In a difficult surgery, a 50-year-old worker’s forearm, which had been severed while working on a machine, was transplanted at a leading hospital here, his doctors said on Thursday. .

The “extremely complex surgery” took around six hours, they said.

The man had suffered a “crushing amputation of the right forearm”, just below the elbow, while working on a machine in the factory, hospital authorities said in a statement. He was rushed to a nearby retirement home which had no facilities for this serious case, so he was immediately taken to Fortis Hospital in Shalimar Bagh within 30 minutes of the incident, a- he declared.

”Two teams of doctors led by Dr. Richie Gupta, director and head of plastic surgery department at Fortis Hospital, Shalimar Bagh, performed the replantation surgery – an advanced procedure where bones, muscles, blood vessels , nerves and tendons are precisely identified and sutured using microsurgical techniques,” the statement said. Timely presentation to the hospital and coordination between the plastic surgery, orthopedic, anesthesia and intensive care teams ensured the success of the reimplantation, hospital authorities said.

Since his condition was “extremely critical” due to hypotension and shock, no time was wasted in resuscitation and initiating surgical procedures, doctors said.

“As this was an amputation case, there was massive blood loss and we could have lost the patient if there had been more delay,” Gupta said.

This case was different from a clean amputation, such as a sword wound, in which case there is less tissue damage. This case was a crush amputation due to machine injury and therefore the damage to structures, particularly muscle, was extensive. If not treated in time, it can lead to the permanent loss of a limb, the statement said.

“Muscles die very quickly when there is a lack of blood supply. Thus, the surgeon must understand how to restore blood circulation to the amputated body part as soon as possible. In replantation surgery, arteries and veins are joined first, then nerves, followed by muscles and other tissues,” he added.

This operation lasted about six hours and, once blood flow was restored, doctors continued to monitor the patient in intensive care, particularly for kidney damage from toxins released from the injured muscles, as well as sepsis. The patient received four units of blood and was discharged in good condition five days after surgery. He still has some injuries, which may require skin grafting, doctors said.

The operation took place in early July, a hospital spokesperson said.

”Reimplantation is an extremely complex surgery requiring close coordination between plastic surgery, orthopedics, anesthesia and resuscitation teams. After surgery, while circulation resumes immediately, it takes approximately 300 days for nerve regeneration, and therefore sensation and fine function, to return. However, basic functions such as bending and straightening the fingers, as well as performing simple tasks can be started in six weeks,’ Gupta added.

(This story has not been edited by the Devdiscourse team and is auto-generated from a syndicated feed.)

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