VAATSALYA TIMES
DECEMBER 2011 - JANUARY 2012
Hirschsprung’s Disease In Newborn
Eswar Rao
Hospital Correspondent, VT, VZM
The moment of pride - Dr. Renukumar with Madhulatha’s Family
A few days after their son was born, Madhulatha, a housewife and Phani Kiran, an Electrician hailing from Vizianagaram and working in Hyderabad, discovered that the baby had an obstruction in his intestines. The baby was suffering from abdominal distension, vomiting and failure to pass motion. They took their son to a local hospital in Hyderabad twice and admitted him there for 9 days. As his condition worsened, Kiran was told by the doctor that his son would require
immediate surgery. Since Kiran was not able to afford the treatment cost at Hyderabad, his doctor referred him to Dr. Renu Kumar at Vaatsalya Hospital, Vizianagaram. Chatan Venkata Sai was brought to Vaatsalya Hospital, Vizianagaram, when he was 27 days old and admitted immediately. Initial work up, suggested an acute intestinal obstruction requiring emergency surgery to relieve his obstruction. Dr. Renu Kumar and his team operated on the baby immediately. During the surgery baby was found to have congenital megacolon, hence a Hartmann’s procedure [colostomy with rectal stump closure] was
Fig 1
performed and biopsies were taken from the distal sigmoid and rectum to look for ganglion cells. [Fig 1]. The biopsy test was suggestive of recto sigmoid Hirschsprung disease. Hirschsprung Disease is a disorder of the gut which is caused by the absence of ganglion cells in the affected intestines resulting in intractable constipation and abdominal distension. The affected segment of the intestines fails to relax, causing an adynamic obstruction. At the age of 5 months the baby underwent stage 2 definitive procedure, a major surgery called as Duhamel’s retrorectal pull through which involves the pulling through of functioning [ganglionated] sigmoid colon through a retro-rectal route to the colo-anal junction so that the baby can pass stools from the normal anal orifice (please log
on to vaatsalya.com/blog for the pictures). Two months after the major surgery, Chatan Venkata Sai is doing well and the entire family was extremely happy and satisfied by the services provided by Vaatsalya Hospital, and they expressed their gratitude towards Dr. Renu Kumar and the entire Vaatsalya team.
Dr. T. Renu Kumar MBBS, MS (Gen. Surg, PGI) MCh [Ped Surg PGI] is the head of Department of Pediatric Surgery at Vaatsalya Hospital, Vizianagaram. He is an alumnus of one of the most prestigious and premier institute in the country ‘ P G I M E R Chandigarh’. He can be contacted at times@vaatsalya.com
An introduction to Key Hole Surgery • Laparoscopy • Arthroscopy These surgeries are usually done with the help of a camera and a screen for guidance. Thoracoscopy: related to surgeries of lung and chest Laparoscopy: related to abdominal surgeries. In all fields, science and technology is progressing very rapidly. The same thing is the case in the medical and surgical field. One of the examples of medical progress is Key Hole Surgery or Minimal invasive surgery.
What is key hole surgery? Key hole surgery or Minimal Invasive Surgery can be of 3 types • Thoracoscopy
Arthroscopy: - related to surgeries, specially knee joint
What is Laparoscopy? Abdomen has various layers; in routine surgeries we have to cut all these layers to reach the affected organ but in laparoscopy we can reach the affected organ with help of 5 mm - 10 mm hole in the abdomen and inserting an instrument into it.
Corporate Correspondent, VT, Bangalore
challenges and Team work to reach their goals. Eligibility for Employee of the month – Confirmed employees from Nursing, Housekeeping, Security, Front office, Pharmacy and Lab employees, PCC, HR and Accounts executive. The employees are nominated by
Location
Employee name
Designation
Anantapur Bijapur Gadag Gulbarga Hassan Hubli Malur Mandya Mysore Narasannapet Ongole Shimoga Tarikere Vizianagaram Bangalore
Eswaraiah Basappa Naik Ambanna Adlin Vijaya Uma Suman Bavate Jagadish Siddaraju Chandrika S V Satyanarayana Mr.Basha Neman Baig Mamatha V. Yernamma Ambuja Sutar
OT Assistant Patient Co-ordinator Pharmacist Staff Nurse Housekeeping Staff Ground Staff Security Guard Receptionist Staff Nurse Security Guard X-ray Technician Front office executive Staff Nurse Pharmacist Accounts Executive
For online version visit www.vaatsalya.com
What all surgeries can be done through Laparoscopy? Surgeries related to intestines, gall bladder, appendix, uterus, ovaries, fallopian tubes, liver, kidney, and gastric tumor. Gynecological surgeries like • Hysterectomy • Fibroid Removal • Ovarian drilling • Ovarian cystectomy • Adhesiolysis • Infertility related surgery • Tubo plasty
What are the advantages during and post surgery? 1. Less Pain 2. Early recovery 3. Less blood loss 4. Less Infection 5. Less Hospital stay 6. Less scarring Dr Prabha Dhanesh Desai, (MS(OBGY ) Mumbai, FCPS (OBGY), DGO, PGDMLS) is the department head of Gynaecology and Obstetrics in Vaatsalya Hospital, Gadag. She can be contacted at times@vaatsalya.com
Employee of the Month
Manasi Nagaraj
Vaatsalya started the Employee of the month program from December 2011 to recognize the talent and passion of its employees. The selection criterion is based on the SPIRIT of Vaatsalya - Service to customer, Passion about excellence, Integrity at all levels, Responsibility towards work, Initiative to overcome
joint
Carbon Di-Oxide is used to distend the abdomen. A scope is inserted with camera attached to it, with the help of which the abdominal structure can be viewed on the screen.
their respective managers and one employee from each department – Nursing, Housekeeping and Admin is chosen. The remaining employees then vote for one of the nominated employees. To make the process transparent, the counting of votes is done immediately and the employee with the highest
votes is given the Employee of the month certificate along with a cash reward and a gift by the Medical Director.
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