Monday, 12 July 2021

Huge mass removed from child's neck

 

A rare surgery has been performed on an 11 years old girl child with a huge neck mass at Alchemist Hospital. Surgery was performed by Dr. Prachi Jain, Consultant ENT Alchemist Hospital, Panchkula.

Patient was found to have a slight swelling in the lower part of the neck , incidentally noticed. On investigation it was found that the mass was extending from the neck to the great vessels of the heart going into the chest. It was extending up to the vertebral column( spine) in the  neck and surrounded by vessels taking the blood to the brain. It was compressing the wind pipe and causing her to have breathing difficulty. It was suspected to be a teratoma on CT scan. It's a rare tumour to be present in the neck with such extensive presentation.

Patient underwent excision of the tumor. Putting the tube for general anaesthesia was a challenge as the tumor was compressing the wind pipe. The anaesthesia team (under the leadership of Dr Akaljot) was able to do that successfully without doing a tracheostomy/ cutting the wind pipe. The tumor was removed successfully without injury to the surrounding structures such as wind pipe, food pipe, great vessels of the neck and heart. The whole mass was removed through the neck without cutting open the chest.

Dr Prachi told that excision of tumour was done without any complication.  Utmost care was taken to prevent injury to nearby structures. Postoperatively patient remains stable. Histopathology examination confirmed mature cystic teratoma.

 She further told that teratoma arise frequently in ovaries and testes and are uncommon in neck. Such huge teratomas are very rare. It poses clinical and radiological difficulty.  Because of the location and size of the teratoma, the risk of wind pipe being fragile and bucking under pressure was there. There was a risk that wind pipe may have to be opened up to maintain airway, but it could be done without any damage. Surrounding organs such as thyroid, wind pipe, food pipe and great vessels may be at risk. Great surgical expertise is required to avoid injury to these organs.

Patient has been discharged and is recovering well.

 



Monday, 5 July 2021

Bluetooth enabled pacemaker helps doctor to keep pace with your heart

 A Bluetooth enabled pacemaker has been implanted in a 49 year old male recently at Alchemist Hospital, Panchkula. The procedure was done by Dr Rohit Parti, Senior Cardiologist.

Patient Sanjay Kumar, a known case of heart disease, with 2 stents implanted in his heart in 2009, now presented with two episodes of palpitation followed by loss of consciousness due to ventricular tachycardia, when the heart beats too fast or chaotically leaving the heart unable to pump blood effectively. He was treated twice with DC (electric) shock and referred to Alchemist Hospital, Panchkula.

 He was admitted under the care of Dr. Rohit Parti, Senior Cardiologist. His medications were optimized. Heart attack was ruled out. He had reduced cardiac function on Echocardiography, blocked stent in LAD (surgical artery) with nonviable myocardium (dead heart tissue) in PET CT. He was implanted next generation implantable cardioverter defibrillation (ICD).

Dr. Rohit Parti said “the reason why we decided to go ahead with a Bluetooth enabled Pacemaker was the fact the mobile app helps to streamline communication and increase engagement between doctors and their patients. Remote monitoring has resulted in higher survival rates, reduced visits to the hospital especially in these times of pandemic and for patients from far off peripheral towns and even reduces hospital stay”.

Patients can simply use their smart phone to transfer heart device data through app even outside the home, replacing the bedside monitor and can even now select pacemaker data including model name and battery longevity. The use of Bluetooth low energy is designed to minimize battery drain, increasing its battery longevity to even 14 years.

 

Wednesday, 30 December 2020

Stroke and covid positive patient treated with most advanced technique at Alchemist

 

Alchemist Hospital is using most advanced technique to treat stroke patients known as Thrombolysis and Mechanical Thrombectomy in which blood clot can be dissolved with medicines and also clot is removed from the brain with advanced lances.  Dr Amandeep Singh Sr. Consultant Neurointervention and Dr Gourav Jain Consultant Neurology has performed the procedure on a 53 years old patient.

A male diabetic and hypertensive patient landed to Alchemist Hospital with sudden onset of stroke having complete left side weakness and slurred speech.

 Dr Gourav Jain told that, as patient reached Alchemist hospital in the window period i.e. within 4.5 hours of onset of stroke, he was thrombolysed (clot dissolving medicine) the CT angiography revealed clot in arteries of brain which was removed by most advanced technique called Mechanical thrombectomy.

