29 Mar 2010 09:00 Africa/Lagos
60 Year Old Nigerian Gets a New Lease of Life in India - Doctors at Fortis Hospitals Bangalore (Formerly Wockhardt Hospitals) Remove a 4 kg Liver Tumor
BANGALORE, India, March 29, 2010/PRNewswire/ -- A team of doctors led by Dr Ramcharan Thiagarajan, Consultant Surgical Gastroenterology & Hepato Pancreatic Biliary Surgery, Fortis Hospitals, Bangalore (formerly Wockhardt Hsopitals) recently performed a high risk surgery on a 60 year old Nigerian to remove a perilous tumor weighing 4 kilos surrounding his liver.
Mr. Giddy Ejeng was suffering from acute abdomen pain and had symptoms of anemia for almost about a year. While consulting with doctors in Nigeria he had got a CT scan done which revealed the giant sized liver tumor. Sensing the high risk involved, doctors at Nigeria referred the case to Fortis Hospitals Bangalore who have the expertise to perform such high risk surgeries. "The surgery performed is called "Trisegmentectomy" where major part of the liver are resected to remove the cancer, leaving behind a small portion of the normal liver. This surgery is possible because we all know the liver regenerates quite fast. Had the surgery not been performed in time, the situation could have turned fatal," explained Dr. Ramcharan Thiagarajan.
This was a case of a massive liver resection where two thirds of his liver were removed due to a gigantic tumor sitting on his liver. The size of the tumor was unusually big and was impinging on the IVC (inferior vena cava) the large vein that carries de-oxygenated blood from the lower half of the body to the right atrium of the heart. The patient presented with severe abdominal pain and fatigue for four preceding months and loss of appetite. Examination revealed a large mass 20 cm x 15 cm occupying almost the whole of the liver.
"After adequate general anesthesia, the abdomen was opened in layers with an inverted T-shaped incision, detailed inspection of the liver and other abdominal organs was performed. The liver was mobilised to facilitate resection of the mass. A careful dissection of the tumor was performed thereby minimizing collateral tissue damage and blood loss," added Dr. Ramcharan Thiagarajan.
"I believe we should never give up hope even if sometimes everything seems to come to an end. We believed Giddy will be fine and cured completely. So when our doctor in Nigeria told us to take Giddy to India we knew they surely had the expertise to handle the case. Maybe this faith and conviction helped us in going through the difficult times. Since the surgery there has been a tremendous improvement in my husband's health. I would like to thank the doctors at Fortis Hospitals for their support and warmth extended to us. They have treated my husband with utmost care," said Mrs. Giddy.
For more information please contact:
Priyam Bortamuli,
PR & Communication, Mobile: +91-9845558559
Email- priyam.bortamuli@fortishospitals.in or
care.bng@fortishospitals.in
Source: Fortis Hospitals Limited
For more information please contact: Priyam Bortamuli, PR & Communication, Mobile: +919845558559, Email- priyam.bortamuli@fortishospitals.in or care.bng@fortishospitals.in
Showing posts with label Wockhardt Hospitals. Show all posts
Showing posts with label Wockhardt Hospitals. Show all posts
Monday, March 29, 2010
Tuesday, January 19, 2010
Nigerian Baby Undergoes Major Open Heart Surgery in Bangalore
19 Jan 2010 10:33 Africa/Lagos
2-Year-old Baby With Complex Heart Deformity Undergoes Major Open Heart Surgery at Wockhardt Hospitals, Bangalore - (now a Network Hospital of Fortis) Without any Blood Transfusion
BANGALORE, India, January 19/PRNewswire/ --
- Faith by Their Side, This Case Challenged Medical Excellence
A team of cardiac experts led by Dr. N S Devananda, Consultant Cardiac Surgeon, Wockhardt Hospitals, Bangalore (Now a Network Hospital of Fortis) has performed a major open heart surgery on a 2-year-old baby from Nigeria. Baby Brendan was suffering from congenital heart defect called - Tetralogy of Fallot or complex blue baby syndrome.
