conducted the surgery to reattach the toddler’s hand.
He added, “It was very difficult to rejoin the hand because all the muscle, blood vessels and soft tissue of the palm were torn off and there was no blood vessel which could be connected. Still seeing the young age of the child it was decided to attempt to salvage the hand. The patient was taken up for surgery immediately and given anesthesia. The amputated hand was closely observed under the microscope and a small blood vessel inside the muscle was noticed. This tiny blood vessel was then joined to the main artery of the forearm with the help of a long vein graft taken from the leg. The circulation of the hand started and the veins were then painstakingly joined under the microscope. The surgery lasted for more than six hours.”
“The hand has survived and the patient is recuperating well in the hospital. The surgery was very difficult as the vessels are extremely small in such a young child and also because the hand was yanked out of the body and there was a big gap between the blood vessels of the hand,” said Dr Ghosh.
“The patient will be in the hospital for another one week and then discharged. He will require physiotherapy for his functions to develop. The parents and relatives of the child are very happy that the hand the little child could be saved,” added Dr Ghosh.
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