The Bee Enn General Hospital Jammu has performed a rare laparoscopic reconstructive urological surgery (laparoscopic pyeloplasty) in a 2 months old baby, arguably for the first time in our city.
A BEGH spokesmain said that the baby hailing from Akhnoor was diagnosed antenatally as a case of hydronephrosis of left kidney.The parents consulted many doctors after the birth of the baby, as this condition if not treated in time can lead to loss of kidney function of involved side. The parents were losing hope till they shifted the baby to BEGH for advanced treatment and diagnosis. Dr. Rajnish Kumar, superspecialist Pediatric and Neonatal Surgeon evaluated the baby and it turned out to be a case of left side Pelviureteric junction obstruction of kidney.The kidney function was significantly reduced and early surgical intervention was required to save the kidney.The challenge to operate such a small baby of 6kg body weight by laparoscopic technique was accepted by Dr. Rajnish Kumar and anaesthesia was provided by Dr. Anuradha Bali, pediatric anaesthesiologist. The surgery lasted two and half hours and postoperative care in pediatric ICU was provided meticulously by Dr Anumodan Gupta, newborn and intensive care specialist and his team to perfection.The baby was discharged 3 days after surgery in excellent condition.
Mostly such cases are operated by open method as the laparoscopic approach requires technical expertise and skill. Also, laparoscopic approach has time proven benefits over open approach as it causes less post-op pain, less blood loss, less requirements of analgesics and early recovery.
Dr Rajnish Kumar, Pediatric and Neonatal surgeon is trained from PGIMER & RML Hospital New Delhi and is a gold medalist in field of Pediatric surgery. The Pediatric and Neonatal ICU at BEGH continues to provide essential care, during corona pandemic. The BEGH NICU is conducting all major neonatal surgeries like TEF, CDH, Intestinal atresias and pediatric urological surgeries.
