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February 18, 2018
Fortis Hospital, Shalimar Bagh organized a walkathon for senior citizens to create awareness on heal
Fortis Hospital, Shalimar Bagh organized a walkathon for senior citizens to create awareness on hGet more info
Breakthrough Cases View All
Doctors at Fortis Shalimar Bagh managed to save a 14 year-old boy after a fence impaled his face while playing in the park. Saksham Gadia, a Class IX student recovered from a complex surgery performed by a team led by Dr Richie Gupta, Sr. Consultant, Department of Plastic, Aesthetic & Reconstructive Surgery at FHSB.
While playing in a park with his friends, the teenager tried to jump over a fence in the local park at Paschim Vihar while chasing a ball. He accidentally lost his footing and landed head first on the grill which pierced him below the right jawbone, breaking it into two. The impact resulted in the impalement of his neck and face, on a grill. He was stuck in this position, with grill entering his mouth, from the neck and breaking his jawbone.
People present on the spot and his friends pulled him out of the grill which caused profuse bleeding. He was rushed in that condition to a nearby nursing home who administered pressure dressing as first aid to contain his bleeding and referred him to Fortis Hospital, Shalimar Bagh. When he was presented at Fortis Hospital, Shalimar Bagh’s emergency unit, Saksham was conscious but bleeding profusely from the gaping hole in his jaw. “His jaw bone was fractured with displacement of both ends. He also was bleeding profusely from his neck and mouth,” added Dr Rajat Gupta, Associate Consultant, Department of Plastic, Cosmetic and Reconstructive Surgery, who was the first to receive the patient.
Doctors call this a miraculous escape for the teenager. “Had the grill pierced him anywhere else within a few centimeters from the affected area, it could have been fatal. Also, the fact that his neck and face were yanked out of the grill at accident site, could have led to profuse bleeding and caused an immediate threat to his life,” said Dr Gupta adding that, “For the safety of the patient, it is important that the metal part of the fence is left as it is and is cut externally to rescue and mobilise the individual into an emergency.”
“We ligated his bleeding vessels, irrigated his wound and cleaned it off debris. The wound was repaired in layers, leaving behind a drain at neck. His lower jaw bone fragments were replaced in position and held temporarily with arch bars and wires. Three days later, via an internal approach, plating and fixation of his lower jaw was done under general anaesthesia,” explained Dr Gupta.
As per Mr Mahipal Bhanot, Facility Director, Fortis Hospital, Shalimar Bagh, “The central focus for our team has always been combining clinical excellence and placing the patient first at all times. Even though Saksham was bought in a precarious condition and had lost a lot of blood, our team led by Dr Richie Gupta planned the surgery meticulously, focusing on cleaning, repair and reconstructive surgery”.
“I was away at work when I got a call from my brother-in-law that Saksham has been rushed in to the hospital in an emergency situation,” recalls Jiji Gadia, the patient’s mother who added that public awareness is important in cases where individuals get trapped in precarious and rather life threatening situations and are unsure what to do. I am grateful to the medical team at Fortis, Shalimar Bagh for saving my child from a grievous injury.
He was started on clear liquid diet, the very next day. He will be put on soft diet at one week, postsurgery and normal consistency food at around 6 weeks post-surgery.
Saksham was brave not to succumb under extreme pain. He was recently started on oral feed and has been recovering well under regular follow up check-up with his doctors.
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Doctors at Fortis Hospital Shalimar Bagh recently managed a highly unusual and complex case where a patient, suspected of having a cancerous tumour, was instead found with 838 stones in her gallbladder. After a correct diagnosis was reached, the surgery was successfully conducted ensuring patient recovery.
Ms Pushpa had been experiencing acute stomach pain along with intermittent episodes of fever. She was nauseated, feverish and in extreme pain when she presented herself at the hospital recently. She was advised to undergo an ultrasound and CT scan, the results of which suggested that she might be suffering from cancer of the gallbladder. Thereafter, a team of specialists led by Dr. Amit Javed, Consultant, Gastrointestinal Surgery, Fortis Hospital, Shalimar Bagh performed a meticulously planned and executed, two-hour laparoscopic procedure in January this year. The patient’s gallbladder was extremely inflamed and had grown to six times its original size. As per plan, this was a laparoscopic surgery wherein her gallbladder would be removed with part of the adjacent liver and sent for immediate pathological examination (frozen section). This was carried out with all necessary precautions to prevent abdominal dissemination and port site (surgical site) metastases. The gallbladder specimen was removed in a pouch to avoid contamination and spillage. However, post removal, when they opened the gallbladder to look at what was inside before sending it for biopsy, they discovered, much to the shock and astonishment of the doctors, that it was filled with several hundred small and large gall stones. In total, there were 838 gallstones!
“Gallstones cause inflammation of the gall bladder and can cause severe pain, symptoms of indigestion and complications like blockage of the bile duct leading to jaundice, severe infection, and pancreatitis. They are also commonly found in patients with gall bladder cancer implying a possible causation. This patient was having only stones and her biopsy report was negative. Cancers of the gall bladder are very aggressive in nature and usually get detected only in the final stages of the disease since they present with vague symptoms which are not taken seriously. The only remedy to both gallstones as well as cancer of the gallbladder is complete removal of the organ,” said Dr Javed.
“The Department of Gastrointestinal and Hepatobiliary Surgery aims to provide a comprehensive diagnosis and implementable solution to all gastrointestinal surgery- related issues. The ability to do so comes with a staff of skilled surgeons and their teams guiding the procedure at every step of the way. Fortis Shalimar Bagh has piloted several complex surgeries in the past. In this case too, we were successful in our endeavour,” said Mr. Mahipal Bhanot, Facility Director, Fortis Hospital, Shalimar Bagh.
Gallstones are masses formed abnormally in the gall bladder or bile ducts from bile pigments, cholesterol, and calcium salts, in case of adults. Gallstones can also develop when there is too much cholesterol in the bile secreted by the liver. Some diseases It is more common among women in their middle age group.. The incidence of gallbladder cancer in north and central India is very high, and is commoner in women. Northern India is much more prone incidences of gall bladder cancer (GBC) than south India.
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