Sagaya Fernando Mumbai: 6 November 22 A team of doctors at Apollo Multispecialty hospital in Triuchirappalli, Tamil Nadu, India, saved the life of a 33-years-old man whose neck was pierced through by a feet long iron rod. Karthikeyan, a resident of Ariyamangalam in the city, was watering the concrete slabs on the first floor of his under-construction house when he accidentally slipped and fell 15 to 20 feet down, on October 15. As he fell, a 5 feet long iron rod with serrated edges pierced through his neck and came out from the back. “Within fifteen minutes of the mishap, his relatives rushed him to our hospital which is in close vicinity,” informed Apollo Multispecialty Hospital, Triuchirappalli, Consultant General, Laparoscopic and Bariatric Surgeon Dr Mohamed Mansoor, who led the operating team. “On evaluation in emergency, it was seen that he had a 5 feet long iron rod penetrating into the anterior aspect of neck and exiting the posterior aspect of neck.
Doctors in India remove world’s heaviest Ovarian tumour
Sagaya Fernando
Mumbai: 24 October 2018-10-24

“The patient’s abdomen started to swell gradually over a period of two years and started looking like as if she was pregnant with at least quadruplets. In the meantime, her daughter was to get engaged. Afraid of facing the people who would question her about the swollen abdomen and make snide remarks, she along with her husband Pokkisam approached a local doctor at Ooty, who diagnosed her of having a huge tumour and said that her chances of survival are slim even after a surgery. Hearing this, her spouse got disturbed. And, in a state of disturbed mind one day Pokkisam boarded a wrong bus home. A co-passenger who saw him crying and disturbed enquired the reason. On being told that his wife was suffering from ovarian tumour and the local doctor’s claim of slim survival chances, the co-passenger took Pokkisam to his house, consoled him and guided him to our hospital,” informed Gastroenterology and Laproscopic Surgeon Dr K Sendhil Kumar of Gateway Clinics & Hospital, who led the team that conducted the surgery.
“In the cold morning of December, Vasantha – in a thin body frame and huge abdomen walked into our clinic. She wanted to get rid of this social stigma which prevented her to meet with her own people, to take photographs even in her own daughter’s engagement function. We had to take special measures to accommodate her from the entrance to the couch for examination and history taking. She was straining herself to just breathe. After going through the multiple scans she had done, we came to a conclusion that this enormous tumour had to be removed to free her from her disability to walk, talk, breath normally and to sit properly,” said Dr Sendhil.
He added, “The patient’s vital organs were all displaced and shrunken due to the huge space occupied by the tumour, and the abdominal wall was thinned out like a paper due to the exponential growth of tumour within the abdomen. And her body weight was 75.5 kgs prior to the surgery.”
“The chief complaints were distension of abdomen, early satiety, tiredness and difficulty in walking due to heavy mass in abdomen although there was no pain. The main blood vessel which carries blood back to the heart without from periphery (inferior vena cava) was almost compressed leading to swelling in legs and in abdominal wall, and due to compression on this vessel, blood finds an alternative way to reach the heart (collateral blood vessels),” he informed.
“Due to poor knowledge of disease condition, its outcome and non-affordability for surgery the tumour grew to such an extent. Due to the serious risk to her life and difficult anesthesia, a special team was formed and the surgery was executed after preparative investigations and safety measures. The anesthesia team had to ensure a safe airway, due to difficulty as the massive tumour was compressing the diaphragm and lungs and the expandability of lungs was restricted. The tumour was densely adhered to all nearby organs in order to get blood supply from liver gall bladder, abdominal wall, bowel wall, etc. Meticulously protecting all the nearby organs, the tumour was separated and retrieved out completely after ligating and suturing the main blood vessels feeding the large tumour. The surgery lasted about three and a half hours, and we were successfully able to remove the gigantic tumour without any harm to the patient. To our utter surprise, the tumour weighed a massive 33.5 kgs,” said Dr Sendhil.
Post surgery, the body weight of Vasantha stood at 42 kgs.
On doing a biopsy the tumour, it was confirmed that it was cancerous, said Dr Sendhil.
Besides Dr Sendhil, the team involved in this rare exceptional included Dr Piyush Patwa, Dr V Kandasamy, Gynaecologist Dr N Anitha and Anaesthesiologist Dr D Senthilkumar, Dr Sathisha Kumar.
“The patient did not require ICU stay. She responded well and was discharged in stable condition and was on follow up for two months. Now she is fine and fit. The surgery was conducted in December 2017, but we made it public now only after getting it certified as the heaviest ovarian tumour operated on in medical history. We recently received the certificate conferred by Asia & India book of Records. Now we have submitted the papers to Guinness World Records,” said Dr Sendhil.
“My abdomen started swelling gradually in the past two years. As there was no pain, I did not think much about it. And, also I did not have enough money for my daughter’s marriage and how can I think of costly medical care. Though my husband would say we should go to the hospital to get it treated, I was always hesitant. But, at the same time, I didn’t want to die before my daughter’s marriage. It was divine providence that a Good Samaritan met by husband and guided us to Gateway Clincs Hospital where the surgery was done to remove the tumour from my belly. I am now happy that my heavy belly has gone, and I can face people with dignity,” said a relived Vasantha.
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