Excelsior Correspondent
JAMMU, Sept 2: A very rare Hernia surgery was conducted at Maxlyfe hospital Jammu on Sham Lal, a 72 years old man of Nagrota who is a chronic smoker with heart disease and has been on pacemaker for non functioning heart since many years.
This patient has developed a huge swelling over the right inguino-scrotal region causing him unbearable distress and has been moving from one surgeon to the other in Government as well as private set up for getting operated, but nobody dared to take up this case because of very high risk of anaesthesia due to associated co- morbidities.
Finally, the patient consulted the senior surgeon of the town, Dr Rajive Gupta at Maxlyfe Hospital, Bathindi, who took the challenge to operate him and relieve his misery since years after getting cardiologist consultation by Dr Sushil Sharma.
To avoid the complications of general and spinal anaesthesia in this patient, Dr Rajive Gupta preferred to operate him under regional anaesthesia using 2 percent lidocaine infiltration along with intravenous sedation with the help of senior anaesthetist Dr Rakesh Anand and OT assistant Yoginder Kumar.
As instructed by the 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 the electric current produced by the diathermy.
During operation, it was found that along with the intestines, this 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 percent.
According to medical director of the Maxlyfe Hospital, Dr Dushyant Choudhary, many complicated cases are being operated in this hospital by the eminent surgeons of the city and this 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.
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