KIDNEY STONE IN CHILDREN

KIDNEY STONE IN CHILDREN: DON’T LET YOUR CHILDREN SUFFER

CASE STUDY OF A 10 MONTHS OLD PATIENT WHO UNDERWENT SURGICAL INTERVENTION (Mini PCNL) FOR BILATERAL KIDNEY STONES AT SCI INTERNATIONAL HOSPITAL, DELHI, INDIA.

 

A couple far in Afghanistan was so delighted at the time of their first son’s birth in October 2017. The family called for a great celebration for their first child birth.

They named him Waaris (changed name). Kid was healthy and active. He had made the environment pleasant at home with his innocent smiles. He used to cry as well the way usually infants do but with his growing age his crying got intense and became the cause of concern to parents. They used to try every possible way to pacify the child but they had no other option to feel sad at that moment as the small kid could not even tell his problem to them.

Time passed away and the boy turned eight months.

It was a normal day, boy was playing with his toys, all of a sudden, he started crying out loud. His parents could not understand the reason behind that. But they could feel his painful state, they got worried and rushed to his paediatrician in Kabul. The doctor evaluated the kid and helped him with the immediate relief by injecting the analgesics (Painkiller).

The Paediatrician advised them to get an ultrasound KUB done for KIDNEY STONE IN CHILDRENtheir child to find out the possible cause. The Parents did not delay the ultrasound, the very next day it was done which depicted stones in both the kidneys of the child. They suspected kidney stone in children.

Their Paediatrician advised them to see a Urologist (who treats kidney stone in children) on urgent basis as the stones were of significant size and moreover the patient( kidney stone in children) was mere eight months old.

So now parents started exploring good Urology hospital (who is expert in managing kidney stones in children)  in New Delhi, India. They checked out many hospitals and the Urologists profile on their website but they found SCI International Hospital the best suited for their kid. They considered the Urologists at SCI International Hospital for their Son’s kidney stone treatment. SCI International Hospital is an advanced Urology and Andrology centre located in Greater kailash, part-1, New Delhi equipped with the most sophisticated and latest modalities for any Urology surgery.

We have skilled and experienced urologists at SCI Hospital. Success rates are excellent. In three years of establishment SCI Hospital’s Urology team has treated patients from more than 35 countries.

So, the parents started the preparations to visit SCI International Hospital in Delhi. Time elapsed and they arrived in Delhi when their son was 10 months old. The patient (who was diagnosed to have kidney stone) was evaluated by the Urologist at SCI Hospital on 16th August 2018. They were answered to their all queries and concerns up to their satisfaction.

They were explained that kidney stones in infants and children are not common although if your kid is diagnosed with kidney stones then there is no need to worry about as at SCI International Hospital kidney stones can be removed safely with minimum invasive surgery in children and infants as well.

They were explained if kidney stones are not removed, the stones may migrate from kidney to Ureter and can create more problems to the patient. The stones which remain in the kidney can increase in size and can be a source of recurrent Urinary Tract Infection associated with pain while urinating and sometimes haematuria (blood in urine).

They were advised to go for surgical intervention, Mini PCNL under general anaesthesia for their kid. Since the kid was 10 months old so parents were apparently apprehensive for the surgical intervention. Urologist at SCI Hospital tried to clarify their all doubts and fears about the surgery.  They were explained about the clinical outcome.

With the empathetic and professional behaviour of the urologist and administration staff, the parents got convinced for Mini PCNL.

The patient (diagnosed to have a kidney stone) was being evaluated by the Paediatrician and Anaesthetist at SCI after the Urologist consultation. Paediatrician recommended medications for two days because the patient had a flu.

After two days as scheduled, the very young patient was taken into Operation theatre. Our Urologists, Anaesthetists, Nursing staff, OT staff, administration staff everybody understand how difficult it is for any parent to see their infant/child getting operated. So, the patient was handled cautiously at each step.

Surgery, Mini PCNL lasted for 40 minutes, it was carried out safely. The patient was kept in recovery area for few hours under observation of intensivists. He was shifted to the room at the earliest possible so as to provide him, his Mother’s warmth.

