15:I[19649,["/_next/static/chunks/0nxifx7r4blkc.js","/_next/static/chunks/11was46v8030a.js","/_next/static/chunks/0ep~pa48rc~yn.js","/_next/static/chunks/045ivsaker_4b.js","/_next/static/chunks/0bs_np1odu-qa.js","/_next/static/chunks/0es.84g1gn4z~.js","/_next/static/chunks/0_2pi--l473kh.js"],"default"] 16:I[18883,["/_next/static/chunks/0nxifx7r4blkc.js","/_next/static/chunks/11was46v8030a.js","/_next/static/chunks/0ep~pa48rc~yn.js","/_next/static/chunks/045ivsaker_4b.js","/_next/static/chunks/0bs_np1odu-qa.js","/_next/static/chunks/0es.84g1gn4z~.js","/_next/static/chunks/0_2pi--l473kh.js"],"default"] 14:T46d,{"@context":"https://schema.org","@graph":[{"@type":"BlogPosting","@id":"https://www.narayanahealth.org/blog/time-critical-emergency-surgeries-dr-indranil-paul#article","mainEntityOfPage":{"@type":"WebPage","@id":"https://www.narayanahealth.org/blog/time-critical-emergency-surgeries-dr-indranil-paul"},"headline":"Time, the essence in emergency surgeries","description":"","author":{"@type":"Organization","@id":"https://www.narayanahealth.org/#organization"},"publisher":{"@type":"Organization","@id":"https://www.narayanahealth.org/#organization"},"datePublished":"","dateModified":"","inLanguage":"en-IN"},{"@type":"BreadcrumbList","@id":"https://www.narayanahealth.org/blog/time-critical-emergency-surgeries-dr-indranil-paul#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.narayanahealth.org"},{"@type":"ListItem","position":2,"name":"Health Blogs","item":"https://www.narayanahealth.org/blog"},{"@type":"ListItem","position":3,"name":"Time, the essence in emergency surgeries","item":"https://www.narayanahealth.org/blog/time-critical-emergency-surgeries-dr-indranil-paul"}]}]}17:T53b,

A 32-year-old lady from Midnapore presented in the emergency with a serious road trauma. She was run over by a truck after falling from a two-wheeler. The patient was haemodynamically unstable with massive blood loss.

She was diagnosed with massive hemoperitoneum, retroperitoneal hematoma, fractures involving the left iliac bone, sacrum, bilateral acetabulum, bilateral pelvic rami and transverse processes of L1 to L5. She also had left diaphragmatic rupture and extensive laceration of lower abdomen with skin loss.

The patient underwent emergency laparotomy followed by external fixation of the pelvis and mesh repair of the left diaphragm with release of left lung infusions. After extensive management at critical care, regular wound care and physiotherapy, she was finally extubated on the ninth day post-procedure and discharged from the general ward in stable condition after 20 days of hospitalisation.

On OPD follow-ups, she is doing better, the wound is healing well, and she will be able to sit and stand after 2 months. This case highlights the effectiveness of prompt workup, investigations and management in emergency surgical cases, ensuring faster recovery and better outcomes and also the importance of a holistic and multidisciplinary approach in such life-threatening cases.