Rare Laparoscopic Surgery Performed at CMC

Wed, Mar 6, 2013 at 11:59 AM 
A 3 year old Girl Child was suffering from pain

Ludhiana, 6th March, 2013:(Shalu Arora and Rector Kathuria):A 3 year old girl child, daughter of a labourer was suffering, with continuous pain in the lower abdomen and urinary infection for past threemonths. She was referred tothe Department of Paediatric Surgery CMC and Hospital Ludhiana for further management. Investigations revealed that there was a 2.5 cms. long and 1.5 cms. thick,stone which was completely  obstructing the flow of urine from left kidney to urinary bladder and causing urinary infection and abdominal pain. Since there was no free flow of urine from kidney, there wasswelling and deterioration of kidney function with continuous abdominal pain.

Dr William Bhatti Professor &Head, Department of Paediatric Surgery and his teamdoctors, Dr N Bedi, Dr A Gupta and Dr S Dhuria, successfully performed laparoscopic removal of stone from the ureter. Theparents are happy as their daughter does not have a big operative scar on her abdomen and she ispain free because of the laparoscopic surgery. This type of operation, where the impacted stone at lower ureterovesical junction in a 3 year old child,was removed by laparoscopic operationis the first to be performed in India. So far this type of surgery has been done by open procedures which results in long scar marks and prolongedhospital stay. In laparoscopic surgery,the child will have 2-3 tiny scars of 5mm on their abdomen, with  less pain and shorter hospital stay as compared to open surgeries.

Dr William Bhatti further mentioned that presence of stones in urinary system is a common problem in children and it can be managed safely with laparoscopic operations. Parents should not ignore if their child complains of continuous abdominal pain and paediatric surgeons should be consulted immediately to prevent further complications.

...And 20 year old got a new life

CMC Heart surgeons breathe life into hopeless case 

In a happy mood Ramandeep with Dr Harinder Singh Bedi and faculty of CTVS department of CMC & H

Ludhiana, 11th August, 2012: (Shalu Arora and Rector Kathuria):
Mr Ramandeep Singh - the 20 year old son of Mr Sohan Singh of Ludhiana   - had a massive accident while driving a scooter. A large piece of bamboo fence went through into his body from his left neck into his right chest. He was transferred to the Christian Medical College and Hospital from a local hospital. Here he was seen by Dr Harinder Singh Bedi – Head of Cardio Vascular & Thoracic Surgery. Mr Ramandeep was in shock and very unstable. He had lost about 3 litres of blood in his right chest and was not able to breathe. He was taken for emergency surgery. The bleeding was found to be a torrential one which could not be adequately controlled because the right lung was solidified due to the injury and was interfering with the exposure. So a rapid decision was made to stop the lungs by putting the patient on a special heart lung machine. Dr Bedi explained that in this rarest of rare cases the only option was to stop the lungs and the only way to do this was to use a sophisticated heart lung machine which takes over the function of the lungs (the machine has a special area through which oxygen is pumped in and purifies the blood just as a normal lung would). The massive bleeder was identified as a complete transection of the origin of the subclavian artery. The torrential blood coming out of this tear was pumped back into the patient. The tear was now controlled and an imported graft used to restore continuity so that the right hand of   would be saved.
Even after the surgery the right lung continued to be non functional due to the massive trauma. So a special method of ventilation called independent lung ventilation was carried out. Here the left and right lungs were separately ventilated with 2 machines, made a slow but complete recovery.
The intricate respiratory care was done under the supervision of the cardiac anesthetists Dr S Garg and Dr Melchi. The other members of the team are Dr A Joseph, Dr Anish Verghese, Dr Pratap, Dr Meenu, Dr Ashwin, and Dr Nina. The heart lung machine was handled by Mr Jairus Wilson and Mr William Prem Sagar aided by Mr Mathew.
Dr AG Thomas – Director of CMC & H – said that it was the quick thinking on the part of the surgical team which was instrumental in saving Ramandeep   . He reiterated the commitment of the CMC & H to serve the people of the community with the highest level of care and expertise.

A new success by Dr. H S Bedi at CMC Ludhiana

Rare major open heart surgery saves  a new life
Ludhiana, 16th July, 2012 (Shalu Arora and Rector Kathuria)

Mr Vikas Masih – a   35 year old teacher – was in a very serious condition. He had developed a large blood clot in his lungs – a condition called massive pulmonary embolism – due to which he was not able to breathe. He was referred to Dr Harinder Singh Bedi – Head of Cardio Vascular Endovascular & Thoracic Surgery at the Christian Medical College & Hospital, Ludhiana. On examination and investigation Dr Bedi realized that Mr Vikas was in imminent danger of death as his oxygen levels were dangerously low. This was damaging his brain and kidneys.
He had already been put on maximal medical therapy including the latest blood thinners at another hospital – but they did not work. The only option to save his life now was a major and rare open heart surgery called pulmonary thrombo-endarterectomy. Dr Bedi said that the surgery is done on a heart lung machine but additionally for a short period of time the circulation even through the heart lung machine has to be stopped. This is called circulatory arrest and is like totally stopping the heart and the lungs - both the natural and artificial ones.
Dr Bedi explained that this is because otherwise the blockage in the lungs cannot be seen clearly. During the tense 10 minutes while the patient was ‘clinically dead’ - on no circulation at all – his lungs were totally cleared of all the deadly clot. Dr Bedi is a pioneer in this field and in fact has trained in this rare surgery at the St Vincents Hospital in Sydney. However this was a very challenging case as Vikas is very young and this extent of disease was unexpected.
The other members of the Heart team are Dr A Joseph, Dr Sheetal Garg, Dr Melchi, Dr Paul, Dr Reenus ,  Dr Dinesh, Dr Pratap, Dr William, Dr Pearl,  Dr Savan, Dr Meenu, DR Nina and Dr Ashwin  . The heart lung machine was manned by Mr Jairus and Mr William – who are the senior most perfusionists of Punjab – along with Mr Mathew.
Dr Abraham G Thomas – Director of CMC & H – said that the CMC was committed to bringing the latest technology to Punjab so that the people of this area were given the best possible therapy.