"Baby Brendan was brought to us in a condition which was complicated and need surgical intervention to correct the anomaly. In this syndrome the pure and impure blood gets mixed in the heart and the amount of blood flow to the lungs is decreased. It is the most common complex heart defect, representing 55-70%, and the most common cause of blue baby syndrome. It can prove fatal if it is not treated in time," said Dr. N S Devananda, Consultant Cardiac Surgeon, Wockhardt Hospitals, Bangalore (Now a Network Hospital of Fortis).
The other bigger challenge which came before the surgery was the fact that the baby's parents belonged to the Jehovah Witness community and as per their religious belief they oppose to any form of transfusion of blood and any blood products however they could accept other from of treatment. This made the case all the more complicated.
"Babies with Tetrology of Fallout have two treatment options - the first is palliative where no open heart surgery is done and the defect is treated with shunt operation. The second is complete repair - which is definitive treatment where the patient undergoes an open heart surgery with a heart lung machine. In the case of Baby Brendan we obviously chose the second option due to its curative value. But the problem we faced was that the heart lung machine requires 500 ml of blood by itself to drive away the air and still haemoglobin at acceptable level. The challenge was with the baby weighed only 11 kgs and his blood volume was 800 - 900 ml and to conduct an open heart proved difficult without additional usage of blood" said Dr. Devananda.
The team devised many things technically to make operative time shorter and do the best possible ways so that re-operation or re-exploration can be avoided and the ICU stay is reduced. The heart lung machine circuit was modified in such a way that total priming volume was reduced to the least possible; the haemo-filteration technique was used in such a way that excess water from the body is removed and it gives back the RBC's to the body. We also had to reduce the sampling to the least possible for various tests.
"We did everything technically possible to reduce the requirement of blood. With all these modifications the baby underwent the open heart surgery and was out of ICU within 24 hours and is flying back to his native on the 7th post operative day. In an era where a lot of talking is happening around blood transfusion and adults have been undergoing surgery without blood transfusion, the same thing on a child is quite complicated. However with technical modification and surgical skills it is definitely possible and should be encouraged so that no child from the community remains untreated" said Dr. Devananda.
Brendan can live an active life like any other child of his age as this is a one time complete correction and his post op ECHO is satisfactory.
Brendan's mother Ettieh's faith in Jehovah has strengthened after this incident. She says, "Everybody should give proper attention to their child and keep monitoring the health of the baby time and again. Till one year when Brendan was not keeping too well and was not gaining weight we got very concerned and kept taking to the local physicians in Nigeria. However nobody could give us a proper answer to his continuous ill health until last year August, 09 Brendan complained of breathlessness and pain on his left chest. A thorough examination indicated that my baby has some heart complication which needed to be treated immediately. Being a member of the Jehovah Witness community our challenge was to take Brendan to the right hands where surgery was possible without using blood transfusion. That's when one of our friends at Nigeria who knew about Wockhardt Hospitals, Bangalore (Now a Network Hospital of Fortis) and their expertise in performing surgery without blood transfusion suggested us and we finally decided to fly Brendan down here for treatment. Initially when we decided to come to India for treatment I was engulfed with mixed feelings, but with the kind of care and response we received here I was quite confident that I have brought my baby to the right place."
For more information please contact:
Priyam Bortamuli
PR & Communication
Wockhardt Hospitals, Bangalore - Now a Network Hospital of Fortis
Mobile - +91(0)984555-8559
Email: priyam.bortamuli@fortishospitals.in
http://www.wockhardthospitals.net/
Source: Wockhardt Hospitals Bangalore (Now a Network Hospital of Fortis)
For more information please contact: Priyam Bortamuli, PR & Communication, Wockhardt Hospitals, Bangalore - Now a Network Hospital of Fortis, Mobile - +91(0)984555-8559, Email: priyam.bortamuli@fortishospitals.in
2-Year-old Baby With Complex Heart Deformity Undergoes Major Open Heart Surgery at Wockhardt Hospitals, Bangalore - (now a Network Hospital of Fortis) Without any Blood Transfusion
BANGALORE, India, January 19/PRNewswire/ --
- Faith by Their Side, This Case Challenged Medical Excellence
A team of cardiac experts led by Dr. N S Devananda, Consultant Cardiac Surgeon, Wockhardt Hospitals, Bangalore (Now a Network Hospital of Fortis) has performed a major open heart surgery on a 2-year-old baby from Nigeria. Baby Brendan was suffering from congenital heart defect called - Tetralogy of Fallot or complex blue baby syndrome.