Despite being a covid positive, patient recovered completely without any residual defect. Thrombolysis & Mechanical Thrombectomy is the most advanced treatment of stroke in which a blood clot can be dissolved with medicines and the blood clot can be removed by various techniques in certain group of patients. So the patient needs to rush to the hospital immediately to get immediate treatment and with maximum benefits.

Alchemist hospital is having a dedicated Neuro ICU and expert team of Neurosurgeon, Neurologist and Neurointerventionist.

 

Tuesday, 1 December 2020

Seventy-year-old patient with Acom Aneurysm treated successfully without any incision

 


Seventy-year-old patient with Acom(anterior communicating artery) Aneurysm(an abnormal bulge or ballooning in the wall of a blood vessel) has been treated successfully without any incision by the Neuro team of Alchemist Hospital Panchkula.

 A female patient with multiple comorbidities was admitted in

Alchemist Hospital Panchkula with the  history of sudden onset of severe headache 15 days prior and then again seven days back. Diagnosis found to be having ruptured (twice) Acom(anterior communicating artery)  Aneurysm. The patient was in a very drowsy condition and general status with weakness in both lower limbs.

Dr. Manish Budhiraja, Neurosurgeon and Dr. Amandeep Singh, Senior Neurointerventionist with Alchemist Hospital performed the procedure i.e balloon-assisted Coiling known as Endovascular coilingIt is a minimally invasive technique used for the treatment of brain aneurysm, which are balloon-like outpouchings of blood vessels in brain aneurysm, if ruptures, is life threatening. So patient needs urgent attention and treatment. 

Dr Amandeep told that after the procedure patient responded well to treatment and at present is fully conscious.  

He further informed that Endovascular Coiling is a minimally invasive alternate to an open surgery, in which there is no incision. The access to brain blood vessels is taken through femoral artery in equal region. The coils which are used are made up of platinum or titanium and are shaped like a very tiny springs with size of twice the width of human brain.

Dr Budhiraja told that this procedure is equally aided by post procedural care by the specialised Neuro critical care team and being a minimally invasive technique, the patient recovers with reduced pain and less hospital stay.

Alchemist hospital has a dedicated neuro ICU and  expert team of Neurosurgeon, Neurologist and Neurointerventionist

 

 

Thursday, 24 September 2020

Eighteen year old recovers after removal of large brain tumour

Pre-operative
Post-operative

Eighteen years old boy recovered well after surgery performed for a large brain tumour. Surgery was performed by Dr. Gauri Joshi Senior Consultant & Neurosurgeon at Alchemist Hospital Panchkula.

The patient admitted to Alchemist hospital in February 2020, with complains of headache and gradually decreasing vision of both the eyes for 4-5 months. The vision decreased significantly in the right eye to almost complete loss of vision. He was conscious, alert, walking around. His MRI of the brain showed a large brain tumor with significant brain swelling.

Dr. Gauri told that the tumor was located on the right side of the brain, near the midline. He was taken up for surgery. The tumor was very vascular, having a good plain with the brain at some places and not at other. The tumor was totally removed very diligently. Postoperatively he was conscious, oriented.

 His vision improved partially in the right eye and completely in the left. The biopsy came out as clear cell ependymoma Grade III. He received post-operative Radiotherapy.

Patient is now tumor free and trying to get back to his studies.

Thursday, 3 September 2020

Huge abdominopelvic mass removed

A rare surgery has been performed on a 47 years old woman with a huge abdominopelvic mass at Alchemist Hospital. Surgery was performed by Dr. Ibha Kumari, Senior Consultant Gynae & Obs, Alchemist Hospital, Panchkula.

Patient Karuna Sharma was admitted to Alchemist Hospital with a complaint of pain abdomen with an abdominal mass. On examination, an abdominopelvic mass of 34 weeks size was detected. USG and CT scan revealed a large heterogeneous mass measuring 29*22*19cm possibility of right ovarian mass or broad ligament fibroid.  The patient underwent exploratory laparotomy. Intraoperatively a large mass arising from the right broad ligament was detected. Mass was highly vascular, deeply embedded into the pelvis, and was displacing surrounding structures.

Dr. Ibha told that excision of the tumour and hysterectomy was performed. Utmost care was taken to prevent injury to the uterus and nearby structures.

Postoperatively patient remains stable. Histopathology examination confirmed broad ligament fibroid.

She further told that fibroids are the most common benign tumour usually arising from the body of the uterus, rarely originating from the broad ligament. Incidences of huge broad ligament fibroid are rare. It poses clinical and radiological difficulty in differentiating with ovarian tumour. Because of the location and size of broad ligament fibroid, surgery was challenging. Surrounding organs such as the ureter, intestine and urinary bladder may be at risk. Great surgical expertise is required to avoid injury to these organs.

