Kenyatta National Hospital re-attach boy's severed hand

[spear]

[SIZE=5]KNH doctors re-attach boy’s severed hand[/SIZE]

THURSDAY FEBRUARY 8 2018

[SIZE=3]In Summary[/SIZE]
[ul]
[li]In cases where the amputation was a clean cut, doctors say limbs can be re-implanted onto the severed part of the body.[/li][li]According to the doctors, Joseph’s prognosis shows that he will recover between 80 and 90 per cent of the functions of the hand.[/li][/ul]
https://www.nation.co.ke/image/view/-/3130988/medRes/1640375/-/8u3ipuz/-/Merab.jpg
By ELIZABETH MERAB

Two weeks ago, a young man was wheeled into Kenyatta National Hospital’s Accident and Emergency room writhing in pain. When 17-year-old Joseph Theuri’s right hand was severed at the wrist while cleaning a chaff cutter, there was no good reason for anyone to imagine he could be made whole again given that such accidents are commonplace among residents of Kiambu where he comes from. As it is, many Kenyans believe that it is almost impossible to re-attach an amputated limb, and even if it can be done, it is a costly procedure that many cannot afford. Most accidental amputations are messy affairs, resulting in crushed limbs or other serious injuries that can sometimes make such complicated procedures as re-attachment impossible.

SURGERY

However, in cases such a Joseph’s, where the amputation was a clean cut, doctors say limbs can be re-implanted onto the severed part of the body.
This is what happened to Joseph on the evening of January 26, when he underwent a seven-hour procedure at KNH to re-attach his hand. Upon receiving the patient who had been referred from Kiambu Hospital, a team of 15 plastic surgeons, orthopaedic surgeons, anaesthetists and nurses at KNH successfully carried out the procedure, which begun at 10pm and ended at 6am the following day. The young man accidentally chopped off his arm last month while cleaning the machine used for cutting straw or hay for farm animals into small pieces.

“I only realised my hand was missing when I saw a pool of blood in the cloth I was using to clean the machine,” he remembers, saying he accidentally switched on the machine when he was cleaning it.

SAFE KEEPING

While rushing him to hospital, Joseph’s sister wrapped the amputated hand in a plastic bag where upon reaching the first hospital, doctors sanitised it and put it in a cooler box. At Kiambu, the nurses worked to stop the blood flow, decrease the pain and stabilize Joseph.
The complex surgery lasted a whole night, with doctors working in two teams.Withinn 12 hours of losing the hand, surgeons and specialists were working feverishly to help return the boy’s body and prospects in life back to something resembling normal.

“We started the procedure immediately, working to attach the nerves, tendons and blood vessels. We also needed to align the bones,” one of the lead surgeons, Dr Nang’ole Wanjala, who led the procedure with the company of the University of Nairobi’s Prof Stanley Khainga overseeing the whole procedure, said.

TWO TEAMS
To save on time and ensure that the workflow was seamless, Dr Nang’ole says the team of 15 split into two, whereby one team worked on preparing the detached hand and the other team working on the stump of the forearm.

“When we received the patient what amazed us was that his hand had been preserved in cooler box. This helped keep the cells of the hand alive,” Dr Nang’ole said.

According to the doctors, Joseph’s prognosis shows that he will recover between 80 and 90 per cent of the functions of the hand, which also functions as his dominant limb following the operation.

“Already, we can see the blood flowing back in his hand. We determined this by pricking his thumb and seeing the blood flow,” Prof Khainga said.

MILESTONE
Replantation is the surgical re-attachment of a finger, hand or arm that has been detached from the body.

Key to replantation is the time between the injury and surgery.

“We aim to have the surgery done within 24 hours of the injury but in the event that is not possible, we still give it a try. As soon as the accident happens, try and get hold of a cooler box to put the limb,” Dr Nang’ole explained.

“This successful surgery adds into the list of the great milestones that KNH specialists have achieved to save, transform, reclaim and prolong lives of many Kenyans and patients from East and Central Africa,” KNH’s CEO Lily Koros said.

[Eng_iti]

Late news wewe mzee. Jinga

[hakimoto]

tikiwa na Marco polo, vanice Italia.

[Rene_Descartes]

hehe… kuna watu wanajua kazi yao bana.
kama kuna professionals kenya huwa inatrain to god level expertise ni doctors.
nurses and COs, engineers = chieth

[The_gunner]

Tupee Ile ya jamaa wa meru mwenye alipigiliwa misumali 4 Kwa kichwa na yote ikatolewa huko KNH na jamaa hakukufa.

[magreb]

Jubilee development

[Meria_Mata]

@The gunner

Tupee Ile ya jamaa wa meru mwenye alipigiliwa misumali 4 Kwa kichwa na yote ikatolewa huko KNH na jamaa hakukufa.

Bado yuko Hali mbaya

[patco]

These chaff cutters should be banned altogether. They have caused untold suffering to farmers. Kuna moja similar incident many years ago. Some of these cutters work by clamping and pulling e.g napier grass. So a farmer buys a cutter and employs a young man to operate it. A few days working with the gadget, jamaa aliona kitu imehata huko ndani akaingiza mkono ati atoe while it’s running.

Unfortunately he was all alone and the wife of the owner of the farm,was in the house cleaning with the radio on. Jamaa alishikwa vidole zikaenda, wrist gone… so he panics and puts his other arm to rescue the ripped arm. Other arm gets clamped. Guy is screaming but no one can hear him. He was pulled in all the way to the elbows… and he was now being dragged in!

