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Fibroid weighing 2.58 kgs removed laparascopically at Beams Hospitals One of its kind surgical procedures performed in the city
Bangalore: Beams Hospitals, a name synonymous with the revolutionary science of minimal access surgery today successfully performed a complex laparoscopic surgery on a 46 years old woman in Bangalore, removing her fibroid weighing 2.58 kgs – a feat achieved for the first time by any hospital in the city. Backed by expertise spanning over 15 years, Beams Hospitals is India’s foremost chain of surgery centres dedicated to Minimal Access Surgery (MAS) procedures founded in 1994 by Dr.Manju and Dr.Rakesh Sinha.

46 Year old, female a housewife was diagnosed to have fibroids in 2004, but she was reluctant to undergo treatment. (which was due to bad experience for treatment of some ailments in past at multiple known and established facilities in the city). She was seen in BEAMS hospitals Bangalore OPD for swelling in the umbilicus (Large umbilical hernia). She gave a history of heavy and prolonged bleeding during cycles for long duration. She also gave history of mass per abdomen and on evaluation found to have a large uterus (about 7-8 months pregnant uterus size with more lateral extension). She was anaemic with about 6g Hemoglobin (Normal 12-14) and was also found to be diabetic. She was asked to have oral hematinics to increase hemoglobin and advised diabetes control. She was planned for Laparoscopic Total hysterectomy and repair of hernia.

However there were certain challenges in the surgery:

1. Large uterus occupying almost the entire abdomen and abutting on the important surrounding structures which can be damaged during the process.
2. Conversion to open as the visibility may be hampered due to large size, bleeding and removal of such big uterus from abdomen through such small hole.
3. Severe rheumatoid arthritis with deformities in the upper limb and neck– difficulty in anesthesia and positioning of the patient for surgery.
4. Diabetes mellitus and related complications

Surgery: Initially the hernia was reduced, that is the abdomen fat stuck in hernia was removed. The Uterus had compressed the urinary bladder and had pushed the appendix and the large intestine up. The uterus was separated from one of the large fibroids attached to it and later disconnected from the blood vessels and other connections. It was removed using special equipment called Morcellator. The weight of the uterus was 2.58 kg. The hernia was repaired using a mesh.

Post Surgery: She recovered well and was given liquids the next day. She started walking independently and taking regular food from the next day. She was discharged on the third day after surgery.

The patient (female) who underwent the surgery says, “I was in pain and discomfort with severe bleeding that lasted almost 45 days. In the past four years, I had visited several doctors in the city, they could not diagnose my problem correctly. Finally I approached Beams hospitals whose team of doctors studied my case carefully and then recommended me to go for the laparoscopy surgery. Surgery went on for nine hours and I was very nervous. Thanks to the competent and professional team at Beams Hospitals, I can now walk and eat. I can now lead a normal life once again.” Patient’s husband mentions that Previous bad experience with some medical facilities lead us to a fear psychosis and seeing a well-coordinated effort in Beams Team was a rare observation.

Dr.Shanthala, Laproscopic Gynaecologist, Beams Hospitals says, “Generally hysterectomy is performed for a wide range of benign and malignant conditions, such as fibroids, menorrhagia and pelvic pain, and gynaecological malignancies. One in four women has a chance of undergoing hysterectomy in her lifetime. Conventionally hysterectomy is done by most gynecologist’s through the open approach. Total Laparoscopic hysterectomy is superior to the standard approach but is less prevalent due to scarcity of trained laparoscopic gynaecology surgeons. It is added advantage of smaller incision, faster recovery ad return to normal life”.

Commenting on such surgeries, Dr. Anand, General Surgeon, Laparoscopy, (who helped Dr .Shanthala in hysterectomy besides Hernia repair for this patient) Beams Hospitals states that every year in the United States about two-thirds of hysterectomies are performed via the traditional abdominal route. Furthermore, well over 90% of hysterectomy specimens weigh less than 460 grams. Laparoscopic surgeries have become order of the day for surgical procedures like hernia, appendix, gall bladder removal and the trend of Lap Hysterectomy is fast picking up in US and in India as well.

Dr.Vishal Goyal, COO Beams hospitals mentions “We have done it yet again, my sincere thanks and congratulations to the distinguished and experienced team of surgeons at Beams who are committed to bringing health, hope and happiness to its patients across the country.”

Beams Hospital also holds the distinguished Guinness World Record for laparascopically removing the largest uterus weighing 4.1 Kgs (9.04lbs) by Dr Rakesh Sinha and Dr Chaitali Mahajan at Beams Hospitals Mumbai on 21st September 2009.

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For appointments and consultation, please contact Beams Hospitals Pvt. Ltd. 640, 12th Main 80 Ft Road, 4th Block, Koramangala. Bangalore-560034. Tel: +91 080 39417700

For further Information please contact: Gaurav Jain Email: [email protected]
Mobile: +91 9820811492

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