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. 


Sunday, 3 May 2020

Couple Discharge from Alchemist Hospital after Defeating COVID-19


Panchkula, April 30: Amidst rising cases of Covid-19 in tricity, here is a good news from Panchkula on Thursday as husband and wife who was tested positive for COVID-19 and was hospitalised in Alchemist Hospital, Panchkula has been recovered.
Residents of Sector 15, Panchkula, Sonia Mahajan (44) was admitted on April 15 followed by her husband, Ajay Mahajan (48) on April 16 both have been discharged from Alchemist Hospital, on Thursday
During hospitalisation Ajay’s condition was stable but Sonia was having breathing problem and was given oxygen intermittently.
They were treated under the observations of Dr Suneet Kumar, Senior Consultant Internal Medicine and Dr Achint Narang, Senior Consultant and incharge Critical Care at Alchemist Hospital, Panchkula.  
The two test reports came negative. Now both would be home quarantined for 14-days and would keep updating about their health on Aarogya Setu App.
The couple thanked doctors and nursing staff of Alchemist Hospital for their compassionate care and helping them defeat Covid-19. They said that one should report if he or she suffers from any symptoms of Covid-19. One should not fear and come forward to treat the virus that can be defeated with a health expert’s guidance and a strong will power to recover from it.   
Alchemist Hospital came forward to cater to Covid-19 patients in Panchkula. There are 23 beds in newly set up Covid-19 ward with a team of 32 staff including Doctors, RMOs, nursing staff, Housekeeping and helpers  respectively. The hospital deputed 4 ventilators for Covid ward to tackle the emergency cases.
Dr Suneet Kumar said that we as a society need to understand this illness and fight back in a scientific way. There is a lot of scare in people’s minds- we just need to come out of it.
Dr Achint Narang advised that everyone in society should follow Physical Distancing, frequent hand washing, Namaste (not handshake) and to use a face mask while going outside. We just need to accept it. Let's be more positive and definitely, we will win the battle.

Wednesday, 5 February 2020

HPV vaccine can significantly reduce the risk of cervical cancer


Women usually ignore their health issues due to their busy schedule but sometimes this ignorance creates big problems for their health. One of the most common health problem in women is cervical cancer. It occurs most commonly in women above the age of 30 years. Mostly the disease gets diagnosed at a very late stage because of a lack of awareness especially amongst the rural population. In India Cervical cancer is the second most common malignancy in females. The main cause of cervical cancer is a long-lasting infection of certain types of human papillomavirus (HPV).

Dr Aparna Sharma Sr. Consultant, Obstetrics & Gynaecology Alchemist Hospital said that cervical cancer is the biggest cause of death in women. Risk increases with age. Screening of cancer of the cervix is done by a cervical pap smear. Colposcopy and biopsy help in diagnosis. If diagnosed early, the patient has a good survival rate.

Dr. Ibha Sr. Consultant, Obstetrics & Gynaecology Alchemist Hospital said that cervical cancer is one of cancer that is preventable. Dr. Ibha said that there are four preventable measures for cervical cancer i.e screening, vaccination, avoid smoking and safe sex. Regular screening helps to find abnormal changes in the cells of the cervix at the earliest stage. Screening includes the PAP test and the HPV test.
She added that screening is not 100% accurate, so women should report symptoms such as unusual vaginal bleeding or discharge and pelvic pain. The second preventive measure is vaccination. HPV vaccination can significantly reduce the risk of cervical cancer. HPV vaccination protects against HPV Type 16 and 18, the two Types that causes more than 80% of cervical carcinoma cases. She said that two doses of HPV vaccines should be given to all girls at the age of 11 to 12years, over six months. It can be given as early as 9 years of age. If the girl age is 15 and above than three doses should be given. Women can still get the vaccine until they are 45 years. She emphasized that it is important to attend or get your cervical screening test even if you have been vaccinated for HPV.

Dr Kanwarneet Singh Consultant Surgical Oncology told that Carcinoma cervix is the second most common cancer in women in India. Women in India present in late stages due to sense of shame and taboo attached with these cancers, which makes treatment difficult. Cervical cancer is one of the preventable cancer. Prevention can be vaccination of young females against HPV, screening and treatment of precancerous lesions and education about sexual health.
Cervical cancer is cancer that starts in the neck of the womb (the cervix).
Cervical cancer is when abnormal cells in the lining of the cervix grow in an uncontrolled way and eventually form a growth (tumour). Cervical cancer usually affects women between 30 and 50, but younger women are also at risk.

Tuesday, 21 January 2020

Alchemist doctor removed 8.6 kg fibroid from woman's uterus


In a challenging surgery, the Alchemist doctor removed an 8.6 kg fibroid from the uterus of a woman. Dr. Aparna Sharma, Sr. Consultant, obstetrics & gynecology and Dr. Harsh Garg, General Surgeon Alchemist Hospital Panchkula with the team has performed the surgery.
The patient came to the hospital with a complaint of pain abdomen with gaseous distension. Ultrasound revealed large fibroid in the uterus.
Dr. Aparna told that fibroids commonly occur in the women of reproductive age and these fibroids are a type of benign, or noncancerous, tumor of the uterus. These fibroids can be small or grow so big that they form a bulky mass that can enlarge the uterus.
 Hysterectomy has been done. The patient discharged in stable condition.

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 b...