CARE Hospitals at Hyderabad and Vizag came together to give a new lease of life to Mohammed Abdullah (31), resident of Guntur district. Abdullah was a heart failure patient of Dr Rajeev Menon, CMS at CARE Banjara. He could not lie flat because of breathlessness and had been implanted with a Defibrillatory Pacemaker by Dr C Narasimhan, Senior Cardiologist. He was posted for a heart transplant and was on the waiting list since 2015.
Suddenly, the family of a brain dead patient in Visakhapatnam came forward to donate his organs. The heart was in Vizag and the patient in Hyderabad! It was crucial to have the heart transplant surgery performed within a few hours of harvesting the heart. Dr Rajeev Menon took the initiative and decided to perform the heart transplant in Vizag itself.
Speaking to senior people in the State Government, with the cooperation of several CARE units, a charteredflight was requisitioned to airlift Abdullah to Vizag on 21st March. Cardiologist Dr Ramasubrahmanyam accompanied the patient. With all arrangements overseen by Dr T Mohan S Maharaj, Medical Director, Vizag a team of surgeons, Dr Karunakara Padhy, Dr P V Satyanarayana, Dr G Rama Subramanyam, Dr Sanjeeb Rao, Dr M Krishan and Dr S B R Narasimhan, performed the surgery, along with Dr Maharaj, Dr S Anooradha and Dr Jagannath giving anesthetic support while A Kanaka Durga and Balaram Mahapatro carried out the perfusion. The patient was discharged on 2nd April.
A team of doctors at CARE Hospitals, Banjara (Hyderabad) recently performed a complex, life-saving heart surgery on a 1400-gm newborn baby. The baby girl, suffering from a rare congenital heart defect, was brought to CARE Hospitals on 7th March. Suffering from altered heart structures, the child required an arterial switch operation, which was very challenging and technically demanding, especially as the newborn baby had extremely low weight. But there was no other option; the infant would not survive without the surgery.
In a first of its kind intervention, the 1400 gm baby with 40% oxygen saturation and a 4-cm heart was operated upon. The surgery took two hours in which the heart had to be stopped for 75 minutes. The child recovered quickly after the operation and is now doing fine with an oxygen saturation of 100%. The entire procedure was done under the Aarogyasri scheme, as the parents Naven Kumar and Pushpalatha from Narsapur, could not afford the cost of surgery.
“She was completely blue when we brought her to the hospital. It
is only because of the doctors that our little girl is still alive,” said an emotional Pushpalatha.
The renal transplant program has been going on successfully at CARE Raipur. A total of 14 transplantations have been done till date with a 100% success rate. Now, for the first time in Central India, a renal re-transplantation was done at CARE Raipur.
Mr Vijay Pahade, who underwent a renal transplant in 2004, came to CARE Raipur with a graftdysfunction, due to rejection (humoral). After a thorough investigation and proper counseling, he underwent a renal re-transplantation at CARE Raipur, with his mother as the donor. He was induced with 2 doses of Basilixmab. His maintenance immune suppression medication wasTacrolimus/MMF/Wysolone. The post-operative period was uneventful and he was discharged on the tenth day.
This is the first time in Chhattisgarh that a re-transplantation was done. Chhattisgarh does not have a facility for immunology study, renal biopsy and Tacrolimus drug levels tests. These investigations have to be outsourced and, therefore, reports are only received after three days. In spite of many limitations, the renal re-transplantation was done successfully by the Raipur transplant team, which included Dr Prawash Chaudhary, Dr Ajay Parashar, Dr Ashish Sharma and Dr Prafulla Agnihotri.
Mrs Anuradha Jain, 80, was hit by a speeding motorcycle near her home on November 2. She suffered a deep and wide gash on her left upper arm and was bleeding profusely; moreover, flesh was hanging from the wound. She was rushed to a nearby hospital where first aid was rendered; the wound was bandaged and painkiller and tetanus shots were given to stabilize her.
