According to the patient, the accident happened while he was mowing the lawn on the company premises. While operating the lawn mower, the blade hit a hard object on the ground, causing the machine to jerk and break the blade. The blade flew off and cut off his foot.
His colleagues quickly took him to the company medical room for first aid and immediately transferred him to Xuyen A General Hospital for emergency treatment. On the way to the hospital, he was in pain and exhausted, his blood pressure dropped, and he seemed exhausted due to heavy blood loss.
As soon as the patient was admitted, the Emergency Department doctors immediately activated the internal red alarm, coordinated with the Microsurgical Orthopedics Department doctors and the Anesthesia and Resuscitation Department doctors to stop the bleeding and transfer the patient to the operating room.
On October 30, specialist doctor Nguyen Van Toan (Orthopedic Microsurgery Department) said that the golden time to reattach a limb is 6 hours after the dismemberment. Time is a key factor in reattaching severed limbs, because with each passing minute, the ability to save tissue and blood vessels decreases. Mr. L. was taken to the hospital 2 hours after the accident, he still had a chance but the initial prognosis was very bad, with a high risk of amputation.
Doctor takes care of the wound after it has been reconnected.
PHOTO: YV
Emergency limb reattachment surgery to save the patient's foot
In the operating room, the medical team explored and found that the limb, tendons, bones, and blood vessels were almost completely severed, but fortunately, the blood vessels in the sole of the foot were still intact, so the survival rate was high and the limb could be successfully reattached. In this situation, the plan was to fix the bones and tendons first, then check the blood vessels and nerves to reconnect them, the main purpose was to re-supply blood to the severed limb.
During the procedure, Mr. L's foot was cleaned and all foreign objects were removed. The doctor removed the crushed tissue and damaged nerves and blood vessels, then proceeded to combine the bones and reattach the limb. With the help of a surgical microscope, the doctors meticulously connected each small blood vessel the size of a hair, each nerve, each severed tendon. During the surgery, the patient was also transfused with 3 units of blood (equivalent to 1 liter of blood) and used anticoagulants to stop bleeding.
“We reconnected the arteries, veins, flexor tendons and sensory nerves. If just one blood vessel is blocked, the entire limb will die. After more than 5 hours of intense surgery, Mr. L.'s foot was re-perfused and warm, signaling the initial success of the surgery. The whole team burst into happiness,” Dr. Toan shared.
After surgery, the patient was cared for in the Department of Microsurgical Orthopedics, circulatory monitoring and infection prevention. On the second postoperative day, the foot was warm and pink, with feeling returning, the patient could move his toes and was instructed to do physical therapy in bed. A week later, Mr. L. was able to walk on his own with a support device. It is expected that after a few months of training, the patient will be able to walk normally and maintain his ability to work.
Source: https://thanhnien.vn/luoi-may-cat-co-bi-gay-vang-ra-chem-dut-lia-ban-chan-nguoi-dan-ong-185251030121528238.htm
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