Bhubaneswar: A 25-year-old young woman, Barsha Das from Krushnaprasad Block of Puri district has got another life from the doctors at AIIMS Bhubaneswar.
A team of doctors from the national institute have successfully replanted Barsha’s completely separated left forearm. The process took around 10 hours, said an official press release issued by AIIMS Bhubaneswar.
Barsha came to the emergency department of AIIMS Bhubaneswar on December 9 at around 9 pm with a traumatic amputation of the left forearm below the elbow.
As per the history shared by the patient, she was working at her home and her dupatta got stuck in the rice cutting machine along with her left hand at around 4 pm following which she was taken to the local government hospital along with the amputated hand where the primary treatment was given, bleeding was secured and the dressing was done.
The amputated part was wrapped in a ganjee pad and was kept in an ice bath by the person who attended her in the local hospital.
The patient was immediately planned for re-implantation and was taken up for surgery on the same night at around 11:30 pm by a team led by Dr Sanjay Kumar Giri, Head of Burns & Plastic Surgery. The team consisted of Dr Santanu Suba, Dr Priyanka Pant, Dr Akanksha Rajpoot, Dr Vishnu from the Plastic surgery department, Dr Nikhil and Dr Manjoy from Orthopaedics, Dr Jayant Mitra, Dr Hrushikesh and Dr Shailaja from Anaesthesia department assisted by nursing officer Babulal and Jaswant Singh.
At first, the team of doctors took out the amputated part from the fridge and started bench dissection, all the vital structures identified and tagged 3 cm bone were shortened. Then the patient was taken into the operating room and anaesthesia was given. Amputated stumps opened and debridement was done and all the vital structures were isolated.
After that, the amputated part was attached to the body by first two bony fixations, then arterial circulation was established along with the vein, followed by two major nerves that were repaired along with muscles and skin, said Dr Sanjay Giri.
The surgery went up till 8 am in the morning and the patient was then shifted to ICU. After the tenth post-operative day, we took the patient to the operating room again as the skin around the elbow was not good. Under anaesthesia, we removed all the devitalised skin and covered it with a skin graft. Today it is around two weeks following the incident. At present, the limb is viable, added Dr Giri.
Today Executive Director Dr Ashutosh Biswas visited the young lady in the ward and applauded the effort of doctors of AIIMS for the heroic job.
Dr Biswas also praised Barsha for her bravery and assured her of a prosperous future.
Among others, Medical Superintendent Dr S N Mohanty, DDA(I/c) Rashmi Ranjan Sethy also praised the doctors for their feat.