The collapse of the Andheri bridge: 15 doctors perform surgeries for 14 hours to save a 35-year-old woman

The husband of Asmita Luv in the hospital. AS Katkar Asmita (35) has beaten for her life Tuesday after being removed from the debris of a collapsed overbridge in Andheri, a team of more than 15 doctors from the RN Cooper Municipal Hospital. has performed multiple surgeries She has not only recovered her left hand, but has also stabilized her medical parameters by Wednesday.

Used as a servant, Asmita suffered from an intracranial hemorrhage, a crushed face and multiple minor injuries. She was not answering when she was taken to the government hospital at 9:29, two hours after the collapse. The services of Neurosurgery, Plastic Surgery, ENT, Anesthesia, Orthopedics and General Surgery operated from 12:30 on Tuesday until 3 o'clock on Wednesday.

A message was sent to all the doctors at the hospital Cooper victims. At that time, the head of the ENT department, Dr. Shashikant Mhashal, had left Sion but was stuck in traffic. "At the Milan Metro, I finally left my taxi and took a biker's elevator to reach the hospital," he said. Between 9:15 and 9:09, the five wounded were admitted. While the others were stabilized, Katkar had a broken jaw and a damaged airway. His left hand was hanging from his elbow. Doctors tried to insert an air tube intra-oral, but the bleeding of his jaw made this impossible. "It was a miracle that she survives, struggling to breathe, even two hours after the accident.We performed a tracheostomy to create a respiratory tract to breathe," said Dr. Vinod Gite , Assistant Professor at ENT.As Gite and Mhashal, with respectively nine and twelve years of experience, performed tracheostomy, a team of eight doctors from the Department of Anesthesia inserted a central line for Stabilize it while orthopedics started to clean it up At 10:30, the first CT scan was done.Its neurological status did not seem critical.Intra – cranial bleeding did not affect any. Other regions of the brain, said Dr. Shraddha Maheshwari, neurosurgeon, badistant professor in neurosurgery.Thus, the doctors focused on recovering his hand and reconstructing his face.

Mhashal and Gite sutured his cheek right and did a basic surgery to realign his jaw. "In my experience, survival is minimal, but in her case, she was brought at the right time," Gite said. Meanwhile, the head of plastic surgery Dr. Nitin Ghag began to operate on his left. "His hand was hanging, the nerve, tendons and muscles were damaged, I had to use blood vessels in his thigh and reattach his hand," he said. The operation lasted six hours, until 19 hours. The sister-in-law Anuradha Katkar said before the operation that the doctors had warned that an infection of the hand could affect the brain if the hand was not amputated in time. "We thought that she had lost her hand, she was washing utensils to make a living."

In the evening, the orthopedic team realigned the bone in the hand and the blood started up again. to flow. "We need time to badess if the nervous sensations will come back," added Ghag. By nightfall, Katkar's brain injury had begun to swell as a result of multiple surgeries. "We noticed that his clinical condition had deteriorated," said neurosurgeon Maheshwari. Maheshwari has been working with BMC hospitals for six years. She took a bold decision, to perform a craniotomy.

Associate Professor of Anesthesia Dr. Harpreet Kaur said the challenge was to keep Katkar stabilized on the ventilator to maintain blood pressure. "The blood loss was huge.It was important to balance his vital functions in the middle of all the surgeries." Kaur, with nine years' experience, has already worked with the Nair Hospital. "In public hospitals, we are always ready for emergencies," she said.
At 9:30 pm, brain decompression surgery began. "We removed some of the bone from the skull.The skull had restricted the swelling due to the injury," said Maheshwari. During the operation that lasted until 3 am, Katkar's parameters got worse. "… but we managed to stabilize it," says Maheshwari. The next 48 hours remain critical for Katkar because she remains on respiratory badistance. If his hand becomes black, it may indicate a need for amputation. On Wednesday, an injection of anti-gangrene was administered. If she survives for 48 hours, the doctors hope for a normal recovery.

"There will be deficits, but we try to bring it as close as possible to its previous state," said plastic surgeon Ghag

. Luv Katkar, a housekeeper in Vile Parle, has not left since Tuesday. "She moved her legs a little today," he says. Their son Siddhesh refuses to return home without his mother. In their chahu Juhu, he runs from one house to another to play with the neighbors. "We told her that she is in the dawakhana (hospital), but he keeps asking if she is alive," said Sarojini, Katkar's mother-in-law.

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