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How doctors Linzer simultaneously saved two forearms
Micro-surgeons Stefan Froschauer (left) and Richard Schnelzer were able to save the arm of Lower Austria. (Private) picture:
LINZ. The peak of activity prevailed on Monday at Traumatology Surgery at Linzer Medcampus III at Kepler University Hospital: in half an hour, two patients were admitted for sustaining serious injuries during work forest. In two hours of surgery, two forearms were successfully collected.
"We have never had such serious injuries at the same time," said Stefan Froschauer, accident surgeon in Linz, who successfully operated the first patient with his colleague Richard Schnelzer. Two microsurgical emergency teams had to be formed, which was a "logistical challenge". In total, 20 doctors and nurses were involved in the procedures.
Neighbor called the rescue
The first casualty of the accident, a 71-year-old man from Scheibbs and originally from Lower Austria, had completely cut off his forearm Monday morning during forest work. He only held by a piece of skin.
The retiree was alone at the time of the accident. In shock, he dragged his neighbor to a hundred meters, who immediately alerted the rescue. The C15 rescue helicopter, stationed only a few kilometers from the accident site in Ybbsitz, drove the patient to Linz hospital. From 11:15, the intervention was taken over by specialists Schnelzer and Froschauer, an experienced and well-honed team.
The temporal pressure was great, because "the closer the separation, the more the operation must be done quickly, because otherwise the muscle tissue dies," explains Froschauer. The bones had to be screwed together and the tendons resected by microsurgery. Eight hours lasted this operation. The only intervention had just begun when the next emergency arrived. With the C10 helicopter, a seriously injured woman was taken to KUK-Medcampus III, the former Linz AKH. She too had been busy with carpentry work in the morning. The 58-year-old from Perg district worked with a Kreissge and came with the sweater in the machine. The forearm has been extinguished and almost demolished.
In order to be able to perform both operations in parallel, all planned interventions have been stopped. The second surgical team under the direction of specialist Manfred Behawy resumed this procedure from 11:50. This was successfully completed after about three hours.
Relief for colleagues
The team did not pause, but then supported the colleagues still in activity, so that they could pause once. "It's fine if you can just take a short break and eat a roll of sausages," Schnelzer said.
The badistant physician, Meike Klein, intervened. The time for instructions was short. "But the steps are reasonably clear.The important thing is to restore the circulation," says the doctor. After work, she and her colleagues had a "good feeling".
The patients went on Tuesday "the circumstances accordingly well," said spokeswoman Astrid Petritz. The attached ends were "well supplied with blood". Lower Austria should soon leave the ICU. How nerves and muscles develop, but remains to be seen. Usually, in such cases, further interventions are needed, says the medical profession.
A video interview with the doctors that you can see on nachrichten.at/tv
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