VADODARA/ ANAND: A six-month-old child suffering from a rare respiratory dysfunction has gained a new lease of lifestyles after effectively undergoing hybrid lung isolation and thoracic surgery.
According to doctors at Karamsad-based Shree Krishna Hospital, it's first such reported case in an toddler within the nation.
The child - Burhanuddin Lokhandwala - from Khambhat taluka of Anand had the rare respiratory dysfunction in which air enters lungs but cannot escape, causing over-inflation (hyperinflation) of the lobes of the lung.
Burhanuddin used to be admitted within the paediatric division with bitch of fever and chilly. After paediatrician Dr Jigar Thacker examined the child, it used to be confirmed that the child used to be suffering from congenital lobar emphysema.
“We performed proper center lobectomy and the child’s proper lung used to be expanded post-surgery. After the operation, there used to be no visual air leak. We planned ventilation strategy bearing in mind the child's age. We performed left lung ventilation, robotically separating the 2 lungs to allow ventilation of just one lung while the other lung used to be compressed. We additionally performed ventilation part of proper upper lobe with proper decrease lung isolation,” said Dr Vishal Bhende, paediatric cardio-thoracic surgeon at the Bhanubhai and Madhuben Patel Cardiac Centre of the hospital.
“The child additionally had congenital center illness. He used to be earlier operated when he used to be 3 months outdated for a hollow within the center which led to extra blood being pumped from the body artery into the lung (pulmonary) arteries,” said Bhende.
For this advanced surgery, Ahmedabad-based airway knowledgeable Dr Amit Chitaliya, who is considered pioneer of bronchoscopy in Gujarat, especially in infants, used to be called.
Chitaliya used an leading edge method to go thin fogarty catheter (specialized balloon catheter).
“Looking at the child's condition and his medical historical past, it used to be tough and risky to go scope with out using any anaesthesia. So, we determined to proceed under native anaesthesia with minimum sedation. The whole procedure of obstructing proper intermediate bronchus with three french fogarty balloon used to be completed,” he said.
Eventually, Bhende performed the surgery after getting cardiac clearance from paediatric cardiologist Dr Bhadra Trivedi. “Such kind of supreme hybrid bronchoscopy with therapeutic balloon placement in a small baby in not reported in Indian literature,” the doctors said.
The surgery used to be performed free of price because the toddler’s family used to be covered under Mukhyamatri Amrutum yojana.
According to doctors at Karamsad-based Shree Krishna Hospital, it's first such reported case in an toddler within the nation.
The child - Burhanuddin Lokhandwala - from Khambhat taluka of Anand had the rare respiratory dysfunction in which air enters lungs but cannot escape, causing over-inflation (hyperinflation) of the lobes of the lung.
Burhanuddin used to be admitted within the paediatric division with bitch of fever and chilly. After paediatrician Dr Jigar Thacker examined the child, it used to be confirmed that the child used to be suffering from congenital lobar emphysema.
“We performed proper center lobectomy and the child’s proper lung used to be expanded post-surgery. After the operation, there used to be no visual air leak. We planned ventilation strategy bearing in mind the child's age. We performed left lung ventilation, robotically separating the 2 lungs to allow ventilation of just one lung while the other lung used to be compressed. We additionally performed ventilation part of proper upper lobe with proper decrease lung isolation,” said Dr Vishal Bhende, paediatric cardio-thoracic surgeon at the Bhanubhai and Madhuben Patel Cardiac Centre of the hospital.
“The child additionally had congenital center illness. He used to be earlier operated when he used to be 3 months outdated for a hollow within the center which led to extra blood being pumped from the body artery into the lung (pulmonary) arteries,” said Bhende.
For this advanced surgery, Ahmedabad-based airway knowledgeable Dr Amit Chitaliya, who is considered pioneer of bronchoscopy in Gujarat, especially in infants, used to be called.
Chitaliya used an leading edge method to go thin fogarty catheter (specialized balloon catheter).
“Looking at the child's condition and his medical historical past, it used to be tough and risky to go scope with out using any anaesthesia. So, we determined to proceed under native anaesthesia with minimum sedation. The whole procedure of obstructing proper intermediate bronchus with three french fogarty balloon used to be completed,” he said.
Eventually, Bhende performed the surgery after getting cardiac clearance from paediatric cardiologist Dr Bhadra Trivedi. “Such kind of supreme hybrid bronchoscopy with therapeutic balloon placement in a small baby in not reported in Indian literature,” the doctors said.
The surgery used to be performed free of price because the toddler’s family used to be covered under Mukhyamatri Amrutum yojana.
Gujarat: Rare lung surgery gives life to six-month-old
![Gujarat: Rare lung surgery gives life to six-month-old]()
Reviewed by Kailash
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April 18, 2019
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