CARE Hospitals Surgeons Replant Severed Forearm After Drill-Machine Accident

A severe industrial accident could have permanently changed the life and livelihood of a 19-year-old worker. In a complex surgical intervention, a multidisciplinary team at CARE  Hospitals, HITEC City, successfully replanted his completely severed right forearm following a drill-machine accident. 

The young man reached the hospital’s Emergency Department within an hour of the accident and underwent a marathon 10-hour surgery to save the limb.

The worker suffered a severe crush injury while operating a drill machine, resulting in complete amputation of his right forearm. Considering his young age, the extent of the injury and the timely arrival at the hospital, doctors decided to attempt replantation and give him the best possible chance of preserving his limb and regaining function.

A multidisciplinary team comprising specialists from Orthopaedics, Plastic & Reconstructive Surgery, General Surgery and Anaesthesia immediately began the complex procedure.

The surgery involved extensive cleaning of the damaged tissue, stabilisation of both forearm bones with plates, restoration of the limb and reconstruction of the damaged soft tissues.

Replantation of a completely amputated limb is among the more challenging forms of reconstructive surgery. It requires restoration of blood circulation along with repair and reconstruction of the damaged bones and soft tissues.

The success of the procedure also depends significantly on the severity of the original injury, how quickly the patient reaches an appropriate trauma centre and subsequent rehabilitation.

Dr. Divya Sai Narsingam,Senior Consultant – Plastic Surgery, CARE Hospitals, HITEC City, said, “The first challenge in a completely amputated limb is to restore viability and blood circulation. After that, the damaged structures and soft tissues have to be reconstructed carefully.

The replanted forearm is now viable, blood circulation is normal, and we are seeing encouraging movement and sensation in his fingers. Rehabilitation will now play an important role in helping him regain maximum possible function.”

Reference Link

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