By Health In Five Writer
A team led by Dr. Parag Sahasrabudhe, Plastic and Reconstructive Surgeon at Lokmanya Hospital, Pune successfully performed complex and complicated limb saving surgery on 21 year-old, road accident patient Prajakta Joshi (name changed) using a Dermal Regeneration Templates to give her a new lease of life.
Prajakta Joshi (name changed) a 21 year-old underwent a massive road traffic accident because of a collision with a heavy duty dumper which dragged her along the roadside leading to severe injury to her left lower limb. The entire left leg from her thighs downwards had degloving injury with loss of skin circumferentially from her lower thigh to the ankle joint.
She was moved to a nearby hospital, where the doctors told her parents that they have to amputate the leg. It was a shocking moment for parents. They spoke with their family doctor in their hometown, who suggested a second opinion with Dr. Sahasrabudhe.
“Family sent us the photos of an accident victim. It was a challenging case for reconstruction, as no skin was available to cover such a large defect with exposed and open shin bone and conventional reconstructive surgery technique was inadequate to cover such a large wound”, said Dr. Sahasrabudhe.
“The patient was admitted at Lokmanya Hospital, Pune. She was in pain and tears and bleeding from the leg wound. The circulation in the left leg was normal and she had good sensations in her toes. The girl was very young and losing her leg could destroy her future. We took this as a challenge to performed complex and complicated limb-saving surgery using Dermal Regeneration Templates, a new technology in India”, said Dr. Sahasrabudhe
“She was taken up for surgery immediately and the wound was thoroughly cleaned. The entire shin bone needed to be covered, which was open in the wound. She underwent multiple surgeries. The technique of flap surgery was used along with recent wound management advances like negative pressure wound therapy and dermal regeneration templates to generate additional skin to cover the exposed bone and soft tissue”, added Dr. Sahasrabude.
The main task was to make sure she is kept away from the infection in the COVID 19 pandemic situation.
It was extremely gratifying to see her walk with walker support a month down the accident. Today her wound is covered with skin and she is able to walk without any support. With the help of conventional reconstructive techniques and modern wound management, we were able to save the limb.
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