The Medica Group of Hospitals, Eastern India’s largest private hospital chain, performed a life-saving trauma care treatment on a 30-year-old male from Hasnabad, Nandanpur Kolkata, at its flagship facility Medica Superspecialty Hospital.
For this case, a team of experienced specialists from the GI Surgery department and Medica’s care team collaborated.
The team worked together under the guidance of Dr. Udipta Ray, Senior Consultant GI Surgery, Medica Superspecialty Hospital, and the Medica care team to achieve this historic feat on September 13th, 2022.
Mr. Sujoy Chakraborty, 30, of Hasnabad, Nandanpur, makes a living by loading and unloading building material-laden vehicles. At 2:45 a.m.
On September 13th, he was being transported back home on a tempo when the driver lost control and drove into a metro construction site near Medica.
Sujoy had been gravely injured and was crying in agony. He was evacuated from the scene in less than an hour and taken to Medica’s emergency room at 4 a.m. under Swasthya Saathi.
“It was late at night, the roads were deserted, and I was speeding up the tempo. I lost control of the automobile, and it was crushed into several iron rods from the metro construction site, one of which cut through Sujoy’s upper side of his right arm “
The driver said.
After observing his situation, he was transported to the operating room and immediately given appropriate cold fluids and other drugs for pain treatment and bleeding control.
A considerable piece of the rod protruded from each side of the wound, injuring the surrounding tissues, muscles, and skin.
Due to the urgency, Medica had to arrange for a metal cutter to cut one end of the rod very close to the skin, allowing the other portion to be easily removed.
The rod was gently withdrawn, allowing total control of the joint, the upper arm’s major bone, muscles, and skin to prevent additional harm to these structures.
The skin, however, was lacerated and abraded, and the edges of the skin were completely burnt due to the heat of the cutter.
When the rod was removed, all of the bleeding vessels from the muscles were secured, and all of the dead/damaged tissues that had been permanently destroyed during the accident were removed, leaving fresh tissues to recuperate.
The bleeding was stopped completely, and as much muscle regeneration as possible was done.
To avoid infection, the incision needed to be thoroughly cleaned because it included dust, debris, iron particles from the rod, and even the patient’s garments. The wound was properly cleansed and rinsed with regular saline.
Following the successful removal of the rod and careful wound care, a satisfactory functional assessment was performed, suggesting that the patient recovered well from the surgery.
Early physiotherapy was started to avoid any loss of muscle activity. With adequate gauge piece packing, the bleeding was managed and avoided even after the post-operative time.
After establishing that the patient was stable, the wound was healthy, and no bleeding was present, the appropriate dressing was applied, and the patient was discharged with physiotherapy.
“Sujoy was in a state of shock after seeing the pool of blood when he was brought to Medica. He screamed in pain. This was one of the most serious cases I had seen in a long time. To begin with, being a doctor, and working as an expert welder was a very challenging situation for me. Second, the removal of the rod could have further damaged the skin because it was already burnt from the heat of the cutter, and third, the rod could have injured the main bone of the upper arm, the ‘humerus,’ and caused a dislocation of the joint because any manipulation of the rod could only be done with the patient under full anesthesia. As a result, preventing the damaged adjacent joints and bones was a critical issue and it was taken care of during the entire procedure. We are pleased to see Sujoy’s quick recovery despite the difficulties.”
Dr. Udipta Ray, who led the operation, said,
“Because of his financial circumstances, he was worried while being admitted to the hospital. We wasted no time because he had his Swasthya Saathi card and promptly admitted him to the scheme. This did not offer him with adequate comfort from his physical suffering, but it did provide him with mental relief.”
He further added,
The patient is said to be doing well at the time of the follow-up, with full functional recovery of the arm. The procedure was not only lifesaving, but it was also a remarkable limb-saving surgery at Medica. Saving the right arm from amputation makes a huge difference for a daily earner.
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