NEIGRIHMS saves impaled boy

Shillong, June 13: A team of doctors at the North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences (NEIGRIHMS) hospital saved the life of an 11-year-old boy by conducting a critical surgery and removing a 3 foot long iron rod from his chest.
The boy from Jaintia Hills was brought to the casualty ward after he had fallen in such a manner that the he was impaled in the chest by the iron rod.
The rod had punctured through the right side of his chest, making its way behind the right collar bone up till the nape of his neck.
A CT scan revealed the penetration course of the iron rod grazing the great vessels and nerves supplying right upper limb.
In view of the risk to the blood supply of the right upper limb which would result in its amputation, a decision for emergent removal of the rod was taken.
The patient was anesthetized by Dr Kaustuv Dutta and Dr Sonia Nahakpam and surgery was conducted by the cardiothoracic team led by Dr Reuben Lamiaki Kynta, Dr Dathia Tongper, Dr Biman Chandra Sinha and Dr L Janendro Singh.
The right side of the boy’s chest was opened, explored and the rod was extracted with controlled manipulation to minimize injury to the great vessels and nerves supplying the right upper limb which were inspected even as control of bleeding was done.
The patient has made a smooth recovery with restoration of full function and mobility of his right upper limb.
“The aim to report this case through you is that in any case of impalements or stabs due to foreign bodies, there should be no attempt to remove the object and the patient should be transported to a medical facility as soon as possible,” Dr Reuben said.