She was then brought to CARE Banjara where Emergency doctors evaluated her. To avoid further distress to the patient, they did not remove the bandage but spoke to doctors at the previous hospital who shared photos of the wound on WhatsApp. Dr Srinivas Gnaneshwar and Dr A Ravichander Rao, Consultants, Plastic Microvascular and Reconstructive Surgery examined the injury and said a plastic surgery would be required as the wound was very large – 12 by 6 cm, with loss of skin. She would need a skin graft.
Mrs Jain was examined by several specialty doctors before she was cleared for surgery. They included a cardiologist for coronary artery disease, a pulmonolgist for bronchial asthma and an endocrinologist for her thyroid condition. The anesthetist too spoke to her at length seeking a detailed record of all conditions and the medications she was taking.
She was operated upon the next morning under general anesthesia. Debridement was done and the entire necrotic tissue and fat was removed. A large skin graft (15 by 8 cm) was taken from her upper thigh to cover the wound area. After 24 hours’ observation, Mrs Jain was discharged from the hospital.
Mrs Jain’s family enquired about home care options as she required bed rest. She was provided a semi skilled lady for home care through the CARE Continuum initiative. She came regularly for dressing and check-ups and had no complications. The graft site and the wound healed well and she is back on her feet, living her normal lifestyle.
The systematic manner in which the treatment of Mrs Jain was handled and the high competency of the doctors led to her rapid recovery in spite of her being 80 years old. Truly a case of providing care that people trust!
CARE – Abraaj Initiative Offers New Life to Afghan Children
Two decades of war has ravaged the mountainous country of Afghanistan. Healthcare is one of the major casualties. Over 40% of children aged 0-5 suffer from chronic malnutrition, 85,000 die of diarrhea each year and the Infant Mortality Rate is 73. The country accounts for the world’s second highest mortality rate for children below the age of 5. There is one health facility for approximately 27,000 people and 25% people do not have access to healthcare.
Now CARE Hospitals and the Abraaj Group Healthcare Fund (AGHF) have collaborated with the Afghan Red Crescent Society, an international charitable organization, to provide treatment to Afghani children suffering from Congenital Heart Disease (CHD). The Afghan Red Crescent Society (ARCS) is the Afghan affiliate of the International Federation of Red Cross and Red Crescent Societies.
Leaders in Cardiology for over 20 years
One of the largest pediatric programs in India
First successful fetal intervention in India
Over 800 Pediatric heart surgeries performed, including 500 open heart surgeries; 15% of these on neonates (below 1 month of age)
Pioneered Pediatric Arrhythmia in India; best Pediatric Arrhythmia unit
40-bed combined Neonatal/Pediatric Cardiac Intensive Care Units at CARE Hospitals flagship facility
Dedicated Pediatric Cardiac Catheterisation suite
Comprehensive and advanced diagnosis and management facilities
Ongoing research and development of new devices
The year-long commitment aims at treating 500 Afghani children by the end of 2017. The initiative is called ‘Hearts Beat Beyond Borders’ as children travel from Afghanistan to Hyderabad, India to get treated in getting a new life by the best hands in cardiology.
The starting point
It all started with Abraaj reaching out to the Afghan Red Crescent Society to be part of a noble cause. Reference meetings, to gain trust and confidence, ARCS representatives visited CARE Hospitals, Hyderabad, India facility to view the hospital and its Congenital Heart Disease (CHD) treatment competencies. The CARE consultants had interactive sessions with senior ARCS members. Post the visit, ARCS became confident and trusted CARE Hospitals’ capability to treat CHD patients.
Abraaj and CARE are committed to provide world-class surgical care to 500 children at 40% subsidized rates. This is first time that the Afghan Red Crescent Society has entered into an association with a healthcare partner outside Delhi.
