STATE TIMES NEWSJAMMU: Adding one more feather in its hat, team of doctors in Maxlyfe Hospital successfully conducted a very rare hernia surgery over a 72-year old male patient, who was a chronic smoker with heart disease and has been on pacemaker since years.In a press statement issued here, the rare surgery was performed over Sham Lal, a resident of Nagrota on September 1, 2020. The patient has developed huge swelling over right inguino-scrotal region causing him unbearable distress and has been moving from one surgeon to another for getting operated, but nobody dared to take-up the case because of very high risk of anaesthesia due to associated co-morbidities of hypertension and heart disease. Finally, the patient consulted Senior Surgeon, Dr Rajive Gupta at Maxlyfe Hospital, Bathindi, who first got his COVID-19 test done and then took up the challenge to operate him after getting cardiologist consultations by Dr Sushil Sharma.To avoid complications of general and spinal anaesthesia in patient, Dr Rajive Gupta preferred to operate him under regional anaesthesia using 2 percent lidocaine infiltration along with intravenous sedation with help of Senior Anaesthetist Dr Rakesh Anand and OT Assistant Yoginder Kumar.An adequate sized Proline mesh of standard Ethicon was placed over the large hernial defect to avoid recurrence of disease.As instructed by cardiologist, special precaution was taken to avoid usage of diathermy cautery throughout the surgery (which is normally used to control bleeding during routine operations) to be on safer side because pacemaker settings get disturbed by electric current produced by diathermy. During operation, it was found that along with intestines, the hernia had vermiform appendix as its content and such type of hernia is termed as Amyand hernia, which is a very rare entity accounting for less than 1 per cent. The operation took 50 minutes and patient was discharged from hospital next morning after 12 hours in a stable condition with instructions to avoid kicking, jumping, cycling, running, weight-lifting and strenuous physical activity besides taking prescribed medicines.Medical Director of Maxlyfe hospital, Dr Dushyant Choudhary said, “Many complicated cases are being operated in the hospital by eminent surgeons of the city and aforesaid patient was in a great need of surgery or he would have developed strangulation of gut and septicemia and multiple organ failure and could have died, if not operated. All credit goes to Dr Rajive Gupta who has applied his skill, technique and life time knowledge to successfully operate on the patient.”
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