Surgeons in the Aligarh Muslim University’s Jawaharlal Nehru Medical College (JNMC), have fixed the severed wrist of a 25-year-old Aligarh resident, making it the first case of limb re-plantation of near-total amputations in the country. The six hour surgery meant the surgeons had to join every tendon, vein and other micro parts of the limb.
The patient identified as Chandrashekhar has been discharged after recuperating, a release issued by the AMU’s public relations department said.
Chandrashekhar was drilling underground when his hand accidentally went under the sharp borewell drilling machine. His relatives rushed him to JNMC - somehow managing to hold his wrist hanging by the thin skin.
“The patient had lost a lot of blood before reaching the trauma center. We immediately wheeled him into the emergency operation theatre. He was first resuscitated with transfusion of units of blood and fluids before the restoration of blood supply and repair of tendons, nerves, and bones of the severed wrist in a six-hour-long, marathon surgery”, said Prof Arshad Hafeez Khan, Chairman, Department of Plastic Surgery, JNMC.
Dr Sheikh Sarfraz Ali, who carried out the surgery along with his team comprising Dr Gautam Chaudhury and Dr Indrajith K Sudhy said: “The complexity of the surgery lies in getting the blood supply back to the amputated part. We surgically fixed tendons and nerves and reattached major veins”.
He said the whole skeletal framework, arteries, and nerves of the patient were repaired in a specific sequence to get the hand into shape and normal function. The patient required more blood transfusion during the surgery.
“In such cases, proper preservation of the limb and rushing the patient to the hospital at the earliest are keys to successful re-plantation,” said senior Plastic and Reconstructive Surgeon, Prof Mohd Yaseen.
Speaking about the postoperative care of replantation patients, Hand, and Microvascular Surgeon, Prof Imran Ahmad pointed out: “Sensation in the affected part takes much longer to regain and tendon injuries require more recovery time than fractures. The success of these surgeries depends highly on follow-up physiotherapy and a well-designed postoperative dynamic rehabilitation program.
“Limb re-plantation is a tricky and difficult operation, but with the advancement of micro-surgery, it is becoming possible to replant amputated body parts by restoring blood supply and repairing tendons, nerves, and bones. At the Department of Plastic Surgery, JNMC, we are routinely doing complicated microsurgical procedures with increasing success rates”, said Microvascular Surgeon, Dr Mohd Fahud Khurram.