However, to carry out an endeavor of such magnitude and cost is never easy. Continuous support and coordination between multiple agencies, both clinical and non-clinical, is required. The organizations are committed to do best from their side. While CARE Hospitals offers the treatment at 40% subsidized rates, Abraaj will raise funding for the treatment of 200 children out of 500. The infant/children age group is between 10 months – 5 years. The patients are escorted from Hyderabad airport, right from pick-up to treatment, their comfortable stay in the hospital to discharge and airport drop to their return journey to Afghanistan. Our consultants take personal attention and care to tell them about the special care and food they should focus on, post surgery.
CARE Hospitals’ vision is to meet the 500 mark and then continue to give new life to more than 4000 children in the next 4-5 years.
Here are some snapshots of three of the children treated — Musavir, Haji and Babel Zehra. Like them, around 100 children were successfully treated and given new life at CARE Hospitals, Hyderabad by the end of 2016. The next batch of families is scheduled to arrive soon.
Parents, who earlier had bleak hopes of their children ever leading a normal life due to lack of advanced healthcare facilities to treat CHD in Afghanistan, are immensely grateful for this cross-border initiative. The parents of these children express their feelings in short videos: Faizullah, father of young Musavir
Faizullah, father of young Musavir who recently received treatment at CARE Hospitals, Banjara Hills, Hyderabad, says, “The doctor explained to us in detail about the treatment and the risks involved in it. It gave me a lot of confidence for the surgery and I am very happy with the results now. Not only me, the other 12 children’s parents, who came along with us from Afghanistan are happy with the results. When we return to Afghanistan, we would recommend CARE Hospitals for anybody suffering with a cardiac problem.”
Watch Mr Father Shanullah, whose child Babi Haji underwent a valve replacement surgery at CARE Hospitals. He affirms, “This hospital has provided excellent treatment. (They) performed a surgery and replaced a valve successfully. Everything was timely, whether it was medicines or food. We had an Afghani translator too. I have two friends in Afghanistan who were treated here and they are doing well now. The doctors here are very service oriented, and I have never seen such commitment, neither in Pakistan nor in Afghanistan. The doctors and the sisters in CARE Hospitals are loving and caring. I would be happy if we have a hospital like CARE in Afghanistan.”
Ezat Mir, whose baby Babel Zehra had a hole in her heart, says “My daughter’s surgery was performed and I am really satisfied with the treatment. I had complete faith in the doctors, that they would give their best and was 100% confident about the surgery. The doctors and the nursing staff were very cooperative; I gained confidence when I spoke to them. The nursing staff was very affectionate, and they always treated us like their family. I will recommend this hospital for people across the world and especially for the people in Afghanistan who suffer from cardiac aliments. They have to visit India and especially CARE Hospitals in Hyderabad for quality surgery and good results. I can challenge you that you can’t find a hospital like CARE Hospital.” Watch Mr. Ezat Mir’s video here.
Watch more parents talk about the surgery and their experience with us –
Mr Tariq Khusrou, a middle-aged businessman from Dubai underwent a hair transplant at a salon in Hyderabad. He was cautioned about some mild rash on the forehead, which he need not worry about. But the rash spread over the forehead, face and was moving down the neck.
Within 3 days, he was admitted to CARE Banjara ICU under the Critical Care team led by Dr Venkat Raman Kola. He was diagnosed with ‘gas gangrene’, a life-threatening condition in which gangrene develops and amputation is the only solution. Gas gangrene is rarely reported and has a mortality rate close to 100%. Here, amputation was not a choice as the affected area was the face and the neck. He also had a compromised airway. His airway was secured with an emergency tracheostomy. Repeated debridement and procedures were done by the Plastic Surgery Department, led by Dr Gnaneswar. High dose antimicrobials, organ support and team work for eight weeks helped the patient to survive. Dr Soma Raju, CMD, was the guiding force in providing multi departmental inputs, even from external organizations such as LV Prasad Eye Institute for orbital tissue management.