Lady of the house akaskia soft wailing from afar off, akazima kameme. Kuenda kuangalia ni nini, coz she suspected something was amiss…

After seeing the horror show she runs back to the house in shock and sits down. Then remembers to hit the main switch. She then calls a neighbor to go and have a look.

Jamaa alipona but akawachwa na bibi. He even contemplated suicide by jumping of a building but was apparently too scared to attempt in case it backfired and he lost his legs as well.

[Meria_Mata]

@patco

These chaff cutters should be banned altogether. They have caused untold suffering to farmers. Kuna moja similar incident many years ago. Some of these cutters work by clamping and pulling e.g napier grass. So a farmer buys a cutter and employs a young man to operate it. A few days working with the gadget, jamaa aliona kitu imehata huko ndani akaingiza mkono ati atoe while it’s running.

Unfortunately he was all alone and the wife of the owner of the farm,was in the house cleaning with the radio on. Jamaa alishikwa vidole zikaenda, wrist gone… so he panics and puts his other arm to rescue the ripped arm. Other arm gets clamped. Guy is screaming but no one can hear him. He was pulled in all the way to the elbows… and he was now being dragged in!

Lady of the house akaskia soft wailing from afar off, akazima kameme. Kuenda kuangalia ni nini, coz she suspected something was amiss…

After seeing the horror show she runs back to the house in shock and sits down. Then remembers to hit the main switch. She then calls a neighbor to go and have a look.

Jamaa alipona but akawachwa na bibi. He even contemplated suicide by jumping of a building but was apparently too scared to attempt in case it backfired and he lost his legs as well.

Shait

[SnazzyKenyan]

@spear

[SIZE=5]KNH doctors re-attach boy’s severed hand[/SIZE]

THURSDAY FEBRUARY 8 2018

[SIZE=3]In Summary[/SIZE]
[ul]
[li]In cases where the amputation was a clean cut, doctors say limbs can be re-implanted onto the severed part of the body.[/li][li]According to the doctors, Joseph’s prognosis shows that he will recover between 80 and 90 per cent of the functions of the hand.[/li][/ul]
https://www.nation.co.ke/image/view/-/3130988/medRes/1640375/-/8u3ipuz/-/Merab.jpg
By ELIZABETH MERAB

Two weeks ago, a young man was wheeled into Kenyatta National Hospital’s Accident and Emergency room writhing in pain. When 17-year-old Joseph Theuri’s right hand was severed at the wrist while cleaning a chaff cutter, there was no good reason for anyone to imagine he could be made whole again given that such accidents are commonplace among residents of Kiambu where he comes from. As it is, many Kenyans believe that it is almost impossible to re-attach an amputated limb, and even if it can be done, it is a costly procedure that many cannot afford. Most accidental amputations are messy affairs, resulting in crushed limbs or other serious injuries that can sometimes make such complicated procedures as re-attachment impossible.

SURGERY

However, in cases such a Joseph’s, where the amputation was a clean cut, doctors say limbs can be re-implanted onto the severed part of the body.
This is what happened to Joseph on the evening of January 26, when he underwent a seven-hour procedure at KNH to re-attach his hand. Upon receiving the patient who had been referred from Kiambu Hospital, a team of 15 plastic surgeons, orthopaedic surgeons, anaesthetists and nurses at KNH successfully carried out the procedure, which begun at 10pm and ended at 6am the following day. The young man accidentally chopped off his arm last month while cleaning the machine used for cutting straw or hay for farm animals into small pieces.

“I only realised my hand was missing when I saw a pool of blood in the cloth I was using to clean the machine,” he remembers, saying he accidentally switched on the machine when he was cleaning it.

SAFE KEEPING

While rushing him to hospital, Joseph’s sister wrapped the amputated hand in a plastic bag where upon reaching the first hospital, doctors sanitised it and put it in a cooler box. At Kiambu, the nurses worked to stop the blood flow, decrease the pain and stabilize Joseph.
The complex surgery lasted a whole night, with doctors working in two teams.Withinn 12 hours of losing the hand, surgeons and specialists were working feverishly to help return the boy’s body and prospects in life back to something resembling normal.

“We started the procedure immediately, working to attach the nerves, tendons and blood vessels. We also needed to align the bones,” one of the lead surgeons, Dr Nang’ole Wanjala, who led the procedure with the company of the University of Nairobi’s Prof Stanley Khainga overseeing the whole procedure, said.

TWO TEAMS
To save on time and ensure that the workflow was seamless, Dr Nang’ole says the team of 15 split into two, whereby one team worked on preparing the detached hand and the other team working on the stump of the forearm.

“When we received the patient what amazed us was that his hand had been preserved in cooler box. This helped keep the cells of the hand alive,” Dr Nang’ole said.

According to the doctors, Joseph’s prognosis shows that he will recover between 80 and 90 per cent of the functions of the hand, which also functions as his dominant limb following the operation.

“Already, we can see the blood flowing back in his hand. We determined this by pricking his thumb and seeing the blood flow,” Prof Khainga said.

MILESTONE
Replantation is the surgical re-attachment of a finger, hand or arm that has been detached from the body.

Key to replantation is the time between the injury and surgery.

“We aim to have the surgery done within 24 hours of the injury but in the event that is not possible, we still give it a try. As soon as the accident happens, try and get hold of a cooler box to put the limb,” Dr Nang’ole explained.

“This successful surgery adds into the list of the great milestones that KNH specialists have achieved to save, transform, reclaim and prolong lives of many Kenyans and patients from East and Central Africa,” KNH’s CEO Lily Koros said.

Hii ni Tumbilee development au?

[pamba]

Bwana @spear, you’re slow today, @jaymoh posted this thread while he was still a mungiki adherent.

[system]

:D:D