New Delhi, August 22
A 50-kg tumour, which was half the body weight of the affected person, has been faraway from her ovary at a metropolis hospital right here, with the docs claiming it to be the biggest of its variety to be operated on this planet.
The 52-year-old New Delhi resident was gaining weight for the previous couple of months and weighed 106 kg.
She lately began having problem in respiration, acute ache in her decrease stomach and consequently downside in strolling and sleeping, Dr Arun Prasad, senior marketing consultant, Surgical Gastroenterology and Bariatric Surgery at Indraprastha Apollo Hospitals mentioned.
With speedy weight acquire and rising issues, the household consulted an area surgeon, who then referred the affected person to the hospital.
“Upon investigation, it was revealed that the girl had an enormous, progressively increasing tumour in her ovary and this was placing stress on her gut (intestinal adhesions) inflicting acute abdomen ache and lack of ability to digest meals,” Dr Prasad mentioned.
“Additionally, her haemoglobin level dropped to six, causing severe anaemia.”
In a three-and-half hour surgical procedure on August 18, a crew of surgeons extracted the 50-kg tumour from the ovary.
Elaborating on the case, Dr Prasad mentioned, “In over 30 years of my experience as a surgeon I have never come across a case where the tumour weighed almost half the person’s body weight. Previously, the largest case was in 2017 from Coimbatore where a lady was operated for a 34-kg tumour in her ovary”.
“Extraction of a 50-kg tumour was a challenge for the team. More so because the patient had exceptionally low haemoglobin and had to undergo in total six units of blood transfusion before, during and after the procedure,” he mentioned.
This process was an ideal instance of how necessary it’s to grasp the normal strategies of surgical procedure whereas evolving with new minimal entry procedures, the physician mentioned.
“Here, there was no area within the stomach for insertion of apparatus through laparoscopy or robot-assisted strategies, therefore we needed to resort to conventional strategies of surgical procedure.
“With the combined effort of experts from the gastroenterology, gynaecology and anesthesiology teams, the extraction was done successfully,” Dr Prasad defined.
A key surgeon within the case Dr Abhishek Tewari mentioned the affected person was admitted with complaints of abdomen ache, respiration stress and apparent weight acquire.
She was suggested fast surgical procedure else the tumour would have grown exponentially and brought about stress on different organs resulting in potential organ failure.
“Fortunately, the tumour was benign and the patient had no co-morbidities, which enabled a faster recovery. Post-surgery her weight dropped to 56 kg,” Dr Tewari mentioned.
Dr Geeta Chadha, senior marketing consultant, Gynecology and Obstetrics on the hospital mentioned there is no such thing as a confirmed cause for the emergence of a tumour within the ovary, however it could occur in the course of the formation of the cells in a human physique.
As the first-ever case of a 50-kg tumour within the ovary, this was a difficult process. Due to the large tumour, the intestinal tract was compressed and flattened which was placing stress on the intestine resulting in a danger of rupture within the ovary, Dr Chadha mentioned.
“The surgery had to be done with utmost precision, keeping in mind seamless extraction of the tumour and simultaneously ensuring no harm is caused to the ovary or the gut. Post-surgery the patient showed tremendous recovery and is set to be discharged on Saturday evening,” she mentioned. PTI