Apollo Doctors Save Life of 15-year-old Boy by Adapting Unique Technique

A 15-year-old boy was rushed to Apollo Hospital, Bangalore with a knife stab injury on the neck and voracious bleeding. He lost two liters of blood from the wound at the accident spot and the cut was deep at the critical position.

The injury was on the left side of his neck along with an injury in the nape of the neck and left forearm. He received an initial treatment i.e., wound suturing in another hospital and was later shifted to Apollo hospital. It was a huge challenge for doctors due to two reasons – a lot of blood loss and the location of the wound.

“The boy was brought to us in emergency and we did a quick CT Scan that showed that the cut was deep and through the blood vessels. It was difficult to save his life unless the bleeding was stopped. We removed the sutured wound and the bleeding increased profusely,” added Dr. Sunder Narasimhan.

“It wasn’t possible to perform angio-embolization of the vertebral artery because he had low blood pressure. As a result, we adopted a novel strategy, sutured his wound again and shifted him to cath lab”, he added further.

After the complex surgery, the patient is in good health and had no neurological complications.

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Underweight Baby from Saudi Arabia Undergoes a Rare Transplant Surgery

Doctors at Artemis Hospital, Gurgaon conducted a rare surgery of liver transplant on an underweight baby-girl, weighing 5.2 KG, using one segment of the liver donated by her mother. The baby, from Saudi Arabi, had an underdeveloped portal vein. This vein is a blood vessel that carries blood from gallbladder, gastrointestinal tract, spleen and pancreas to the liver.

A liver has eight segments. Generally, for a living donor transplant where the recipient is a small child and donor is an adult, two segments of the liver are used. Doctors at Artemis Hospital said this one-year-old girl was suffering from a congenital disorder – Biliary Atresia – transplanting two segments wasn’t possible. There was a risk of insufficient blood flow to revascularized the liver. To reduce this risk, surgeons replaced it with a bovine jugular vein.

To avoid this, surgeons separated segments II and III of the liver which has longer blood vessels and used segment III for the transplant.

Dr. Giriraj Bora, joint chief, gastrointestinal and hepatobiliary surgery at Artemis Hospital, said bovine graft vein is used in liver transplantation. The baby has recovered well from the surgery.

The child had prolonged and deep jaundice months after her birth. Doctors in Saudi Arabia diagnosed her with biliary atresia and conducted biliary bypass surgery but it was unsuccessful. The doctors then advised liver transplantation. However, taking her body weight and nutritional status in considerations, doctors in Saudi Arabia was reluctant to perform such a complex surgery and she was referred to India.

Source : Economic Times

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Delhi Hospital uses Novel Technique to Clear Calcified Blockage from Artery

A team of cardiologists at Fortis Escorts Heart Institute has performed a unique procedure to open a blocked artery of a 67-year-old patient. The hospital used a ‘novel technique’ called coronary shockwave lithotripsy.

According to the hospital, the patient had a 90 percent blocked artery and it wasn’t possible to open by standard technique of balloon angioplasty.

“A shockwave balloon was inserted inside the artery and sonic pulses were delivered to break the calcium blockage. After that, the blockage opened easily at even low pressure with stent implantation,” said Dr. Ashok Seth, Chairman of Fortis Escorts Heart Institute (FEHI).

“Hardened calcified blockage is a big challenge to treat using stents and angioplasty. Such blockage is opened with ease and safety with the novel procedure. This procedure brings hope for those suffering from an advanced form of Coronary artery disease,” added Dr. Ashok.

Hardened deposit of calcium happens in 20-25 percent of the patients, especially those who are diabetic, old, chronic kidney disease, long-standing blockages or who have undergone bypass surgery.

Source : Economic Times

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Iraqi Woman Undergoes 7-hour Surgery for Rare Tumor at Fortis Hospital

Doctors at Fortis Hospital, Vasant Kunj gave a new lease of life to a 27-year-old Iraqi woman by removing a “rare recurrent tumor” from the lower jawbone, thereby allowing her to eat properly after three years.

Rasha Mohammad was initially treated in her home country for the tumor. It was resected and a reconstruction plate was placed to bridge the gap in the lower jaw. However, this recurrent tumor – ameloblastoma, relapsed and the lower jaw got maligned due to which it was difficult to bite, chew and eat food.

The relapsed tumor also resulted in physical disfigurement and the right side of the face was depressed.

“Rasha Mohammad was taken for surgery where the tumor was removed along with the jawbone and chin. Bone from the right illiac crest was removed, shaped and auto-transplanted to form the right jaw and chin. The blood supply to the new jaw was augmented by bringing in sternocleidomastoid muscle flap to cover the bone,” said Dr. Mandeep S Malhotra, Head- Breast, Head & Neck Oncology Surgery, Fortis Hospital Vasant Kunj.

“The entire surgery took seven hours. We have been able to achieve more than expected. The tumor has been removed and the patient’s face looks normal. Additionally, she can bite properly and ear normal food,” added Dr. Malhotra.

Source : Economic Times

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Uzbek Kid Regains Voice After 10 Years Following Surgery in India

A 12-year-old boy named Khusanbek Ozotilla from Uzbekistan regained his voice after undergoing surgery in Indraprastha Apollo Hospital, New Delhi. The boy lost his ability to speak after undergoing a tracheostomy at the age of two in his home country.

