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May 31, 2017
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We had a wonderful experience with Dr. Reddy at Fortis Hospital, Bannerghatta Road, Bangalore. He did a correct diagnosis and advised on medication for my kid. Well done!
Breakthrough Cases View All
A team of doctors at Fortis Hospital in Bannerghatta Road, Bangalore successfully treated a 2-month-old Iraqi baby who was suffering from ‘Bladder Exstrophy with episadias.’ It is a congenital condition where most of his lower urinary tract organs were formed outside his body. The complex procedure involved a multi-specialty team of doctors which took 10 hours to treat the rare condition. The team of doctors was led by Dr. Mohan Keshavamurthy, Director, Urology & Transplant Surgeon along with Dr. Mohan Puttaswamy, Reconstructive Orthopedic Surgeon and Dr. Yogesh Kumar Gupta, Consultant, Paediatric Intensive Care Unit (PICU).
While the child grows in the womb, the internal organs are formed. Consequently, muscles and bones envelop the organs for protection. Baby Ameer Hayder Thaey suffered from Bladder Exstrophy with episadias abnormality where the skin over the lower abdominal wall is not formed properly. The organs are partially formed but the encasing tissues and bones that leaves the bladder exposed. With episadias, the urethra does not form correctly. Babies with this disorder may have related problems that affects their urinary system and pelvic bones.
The priority was to naturalize the functioning of the bladder by closing the bladder with adequate capacity and urethra with restoration of continuous mechanism. Closure of muscle and skin could have been only completed after the bladder was successfully closed. The muscles were closed over the bladder so it supports the abdominal wall.
Dr. Mohan Keshavamurthy, Director, Urology & Transplant Surgeon at Fortis Hospital, BG Road said, “Ameer was born with his urinary bladder exposed outside of his body due to the incomplete formation of the tissues and bones in the pelvic region. The bladder, muscles and bones had defects which needed to be corrected. So, the procedure for treatment involved following a meticulously planned sealing of the entire bladder and penile area.”
Once the bladder is ably supported by muscles, the bones were aligned back together. Finally, the skin was closed in such a way that the bone is in between the skin and muscle, so that the bone can support the bladder. The surgery for episadias, which is a malformation of the penis causing the urethra to be formed on the upper part of the penis, was done by reconstructing the penis by Cantwell Ransley procedure.
A doctor from Fortis Hospital, Bannerghatta Road, managed to relieve a 35-year-old Wizdan Khadim, from Iraq, of a massive tumor in the head. The tumor, that was of the size of a small coconut, had led to doctors back home in Iraq giving her a survival chance post-surgery was very low.
The pain that started with her frequent headaches slowly spread to her ears and then to the right side of her body. When she consulted doctors in Iraq, the reports revealed nothing and her condition was dismissed as a symptom of age-related weakness in women. Wizdan tolerated the pain for almost two years. She couldn’t recollect names, her speech slurred and she suffered from mobility impairment. Subsequently, she underwent an MRI scan, which revealed a tumor on the left side of her brain.
Doctors, in Iraq, recommended a brain surgery for which she was referred to Fortis Hospital, Bannerghatta Road, under Dr. Rajakumar Deshpande, who understood that all they needed was right infrastructure -- proper support including blood banks, anesthesiologist and radiologist -- to increase chances of her survival. “The tumour approximately measured 8 x 7 x 6 cm,” said Dr. Rajakumar Deshpande, Director, Neurosurgery Fortis Hospital, Bannerghatta Road.
The doctors, at Fortis Hospital, opted for a brain surgery using a technique called computer-assisted Neuronavigation, with the help of Advanced Neuro operating 3 D microscope. Sodium fluorescent dye was used to pinpoint the location of the tumor. The tumor causes the blood brain barrier to break, thus the portions that are accessible by the dye are the ones that are tumorous. This helps in keeping the healthy part of brain safe during surgery.
Computer-assisted Neuronavigation allows surgeons to navigate inside the skull with the help of specialized computers that process the scans of the affected area in the brain and convert them to three-dimensional images. It also consists of an infrared dual camera system that tracks the surgeon’s instruments during surgery and displays their position. In case of a tumor, the doctor is able to pinpoint the exact location of the growth and excise it with utmost precision reducing the harm to normal nerves and tissues nearby.
“There were risks of loss of vision in the left eye, given the size of tumor. It took us more than 10 hours to operate and remove it”, said Dr. Rajakumar Deshpande, Director, Neurosurgery Fortis Hospital, Bannerghatta Road.
“The doctors had warned us about the risk of losing vision in the left eye, but I am happy that she can see now. Her right hand has gained mobility and legs are improving,” said her brother.
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