Adding another feather to its cap, the work of six doctors from the state-run JJ Hospital has been selected best among 500 laparoscopy surgery entries received across the world by the prestigious Soci
Adding another feather to its cap, the work of six doctors from the state-run JJ Hospital has been selected best among 500 laparoscopy surgery entries received across the world by the prestigious Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 2016.
A year ago, doctors from the hospital operated upon a 27-year-old patient Bambam Mandal with his entire stomach, spleen, and intestines in heart cavity. There were only four other cases worldwide in which surgery was conducted but all of them used the open approach. In this case, the doctors opted for laparoscopy and the patient was discharged on the fourth day after the operation.
Doctors made six holes — three in the lung region and three in abdomen region to insert the laparoscropic devices. “It was a challenging three-hourlong surgery. We are proud that it got selected as the best among 500 entries and received a scholarship grant of $2,000 as an appreciation,” said Dr Ajay Bhandarwar, professor, JJ Hospital's surgery department. The other doctors in the team who received the award in Boston early this month were Dr Saurabh Gandhi, Dr Amol Wagh, Dr Chintan Patel, Dr Pravin Tungewar and Dr Samarth Agarwal. “This case was a life-threatening condition and hence, early diagnosis and specific management decision was imperative,” said Mr Wagh.
JJ Hospital remains the only public hospital that offers laparoscopy surgery in emergency cases.
“In this case, the chest X-Ray showed presence of gastric bubble. CT scan and other investigations revealed that Mandal was one of the few cases in the world suffering from Bochdalek hernia. So far, the medical literature shows only 173 such cases. Most of them do not get diagnosed on time and is found out only during post mortem,” said Mr Patel.
Explaining the defect, Mr Wagh said that Bochdalek's hernia results from failure of normal development of the diaphragm. “The CT scan of the patient showed a 6.8-cm opening in the diaphragm because of which these organs over a period of time, entered the chest cavity compressing the lung. It also led to displacing the heart towards the right side. The stomach had twisted, leading to vomiting,” said Dr Wagh.
