Wed, Mar 6, 2013 at 11:59 AM
A 3 year old Girl Child was suffering from pain
Ludhiana, 6th March, 2013:(Shalu Arora and Rector Kathuria):A 3 year old girl child, daughter of a labourer was suffering, with continuous pain in the lower abdomen and urinary infection for past threemonths. She was referred to the Department of Paediatric Surgery CMC and Hospital Ludhiana for further management. Investigations revealed that there was a 2.5 cms. long and 1.5 cms. thick,stone which was completely obstructing the flow of urine from left kidney to urinary bladder and causing urinary infection and abdominal pain. Since there was no free flow of urine from kidney, there wasswelling and deterioration of kidney function with continuous abdominal pain.
Dr William Bhatti Professor &Head, Department of Paediatric Surgery and his teamdoctors, Dr N Bedi, Dr A Gupta and Dr S Dhuria, successfully performed laparoscopic removal of stone from the ureter. Theparents are happy as their daughter does not have a big operative scar on her abdomen and she ispain free because of the laparoscopic surgery. This type of operation, where the impacted stone at lower ureterovesical junction in a 3 year old child,was removed by laparoscopic operationis the first to be performed in India. So far this type of surgery has been done by open procedures which results in long scar marks and prolongedhospital stay. In laparoscopic surgery,the child will have 2-3 tiny scars of 5mm on their abdomen, with less pain and shorter hospital stay as compared to open surgeries.
Dr William Bhatti further mentioned that presence of stones in urinary system is a common problem in children and it can be managed safely with laparoscopic operations. Parents should not ignore if their child complains of continuous abdominal pain and paediatric surgeons should be consulted immediately to prevent further complications.
Rare major open heart surgery saves a new life
Ludhiana, 16th July, 2012 (Shalu Arora and Rector Kathuria)
Mr
Vikas Masih – a 35 year old teacher – was in a very serious
condition. He had developed a large blood clot in his lungs – a
condition called massive pulmonary embolism – due to which he was not
able to breathe. He was referred to Dr Harinder Singh Bedi – Head of
Cardio Vascular Endovascular & Thoracic Surgery at the Christian
Medical College & Hospital, Ludhiana. On examination and
investigation Dr Bedi realized that Mr Vikas was in imminent danger of
death as his oxygen levels were dangerously low. This was damaging his
brain and kidneys.
He had already been put on maximal
medical therapy including the latest blood thinners at another hospital –
but they did not work. The only option to save his life now was a major
and rare open heart surgery called pulmonary thrombo-endarterectomy. Dr
Bedi said that the surgery is done on a heart lung machine but
additionally for a short period of time the circulation even through the
heart lung machine has to be stopped. This is called circulatory arrest
and is like totally stopping the heart and the lungs - both the natural
and artificial ones.
Dr Bedi explained that this is
because otherwise the blockage in the lungs cannot be seen clearly.
During the tense 10 minutes while the patient was ‘clinically dead’ - on
no circulation at all – his lungs were totally cleared of all the
deadly clot. Dr Bedi is a pioneer in this field and in fact has trained
in this rare surgery at the St Vincents Hospital in Sydney. However this
was a very challenging case as Vikas is very young and this extent of
disease was unexpected.
The other members of the Heart
team are Dr A Joseph, Dr Sheetal Garg, Dr Melchi, Dr Paul, Dr Reenus ,
Dr Dinesh, Dr Pratap, Dr William, Dr Pearl, Dr Savan, Dr Meenu, DR
Nina and Dr Ashwin . The heart lung machine was manned by Mr Jairus and
Mr William – who are the senior most perfusionists of Punjab – along
with Mr Mathew.
Dr Abraham G Thomas – Director of CMC
& H – said that the CMC was committed to bringing the latest
technology to Punjab so that the people of this area were given the best
possible therapy.
