Excelsior Correspondent
REASI, May 19: Shri Mata Vaishno Devi Narayana Super Speciality Hospital gave a new lease of life to an 83-year old man suffering from perforation of gall bladder, a rare and life threatening complication related to gallstones with high morbidity and mortality due to delayed diagnosis.
The patient was saved using minimally invasive procedures comprising of Image guided drainage followed by Laparoscopic adhesiolysis and cholecystectomy.
Hailing from Srinagar, 83-year-old Abdul Rashid Khan was admitted at a hospital in Jammu as he was complaining of abdomen pain and vomiting. He was diagnosed with a perforation of gall bladder and was advised Exploratory Laparotomy, a major abdominal surgery requiring opening of abdomen.
As the family wanted to have a second opinion they shifted him to Shri Mata Vaishno Devi Narayana Super Speciality Hospital for further management. On admission the patient was evaluated by Dr Suhail Khuroo, Senior Consultant Surgical Gastroenterology and Minimal Access Surgery and team. The conventional treatment modality for the condition is Laparotomy but owing to Abdul Rashid’s age the team of doctors felt performing a major surgery can be a high risk one so they planned for minimally invasive treatment.
In this treatment, first the patient was subjected to CT guided percutaneous drainage of bilious fluid under the aegis of radiology team comprising of Dr Geetanjali Gupta, Dr Avinash Razdan and Dr Ishmeet Kaur and the once the patient recovered, Dr Khuroo performed Laparoscopic Adhesiolysis with Cholecystectomy. The surgery was successful and patient was discharged in stable condition thus avoiding a big scar and prolonged hospital stay.
Referring to the case, Dr Khuroo said, “CT or USG guided drainage avoids the need for laparotomies (Opening up abdomen surgically) thereby leads to lesser morbidity and faster recoveries. In fact, this treatment modality is best suited for high risk patients like Abdul Rashid.”
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