Successfully reconnected the patient's upper third arm

The doctor performed surgery to replant the patient's severed arm.

Immediately after the accident, the patient received first aid and was urgently transferred to the 108 Military Central Hospital within the "golden time" of about 3 hours after the injury.

As soon as the patient was admitted, the doctor on duty reported the situation and asked for instructions from the commander of the Upper Limb Trauma and Microsurgery Department, quickly completed the tests and coordinated with the anesthesia team to push the patient to the operating room.

Here, the surgical team quickly cleaned the wound, fixed the bone, sutured the blood vessels and torn tendons, and the avulsion nerves were marked and treated in phase 2.

After nearly 5 hours of intense surgery, the severed arm was successfully reattached. After surgery, the patient was closely monitored, had his bandages changed, and was given intensive care. Currently, the patient is healthy and can be discharged in the next few days.

According to specialist Dr. Le Quoc Cuong, Department of Upper Limb Trauma and Microsurgery, this is a difficult case, due to the damage caused by the wood peeling machine, causing the wound to be severely crushed. In addition, the accompanying burn injury is also a factor that makes the case more complicated. In the operating room, the goal is to restore the blood supply to the severed limb as quickly as possible to save the patient's arm and avoid the occurrence of "reperfusion".

Dr. Ngo Thai Hung, Deputy Head of the Department of Upper Limb Trauma and Microsurgery, recommends that in cases of accidents that cause limbs to be severed, first aid and proper preservation play a decisive role in the ability to reattach. The severed limb needs to be washed with cooled boiled water or saline, wrapped in a clean towel/gauze, put in a sealed plastic bag and placed in a thermos of ice.

Be careful not to let the limb come into direct contact with ice and do not use soap or chemicals to wash it. The golden time to reattach the limb is within 6 hours if properly preserved. The longer the time, the lower the chance of success, along with many possible risks.

"In cases like this, we always determine that the most important factor is to act as quickly as possible, to restore blood supply to the severed limb in the shortest possible time. Therefore, every operation, every decision in the operating room must be carefully calculated but implemented decisively and requires smooth, harmonious coordination between all members of the surgical team," said Dr. Hung.

MANH TRAN

Source: https://nhandan.vn/noi-thanh-cong-cho-benh-nhan-dut-roi-13-tren-canh-tay-post923715.html