The evacuated stones were shown to the parents and were sent to the laboratory for stone analysis to know the cause of their formation. Patient was discharged after 2 days with the instructions to come for a follow up after a week and stents removal after two weeks.

Our team of Urologists ( specialists who lead in kidney stone in children ) performed Mini PCNL on a 10 months old patient safely and minimally traumatic makes SCI International Hospital proud.

Kidney stones in children are not common but SCI Advanced Urology hospital (specialised in kidney stone in children) advises every parent to consult their paediatrician or Neonatologist (specialists in kidney stone in children) regularly to avoid the last-minute hassles and to avoid your kid’s sufferings.

Stone surgery in Paediatric patients is demanding and need team efforts involving Paediatrician. Anaesthetist, OT staff and Urologist (specialist for the kidney stone in children) trained in such procedures. Right hospital with the skilled team can make your child stone free with minimal discomfort.

Opposite to the normal belief that such procedures are expensive, SCI International Hospital, Greater Kailash-1, New Delhi manages such cases at an affordable price.

Total Laparoscopic Hysterectomy Delhi

What is Laparoscopic Hysterectomy  Delhi?

Laparoscopic Hysterectomy Delhi is the process of removing the uterus from the body with the help of surgical procedures. There could be a number of reasons why hysterectomy is performed or even suggested to patients. Few of these reasons include irregular or heavy menstrual bleeding, chronic uterine pain, fibroids, pre-cancerous symptoms, prolapse, pelvic inflammatory disease, endometriosis, and cancer.

Laparoscopic Hysterectomy Delhi

It is an essential procedure aimed at mitigating the pain and providing relief to the patients suffering from one or many of the factors that could lead to excessive pain and discomfort.

Hysterectomy has been statistically shown to be one of the most commonly performed procedures across the world. Hysterectomies in the vagina have been a common practice for almost two centuries now.

In the recent years, numerous gynaecologists have performed a significant portion of the hysterectomy procedure with the help of laparoscopes. The surgeries are naturally termed as laparoscopy-assisted vaginal hysterectomy. It is very similar to the total vaginal hysterectomy and has decreased healing duration and post-operative pain when compared to other types of surgical options available.

When is a Laparoscopic Hysterectomy  Delhi performed?

 

A patient has prescribed a hysterectomy procedure when she has one or several of the following problems:

  • Large uterine fibroids which cause extreme discomfort and degrade the quality of life for the
  • Severe pain that is related to menopause which only subsides when medications are provided
  • Chronic pelvic pain
  • Endometriosis
  • Blockages in the intestine or bladder which result in discomfort during
  • Cancer or the uterus and the ovaries.

Different types of Laparoscopic Hysterectomy Delhi

There are different ways to achieve hysterectomy and often-times the doctor decides the type of procedure based on the level of complexity and severity of the case in question. The most common types of hysterectomy are as follows:

Laparoscopic Hysterectomy Delhi

Supracervical  Laparoscopic Hysterectomy Delhi

This procedure is focused on the removal of the portion of the uterus that lies in the region above the cervix. The fallopian tubes of the patient are generally removed during this type of surgery since they have been observed to be the primordial source of epithelial cancer of the ovaries. The procedure generally involves removing the ovaries but depending on a case by case basis, some patients are provided with the option to keep them. The Pelvic supports of the patient are left unharmed during the procedure and since there is no incision in the vaginal regions, the possibility of a vaginal bacterial infection is minimal.

This procedure is also recommended because of its outpatient approach that offers a quicker recovery time and reduced post-operative pain. The surgery can generally b completed within a span of 90 minutes although this can increase based on the complexity and severity of the case.

Total Abdominal Hysterectomy

Total abdominal hysterectomy is an open surgical procedure, it is one of the most common approaches to hysterectomy. The procedure accounts for around 63% of all the divergent types of a procedure carried out for hysterectomy. The surgeon performs this surgery by making a 6 to 8-inch incision across the belly region. Depending on the type of case, this incision can either be top to bottom or side to side. The surgeon removes the uterus of the patient with the help of this incision.

