Complex surgery saves man with bullet injuries in the skull

March 26, 2015 12:00 am | Updated 05:35 am IST - NEW DELHI:

Doctors at the Indraprastha Apollo Hospital have saved the life of a 50-year-old man who sustained a gunshot injury to his head after conducting a complex five-hour brain surgery.

Talking about the successful medical intervention here on Wednesday, doctors said that Kanpur-based Hakim Singh, a katha vachak by profession, was injured in air firing during a Shri Madbhagwat katha vachan in Jhansi.

He was admitted to Apollo Hospital late in the evening on January 11 in a critical state. The bullet had entered the head through one side and exited through the other.

The CT scan of the head revealed extensive brain injury with depressed fracture in the frontal region. The right frontal lobe had multiple pieces of bone lying inside it along with numerous cerebral contusions.

Senior consultant (Neurology) at the Hospital, Pranav Kumar, said: “We removed the bone pieces lying inside the brain and treated the cerebral contusions. Repair of brain-living membrane was carried out to repair dural tear.”

“The patient had a long (about 13 mm) linear tear in the superior sagittal sinus, the principal drainage channel of the brain. This caused heavy bleeding. The tear was repaired through surgery and four units of blood transfusion were given to the patient during and after the surgery to make up for the intense blood loss. Another procedure was carried out to allow direct access to the breathing tube,” added Dr. Kumar.

Doctors maintained that after surgery the patient was kept under intensive care and on anticonvulsant and other supportive medications. After three weeks of therapy and treatment, the patient was discharged from the hospital.

“His speech is close to normal with normal cognitive abilities and movement,” added Dr. Kumar.

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