This was an example of the high standard of teamwork by the CARE Critical Care team. At one point, it was touch and go. But finally, Mr Khusrou began to respond to treatment. His son wrote a long, eloquent letter to the hospital about the experience and the family’s joy and gratitude to the CARE doctors. His sister wrote a poem, eulogizing the doctors, and presented it to Dr Venkat and Dr Gnaneswar.
Excerpts of the letter capture the sentiments of the family:
“…Today the word victory calls to our minds names of men like Dr Venkat and Dr Gnaneswar and their entire team of soldiers for emerging victorious in tackling a deadly disease like ‘gas gangrene’. The world of science and medicine hath their victories no less renowned than the victories of war. To conquer a disease and save a life is indeed a renowned victory — far more worth winning than the most famous military triumphs.”
Ode to Dr Venkat and Dr Gnaneswar
Like a shower of fresh blossom, despite all odds victorious you come
With a duty to perform, each human is destined.
Bless’d are those who truly serve mankind.
From dawn till the dark velvet pall, yours is the noblest task of all.
You are a saint in disguise, When to the ailing souls medicines you prescribe.
Moments of joy, hours of grief we did share,
Whenever we needed you, you were always there.
Like an angel from the firmament blue,
For the tormented souls like soothing dew,
Smiling like a flower betwixed the thorns.
A messiah for the poor downtrodden forms.
Simple souls with hearts of gold, No finer men indeed, the world can hold,
Even if we search the whole vast land, With a lantern in our hand,
We cannot hope to find, Someone as strong as you, And yet so gentle and so kind.
An aura of dignity is yours charismatic personality.
In your simplicity lies the real beauty, No appreciation is really worth,
The noble deeds you do,
May the choicest blessings of almighty God shower upon you.
Life is precious indeed, you enhance its aesthetic beauty.
Making the aching hearts an abode of peace and tranquility.
You wipe those tears of pain, And make us smile again.
We pray to God, e’en the breeze that carries a tingle of gloom,
Never shall blow across your room.
Many radiant days, upon you shall dawn,
And smile upon you, the rays of many a lovely morn.
Happiness, joys, ecstasies, all alight upon you together,
And may you live a hundred years, serve the human race forever.
I retired from the medical profession about 5 years ago. I was mostly at home, taking care of simple household work and reading. I developed knee pains and hypertension for which I was under medications. About 8 months back I developed severe headaches, palpitations and was found to have very high blood pressure. I consulted Dr Raghava Raju, Cardiologist at CARE Hospitals. He started treating me with drugs and regular check-ups. The response was slow and I had sudden fluctuations in blood pressure and restlessness. He advised me to attend yoga therapy along with medication and, upon his advice, I met Mrs Padmaja, the yoga therapist. She, with her gentle talk and manners inspired me, taught me how to perform various yoga practices. Keeping in view my age and physical condition, she made me do exercises which can be done without much difficulty.
Within 15-20 days my BP was well under control and was indeed stable. I started sleeping well, feeling good both mentally and physically. I developed a good rapport and friendship with the teacher and fellow participants. We all are of the same age and feel like a family. I am attending classes for the last 4 months and intend to do so for a long time. I advise my friends and relatives to practice yoga. Being a doctor I realized that in addition to medication, yoga practice helps in treatment of diseases.
When I was first referred for yoga therapy by my doctor, I was apprehensive about performing the exercises, given my age and health condition. However the yoga therapist Ms Padmaja explained to me the general benefits of yoga and the customised sessions for each individual based on his/her specific medical condition. It was also reassuring for me that the Yoga unit was part of CARE Hospital and located within the hospital premises, so I could take medical help in the event of any problem; but I never had any problems at the therapy sessions or during practice at home.
