Rare medical problems crop up and an expert treatment is needed to save patients having such problems. Recently a corporate hospital in the city saved the life of a seven-day-old baby girl with a low birth weight suffering from congenital diaphragmatic hernia [CDH] along with malformation of left lung and primary pulmonary hypertension (PPHN).
Diaphragm separates the chest and lung from the stomach and other digestive organs and in the case of babies with CDH, this is not formed properly and also has a big hole through which intestines, liver and spleen enter the chest compressing the heart and lungs and thus affecting their function. CHD would cause a complication called pulmonary hypertension which would lead to death.
This problem has to be attended to immediately through an emergency surgery.
CDH was found in the infant in an X-ray examination after she was admitted to Manipal Hospital with the problem of not able to breath freely and quickly surgery was preformed on her. The surgery, which went on for 90 minutes, involved closing the diaphragm hole by stitching it to the rib cage and placing the abdominal organs back into their position, explained paediatric surgeon Renu Kumar who performed the surgery. The baby was kept on ventilator for five days and was free of any problem when discharged after eight days of hospital stay and could take mother’s milk, the doctor said.
Not all suffering from advanced cataract can give up the hope of seeing again properly. Phacoemulsification is a specialised cataract surgery in which the natural lens of the eye is removed totally while maintaining the lens capsule for implanting artificial intraocular lens. The cataract affected lens is broken up with the help of ultra sound rays and removed.
Vision in the right eye of a 26-year-old Surya Prakash has diminished. There is also a hole in the retina because of an injury. Refractive, cornea and phaco surgeon of Maxivision Eye Hospital Ramesh Bobbili after examining the patient went for phacoemulsification after doing a barrage laser to the retina hole. A capsular tension ring and single piece foldable posterior chamber intraocular lens was implanted.
In this case the technique used to remove the lens capsule (capsulorhexis) had to be performed with a lot of care. When abnormal capsule movement was observed capsular tennis ring was inserted with the help of a special forceps called micro-rhexis, he said.
The patient could read well on the fifth day of the surgery, which was possible because the patient approached the doctor in time and received treatment, Dr. Ramesh said.
