Saturday, 17 March 2018

Eight year old operated for congenital abnormality of kidney

Panchkula: 8-year old boy operated for a complex congenital abnormality of kidney by Dr Neeraj Goyal, Consultant Urology and Kidney Transplant Surgeon, at Alchemist Hospital.
Raghav Sen Gupta, youngest son of his parents, from Himachal Pradesh had persistent pain in the right side of abdomen and was not getting relieved with local medication. His parents decided to consult experts at Alchemist Hospital, Panchkula. After CT scan he was found to have Uretero-pelvic junction obstruction, a complex congenital abnormality of the kidney.
 Dr Neeraj Goyal told that the valve connecting the kidney and its drainage tube i.e. ureter is inherently narrow in Uretero-pelvic junction obstruction. It usually exists since the time of birth and as the child grows, this narrow valve is not able to cope up with its growth and start creating problems. This leads to abdominal pain and swelling in the kidney and may cause permanent damage of kidney if not properly diagnosed and treated.
Talking about Raghav, Dr Goyal said that when his parents were explained about this complex condition requiring major surgery they were scared and felt shattered. However after proper counseling they understood the nature of condition and had shown the courage to consent for the surgery of their loved one. He underwent laparoscopic pyeloplasty, a highly demanding  surgery in which the narrow segment of the ureter is excised and reconstructed. The operation that was totally bloodless was performed using three small painless keyholes incisions in the abdomen.  Raghav’s parents are very happy and satisfied with their child’s recovering completely in few days.
Dr Goyal further explained that this surgery was traditionally performed using open surgery that resulting in large incisions, prolonged hospitalizations, prolonged bed rest and loss of work hours. But nowadays with evolving technology and increasing surgical expertise, all these complex surgeries can be comfortably performed using laparoscope. Patients from Tricity and adjoining states had to go to Delhi-NCR in the past, as these facilities were not available around.
Dr Neeraj Goyal, Consultant Urologist and Kidney Transplant Surgeon at Alchemist Hospital, Panchkula is an experienced surgeon in the field of urology and has been trained at India’s best institutes like PGI, Chandigarh and King George’s Medical University, Lucknow. He has worked for many years at the prestigious Kidney Hospital of Ahmedabad.

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