HospiNews

Batra Hospital Conducts Path-breaking Surgery

Delhi's Batra Hospital and Medical Research Centre has recently operated on a 37-year-old woman suffering from complex urological problems.

According to Dr PP Singh, Head of Urology Department, Batra Hospital, "The patient came to us with swelling of right half of abdomen following an obstetric operation done elsewhere two weeks back. Investigations revealed that she had lost complete length of the right ureter (tube which transports urine from kidney to bladder) following the obstetric surgery. She also had poorly functioning left kidney due to stone inside it. The problem in front of us was to bridge the 25 cm gap from right kidney to urinary bladder, failure to do that would have amounted loss of right kidney."

This problem was discussed with the patient and her family members. She first underwent a bypass procedure which involved putting a tube inside her right kidney (nephrostomy) to drain urine from right kidney for its revival. The next step was to bridge the gap. With preoperative consent, that one might have to remove the right kidney which might lead to dialysis or kidney transplant in future, she was taken up for reconstruction of right ureter. She was taken up for surgery wherein 15 cm gap was bridged by auto transplanting right kidney i.e, the right kidney removed from its native site (right back) and placed it in right lower part of abdomen.

The remaining 10 cm gap was bridged by reconstructing ureter with a flap from urinary bladder. This flap was joined directly to the kidney/renal pelvis. This patient has made a successful recovery and right kidney has been saved which was extremely important especially in view of pre-existing stone disease in left kidney. "This has been an extremely rare and successful operation. Till date, only two such cases have been reported from all over the world," said Dr Singh.

EH News Bureau