Yashoda Medicity successfully reconstructed and reimplanted a completely amputated right hand of an 18-year-old young man, after a construction site accident in Ghaziabad. The complex seven-hour surgery involved meticulous microsurgical repair of the bones, arteries, veins, tendons, nerves, and soft tissues, restoring blood flow to the replanted hand and giving the young patient the opportunity to regain function.
The patient, a native of Hapur who works in Ghaziabad, sustained a complete amputation of his right hand at the wrist after it became trapped in the machine while working at a construction site on July 21. He was immediately rushed to the Emergency Department at Yashoda Medicity with severe pain, active bleeding and significant blood loss from the site of injury. The amputated hand was carefully preserved and transported to the hospital, allowing the surgical team to proceed with limb reimplantation.
The patient was immediately assessed by a team of doctors led by Dr. Shobhit Sharma, Principal Consultant, Plastic, Aesthetic & Reconstructive Surgery and the team along with Dr. Brajesh Koushle, Director & Unit Head, Orthopedics, Joint Replacement & Sports Medicine. Following emergency evaluation and stabilisation, the team decided to undertake an emergency hand reimplantation procedure.
Over the course of seven-hour surgery, the surgeons decided to undertake an emergency hand reimplantation procedure. The case was a surgical challenge, as the tissues had suffered a crush injury rather than a clean cut. Managing the patient's blood loss was a critical early priority, with the anaesthesia team closely monitoring his condition and administering blood transfusion to keep him stable through the course of the seven-hour surgery. Working against the clock, the team first stabilised the fractured wrist bones to create a stable structural framework, before moving to the microscope to reconnect the arteries, veins, nerves and tendons.
*Dr. Shobhit Sharma, Principal Consultant, Plastic, Aesthetic & Reconstructive Surgery, Yashoda Medicity,* said,” Reimplanting a completely amputated hand is a race against time. The tissues had suffered a crush injury. Every structure, from the smallest blood vessel to the tendons and nerves, had to be repaired under the microscope with utmost precision. The fact that the patient reached us within the golden window made a huge difference to 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."
Following the successful procedure, blood circulation was restored to the replanted hand. The patient recovered well in the postoperative period and has since been discharged in stable
condition. He will continue regular follow-up and rehabilitation under the treating team. Sensation and movement in the fingers are expected to return gradually over the coming months. Physiotherapy will begin after an initial healing period to help restore strength and mobility. The patient will remain under regular follow-up with the treating team throughout this process.
Doctors highlighted that in cases of traumatic limb amputation, the time between injury and surgery plays a crucial role in determining the success of reimplantation. They also stressed the importance of preserving the amputated part appropriately and ensuring immediate transfer to a centre equipped with advanced microsurgical expertise.
The successful outcome of this case reflects the expertise of Yashoda Medicity's multidisciplinary surgical teams in managing complex trauma emergencies through advanced microsurgical reconstruction, coordinated emergency response, and comprehensive post-operative care.
