On November 11, information from Can Tho General Hospital said that doctors performed emergency surgery to reconnect and preserve the left arm of a patient who was severed due to a work accident.
Accordingly, in the early morning of November 6, patient P.M.T (36 years old, Co Do district, Can Tho city) was transporting construction materials at a construction site when his sleeve got caught in the pulley gear, got caught and severed his left arm. The patient received first aid from his colleagues before being transferred to this hospital for emergency treatment.
Patient's condition upon admission: traumatic shock, blood loss, unmeasurable pulse and blood pressure, slow contact stupor, exposed humerus, skin peeling exposing deltoid, biceps and triceps muscles.
The surgical team including the Department of Emergency Resuscitation, Department of Trauma and Burn Surgery, Department of Thoracic Surgery and Department of Surgery - Anesthesia and Resuscitation urgently consulted and coordinated emergency surgery, hemostasis, fluid and blood transfusion to resolve the patient's shock.
Realizing the condition was very serious and time was running out to reattach the limb to save it, the surgical team ordered an emergency transfer to the operating room to both resuscitate and perform surgery to reattach the severed arm.
The Department of Trauma and Burn Surgery performed combined fixation of the left humerus with an external fixator. The Department of Thoracic Surgery performed debridement of both ends of the arm, cleared the blood vessels of the severed limb, and connected the artery to the brachial artery, the vein to the vein, connected the nerves, sutured the muscles and skin, and made an incision to relieve pressure on the forearm. After reconnection, the blood circulation was good.
According to thoracic surgeons, successful limb transplantation depends on many factors, such as: the limb is severed due to a sharp cut or bruising of the muscle tissue, blood vessels, and nerves; whether the scene of the limb is in a clean or dirty environment; the limb must be kept clean at an ideal temperature of 5 to 10 degrees Celsius; the time from the scene to the hospital must be at least 6 hours; the surgical team must be highly qualified and professional...
