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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