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Resident accidentally cuts finger while trying to close bathroom vent
A team of experts from a private hospital in Abu Dhabi successfully performed a six-hour finger replantation procedure on a 30-year-old Egyptian expatriate.
Doctors at Burjeel Medical City were able to reattach a patient’s left index finger after accidentally severing it in the bathroom window.
Events took a dramatic turn when Mohamed Mansour Mohamed, who worked on a farm in Abu Dhabi, worked at his friend’s home. When he tried to close the bathroom ventilation window, a pane of glass fell on his hand, severing his left index finger. Unable to bear the pain, he fainted on the spot.
Mohammed’s friends found him unconscious, picked up his completely severed finger, and transported him by ambulance to a nearby hospital. Mohammed remembers waking up in the hospital where he was told of the accident.
“Luckily my friend’s house was near Burge Medical City, so I was transferred there in minutes. When I realized how badly I was injured, I thought I had lost that finger forever, I didn’t think I would have a chance Reborn. “Fingers,” said Mohammed, who has been living and working in the UAE for the past two and a half years.
Doctors in the emergency department underwent a crushing amputation of Mohamed’s left index finger. In addition, there were deep wounds on the left middle finger and ring finger, the nail plate was partially avulsed (separated), and the left little nail bed was injured.
To Mohammed’s relief, doctors assured him that they would be able to reattach the severed finger to his hand. Hand injuries, ranging from superficial tears or cuts to complete amputations, are common in emergency departments, according to doctors. In Mohamed’s case, he required replantation, a complex microsurgery.
six hour surgery
Because the severed finger was well preserved, a medical team led by plastic surgeon Dr. Leon Alexander chose to urgently replant the left index finger. The surgery involves dissection of the severed finger and fixation of bone using an axial Kirschner wire, followed by repair of tendons, arteries and veins. The team also had to deal with deep damage to the other three fingers, as well as harvest vein grafts for anastomosis (connecting blood vessels). The operation was completed within six hours.
According to Dr. Alexander, a replanted body part will never return to 100% of its original use.
“Most physicians consider a return to 60-80% usage to be a good outcome. However, most replanted fingers only gain about 50% of total motion. Still, replanted fingers are always better than fingers/hands Prosthetics are better”
A long recovery ahead
In Muhammad’s case, the medical team was able to reattach his finger because the ischemia — a reduction in blood and oxygen supply — was shorter, the amputated finger was not severely squeezed, and the finger was well preserved.
Mohamed is now working on a lengthy recovery process that can take three to six months, sometimes as long as a year, as the body has to relearn the brain-muscle-finger connection. Follow-up visits will follow six to eight weeks later, and Mohammed will then undergo an intensive active and passive range of motion program with a hand occupational therapy team for three to six months.
Muhammad still hasn’t come to terms with the trauma he’s been through.
“So far, I still can’t believe what happened. Even though I am far away from my family, I still feel like I am one of them. I am grateful to the medical and nursing team for taking good care of me. They provided me with medical and psychological support , they never gave up on me,” he said, adding that he is currently focused on recovery and getting back to work as soon as possible.
What should I do if my finger is broken?
In this case, preservation of the amputated part is the most critical step, according to Dr. Alexander.
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“The amputated part must be wrapped in saline soaked gauze and then transferred to a plastic bag. The plastic bag must be wrapped in another plastic bag filled with saline/water and then stored in an ice box or bag with ice cubes. The amputated part cannot come into direct contact with ice, as it can damage digital blood vessels and nerves,” added Dr Alexander.
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