Sunday, December 18, 2011

Successful hand transplant in Libya

Successful hand transplant in Libya
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Succeeded by a large hand transplant to a young Libyan amputated his hand in a fight, despite the confirmation of the surgeon who performed the operation it was in the middle of the harsh conditions of war, a complete lack of the simplest possibilities Libyan hospitals.
The complexity of the operation site in the difficulty of amputation at the wrist area where there are about eight small bones, and more than twenty liters for the movement of three fingers and the nerves of sensation, in addition to the arteries and veins that were in need of renovation.
The process of the injured Hassan Mohamed (27 years) is the first in Libya, in the circumstances of the war that broke out to topple the regime of Colonel Muammar Gaddafi, the Libyan late, According to doctors success rate of 90%.
Jerhh success:For his part, Fathi al-Obeidi surgeon that oxygen and blood flow in the hand by 100% since the first day, but he attributed the delay in announcement of the success of the operation to the expectations of thrombosis in the early days, because the patient was a smoker, and smoking a cruel enemy in the surgery fine.
And the return movement of the fingers of the hand-Obeidi said they need time of physical therapy to restore the hand is almost normal, and explained that he was afraid to move the fingers in the past for lack of wires, sewing and expiration.
Obeidi and listed stages of the process that began a call from a colleague his testimony by the arrival of amputation injuries evacuated to a hospital in Benghazi, and the analysis confirmed the urgent that any delay in the procedure will affect the chances of success, and the passage of hours without conducting a risk the lives of the injured.
Then asked Obeidi his colleagues some of the instructions to keep on hand until they arrive at the medical center, Kodaha in a piece of cloth cold to preserve the tissue for a longer period, with emphasis on the need for processing blood bags to compensate for the large amount lost by the patient, and explained that the process lasted from ten pm to seven in the morning .
Obeidi said "We have had the operation under bad conditions," emphasizing weakness tools microorganisms that have been used in surgery that does not exceed the price of two thousand U.S. dollars, and that there is no hospital intravenous fluids to help prevent blood clots veins, one of the simplest must be provided by the hospital.
Complex surgery:He pointed out that the cultivation of Obeidi hand not only to connect the veins and arteries, but it required the restoration of all tissues, as well as severed tendons and nerves and all parts are very complicated.
As for the possibility to take advantage "amputees" in the last war, he said that the circumstances of the injury and wounded the battles are different.
He re-perfusion by some of the rebels without a transplant complete, and has been growing arteries and veins, and emphasized that returns the stump in the hand or leg requires access infection quickly, but he said he rarely returned parts amputated in injuries battles as a result of the explosions, which lead to broken most of the parts, unlikely that the success of such operations for the Victims of the battles.

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