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An 18-year-old from Hapur had his right hand completely amputated at the wrist in a construction-site accident in Ghaziabad. Doctors performed a seven-hour microsurgical procedure to reattach the hand and restore blood circulation.
A construction-site accident in Ghaziabad left an 18-year-old with his right hand completely amputated at the wrist. The young man, who works in Ghaziabad and is from Hapur, was rushed to Yashoda Medicity on July 21 with severe pain, active bleeding and substantial blood loss.His amputated hand was preserved and brought to the hospital, giving doctors an opportunity to attempt an emergency reimplantation. A team led by Dr Shobhit Sharma, Principal Consultant, Plastic, Aesthetic & Reconstructive Surgery, and Dr Brajesh Koushle, Director and Unit Head, Orthopedics, Joint Replacement & Sports Medicine, performed the complex seven-hour surgery.
THE ACCIDENT LEFT HIS HAND COMPLETELY AMPUTATED :According to the hospital, the teenager's hand became trapped in a machine while he was working at a construction site. The injury resulted in complete amputation at the wrist. He was immediately taken to Yashoda Medicity's Emergency Department. Doctors assessed his condition, stabilised him and decided that emergency hand reimplantation was possible.
The amputated hand was also carefully preserved and transported to the hospital. In such injuries, doctors say the time between amputation and surgery can play an important role in whether reimplantation is possible.
A SEVEN-HOUR MICROSURGERY TO RECONNECT THE HAND
The procedure was particularly challenging because the injury was caused by a crush rather than a clean cut. This meant the surgeons had to deal with extensive damage to the tissues. The team first stabilised the fractured wrist bones to create a structural framework. The surgeons then used a microscope to reconnect the arteries, veins, nerves and tendons. Soft tissues were also repaired as part of the reconstruction.Managing blood loss was another major concern. The anaesthesia team closely monitored the patient's condition during surgery and administered blood transfusion to keep him stable.Dr Shobhit Sharma said that reimplanting a completely amputated hand is a race against time and that the patient's arrival within the "golden window" helped the outcome."The hand now has restored blood supply. It will take time for the hand to recover to normal function, but we expect him to show steady clinical improvement over the coming months," he said.
WHAT HAPPENS AFTER A HAND IS REATTACHED?
Restoring blood circulation is an important early step, but it does not mean the hand immediately returns to normal function.The patient recovered well after surgery and has been discharged in a stable condition. His sensation and finger movements are expected to return gradually over the coming months. Physiotherapy will begin after an initial healing period to help improve strength and mobility. He will also remain under regular follow-up with the treating team during his rehabilitation.Doctors have stressed that in traumatic limb amputations, patients need to reach a centre with advanced microsurgical expertise as quickly as possible. Proper preservation of the amputated part and rapid transfer can also be important when doctors are considering reimplantation.