Dr. Raunak Raj - SURGERY CENTRAL

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a close up of a person's lips and tongue

Sunday, a young child with lip injury & the operating team

A Simple fall, A Peculiar time of the week, Stellar outcome

Dr. Raunak Raj

7/13/20263 min read

a person with their face covered in pink light

A Child Fell. But we got him back up, to smile, to kiss & tell.

Parents never expect a simple fall to end in an operation theatre.

This Sunday, a young child was brought to us at Surgery Central, Avantika Hospital, Indirapuram, after a facial injury. There was bleeding from inside the mouth, swelling of the lower lip, and significant pain. On examination, this was far more than a routine cut. The inner lining of the lower lip had been torn away from the lower jaw, exposing the underlying bone—a deep traumatic lower labial vestibular laceration that required immediate surgical repair under general anaesthesia.

For many families, the next concern is predictable:

"It's Sunday... can this be treated today?"

The answer should never depend on the day of the week.

Facial injuries in children are time-sensitive. As the hours pass, swelling increases, tissues become more difficult to identify, contamination rises, and the quality of reconstruction can suffer. Restoring normal anatomy early offers the best chance for proper healing, normal lip function, and an excellent cosmetic outcome.

We've spent decades learning to recognise what others can't be expected to. Years buried in anatomy books, countless hours in operating theatres, years of residency, emergency calls, and treating thousands of patients teach us to look and know. A few millimetres of torn tissue may represent a disrupted muscle, stripped periosteum, exposed bone, or an injury that would affect function for life if not repaired properly. And that knowledge carries the responsibility of doing whatever is necessary, to give this child the best possible result. Because only we know what really is at stake for him, how that moustache like piece of tissue will decide the fate of his incisors.

The operation was planned for 8 PM.

One of the greatest strengths of modern medicine is knowing when to seek the best expertise for a patient. For this child, I had the privilege of operating alongside Dr. Jinendra Jain, our Senior Oral and Maxillofacial Surgeon. His depth of knowledge in facial and oral trauma is matched only by his remarkable humility. Calm, unassuming, and generous with his time, he is a kind surgeon, true to his name.
Despite it being a Sunday evening, there was not a moment's hesitation. He came in, assessed the injury with characteristic precision, and together we reconstructed tissues that most people would simply describe as "a cut inside the mouth." Having a surgeon of his caliber meant that this child received exactly the standard of care we would strive to provide. There are few privileges greater than sharing an operating table with stalwarts, whose skill inspires confidence, and whose conduct leaves lessons that no textbook can teach. Their way of practicing surgery leaves you a little better each time you operate together.

Behind the scenes, an entire system quietly came alive. Operation theatre nurses, technicians, ward staff, housekeeping, and administrators prepared the theatre, arranged equipment, coordinated care, and ensured that every detail was in place. Healthcare is never defined by a building or an operating theatre, it is defined by people who answer the phone, leave their families, return to the hospital, prepare an OT, and do what needs to be done without asking whether it is a weekday or a holiday.

That Sunday evening, I witnessed the character of a team.
At Surgery Central, Avantika Hospital, Indirapuram, this is the standard we strive for every day. Whether it's an emergency facial injury, lip laceration, road traffic accident, dog bite, soft tissue trauma, gallbladder emergency, appendicitis, or another urgent surgical condition, timely treatment often determines the final outcome. Delaying care simply because it is a weekend is not a philosophy we believe in. Patients from Indirapuram, Vaishali, Vasundhara, Kaushambi, Crossing Republik, Raj Nagar Extension, Noida, East Delhi, and Ghaziabad come to us because they know that emergency surgical care doesn't follow office hours.

This little boy will probably never remember the names of the doctors who treated him.

What he will carry forward is a lower lip that heals well, functions normally, and allows him to smile, speak, eat, kiss and laugh without ever knowing the people who quietly came together on a Sunday evening to make that possible.

No cameras. No applause. No audience.
Just professionals honouring the privilege and responsibility that comes with caring for another human being. That is the kind of medicine we believe in. Not treatments that begin on Monday morning.


And we live for this feeling.

Dr. Raunak Raj - SURGERY CENTRAL
Avantika Hospital, Niti Khand 2, Indirapuram, Ghaziabad, Uttar Pradesh 201014
091191 10343

care@surgerycentral.in

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