VADODARA/ ANAND: A six-month-old child affected by a rare respiratory dysfunction has gained a brand new rent of lifestyles after successfully present process hybrid lung isolation and thoracic surgical procedure.
According to docs at Karamsad-based Shree Krishna Hospital, it's first such reported case in an infant within the country.
The child - Burhanuddin Lokhandwala - from Khambhat taluka of Anand had the rare respiratory dysfunction during which air enters lungs however cannot get away, inflicting over-inflation (hyperinflation) of the lobes of the lung.
Burhanuddin was once admitted within the paediatric division with complain of fever and cold. After paediatrician Dr Jigar Thacker examined the kid, it was once confirmed that the kid was once affected by congenital lobar emphysema.
“We carried out proper middle lobectomy and the kid’s proper lung was once expanded post-surgery. After the operation, there was once no visual air leak. We planned air flow strategy taking into consideration the kid's age. We carried out left lung air flow, routinely separating the two lungs to allow air flow of only one lung while the other lung was once compressed. We additionally carried out air flow part of proper upper lobe with proper lower lung isolation,” mentioned Dr Vishal Bhende, paediatric cardio-thoracic surgeon on the Bhanubhai and Madhuben Patel Cardiac Centre of the hospital.
“The child additionally had congenital center illness. He was once earlier operated when he was once three months previous for a hole within the center which ended in further blood being pumped from the frame artery into the lung (pulmonary) arteries,” mentioned Bhende.
For this complex surgical procedure, Ahmedabad-based airway skilled Dr Amit Chitaliya, who is thought of as pioneer of bronchoscopy in Gujarat, particularly in babies, was once called.
Chitaliya used an innovative approach to go thin fogarty catheter (specialized balloon catheter).
“Looking on the child's condition and his clinical history, it was once tricky and risky to go scope with out the usage of any anaesthesia. So, we made up our minds to proceed below native anaesthesia with minimum sedation. The whole procedure of obstructing proper intermediate bronchus with three french fogarty balloon was once completed,” he mentioned.
Eventually, Bhende carried out the surgical procedure upon getting cardiac clearance from paediatric cardiologist Dr Bhadra Trivedi. “Such kind of ideally suited hybrid bronchoscopy with healing balloon placement in a small baby in now not reported in Indian literature,” the docs mentioned.
The surgical procedure was once carried out freed from price for the reason that infant’s circle of relatives was once coated below Mukhyamatri Amrutum yojana.
According to docs at Karamsad-based Shree Krishna Hospital, it's first such reported case in an infant within the country.
The child - Burhanuddin Lokhandwala - from Khambhat taluka of Anand had the rare respiratory dysfunction during which air enters lungs however cannot get away, inflicting over-inflation (hyperinflation) of the lobes of the lung.
Burhanuddin was once admitted within the paediatric division with complain of fever and cold. After paediatrician Dr Jigar Thacker examined the kid, it was once confirmed that the kid was once affected by congenital lobar emphysema.
“We carried out proper middle lobectomy and the kid’s proper lung was once expanded post-surgery. After the operation, there was once no visual air leak. We planned air flow strategy taking into consideration the kid's age. We carried out left lung air flow, routinely separating the two lungs to allow air flow of only one lung while the other lung was once compressed. We additionally carried out air flow part of proper upper lobe with proper lower lung isolation,” mentioned Dr Vishal Bhende, paediatric cardio-thoracic surgeon on the Bhanubhai and Madhuben Patel Cardiac Centre of the hospital.
“The child additionally had congenital center illness. He was once earlier operated when he was once three months previous for a hole within the center which ended in further blood being pumped from the frame artery into the lung (pulmonary) arteries,” mentioned Bhende.
For this complex surgical procedure, Ahmedabad-based airway skilled Dr Amit Chitaliya, who is thought of as pioneer of bronchoscopy in Gujarat, particularly in babies, was once called.
Chitaliya used an innovative approach to go thin fogarty catheter (specialized balloon catheter).
“Looking on the child's condition and his clinical history, it was once tricky and risky to go scope with out the usage of any anaesthesia. So, we made up our minds to proceed below native anaesthesia with minimum sedation. The whole procedure of obstructing proper intermediate bronchus with three french fogarty balloon was once completed,” he mentioned.
Eventually, Bhende carried out the surgical procedure upon getting cardiac clearance from paediatric cardiologist Dr Bhadra Trivedi. “Such kind of ideally suited hybrid bronchoscopy with healing balloon placement in a small baby in now not reported in Indian literature,” the docs mentioned.
The surgical procedure was once carried out freed from price for the reason that infant’s circle of relatives was once coated below Mukhyamatri Amrutum yojana.
Guj: Rare lung surgery gives life to 6-mth-old
![Guj: Rare lung surgery gives life to 6-mth-old]()
Reviewed by Kailash
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April 18, 2019
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