New Delhi:
A 50-year-old man from Mumbai, who suffered from a uncommon situation by which the abdomen bulges into the chest by means of a gap within the diaphragm, underwent a life-saving robot-assisted surgical procedure at a hospital in Delhi, medical doctors mentioned.
The rationale for this situation may be weakening of the muscle wall or a penetrating damage that went undiscovered for months, they mentioned.
The affected person had been affected by a number of episodes of breathlessness and vomiting for the previous month, mentioned Arun Prasad, senior advisor, Surgical Gastroenterology and Bariatric Surgical procedure at Indraprastha Apollo Hospitals in New Delhi.
When his situation deteriorated with extreme chest burn and abdomen ache in mid-July, medical doctors in Mumbai carried out a CT scan which revealed that his abdomen was being pulled into his chest inflicting strain in his lungs, abdomen and coronary heart progressively.
“If surgical intervention was delayed any additional the situation would have worsened into twisting and compromising the blood provide to the abdomen inflicting abdomen gangrene, a life-threatening situation,” Dr Prasad underlined.
The affected person’s household determined to get him handled in Delhi following tele-consultation with Dr Prasad.
After obligatory quarantine for 14 days underneath COVID-19 protocol, the affected person underwent a profitable robot-assisted surgical procedure on August 7, the medical doctors mentioned.
“The situation the place the abdomen will get pulled into the chest is often seen in new child kids as a congenital defect, however is exceedingly uncommon in adults. The explanations may be different like damage within the stomach space, age-related modifications in diaphragm, persistent strain on stomach on account of weight problems or being pregnant in case of girls,” Dr Prasad mentioned.
Abhishek Tewari, advisor, Minimal Entry Surgical procedure at Indraprastha Apollo Hospitals, mentioned the affected person underwent a two hour lengthy robot-assisted surgical procedure the place the abdomen was moved again from the chest cavity to the stomach cavity.
“The affected person responded to the surgical procedure very properly and was discharged on August 10, inside three days of the process,” he mentioned.
Speaking in regards to the surgical procedure, Dr Prasad mentioned, “Via grasp controls for hand actions and precision-guided robotic arms, we have been in a position to manipulate miniature devices and make key hole-sized incision on the affected person”s stomach.
“Via this tiny incision, a small video digicam was inserted that gave us a magnified 3D picture of the working web site,” he mentioned.
Ever for the reason that creation of coronavirus, Abhishek Tewari mentioned individuals have been apprehensive about getting any medical procedures completed for concern of contracting the virus and creating additional problems.
In a state of affairs like this, he mentioned, robot-assisted surgical procedures play an important position as they’re characterised by shorter stays at hospitals, minimal blood loss, practising social distancing (surgeon sits on a console and guides the process through robotic devices), guaranteeing minimal contact between sufferers and workers.
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