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.
Sumesh Rajan
Mumbai: 5 November 2022
A 53-year-old man, hotelier by profession at Pune, India, was suffering from morbid obesity for the last 15 years. Scared of surgery as many people told him that it would be of high risk he hesitated to take medical help. But, as his condition worsened by the day as his movements got restricted, he finally decided to see a doctor.
Six months ago, the patient approached bariatric surgeon Dr Jayashree Todkar but after investigations he was found to be unfit for bariatric surgery. So a plan was made in consultation with Dr Ghosh to excise all his hanging abdomen panniculus (a dense layer of fatty tissue growth, consisting of subcutaneous fat in the lower abdominal area) and give some normalcy in his life.
The patient was put on a diet and he reduced 15 kilograms in 3 months. He was then admitted for surgery.
“The patient had a severe heart condition because of his obesity and it was very risky to do any surgery on him. But as his abdomen was hanging below his knees and he was unable to move around, it was decided to go ahead with the surgery. The patient and relatives were counselled and the patient was taken for surgery on November 4,” said Dr Ghosh.
As local anesthesia was not possible, the patient was given epidural anesthesia (which temporarily numbs the spinal nerves, blocking pain signals in the region of the surgery).
“The surgery lasted for four and a half hours, and the entire overhanging panniculus weighing 28 kilograms was removed. He is doing fine now, and is able to walk. He will be discharged in a couple of days,” said Dr Gosh.
The patient and his relatives are extremely happy and the patient feels he has got a new life.
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