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.

Within a short time, the operation was planned for 8 PM.

That isn't possible because of one surgeon. It's possible because an entire healthcare system responds together.

I was fortunate to have Dr. Jinendra Jain, our Oral and Maxillofacial Surgery colleague, join the procedure. Injuries involving the oral vestibule, gums, and dentoalveolar tissues benefit enormously from specialised maxillofacial expertise. Having him available on a Sunday evening meant the child received exactly the level of care he would have received on any weekday morning.

Every safe operation begins long before the first suture.

Our anaesthetist, Dr. Pallav Bajpai, ensured a smooth and safe general anaesthetic, allowing meticulous repair without distress to the child. Children's surgery demands precision not only from the surgeon but also from the anaesthesia team, and that expertise makes all the difference.

The child's perioperative care was further supported by Dr. Alini Agarwal, whose paediatric assessment ensured that every aspect of the child's medical care remained focused on safety before, during, and after surgery.

Behind the scenes, our operation theatre nurses, technicians, ward staff, emergency team, and hospital administration transformed a lazy Sunday evening into a fully functional emergency operation. Instruments were prepared, theatre protocols activated, medications arranged, documentation completed, and recovery made ready, all within hours.

This is what patients rarely see.

Healthcare isn't defined by a building or an operating theatre. It is defined by people who are willing to answer the phone, come back to the hospital, prepare an OT, and do what needs to be done without asking whether today is a holiday.

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.

We've spent decades learning to recognise what others shouldn'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 beyond the obvious. 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.
That knowledge carries a responsibility.
It means respecting injuries that others may underestimate. It means recommending surgery when waiting would compromise the outcome. It means doing whatever is necessary to give a child the best possible result.

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 quietly came together on a Sunday evening to make that possible.

There is a saying that character is what you do when nobody is watching.

On this Sunday evening, I was reminded of the character of an entire team. An oral and maxillofacial surgeon who came in without hesitation. An anaesthetist who made a child sleep safely in the mother's arms before taking him into the OT. A paediatrician who ensured every aspect of the child's care was looked after. Nurses, technicians, ward staff, and administrators who quietly made everything work.

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 treatment that begins on Monday morning. Treatment that begins the moment a patient needs it.

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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