After an initial assessment, the yoga training started with simple physical movements and breathing exercises along with awareness of my breathing and meditation. Initially I had aches and pain when I stretched my legs, shoulder and back. However with the motivation, guidance and encouragement of Ms Padmaja, I continued the exercises. The asanas were taught in a graded manner commensurate with my ability and capacity. Within a few days itself, I began to feel relief from the pains, not only while doing yoga but throughout the day. I regained a considerable amount of flexibility in my joints.
Another progress was in my breathing. On the first day, I had to take two deep breaths to raise one hand above my head. Now, with one breath, I am able to perform complex movements. I am able to perform many day to day tasks by synchronising the breathing awareness with the physical movements. I also notice improvement in my balance during some postures.
The gradual progress from simple to complex Yoga asanas has improved my self-confidence and endurance to take up the challenge of doing more. It was very inspiring to watch the active participation and involvement of my new friends at Yoga, some of whom are senior to me in age. The ambience, social learning, clear instructions and personalised training by Ms Padmaja also contributed considerably to my developing a sustained interest in yoga. I enjoy practising yoga at home too.
The combination of the medical treatment by my doctors and the yoga therapy is providing me a sense of well-being and peace of mind. Ms Anuradha J
Little Kurimila Jessi, a 17 month old baby, had learned to take her first steps just a few months earlier, when she was run over by a school bus on 17th September 2015, while playing outside her hut on a street in Warangal.
Kurimila suffered massive life-threatening injuries and had little hope of survival. Her parents couldn’t afford the huge expense of the multiple surgeries she would need. Even if she lived, her chances of being able to walk again were negligible.
Not giving up hope, her distraught parents rushed her to a nearby hospital where she was given first aid. They brought her to Hyderabad in search of advanced medical care.
But every hospital they approached (almost 10) refused to treat the little girl… The case was simply too challenging, the risk of mortality too high and the family clearly could not afford the high costs of treatment.
When they came to CARE Banjara, astonishingly, the little fighter was conscious and coherent. Her right lower limb was crushed and she had extensive pelvic injuries (open book fracture of the pelvic bones). There was also severe loss of tissue near her vagina and anus. She had to be operated upon immediately and would require the expertise of doctors from several specialties. She faced the possibility of an above knee amputation or even death.
Initially, Dr PC Gupta, along with the Anesthesia team and ER physicians stabilised and managed the child. Subsequently, Dr K Rama Raju, Urologist, Dr MA Saleem, General Surgeon and Dr Praveen Mereddy, Orthopedic Surgeon operated on her. The child’s vaginal walls – anterior and posterior – were torn, exposing the bladder, anal sphincter and the rectum. Doctors needed to repair the area and prevent it from becoming infected. The vaginal layers were sutured by Dr Rama Raju and Dr MA Saleem to reconstruct the genitalia. To enable the tissues to stay together without any disruption, Dr Mereddy repaired the unstable pelvic bone and the other fractures. Dr Rama Raju performed a delicate vesicostomy, wherein the child’s urinary passage was temporarily diverted to enable the genital injuries to heal.
The nursing team cared for Kurimila like their own child with regular administration of IV antibiotics, analgesics and fluids. Consultants monitored her round-the-clock. Post-operatively, she required the expertise of Dr Venkatesh Babu, Plastic Surgeon and his team. Against all odds, Kurimila survived with no need for an amputation. “Statistics show that in severe injury cases among children, it’s the girls who fight harder and show better recovery, as compared to the boys,” says Dr Praveen Mereddy.
“She is a miracle child!” said Dr Rama Raju. Two months later, she took her first steps again. It was a triumph of the spirit of the little girl, along with the amazing skills of all the consultants, who gave her a new lease of life. Waiving aside operating fees and costs, the CARE management shared the parents’ excitement at the miracle of a child who can walk today, despite being run over by a bus.
CARE Hospitals, Surat performed a rare surgery on an 18-month-old baby girl, weighing just 6 kg. The child, Kartikeya Dhanraj Wagh, a resident of Bhestan, Surat district, was suffering from a complex cardiac disease, since her birth. Her parents Dhanraj and Bharti had knocked on many hospitals’ doors seeking a cure for their only child.
