A 60-year-old woman with a ruptured bowel and mesenteric (a membrane connecting the bowel to the back wall of the abdomen) and left side breathing muscle (Diaphragm) tears with multiple fractures of both forearm and right leg were treated at Fortis Hospital, Bangalore. The treatment was complex as it involved doctors from two specialities, Surgical Gastroenterology and orthopaedics. The team of doctors was led by Dr Muralidhar S Kathalagiri from Dept of Surgical Gastroenterology and Dr Vinay Kumaraswamy, Consultant Orthopedics & Joint Replacement Surgery, Fortis Hospital, Rajajinagar, Bangalore.
The patient was hit by a speeding two-wheeler near her residence in Ramagondanahalli, Tumkur, leaving her injured in both the upper limbs and right lower limb. The victim was later rushed to a local hospital, where she was immediately given first aid, followed by a CT scan. As per the scan reports, she suffered from mesenteric tears and internal bleeding along with fractures in both the forearm and the right leg. She was later shifted to Fortis Hospital, Rajajinagar.
Dr Muralidhar S Kathalagiri, Consultant Surgical Gastroenterologist and Dr Vinay Kumaraswamy, Consultant Consultant Orthopedics & Joint Replacement Surgery, Fortis Hospital, Rajajinagar, Bangalore, said, “ Considering the ongoing pandemic, we have been conducting essential and imperative surgeries along with the necessary procedures for patients who require immediate medical attention. As soon as the patient arrived at the hospital, she was immediately shifted to ICU and was stabilized by the ICU team of Doctors led by Dr Santosh. She was later taken for an emergency surgery which was carried out for six hours. The Anaesthetic team lead by Dr Naveen Gowda. They had to do induce anaesthesia for an elderly lady with many injuries and left side chest injury on chest X-ray. Intraoperatively multiple injuries on intestines and mesenteric tears were identified with blood inside the abdomen and a Diaphragmatic tear was identified and was repaired by Surgical Gastroenterologist. The orthopaedic team subsequently did the surgery for both forearm and right leg fractures. The procedure went well and the patient was kept on the ventilator in ICU. The compassionate care by the ICU team, Nursing team and Physiotherapy team made her have an uneventful recovery, the patient was discharged.
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