In an incident on March 31, 2023, a 38-year-old male was involved in a serious road traffic accident (RTA) when his bike skidded near Tirora Road in Gondia. The victim suffered multiple injuries, including a necrotic wound on the abdominal wall measuring approximately 20x22cm. He initially received primary treatment at a private hospital in Gondia, where he underwent surgeries for fractures in both lower limbs, mandible, and left wrist. Due to the severity of the abdominal wall necrosis and necrosis in his right leg, the patient was transferred to a private hospital in Nagpur where he was not improving.
After hearing about the affordable quality comprehensive Polytrauma health care delivery by a full-time hierarchy of specialists the patient was brought by his family to Wanadongri-based Shalinitai Meghe Hospital & Research Centre for intensive management. Due to the overall poor prognosis, the patient was admitted to the intensive care unit (ICU) for further management and monitoring. A CT scan revealed early necrosis affecting the anterior abdominal wall, particularly on the left side. Emergency debridement of the necrotic tissue with fasciotomy was carried and the procedure went smoothly. The patient underwent multiple debridement of the wound with dressings. Subsequently, the patient’s general condition improved, leading to a transfer from the ICU to a general ward for ongoing care. Regular dressing was performed, and the patient received physiotherapy and a high-protein diet for better nutrition. On Day 13, upper and lower arch bar removal was performed after consultation with the Oral and Maxillofacial Surgeon (OMFS).
Highlighting this successful recovery Dr. Rajiv Sonarkar, Professor of Surgery, SMHRC stated that the patient subsequently underwent split-thickness skin grafting (STSG). The procedure was successful. The patient’s general condition improved, and he was able to mobilize out of bed. He got stable hemodynamically, he was discharged from the hospital with advice for follow-up. Despite the seriousness of the motorcycle accident and the subsequent injuries, the patient made significant progress through intensive treatment and timely multiple surgical interventions at SMHRC.
Dr. Anup Marar- SMHRC Director commended the patient for his exceptional resilience and determination throughout this challenging journey and for his faith in Team SMHRC. He also extended compliments on behalf of Shri. Dattaji Meghe- DMIHER Chancellor to the entire multidisciplinary team of SMHRC involved in the patient’s care for their expertise, coordination, and tireless efforts in achieving this successful outcome. The SMHRC Team led by Dr. Siddharth Mendiratta-Plastic Surgeon, Dr. Avinash Rinait Associate Professor, Surgery, Dr. Ashvin Kumar, and Br. Neeraj Kalihari- Matron strived to provide advanced care.
