Rare Surgery In Indore: 10-inch Tumor Removed After 5 Hours of Operation
A 45-year-old man's kidney was successfully operated on for a tumor measuring 18X16 cm in a hospital in Indore. Doctors claim that so far only 8 such cases have been reported in the world. The special thing is that due to the dangers associated with the operation, the surgeons of Ujjain and Baroda had also refused to operate on this patient. After the operation, the patient is now completely healthy.
Dr. Ravi Nagar, Senior Urologist and Transplant Surgeon of Medanta Hospital said that a few days ago a patient named Peeplyataha, a resident of Padmasingh, came to him with arthritis (Ujjain). Earlier, he had got his treatment done in Ujjain and Baroda, and in view of his problem, he was advised for operation, but due to the deteriorating health of the patient before the operation, he was discharged without operation. For two-three months, he suffered from sudden rapid heartbeat, sweating, heart pain, and increased blood pressure. Along with this, the seizures of unconsciousness also started coming.
Blood pressure from 200 to 250, fainted on the table in Ujjain-Vadodara
When doctors in Ujjain got her sonography done, it came to know that she has a huge lump of 18X20 cm near her kidney. Then in the CT scan, it was found that this lump is of the adrenal gland. This gland is recognized for any person's steroid hormones, which control blood pressure in the body as well as release other hormones.
The doctors advised the patient to have an operation. The patient was admitted to the hospital for several days for the operation, but his blood pressure remained high from 200 to 250, along with fainting attacks continued. Because of this, his operation was refused. After this, the patient was taken to a specialist in Vadodara and admitted for the operation, but even there he fainted on the table before the operation, due to which he was discharged without operation.
The surgery lasted for five hours
After some time that patient came in contact with Urologist Dr. Ravi Nagar at Medanta Hospital, where he got some important tests done. In this, it was found that the patient had pheochromocytoma, for which a separate team was formed for the treatment. Hormone specialist Dr. Tanmay Bharani and Heart specialist Dr. AD Bhatnagar were also included in this. The patient was admitted to the hospital for seven days and then given the medicine to control hormones and blood pressure by keeping it at home for seven days. Dr. Nagar told that the operation of the patient was high risk, the patient was falling unconscious again and again. As soon as this bundle of hormones was touched, there was a possibility of increasing blood pressure and heartbeat.
There was also a risk of very low blood pressure, heart attack, and brain hemorrhage after removing the lump. In such circumstances, his life was in danger. The patient's surgery lasted for five hours as his blood pressure was being controlled repeatedly during this visit. Ultimately its operation was successful. He has been discharged after being kept in the hospital for five days.
Surviving Survival With Higher Risk
According to Dr. Tanmay Bharani, so far only 7 to 8 cases of such a large joint pheochromocytoma lump have been seen in the world. Despite so many symptoms, the survival of the patient is surprising in itself, because in most cases this problem does not remain inactive form. The medical director of the hospital, Dr. Sandeep Srivastava said that the treatment of this type of complex surgery is possible only with the coordination of a skilled team. The operation and post-operative care team was supported by anesthetist Dr. Mayank Masand and the team.
What is Pheochromocytoma
Pheochromocytoma is a rare disease of the adrenal glands in which neuroendocrine lumps (tumors) begin to form. This disease causes excessive secretion of catecholamines and excess release of adrenaline (epinephrine) and noradrenaline (norepinephrine) from the adrenal glands, which can often lead to high blood pressure in the obstructive arteries. Pheochromocytoma can be fatal if it causes chronic high blood pressure or severe high blood pressure.
This high blood pressure cannot be controlled properly with standard blood pressure medicines. Not all of the listed signs and symptoms are seen in all patients. Symptoms include headache, excessive sweating, and rapid heartbeat, accompanied by silent heart attacks within an hour. Tumors can grow to be very large, but most tumors are smaller than 10 cm.
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