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Man’s severed palm rejoined in marathon 7-hour long surgery

 Man’s severed palm rejoined in marathon 7-hour long surgery


Sagaya Fernando

Mumbai: 16 October 2020


42-year-old Chandra (full name not disclosed to protect identity), a worker in a small industrial unit at Indapur a town about 130 kilometers south east of Pune city in Maharashtra, India, having a job during the Coronavirus lockdown period was quite fortunate as many have been rendered jobless during the pandemic.


However, misfortune struck him on October 9 while he was at work. At around noon while he was attending a press cutter machine, which is used to cut metal sheets, one of his co-workers switched on the machine unaware that Chandra was at the machine. In a split second, Chandra’s left hand got stuck inside the machine and got cut at the palm level.


Horrified he fell down and was rushed along with the severed limb, to a nearby hospital in Indapur itself.


The local doctor preserved the amputated part and bandaged the bleeding stump. He then referred the patient to Noble Hospital located in Hadapsar, Pune, about two-and-a-half-hour drive away.


“The patient reached our hospital 4 and a half hours after the accident at around 4.30 pm and was immediately taken for surgery,” said microvascular and cosmetic surgeon Dr Abhishek Ghosh at Noble Hospital.


Dr Ghosh and his team dissected the amputated part, identifying and tagging all the arteries, veins, nerves and tendons.


“The patient was given anesthesia and all structures on the stump were dissected. The bone was then fixed with k-wires (Kirschner wires). The tendons were then repaired. Microvascular anastomosis of the arteries and veins were done and the blood flow to the amputated part was restored,” said Dr Ghosh.


He added, “The nerves were then repaired and the skin was closed.”


The marathon surgery took around 7 hours, and was completed at about 1 am on October 10.


“The patient is now doing well and the amputated hand has survived and has taken up well. He will need three weeks of immobilization and then months of physiotherapy to regain useful hand function,” said Dr Ghosh.


Dr Ghosh has previously conducted similar complex surgeries. In April 2020, he had conducted a surgery to restore the face of a 36-year-old farmer whose face was torn off by a tractor plough. Prior to that, in February 2020, Dr Ghosh reattached a 4-year-old boy’s hand that got sliced off by a grass cutter machine.


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