Man’s right arm was twisted by machine, doctors replanted it in 10 hours

A month ago, Mr. Wang, a 36-year-old citizen of Shizuishan, was strangled by a cargo conveyor belt while working, resulting in a complete amputation of his right forearm. He was referred to the Ningxia People’s Hospital for Hand, Foot and Reconstructive Microsurgery. On April 18, when Mr. Wang came to the hospital for a re-examination, the stitches on his right arm had healed and he could move slightly.

“Mr. Wang’s blood had soaked through the dressing when he was transferred to our hospital. Fortunately, he was conscious and had no other discomfort.” According to Huang Yonglu, the deputy chief physician of the department, at about 15:00 on March 19, Wang The gentleman was transferred from the Pingluo County People’s Hospital to the department for treatment. The hospital immediately opened a green channel, and urgently contacted the operating room, anesthesiology department, blood transfusion department, laboratory department, etc. to make preoperative preparations.

The amputation operation involves the reconstruction of bones, tendons, blood vessels, and nerves. After completing the relevant examinations, it was found that Mr. Wang’s amputated forearm, along with tendons and muscle self-attachment points, were pulled out and tied by a machine. The wound was severely damaged and polluted, and replantation was extremely difficult. Dr. Huang Yonglu was determined to do his best to save his right arm.

The surgery started at 19:00 on March 19. At this time, it has been 3 and a half hours since Mr. Wang was injured and admitted to the hospital. Dr. Huang Yonglu started from the wound treatment. He patiently pruned and debridement again and again, and then reconstructed the bones to maintain the stability of the severed limb. Immediately after the limb is stabilized, the blood supply of the limb needs to be reconstructed, and the earlier the blood is passed, the higher the limb survival rate. However, due to the severe contusion of the blood vessel, the broken end was located near the cubital fossa. With the full cooperation of the anesthesiologists and the nurses in the operating room, Dr. Huang Yonglu and Dr. Wu Jian, through more than 10 hours of hard work, anastomosed 6 blood vessels, anastomosed all the tendons and nerves of the forearm, and finally completed the operation at 5 am the next day.

After the operation, under the meticulous treatment and careful care of the medical staff, Mr. Wang passed through many barriers such as reperfusion injury, vasospasm, infection, etc. through postoperative exercise, and his condition was stable. 2 was discharged from hospital.

Rounds.

The reporter learned that the Hand, Foot and Reconstruction Microsurgery Department of Ningxia People’s Hospital treats peripheral nerve injuries (including peripheral neuropathy), multiple complex injuries of the extremities, various types of wounds (including infection wounds, trauma wounds, bone defects, Refractory wounds, etc.), severed fingers (limbs), small osteoarthropathy, tendinopathy, congenital deformities of hands and feet, post-traumatic deformities, etc., more than 2,400 patients, and more than 2,300 operations are performed every year. (New News reporter An Xiaoxia, intern Hui Rong’s picture is provided by the interviewed department)

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In case of accidental limb avulsion, strangulation and amputation, How to deal with severed fingers and wounds?

Traumatic surgery is a race against time, especially for limb avulsion and ligation injuries. “For replantation surgery, the most important thing is to be fast. The earlier the surgery, the higher the survival rate.” Dr. Huang Yonglu from the Hand, Foot and Reconstruction Microsurgery of Ningxia People’s Hospital said that in such cases, surgery is usually performed within 6-8 hours after injury. It greatly improves the survival rate of amputated fingers and limbs, so it is necessary to go to the top three hospitals for treatment as soon as possible after the injury.

How to deal with the avulsion of limbs before going to the hospital? Dr. Huang Yonglu introduced that you can first use clean gauze to wrap the wound to stop bleeding, and remember not to use incense ash or shredded tobacco to stop bleeding. “For injured broken fingers and limbs, you can find a clean gauze, towel or cloth to wrap it, seal it with a plastic bag, then put it in a container with ice cubes, and quickly rush to the hand and foot microsurgery specialist hospital for treatment. .” But do not directly contact the severed fingers and limbs with ice, otherwise it will cause frostbite, severed fingers and limbs. In addition, severed fingers and limbs cannot be soaked in water, nor can they be placed in liquids such as alcohol, salt water, and disinfectant, otherwise, they will not be able to be replanted after medical treatment. (New News reporter An Xiaoxia, intern Hui Rong)

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