Bangalore Doctors Perform a Rare Bloodless Liver Transplant on a Nigerian Patient

Doctors at the Aster CMI Hospital in Bangalore have performed India’s first bloodless liver transplant on Jehovah’s Witnesses from Nigeria. The surgery was challenging compared to a normal liver transplant due to patient’s religious beliefs. The doctors could not use blood or blood products such as platelets, fresh frozen plasma, Cryoprecipitate and more. Few such surgeries have been conducted worldwide and were successful.

The patient named – Jehozadak from Nigeria was suffering from end-stage liver disease. Without a liver transplant, his chances of survival were less than 10% in the next 2 years.

The team of liver specialists – Dr. Rajiv Lochan, Dr. Sonal Asthana, Dr. Mallikarjun Sakpal, Dr. Arun V – Anesthesiologist and Dr. Prakash Doraiswamy – Intensivist, reviewed the patient’s medical history before recommending surgery and charted out a feasible pathway.

“During a liver surgery, patients lose a lot of blood which needs to be replaced for the patient’s survival. Generally, doctors keep 3-4 units of blood and a similar quantity of platelets/plasma on reserve for the patient. In this case, we had to figure out and alternative,” said Dr. Mallikarjun Sakpal, Hepatologist at Aster CMI.

The doctors used ‘Normo-volemic hemodilution’ technique where doctors took two units each of both patient and donor’s blood and were connected to the system throughout the surgery using special equipment so there is no break in the blood circulation loop. This procedure was discussed with the patient before surgery and it was in line with their beliefs.

During the surgery, the patient lost about 2 units of blood which were compensated with the use of ‘cell-salvage’ technique to collect and reuse the blood. The surgery lasts for 12-hours and two teams of specialists with close to 25 doctors were involved in this surgery.

In a period of two weeks, the patient and his brother, who was a donor, were discharged from the hospital.   

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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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