Major Plastic Reconstructive Surgery Restores Hand Function After Industrial Injury

A Life-Saving Limb Reconstruction at Geetanjali Multispeciality Hospital, Wai

🧑‍⚕️ Performed by: Dr. Pushkar Deshpande – Senior Plastic Surgeon, Pune

🤝 Assisted by: Dr. Siddhant Kaddu – General & Laparoscopic Surgeon

💉 Anesthesia: Dr. Prashant Ahiwale – USG-Guided Supraclavicular Block

📍 Geetanjali Multispeciality Hospital, Wai

Case Overview

An industrial worker arrived in the Emergency Room at Geetanjali Multispeciality Hospital, Wai, last Sunday, with a severe deep cut on the right forearm. The wound involved:

Complete tendon laceration of the flexor compartment
Median nerve and ulnar nerve transection
Ulnar artery injury causing high risk of vascular compromise

Clinical Challenge

The injury involved:

10 severed tendons including:

Palmaris Longus (PL)
Flexor Carpi Ulnaris (FCU)
4 Flexor Digitorum Superficialis (FDS)
4 Flexor Digitorum Profundus (FDP)

Complete transection of:

Median nerve
Ulnar nerve
Ulnar artery

Such injuries require urgent microsurgical expertise to preserve hand function, blood flow, and sensory recovery.

Surgical Plan & Execution

Emergency Plastic & Reconstructive Surgery was performed by:

Dr. Pushkar Deshpande (Pune-based plastic surgeon)
Assisted by Dr. Siddhant Kaddu and team
Anesthesia: USG-guided supraclavicular brachial plexus block administered by Dr. Prashant Ahiwale

Procedure Highlights:

Microvascular repair of the ulnar artery
Microsurgical nerve repair of median and ulnar nerves
Tendon reconstruction of all 10 flexor tendons using meticulous suturing techniques

The surgery was completed with high precision under magnification to ensure optimal alignment and function recovery.

Post-Surgical Outcome

✔️ Stable vascular status – no signs of compromise

✔️ Early movement supported by physiotherapy protocol

✔️ Patient is recovering well with preserved circulation and initial nerve responsiveness

Continued hand therapy and physiotherapy will be critical for long-term return of grip strength and fine motor skills.

Why This Case Matters

Industrial hand injuries can result in permanent disability if not treated urgently
Microsurgical expertise is essential for tendon and nerve repair
Regional anesthesia minimizes complications and supports early recovery