Reattaching the young man's arm that was severed by a pulley gear

A young man got his arm caught in a pulley gear used to transport construction materials. Fortunately, doctors were able to reattach it.

Doctors check the stitches on the victim's left arm - Photo: TL

The victim PMT (36 years old, Co Do district, Can Tho ) was taken to the Can Tho General Hospital for emergency treatment with his left arm severed, the bone broken at 1/3 of his arm. The victim was in shock due to trauma, massive blood loss, and unmeasurable pulse and blood pressure...

According to a colleague, while transporting construction materials at the construction site (Tra Noc ward, Binh Thuy district, Can Tho), the victim's sleeve got caught in the pulley gear and was pulled in, severing his left arm. Immediately after, the colleague turned off the pulley and provided first aid on the spot, then immediately transferred the victim to the Can Tho General Hospital for emergency treatment along with his severed left arm.

At 2am, the on-duty team raised the red alert and mobilized relevant departments to consult and perform emergency surgery to reattach the victim's arm. The emergency resuscitation team, trauma and burn surgery, thoracic vascular surgery, and surgery and anesthesia resuscitation teams were mobilized to urgently perform emergency hemostasis, fluid infusion, blood transfusion, and transfer to the operating room, to perform resuscitation and surgery to reattach the severed arm.

Doctors said that this case had to be fixed and combined with the bones using an external fixator, cut and clean the two ends of the arm to clear the blood vessels in the severed limb and start to connect the arteries, veins, and nerves. Then suture the muscles and skin, cut the skin to relieve pressure on the forearm. After surgery, monitor for many hours to see if the blood vessels in the arm circulate well.

On November 11 (after nearly 6 days of reattachment), the arm sutures had healed, the reattached hand had feeling and was in the process of recovery.

Doctors advise that when treating emergency cases of severed wounds, suturing is extremely complicated and difficult.

Not only does it require the mobilization of many surgical specialties for suturing, but first aid is also very important: first aid for good local hemostasis, good preservation of the severed part (preservation temperature from 5-10 degrees Celsius, do not put directly in ice water), and at the same time depends on whether the cut is sharp or bruised, whether it is contaminated; the time from the time of the cut to the hospital for suturing must be within the golden hour (before 6 hours)...

Source: https://tuoitre.vn/noi-canh-tay-nam-thanh-nien-bi-dut-lia-do-banh-rang-rong-roc-20241111095858825.htm