In the past two months, the severed hand was temporarily transplanted to the calf to maintain blood circulation and preserve living tissue. Patient Le Ngoc P. was admitted to the hospital in September 2025 with a crushed 1/3 of her lower arm and a severed right hand due to a work accident. At that time, she was 23 weeks pregnant.
To save the hand, the doctors decided to temporarily graft the hand to the right leg, a high technique in cosmetic surgery, requiring absolute precision to retain spinal tissue while waiting for resuscitation surgery.
On November 17, 2025, the patient was re-hospital in stable condition. The ultrasound showed 34 weeks of pregnancy, good fetal heart, normal foaming water. Patients hope to have their hands reconnected to restore vital function and take care of their children after giving birth.
Recognizing the special nature of the case, Binh Duong General Hospital organized an interdisciplinary consultation with the participation of anesthesiologists for resuscitation, Orthopedic trauma, obstetrics, intensive care, bloodology and nutrition.
The hospital also consulted remotely to seek professional guidance from leading hospitals including: Orthopedic Trauma Hospital and Tu Du Hospital. During the surgery, the fetal heart was continuously monitored using an obstetric monitoring system to ensure maximum safety.
The surgery lasted for many hours with complex micr surgical techniques, the surgical team performed a series of difficult techniques: Separate your hands from your calves and remove a 15 cm long pineal artery section; Prepare your forearms and rotate your bones with a screws; Connect one artery and three veins to restore hand circulation; Transplantation of a nerve lost section with a long, long, long, tendon and shral nerve branch.
The highly focused spirit and precise skills of the surgical team determined the success of the surgery.
Immediately after surgery, the hands were warm, pink, and heavily regulated, SpO2 at the fingertips was 98-100%. The patient was alert, able to eat and drink, and his fingers could move gently according to physical therapy instructions. However, the pregnancy was stable, the fetal heart was steady and no abnormalities were recorded.
This surgery not only helps patients keep their hands healthy but also demonstrates the efforts, sense of responsibility and the ability to coordinate with the department of Binh Duong General Hospital in caring for patients with particularly complex conditions.
The success of the surgery contributed to affirming the important advancement of local health care in the field of micro-surgery and plastic surgery, while demonstrating profound humanistic value: helping a future mother keep her hands so that she can take care of her two children after birth.