The boy fell from the terrace of his house suffering head injuries for which he underwent lifesaving surgical procedure tracheostomy in his country. In this procedure, an opening is created in the neck to place a tube into the windpipe.

“The boy had to live with a hole in his neck due to which he lost his speaking ability,” said Dr. Suresh Naruka, consultant in the ENT department at Indraprastha Apollo Hospitals.

The child was admitted to the hospital and surgery was planned to be done in two stages.

“In the first stage, the boy underwent an endoscopic examination where it was found that he was suffering from subglottic stenosis. A T-tube was placed in his trachea,” said Dr. Ameet Kishore, senior consultant at the Indraprastha Apollo Hospitals.

“After one week, the second stage of the surgery was performed. A reconstruction of his windpipe was conducted using a part of his rib as a graft. The stage closed the opening on the neck,” added Dr. Kishore.

The child was kept in the pediatric ICU for a day and the next day he was taken off the ventilator. He has now returned to his home country and doing fine.

Source : Economic Times

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Doctors Treat Rare Case of Blurred Vision due to Heart Infection

A 23-year-old doctor named Lokendranath from the Hyderabad city developed a rare condition of blurred vision due to valve infection which was spreading in his heart. 

He was advised to meet a cardiologist and an abnormality of heart valve known as the bicuspid aortic valve was discovered after a series of tests. In Bicuspid Aortic Valve (BAV), two of the leaflets of the aortic valve fuse during the early weeks of pregnancy. In this case, the aortic valve was swollen up and had infected the surrounding valve tissue as well.

“In valve infection, the patient shows symptoms such as tiredness, consistent fever and more. In Lokendranath’s case, the infected material must have reached his eye due to which he suffered from an unusual symptom that is blur-vision,” said Dr. Ramakanta Panda, a cardiovascular thoracic surgeon at Asian Heart Institute.

“Valve infection is a deadly condition and patients with valve defects are more vulnerable to infection. The common source of infection is nose, teeth, urine or sputum. This is why people should have proper dental hygiene,” Dr. Panda added.

Source : Economic Times

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Doctors Perform Bypass on 13-year-old Girl in Thiruvananthapuram

A 13-year-old girl was admitted to MCH (Medical College Hospital) after complaints of chest pain. Considering the fact that the chances of heart attack are less in children, the doctors thought she was suffering from inborn diseases but the tests were negative. The doctors then suggested ECG tests. An angiography showed the symptoms of heart attack and diagnosed with 99% blockage in major blood vessels, 50% blockage in artery and damage to the blood vessel wall.  As stent placement was not possible so doctors decided to go with bypass surgery.

“It is a rare disease that affects the blood vessels of children. It does not have any link with eating habits but it is an alarming fact that heart attack is becoming common in younger people as well,” Dr. George Koshy, professor of the cardiology department.

The surgery was performed under the guidance of Dr. V Suresh Kumar and a team of doctors including Dr. Krishna, Dr. Kishore, Dr. Mahesh, anesthesia doctors, staff and technicians.

The girl has been discharged from the hospital and is doing fine.

Source : India Times

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Chennai Doctors Gave a New Lease of Life to a Man With a Rare Cardiac Condition

A 65-year-old man admitted to SIMS Hospital, Chennai due to ongoing chest pain. He was diagnosed with a life-threatening condition – leaking aortic valve, tear in the inner lining of the aorta and a tear in the lower end of aorta.

Traditionally doctors operate in two stages on such patient but doctors at SIMS Hospital decided to do complex surgery that would treat all the three conditions.  “The surgery was a big challenge but we had to do it on an emergency basis,” said Dr. VV Bashi, a senior cardiac surgeon.

In this case, surgeons replaced the entire damaged aorta and repaired the valve in a single surgery. “I did not know that I had such a serious problem. I am now happy that surgery cured my diseases,” said the patient.

Source : India Times

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Chennai Doctors Removed 20 KG Tumor from Woman’s Ovary

A tumor weighing 20 KG was removed from the left ovary of a 51-year-old woman in Chromepet.

The patient named Rathi found it difficult to breathe and move around with a huge tummy. She was brought to the Government Hospital for Women and Children in Egmore by her daughter. She told doctors that she had been suffering from stomach pain for a decade and got to know about the tumor in her ovary seven years ago.

“Doctors told her that she might undergo surgery and this scared her. She refused to take any therapy. This delay worsened her condition and put her in the high-risk category,” said Dr. Sampath Kumari, hospital superintendent.

The medical tests performed showed that she had a large ovarian tumor that was pressing against her abdominal organs. The team of doctors removed the tumor along with the uterus, ovaries and fallopian tubes.

“I didn’t think I would live through the surgery. I am happy to be alive”, says Rathi.

Source : New Indian Express

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Aurangabad Doctors Remove Brain Clot through the Hand Route Instead of Groin

Doctors at the Orion Citicare Hospital in Aurangabad removed a blockage in the artery through the hand instead of the usual route i.e., leg. A 48-year-old-woman was suffering from frequent paralysis attacks and came to the hospital. After medical tests, it was diagnosed that a block in her vertebral artery, which supplies blood to the brain, was the cause of these attacks.

Neurologist Dr. Pandurang Wattamwar said the blockage caused a disturbance in the supply of blood to the brain and angioplasty was the option to remove the blockage.

“In this case, it wasn’t possible to insert the tube through groin due to some medical condition. Therefore, we decided to go through the arm and this route also ensures less bleeding,” said Wattamwar.

Source : Times of India

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