A 24-year-old factory employee from Bahadurgarh, Haryana was admitted to the emergency of Dr. RML Hospital after her right hand was completely cut off by a laser woodcutter machine. He himself picked up the severed hand and reached the local hospital. From there he was referred to Dr. RML Hospital where he was immediately referred to the Plastic Surgery Department where a team led by Professor Dr. Mukesh Sharma immediately attended the OT along with the anesthesia team, orthopedic team, OT nursing and paramedical staff, blood bank and The lab was informed and he was immediately taken to the operation theater and it took about 9 hours to re-implant the arm by fixing the bones and tendons and reconnecting the arteries, veins and nerves under the microscope with microvascular technology.< /p>
Some such surgeries were carried out
The surgery team also included senior residents Dr. Sonika, Dr. Sukriti, Dr. Dhawal, Dr. Bully and Dr. Vignesh and Dr. Manjesh and Dr. Shubham from Orthopedics. The anesthesia team was led by Professor Dr. Namita Arora, Dr. Shubhi, Assistant Professor and Senior Residents Dr. Ashutosh and Dr. Sonal. The process was well supported by ECS OT Nursing and technical staff. After the surgery, the patient was kept in ICU for three more days and now his condition is fine. Director Professor and Head of Plastic Surgery, Dr. Sameek Bhattacharya said that if the amputated part is brought to the hospital in less than six hours, there is a good chance of a successful transplant.
He said that the cut area should be cleaned with water or if possible with sterile saline solution. Anesthesia, headed by Dr. Neerja Banerjee, provides 24×7 anesthesia services. Professor Dr. Ajay Shukla, Director and Medical Superintendent of RMLH, has ensured all the necessary infrastructure, equipment and training for such high-level operations at the hospital, absolutely free of cost."text-align: justify;">Hand Surgery
A 22-year-old man from Faridabad had to face a terrifying experience when his pet pitbull bit off most of his left ear. The incident left only a small 2 mm section of skin on her ear with no blood flow, requiring immediate medical intervention to prevent permanent disfigurement. The man, who was rushed to Faridabad’s Amrita Hospital, underwent a complex and life-saving 11-hour reconstructive surgery to repair his ear.
The hospital’s doctors, led by Dr Mohit Sharma, head of plastic and reconstructive surgery, worked quickly to restore blood supply to the amputated ear. Dr. Sharma said, the vessels in the ear are very small, less than 0.5 mm, and were torn and not clean, making the surgery extremely challenging. To reconnect the blood vessels, the medical team had to replace the damaged sections of the artery and vein with a vein section from another part of the body. The procedure required two separate surgeries, one lasting six hours and the other five hours, using high-powered microscopes and specialized microsurgical instruments.
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Despite the complications, the surgery was successful and the patient’s ear was completely reopened. In addition to reconstruction efforts, doctors also addressed the high risk of infection from dog bites. The patient was given anti-rabies immunoglobulin and antibiotics to prevent infection, an important step in ensuring Kahn’s survival and the patient’s overall health. Dr Devjyoti Guinn, senior consultant, Amrita Hospital, sheds light on the most difficult aspect of the surgery: connecting the small artery and vein.
They said the initial branch we added was not supplying enough blood. So we had to do arterial anastomosis again on the superior branch. The team used heparin drips to maintain adequate blood flow and prevent complications. The patient, who expressed immense gratitude towards the medical team of the hospital, said that getting my ear back is like getting a part of myself back. I was afraid that I would be disfigured for life, but the doctors at Amrita Hospital made sure that didn’t happen.
This surgery is a major medical achievement in India, which is the first of its kind under such circumstances. While only 47 similar reconstructive surgeries have been recorded worldwide, Amrita Hospital’s success highlights its advanced microsurgical capabilities and the expertise of its medical team. After surgery, improvement is seen in 7-10 days. Generally, after 14 days, you can resume regular diet and light exercise. You will start feeling better after 3-4 weeks of surgery.
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