Normally, impure blood (without oxygen) from the body goes to the right side of the heart from where it is pumped to the lungs for oxygenation. The oxygenated blood is sent back to the left side of the heart from where it is pumped to the rest of the body.
In Kartikeya’s condition, the pure blood from the lungs was not entering the heart through the normal routep; the veins from the lungs were connected to the body’s veins, which were then entering the heart. This led to the mixing of pure and impure blood in the heart. The child had cyanosis (a bluish discoloration of the skin due to low oxygen saturation of the blood) and retarded growth. To make it worse, she had a large hole in the heart. This condition is known as TAPVC or total anomalous pulmonary venous connection.
On 19th February 2016, Kartikeya underwent an extremely complex open heart surgery, performed by the cardiac team of CARE Hospitals, Surat. It was lead by Dr Kalpesh Malik, Chief Cardiac Surgeon, along with Dr Kaniyalal Patel and Dr Divya Patel, Anesthetists. The ‘Intra Cardiac Repair’ surgery was successful and the child was stable throughout.
Dr Kalpesh Malik has extensive experience in pediatric cardiology and has performed more than 1200 surgeries in Raipur under the “Mukhya Mantri Bal Hridaya Suraksha Yogana”, initiated by Dr Raman Singh, Chief Minister of Chhattisgarh. Briefing members of the press, Dr Kalpesh Malik, Chief Cardiac Surgeon said, “CARE Hospitals, Surat has all the facilities to perform pediatric cardiac surgeries. Our team is highly qualified and we are well equipped to deal with complex pediatric cardiac surgeries.”
“I wanted to let you know how very appreciative we are for all the care and support you provided to the entire family during this very difficult time. The fact that I am still here is a miracle. I know that you save a lot of lives every year, but I want to let you know that this life is forever grateful! I was diagnosed with dengue fever and septic shock. The platelet count had fallen drastically and I was kept on a ventilator with inotropic support and high-end antibiotics. I was also diagnosed with LV dysfunction and was treated for the same.
Words cannot describe how my family feels about CARE Hospitals, the doctors, nurses and all the volunteers who gave me such care. They were with my family at a time when they were scared and unsure of what would happen next. They were by our side with so much compassion. We were afraid about the medical expenses as we couldn’t afford it, but a huge thanks to the CARE management for looking after me free of cost. I have been treated like family and one of your own. I will forever remain indebted to you all for the wonderful gesture shown towards me and my family.
The service was professional, courteous and excellent throughout. Doctors and nurses giving me a warm hug to express compassion and support during my difficult moments, is an experience I have never had in any other hospital. This experience has enhanced my perception about CARE Hospitals. Thanks again for your excellent service to me and my family. My family and I will not forget what you have done for us. ”
B Rajeswari (Jr Staff Nurse) and family, CARE Vizag
Ms P Bharathi recently underwent treatment for a heart condition at CARE Hospitals. Her brother spoke of their experience with us in the video above. On a review visit later, an emotionally overwhelmed Bharathi spoke about her journey –
“I used to get fever very often and had my check-ups at Bhadrachalam. The doctor there asked me to undergo a few tests and an X-ray. I also had pain on the left side of my chest. Since I was feeding my son I thought that the pain was due to that. The doctor told me that I was anemic and prescribed a few medicines.
After a few days I had some swelling on my feet and my face turned pale. The doctors asked me to undergo an X-ray again and found there was fluid around the heart. They referred me to Dr Gopinath at Spandana Hospitals in Khammam district. Dr Gopinath examined my reports and further referred me to Dr Soma Raju. After reaching here (Hyderabad) Dr Soma Raju treated me and now I am completely fine like before. Dr Soma Raju has helped me a lot. We did not have enough money to return home. He even gave us Rs 5000 for our expenses. It is only because of him that I am alive today. He is like God to us. We were not willing to come here because we were afraid of the expenses. But Dr Gopinath counselled us and asked us to come here. We are really blessed.”