All protective measures were taken to protect the patient from corona during the hospitalisation. The patient has been discharged and is recovering well.

 

 

Tuesday, 11 August 2020

Kashmir, Haryana families swap kidneys to save loved ones

 





















Two families of patients suffering from kidney failure have set a legendary example of love, affection and sacrifice. A team of doctors at Alchemist Hospital, Panchkula, has performed this swap or paired exchange kidney transplant, between a woman who hails from Kashmir and a gentleman from Yamunanagar (Haryana). 

 47 years old Zubaida Bano was suffering from kidney failure for more than two years. She was undergoing regular dialysis at a hospital in Srinagar, Kashmir, however, her condition started deteriorating in the last one year due to the need for regular dialysis. Doctors advised her to undergo a kidney transplant to stay alive. Initially, her husband was willing to donate his kidney to save his wife Zubaida, however, on medical examination, he was found to be unfit for kidney donation. There was no other eligible donor in the family, who was having a matching blood group and could donate kidney to save Zubaida.

 However, Zubaida and her family realized that she is not going to survive very long on dialysis and requires an urgent kidney transplant. Her daughter Ifra Jan, with the help of her maternal uncle, approached Dr. Neeraj Goyal at Alchemist Hospital, Panchkula. Ifra, just a 20-year-old college student, had determined to save her mother.

 On evaluation, she was found to have a blood group that was different from her mother and found to ineligible to donate to her mother. Dr. Neeraj explained, “ A swap (viz a paired exchange) kidney transplant was the best available option for Zubaida according to medical science”. 

At the same time, 33-year-old Ajay Kumar of Yamunanagar also visited Alchemist Hospital. Explaining his painful story, Ajay broke into tears, “ I got a heart attack 2 years back when I was just 31 years old and stenting was performed at PGI, Chandigarh as it was a major heart attack. During treatment for the same, I was told that both of my kidneys had failed due to uncontrolled blood pressure”.

 Few months after cardiac stenting, Ajay was started on regular dialysis, as he started having breathing difficulty due to excess fluid collection in his chest. For the initial few months, he felt better, but soon he started suffering from side effects of regular dialysis. His body started depleting, had significant weight loss and was almost bed-ridden.

 “I had frequent chest pains during dialysis and had repeated attacks of pneumonia due to fluid collection in the chest that required repeated hospitalization. My wife Geeta and I had understood that I can not survive very long on dialysis and require kidney transplant at the earliest,” explained Ajay. 


“When Ajay visited us for the first time, he was in very poor health and was not able to walk properly. As the blood group of his wife, Geeta was different from that of Ajay, they had already visited few hospitals, however, they were denied the transplant,” explained Dr. Ramesh Kumar, Consultant Nephrologist.

“On a detailed analysis of both the patients’ files, it was found that these patients were fit or eligible for the paired exchange kidney transplant, which is a legally and medically viable option. Tissue matching was performed and both the kidneys matched perfectly to the respective donors” explained Dr. Neeraj. After this, a joint session was held between both the families and necessary legal permissions were sought from the respective state authorities of Jammu Kashmir, and Haryana. However, in the meantime, Ajay suffered another attack of chest pain, and coronary angiography revealed another blockage in his heart.

Ajay’s wife Geeta said, “Ifra came to our life like an angel as my husband required an urgent kidney transplant at that time”.  

Dr. Neeraj Goyal successfully performed this swap kidney transplant, the first of its kind in the northern region of Haryana. According to Dr. Neeraj, both these patients were under the expert care of Dr. Ramesh Kumar, Sr. Consultant Nephrology after surgery.

 Dr. Neeraj further explained that “due to Ajay’s underlying heart disease and history of heart attacks his heart was quite week and was not pumping the blood properly. Therefore surgery and anesthesia were quite risky in Ajay. However, under the expert anesthesia care lead by Dr. Akaljot Kaur, Head of the Anesthesia Department, surgery was performed successfully without any complication. Due to his positive approach, and willingness to live again, Ajay recovered very rapidly after the transplant. He was eating normally on the same evening and was out of his bed on the third day of his surgery.” Both these patients are now leading a normal life and trying to come out of the mental trauma they had been through, all this time. 


Huge mass removed from child's neck

  A rare surgery has been performed on an 11 years old girl child with a huge neck mass at Alchemist Hospital. Surgery was performed by Dr. ...