On 18/6, doctors at Viet Duc Hospital announced the successful reattachment of a 22-month-old boy's hand, nearly severed by a plastic cup sealing machine. The child was admitted last week with severe damage to his left wrist, his hand almost completely detached, connected only by a small skin bridge. The complex microsurgery, lasting over five hours, fully restored blood flow and nerve function. Six days post-operation, the boy's hand was warm, well-perfused, and showed initial small finger movements, indicating a promising recovery.

Doctor Vu Trung Truc, Deputy Head of Maxillofacial - Plastic and Aesthetic Surgery, highlighted three significant challenges during the procedure: First, the hand was hemodynamically detached despite not being completely severed mechanically. The family did not preserve it in ideal ice-melt conditions, leading to "hot ischemia" at room temperature. This condition increases tissue necrosis and significantly lowers the success rate compared to properly preserved avulsions. Upon admission, the boy's fingertips were discolored and collapsed, signs of acute blood deprivation. Due to his young age, doctors could not perform a direct wound assessment; he was immediately taken to the operating room for general anesthesia, followed by a detailed examination and emergency surgery. Second, the cup sealing machine's high heat not only crushed but also burned the wound, severely damaging tissue and making it difficult to locate and suture the tiny blood vessels. Finally, the boy, under two years old, had wrist blood vessels measuring only 0.7 to 0.8 mm—comparable to an adult's finger vessels—requiring exceptionally precise microsurgical techniques from the surgical team.

Bac si kiem tra vet thuong cho tre sau 6 ngay mo. Anh: Benh vien cung cap

Doctors emphasize the importance of keeping electrical appliances and industrial machinery—such as blenders, presses, and rice cookers—out of reach of young children. In the event of a limb avulsion, immediate first aid to control bleeding is crucial. The patient should then be quickly transported to a specialized surgical center to utilize the "golden hour" for reattachment and limb preservation.

Le Nga