Mangaluru, Dec 17, 2017: A two-year-old toddler who lost his mother in a rail accident and had his lower limbs severed in the mishap in Kerala, was operated upon at A J Hospital and Research Centre here and his limbs were successfully rejoined with microvascular surgery. The child is now able to walk without any support, Plastic Surgeon Dr Dinesh Kadam said.
Briefing media, Medical Director and Transplant Surgeon Dr Prashanth Marla K stated that the child is said to be the youngest toddler in the world who has been treated successfully after sustaining a complete amputation of both lower limbs, one at the proximal level, right thigh and other through the mid leg. Simultaneous amputation of both lower limbs is a rare occurrence but rejoining them is extremely rare and so far only 13 successful cases have been reported across the world, including four children. So far none have been reported from India, he claimed.
Giving details about the tragic incident, Dr Marla said that on April 29, the child and his mother came under the wheels of a train. While the mother succumbed, the baby survived but lost both his legs. He was lying in a pool of blood with his severed lower limbs when he was rescued by some citizens and railway police transferred the baby to Payyanur hospital. After giving first aid, the baby was referred to A J hospital with his limbs preserved in a box containing ice. The amputated legs were transported in a thermocol box kept in a polythene pack with ice.
Dr Kadam said that, “Rejoining or replanting a major limb amputation is a complex procedure, both technically and also with uncertain effects on the patient. It is a long process and involves a major alteration in the blood pressure, reperfusion injury (toxic products when pushed to circulation from the re-joined limb),” he said.
Both limbs were successfully rejoined in a seven-hour Microvascular surgery. The team members included Dr Sanath Bhandary, Dr Gautham Shetty (Plastic Surgeons), Dr Mithun Shetty (Orthopedic surgeon) and Dr Trivikrama Tantry (Anaesthesiologist). The baby recovered well and was monitored intensively. He further underwent skin grafting surgeries and implant removal procedures. His bones have been joined and he is now able to walk independently. It is more than a miracle in medical hands.