Mr. Chityala Chiranjeevi from Adilabad district, Telangana works as an assistant supervisor at Singareni Collieries. He was suffering from liver problems for two years. His liver had become stiff and it had two tumours.
He underwent a liver transplant surgery at CARE Hospitals, Visakhapatnam in October 2015. He and his wife spoke to us in detail about their experience with Prof. Tom Cherian, Head, Hepato Biliary Surgery and Liver Transplantation at CARE Hospitals Group. Here are a few excerpts from it:
“My liver problem began 2 years back. One day, suddenly my entire body was swollen. I had also contracted jaundice. I took treatment for one year but no one ever informed me that liver disease was such a life-threatening disease.
But when I visited Dr. Tom Cherian here, he called me and my family members and explained the criticality of the situation and that I needed a liver transplant.
Dr. Tom Cherian prepared me mentally for the surgery. He used to counsel me every time I visited him. The other staff members were also very cooperative,” Mr. Chiranjeevi said.
His wife, who can also be seen in the video remarked, “My husband’s condition improved a lot after the surgery. Before the surgery he was very sick and we were all afraid seeing his condition. But he recovered so much in just one month that we are all stunned. All this was possible only because of the support extended by Dr. Tom Cherian. CARE Hospitals truly lives up to its name. It takes good care of people!”
Damayanti Chandrakar, 56, from Raipur, Chhattisgarh had visited a physician with complaints of jaundice, pain in the abdomen and weight loss, over a one-month period. She was referred to Prof Tom Cherian, Head, Hepato Biliary Surgery and Liver Transplantation, CARE Hospitals Group for evaluation and management.
After admission and assessment, Damayanti was found to be severely hypertensive. She required oral anti-hypertensives for stabilizing her blood pressure. A biochemical investigation showed increased serum bilirubin (a measure of the severity of jaundice). Ultrasound and CT scans of the abdomen showed a malignant tumor in the common hepatic duct, with significant obstruction in the lumen and spreading to the surrounding lymph nodes.
This news was a deathblow to the patient as cholangiocarcinoma is an aggressive tumor and, if untreated, the average survival rate is around 6 months. It took almost a week for the patient and her family (her daughter is a doctor) to make up their mind and give their consent for surgery. Meanwhile, her total bilirubin had shot up 20 times the normal values. Hence, a pre-operative intervention (PTBD) was performed by an interventional radiologist in the right and left hepatic ductal system. Once the bilirubin dropped in a week’s time, she was taken for surgery.
Prof Tom Cherian and his team performed a 9-hour long operation for excision of the tumor along with the right lobe of the liver and the surrounding lymph nodes, before they joined a part of the intestine to the liver. Intra-operatively, the blood vessels supplying blood to the liver were shaved free of the tumor. An intra-operative frozen section biopsy confirmed that both the cut margins were free of the tumor.
Damayanti had a relatively uneventful post-op recovery, except for some fluctuation in her blood pressure and a partial lung collapse (mild right pleural effusion), due to build up of fluid in the lungs — a common occurrence in such surgeries. Both the issues were quickly and efficiently managed by a cross-sectional team, comprising a general physician, cardiologist, interventional radiologist and physiotherapist.
The final histopathological report confirmed it to be a hilar cholangiocarcinoma with RO resection (no evidence of microscopic disease at the cut margins). The 5-year survival rate of such a case is 45-50%, but without surgery it is zero, even with chemotherapy. The patient and the relatives were extremely relieved and thanked all the hospital staff profusely for their support and hard work throughout their hospital stay.
This is a good beginning to the CARE Hospitals’ new Department of Hepato Biliary Surgery and Liver Transplantation!
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