"Baby Brendan was brought to us in a condition which was complicated and need surgical intervention to correct the anomaly. In this syndrome the pure and impure blood gets mixed in the heart and the amount of blood flow to the lungs is decreased. It is the most common complex heart defect, representing 55-70%, and the most common cause of blue baby syndrome. It can prove fatal if it is not treated in time," said Dr. N S Devananda, Consultant Cardiac Surgeon, Wockhardt Hospitals, Bangalore (Now a Network Hospital of Fortis).
The other bigger challenge which came before the surgery was the fact that the baby's parents belonged to the Jehovah Witness community and as per their religious belief they oppose to any form of transfusion of blood and any blood products however they could accept other from of treatment. This made the case all the more complicated.
"Babies with Tetrology of Fallout have two treatment options - the first is palliative where no open heart surgery is done and the defect is treated with shunt operation. The second is complete repair - which is definitive treatment where the patient undergoes an open heart surgery with a heart lung machine. In the case of Baby Brendan we obviously chose the second option due to its curative value. But the problem we faced was that the heart lung machine requires 500 ml of blood by itself to drive away the air and still haemoglobin at acceptable level. The challenge was with the baby weighed only 11 kgs and his blood volume was 800 - 900 ml and to conduct an open heart proved difficult without additional usage of blood" said Dr. Devananda.
The team devised many things technically to make operative time shorter and do the best possible ways so that re-operation or re-exploration can be avoided and the ICU stay is reduced. The heart lung machine circuit was modified in such a way that total priming volume was reduced to the least possible; the haemo-filteration technique was used in such a way that excess water from the body is removed and it gives back the RBC's to the body. We also had to reduce the sampling to the least possible for various tests.
"We did everything technically possible to reduce the requirement of blood. With all these modifications the baby underwent the open heart surgery and was out of ICU within 24 hours and is flying back to his native on the 7th post operative day. In an era where a lot of talking is happening around blood transfusion and adults have been undergoing surgery without blood transfusion, the same thing on a child is quite complicated. However with technical modification and surgical skills it is definitely possible and should be encouraged so that no child from the community remains untreated" said Dr. Devananda.
Brendan can live an active life like any other child of his age as this is a one time complete correction and his post op ECHO is satisfactory.
Brendan's mother Ettieh's faith in Jehovah has strengthened after this incident. She says, "Everybody should give proper attention to their child and keep monitoring the health of the baby time and again. Till one year when Brendan was not keeping too well and was not gaining weight we got very concerned and kept taking to the local physicians in Nigeria. However nobody could give us a proper answer to his continuous ill health until last year August, 09 Brendan complained of breathlessness and pain on his left chest. A thorough examination indicated that my baby has some heart complication which needed to be treated immediately. Being a member of the Jehovah Witness community our challenge was to take Brendan to the right hands where surgery was possible without using blood transfusion. That's when one of our friends at Nigeria who knew about Wockhardt Hospitals, Bangalore (Now a Network Hospital of Fortis) and their expertise in performing surgery without blood transfusion suggested us and we finally decided to fly Brendan down here for treatment. Initially when we decided to come to India for treatment I was engulfed with mixed feelings, but with the kind of care and response we received here I was quite confident that I have brought my baby to the right place."
For more information please contact:
Priyam Bortamuli
PR & Communication
Wockhardt Hospitals, Bangalore - Now a Network Hospital of Fortis
Mobile - +91(0)984555-8559
Email: priyam.bortamuli@fortishospitals.in
http://www.wockhardthospitals.net/
Source: Wockhardt Hospitals Bangalore (Now a Network Hospital of Fortis)
For more information please contact: Priyam Bortamuli, PR & Communication, Wockhardt Hospitals, Bangalore - Now a Network Hospital of Fortis, Mobile - +91(0)984555-8559, Email: priyam.bortamuli@fortishospitals.in
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