SIENA, Italy — Italian auto racing champion-turned-Paralympic gold medalist Alex Zanardi underwent a five-hour surgical procedure Monday to reconstruct his face after a crash on his handbike final month.

It was the third main operation that Zanardi has had since he crashed into an oncoming truck close to the Tuscan city of Pienza on June 19 throughout a relay occasion.

Dr. Paolo Gennaro of the Santa Maria alle Scotte Hospital in Siena stated the operation required three-dimensional digital and computerized know-how that was “made to measure” for Zanardi.

“The complexity of the case was pretty distinctive, though this can be a sort of fracture that we take care of routinely,” Gennaro stated in a hospital assertion.

After the surgical procedure, Zanardi was returned to the intensive care unit in a medically induced coma.

“His situation stays steady when it comes to his cardio-respiratory standing and grave when it comes to his neurological standing,” the hospital’s medical bulletin learn.

The 53-year-old, who misplaced each of his legs in an auto racing crash practically 20 years in the past, has been on a ventilator for the reason that crash.

Zanardi suffered severe facial and cranial trauma, and medical doctors have warned of attainable mind harm.

Zanardi gained 4 gold medals and two silvers on the 2012 and 2016 Paralympics. He additionally competed within the New York Metropolis Marathon and set an Ironman report in his class.

Final month, Pope Francis penned a handwritten letter of encouragement assuring Zanardi and his household of his prayers. The pope praised Zanardi for instance of power amid adversity.

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