A team of doctors at Fortis Hospital & Kidney Institute (FH&KI) has successfully performed a minimally invasive surgery to remove a 3 cm kidney stone arising from a rare metabolic disorder in a 4-year-old boy. The patient is the youngest to have undergone such a procedure in Eastern India.
The doctors led by Urologist Dr. Puskar Shyam Chowdhury of Fortis Hospital & Kidney Institute performed the mini-PCNL (Percutaneous Nephrolithotomy) surgery by inserting miniature instruments into the kidney of the baby through a 5mm hole. They then broke down the stone using holmium LASER lithotripsy equipment and finally removed the broken stones.
“The Hospital has vast experience in minimally invasive treatment of urinary stones, having dealt with more than 50000 cases. Dr Puskar has been performing such complicated minimally invasive paediatric urology cases here and is credited with performing mini PCNL on a 8 month old infant, at Pondichery the youngest in the country,” said Mr. Mohit Arora, Facilty Director – Fortis Hospital & Kidney Institute.
Urinary stones have been plaguing humanity since eternity. They continue to be a major cause of morbidity even today. The main cause of stone formation includes reduced water intake and other modifiable dietary factors. “Stones occurring in children are usually due to disturbances in their constitution and body milieu leading to improper handling of salts in their body, excessive salt secretion through urine. Treatment of such stones in children is a challenging prospect,” said Dr. Puskar Shyam Chowdhury, consultant urology, Fortis Hospital &Kidney Institute – Kolkata
Ezaan Ahmed was born to a software engineer at Sultanpur in Uttar Pradesh. Ezaan had been falling sick often with repeated bouts of bleeding in urine. He had undergone an open surgery for stones in urinary bladder at the age of one and a half years. His parents approached a paediatrician in Lucknow who diagnosed a large stone of 3 cm size in his left kidney and referred him for surgery.
“He was offered open surgery at various hospitals in Lucknow as well as in Kolkata. We decided not to go for another open surgery that would have involved a large disfiguring scar on the upper abdomen coupled with other risks. In our desperate search for an institute offering microsurgery we were finally referred to Fortis Hospital and Kidney Institute at Rashbehari Avenue in Kolkata,” said Mr. Shahid Ahmed Khan, father of the boy.
“The Surgery took around two hours and had no stitches. The patient responded well to the treatment and recovered fast. He was discharged from the hospital on the third day. His stone analysis revealed CYSTINE stones arising out of a rare metabolic disorder. He was advised special dietary regimen and medication to prevent future recurrence of stones. We have asked his parents to bring him after 1 month for general check-up,” Dr Puskar said.
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