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3-yr-old gets hand back after 10-hr op

Durgesh Nandan Jha TNN

New Delhi: A Haryana farmers quick thinking helped save the life and limb of histhree-year-old son whose arm was severed from the chest wall while playing in the farm. In an intricate, 10-hour surgery, which doctors said hasnt been earlier reported in medical literature, the limb was successfully replanted at Medanta Medicity, Gurgaon. The right arm of the victim, Divyansh, was torn off after it got caught in a thresher at Gudana village near Bhiwani, Haryana. His father, Arvind Sangwan, wasted little time in carrying the boy and the limb on a motorcycle to the nearest hospital, where the severed part was put in an ice bag and the case referred to Medicity. The surgery began within two hours of the accident and continued overnight. Doctors said Divyansh would get back sensation and movement in the arm in about six months. Divyanshs father said he never thought the severed hand could be rejoined. He said the accident happened in a flash and no one had a clue till the toddlers arm was completely torn off in the crop thresher. Childs hand got caught in thresher I took him to a dispensary on a motorcycle because there was no ambulance. When we reached the local dispensary, they immediately referred us to another hospital where the first aid was done and the doctors preserved the severed arm in an ice bag before sending us to Medanta Medicity for surgery, said Arvind Sangwan, father of three-year-old Divyansh. He said the accident happened in a flash and no one had any clue till Divyanshs arm was torn off. Divyansh was playing below the trolley in which grains are collected. We did not notice when he reached the thresher and his hand got caught in its belt. His cries could not be heard due to the noise of the machine. When I saw him, he was lying in a pool of blood, his arm severed, he said. Dr Sanjay Mahendru, senior consultant, plastic, aesthetic and reconstructive surgery at Medanta Medicity, said he had not come across any report of re-plantation of an upper limb at this level. The operation was started within two hours of receiving the child. It took nearly 10 hours. While one team prepared the child for operation, another team got the hand ready for re-plantation by cleaning the debris, dissecting and tagging the blood vessels, nerves and muscles. Unlike a severed finger or part of the arm, here the whole arm had severed along with the shoulder blade from the chest wall. A vein had to be grafted from his leg to connect the vessels in the arm to the shoulder, said Dr Rakesh K Khazanchi, director, plastic aesthetic and reconstructive surgery at the hospital. The kid was kept in paediatric ICU for three weeks. The doctor added that neural recovery, related to sensation and movement of the arm, will take another six months to a year. Diyansh does not remember how his arm

got stuck in the thresher. He is just curious about the scar on his upper limb. We hope that his hand movement will be fully restored, said Divyanshs father. Hospital chairman and MD Dr Naresh Trehan said parents need to be careful with active children. We get a lot of cases of children, especially from rural areas, who get their hand severed in heavy machinery. Dr Khazanchi said that in urban set-ups, doors are the most hazardous spots for children. The largest number we receive are door-crush injuries, followed by those due to treadmills and washing machines. Such patients should be taken to the nearest centre that conducts re-plantation surgeries as soon as possible, he said.

Divyansh with his mother

Speak Asia accused denied bail

TIMESNEWSNETWORK New Delhi: Ram Niwas Pal, an alleged mastermind of the over Rs 2,200 crore Speak Asia marketing scam, has been denied bail by a trial court. The court also rapped Delhi Police for keeping him under illegal detention since December 16, 2013. Irked by polices response on the issue of extension of Pals judicial custody, the court of ASJ Judge Kamini Lau directed the DCP concerned to be present before the court on the next hearing. The judge also said the prosecution shall advise the police on provisions of law requiring extension of remand and the penalty for illegal detention of the accused. The order came during the hearing of the bail plea of Niwas, who was nabbed from Bangalore last year, in a case wherein he, along with his brother and a friend, had allegedly cheated 24 lakh investors through an online marketing scheme. The prosecution informed the court that when the ACP concerned was asked regarding the non-extension of Pals remand, the cop had said that the accused had been taken into custody by Mumbai Police in some other case and that he had not heard of any procedure which makes it obligatory for them to secure his appearance before the court...