Successfully reattached severed hand during the 'golden hour' – racing against time

SKĐS – Overcoming all challenges of time, Nghe An Orthopedic Trauma Hospital has successfully performed a complex microsurgery to reattach a severed hand.

Although the 16-year-old male patient was admitted to the hospital at the 7th hour - past the "golden hour" for limb emergency surgery, thanks to the accurate and timely intervention decision and the smooth, harmonious coordination of the entire team, the patient's hand was "revived".

Pictures of hands before and after surgery.

"Tactics" to exceed the "golden hour" threshold

Previously, patient LQL (16 years old, in Tien Phong commune, Nghe An ) was admitted to the hospital with a severed left wrist. When he was admitted to the hospital, it was the 7th hour after the accident, and his hand was suffering from prolonged ischemia. Faced with a great challenge, the team at Nghe An Orthopedic Trauma Hospital urgently performed a long and complicated microsurgery, helping the patient retain his entire hand and begin to recover mobility.

According to medical experts, the "golden hour" of 6 hours is the safe threshold for the survival of severed limb tissue. The patient's admission at the 7th hour put the team in a "war" against necrosis.

Understanding that every minute is precious, under the direction of Dr. Nguyen Duy Quyet - Head of the Upper Limb Department, the main surgeon, Dr. Pham Xuan Binh - Deputy Head of the Upper Limb Department and the team made a "tactical" decision: to perform a temporary arterial bypass immediately to bring "hot" blood back to nourish the hand that has become "cold" due to prolonged anemia. This is an important decisive step to increase the success rate of the surgery.

"Once the blood circulation has been restored and the hand is warm and pink again, we will officially enter the microsurgery phase. This is an urgent and stressful surgery, but it is also a journey to preserve life and hope for the patient," said Dr. Pham Xuan Binh.

This hand reattachment surgery is a complex microsurgical challenge, requiring absolute precision and the harmonious coordination of the entire team.

The surgeons successfully reconstructed the entire vascular, nerve, and tendon system – step by step, meticulously and precisely. The entire process was performed carefully, step by step, to ensure the highest possible functional recovery for the patient.

The surgical team successfully reattached the patient's hand.

Microsurgery – a routine technique at the Hospital

The surgery was urgent and stressful, but it was also a journey to save the "life" of a hand and hope for the patient. After the surgery, the patient continued to be monitored and given special care in the Intensive Care Unit.

Ten days after surgery, the patient's fingers were pink, warm, with good capillary return, and the fingers had begun to move gently. The patient continued to be monitored for wound condition and undergo rehabilitation exercises.

Unable to hide his joy and emotion, patient L. shared: "I was extremely sad and worried that I would lose a hand forever. I was very lucky to have the dedicated doctors and nurses who helped me, treated me, cared for me, and monitored my progress every day. Thank you, doctors and hospital."

The doctor examines patient L's hand after surgery.

The rescue of the severed hand that has surpassed the "golden hour" is a clear demonstration of the high level of expertise and mastery of microsurgery techniques at the Hospital. Since 2014, Nghe An Trauma and Orthopedics Hospital has been the pioneer in the province to perform microsurgery to reconnect limbs.

Over the years, the Hospital has received and successfully performed surgery on many cases of amputated limbs, helping patients restore motor function and return to daily activities.

Source: https://suckhoedoisong.vn/noi-thanh-cong-ban-tay-dut-lia-qua-moc-gio-vang-chay-dua-cung-thoi-gian-169251120093454775.htm