Fortis Hospital Anandapur, Kolkata

Fortis Hospital, Anandapur, Kolkata is a world-class super-specialty NABH accredited tertiary care healthcare hospital. The 10-storied, 400 bed hospital (operational 200 Bed) is built on a 3 lakh square feet area, equipped with the latest technologies in the medical world. This state-of-the-art facility specialises in cardiology and cardiac surgery, pulmonology, urology, nephrology, neurosciences, orthopaedics, digestive, emergency and critical care. Among the various amenities, the hospital has a 24-hour accident and emergency service including trauma treatment, critical care ambulance service, blood bank, cardiac operation theatre, preventive health check, diagnostic and catheterisation laboratory, critical and emergency care, diet counselling, physiotherapy and rehabilitation, laboratory and microbiological services, stress management, 24x7 pharmacy, endoscopy unit and emergency room.

The intensive care unit (ICU) is well-equipped with over 70 beds that include a Medical I

Fortis Hospital, Anandapur, Kolkata is a world-class super-specialty NABH accredited tertiary care healthcare hospital. The 10-storied, 400 bed hospital (operational 200 Bed) is built on a 3 lakh square feet area, equipped with the latest technologies in the medical world. This state-of-the-art facility specialises in cardiology and cardiac surgery, pulmonology, urology, nephrology, neurosciences, orthopaedics, digestive, emergency and critical care. Among the various amenities, the hospital has a 24-hour accident and emergency service including trauma treatment, critical care ambulance service, blood bank, cardiac operation theatre, preventive health check, diagnostic and catheterisation laboratory, critical and emergency care, diet counselling, physiotherapy and rehabilitation, laboratory and microbiological services, stress management, 24x7 pharmacy, endoscopy unit and emergency room.

The intensive care unit (ICU) is well-equipped with over 70 beds that include a Medical Intensive Care Unit (MICU), Coronary Care Unit (CCU), and recovery and isolation beds, with separate high-dependency units. The hospital also has a nephrology department with over 28 advanced dialysis units. The hospital, governed by integrated Building Management System (IBMS), has a pneumatic chute system, for quick vertical and horizontal transportation between floors, facilitating speedy transfer of patient specimens, documents, reports, and medicines to the concerned departments. This saves time for rendering effective and efficient healthcare to the patients.

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On 20th June 2019, a team of doctors, under the leadership of Dr. R.K. Gopalakrishna - Director of the Department of Urology and Renal Transplantation at Fortis Hospital Anandapur, removed a 17-cm long adrenal tumor, perhaps the largest-ever removed by laparoscopic procedure in Eastern India.

 

A 37-year lady Mrs. Kheyali Pradhan presented to Fortis Hospital Anandapur with heaviness in right side of tummy for over 4 months. On investigation, the USG and CT scan reports revealed a rather large 12 cm right-sided adrenal tumor causing the heavy feeling. Her blood parameters, however, were all normal.

 

The patient was admitted to the hospital on 18th June 2019 and the surgery was planned for 20th June 2019. Explaining the reason why the surgeons decided on a laparoscopic procedure, Dr. Gopalakrishna said, “Generally, Adrenal Tumors, more than 11 cm, are considered technically difficult to be removed by laparoscopy. However, since the patient expressed a strong desire for laparoscopic procedure, and at the same time, the advantages of laparoscopy like excellent visibility during surgery and minimum loss of blood cannot be argued, we decided to go for a laparoscopic adrenalectomy.” 

 

The procedure, which lasted for little under an hour with a blood loss of just 10 ml, the surgery was successfully completed. However, to the surgical team’s surprise, the tumor, on measurement was 17 cm x 11 cm, much larger than the normal limits of laparoscopic surgery and perhaps the largest-ever removed by laparoscopy in Eastern India.

 

Like any other patient undergoing laparoscopic surgery, the patient recovered satisfactorily. To add to her advantage, there was minimal discomfort and postoperative pain that the patient experienced and she was discharged in 4 days ie. 24th July 2019.

 

As per experts, laparoscopic adrenalectomy can be considered the standard treatment for all benign adrenal tumors up to 12cm to 14cm in size. However, in this case, the surgeons realized the actual size of the tumor only after removing it.

On 29th April 2019, Dr. Ashwin Choudhary, Consultant of the Department of Bone and Joint Care at Fortis Hospital Anandapur, operated on a 1 year old male child, suffering from Congenital Trigger Thumb. .

The child visited the surgeon with complaint of inability to extend the joint and right thumb with pain. On examination, the consultant diagnosed him with a Congenital Trigger Thumb in the right hand, which means that the child had a fixed flexion deformity of the interphalangeal joint of the right thumb due to which his thumb was locked in a flexed position. The child’s mother was counseled about the condition of the child, and she agreed for the surgical procedure. During the procedure, the paediatric orthopedic surgeon released the sheath of the FPL i.e. Flexor Pollicis Longus tendon and the A1 pulley. Through the surgery, the doctors were able to successfully extend the thumb to the normal position.

Congenital Trigger Thumb is rare anomaly found in children. Statistics show that cases with such deformity are observed in 3.3 infants out of 1000. In the regular practice of Dr. Chowdhary, he witnesses 1 or 2 cases in a year. During the first year of birth, attempts can be made to treat the condition with physiotherapy and massage under medical supervision, but if the child has not recovered after the 1st year, surgery is the usual method of treatment. If left untreated, this can lead to a permanent deformity, thus making day to day tasks more difficult.      

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