3-yr-old kid undergoes lifesaving surgery at NHMMI Hospital

Source: The Hitavada      Date: 11 Nov 2017 11:22:48

Staff Reporter,


Nov 10,

Parents of this 3-year-old kid had no idea that the abdominal pain and recurrent loose motions that their child was having could be the result of a complex condition, which had seemingly gone unnoticed at several hospitals the parents had been to before finally being referred to NHMMI Narayana Multi-specialty Hospital.

Upon thorough investigations, Dr Varun Sharma, Consultant Urologist and Kidney Transplant Surgeon at NHMMI Narayana Multi-specialty Hospital found that the boy’s left kidney was enlarged like a balloon and not functioning at all. The boy had extreme distension in his abdomen and heaviness. He was evaluated and found to have a non functioning left kidney which was occupying almost whole of his abdomen and all other organs were pushed towards right side. Right kidney was normal. It was found that there was an obstruction in his left kidney at the junction of renal pelvis (a funnel-like structure in the kidney) and ureter (a tube-like structure) which transfers urine from kidney to bladder. Due to this obstruction, the kidney became non-functional and was occupying almost his entire abdomen and pushing all other organs towards the right side. This condition is mostly by birth. The challenge was that, there was not enough space in the abdominal cavity. The surgery was performed successfully laparoscopically.

Since the kidney had already become non-functional and was affecting other organs, it was not possible to remove the obstruction and save the kidney. The kidney needed to be removed through a process called nephrectomy. Traditionally, in nephrectomy a large incision is made in the abdomen, the kidney is removed, and the attached blood vessels are sealed. This surgery leaves a large scar and the patient must stay for a longer duration at the hospital and take several painkillers. Considering that the boy was only three years of age and given the limitations of the traditional method, Dr Sharma decided to perform the procedure through laparoscopic surgery in which only 3-4 small holes are made in the abdomen and the surgery is performed through special equipment using a camera.

“The laparoscopic surgery has many advantages for the patients like smaller incision, early recovery, less blood loss etc; but it is equally challenging for the surgeon because the surgeon has to access the internal organs through few tiny holes only and he has to look at the organs through a camera instead of a direct view” said Dr Varun Sharma, explaining about the complexity of the case. “Such types of surgeries require special equipment, training and skills. In this case the biggest challenge was that there was not enough space in the abdominal cavity to maneuver the instruments,” he added. The surgery was completed successfully, and the boy is recovering well.