This procedure generally leaves a visible scar at the region of operation. The post-operative pain is also considerably higher in this mode of surgery when compared to the Laparoscopic procedures. It usually takes around 3 days for the patient to be dispatched from the hospital.

MIP Hysterectomy

This type of hysterectomy can be performed with multiple methods, some of them are listed below:

  • Vaginal Laparoscopic Hysterectomy Delhi:

During this procedure, an incision is made in the vagina and the uterus is removed through this incision. Once the uterus is successfully removed, the incision is closed, leaving no apparently visible scars.

  • Laparoscopic-assisted Vaginal Hysterectomy:

This type of surgery is performed using a Laparoscope. A laparoscope is a long thin tube with a light-assisted camera at its tip. This helps the surgeon get a visual of the site of operation. Several small incisions are made in the patient’s body to insert laparoscopic surgical tools. These tools are used to perform the surgery with the patient’s body and remove the uterus. The surgeon utilizes the visual feedback returned by the light-assisted camera with the help of a monitor. This monitor is used to perform the surgery using the Laparoscopic tools. The Laparoscopic incisions are generally made around the belly region of the patient for this type of surgery.

  • Laparoscopic Hysterectomy Delhi:

This type of surgery is performed in the vaginal region with the assistance of Laparoscopic tools that help the surgeon perform the surgery with relatively minimal invasion. It should also be noted that the recovery duration and the pain post operation is comparatively less for this type of procedure.

  • Robot-assisted Laparoscopic Hysterectomy Delhi :

This surgery is quite similar to the Laparoscopic Hysterectomy  Delhi with the only difference being the sophisticated instruments utilised in this procedure. The surgeon has access to a range of robotic tools which can perform the surgery with pinpoint precision and without the fear of damaging nearby organs. Advancement in technologies has provided the surgeons with the ability to use natural wrist movements as inputs to these complicated robotic systems which are then replicated by the robot to perform the surgery through the tiny incisions.

Radical Hysterectomy

This surgery removes the cervix, the uterus, the upper regions of the vagina and the supporting tissues. This is generally not advised to patients unless it is the only option. In certain cases of cancer, a Radical Hysterectomy is essential to ensure the week being of the patient.  often cases, the fallopian tubes and the ovaries of the patient are also removed in this surgery.

Total Laparoscopic Hysterectomy

This surgical procedure is comparatively less invasive than most of the other procedures in the list. It provides the women suffering from gynecological cancers and severe pain a chance to live a normal life.

Total Laparoscopic Hysterectomy  Delhiutilizes the advancements in the field of Laparoscopy to offer a surgical procedure that is quick, easier, efficient and less painful than the rest of the procedures available. During this procedure, the surgeon inserts a long, slender, fiber-optic cable into the abdomen of the patient. This tube is equipped with a miniature camera which that helps the doctor see inside the abdomen and analyse the uterus, fallopian tubes, and the ovaries without making bigger incisions that would ultimately result in added pain during the recovery period.

Several incisions are made in the abdomen to insert the surgical tools to aid the surgeons. These incisions are very tiny and are around half an inch in length, this is comparatively smaller than the five or six-inch incisions that are performed during open surgeries. Hence this type of Laparoscopic minimally invasive surgeries. The surgery is performed with the help of a video screen that is used to help the surgeon understand the situation inside the patient’s body and perform the surgery appropriately.

The surgeon removes the uterus from the incisions and in cases where the size of the incision is not sufficient, the existing incision is enlarged to proportions that are adequate to squeeze the uterus through it. The biggest advantages of this type of procedure include the duration of surgery which is under 2 hours and the low postoperative pain involved. The patient also experiences minimal scarring and generally recovers way faster than she would during a convention open hysterectomy procedure.

Benefits of Total Laparoscopic Hysterectomy Delhi

To convey the advantages of Total Laparoscopic Hysterectomy in a better way, we have formulated a list that will help you understand why it is better than the conventional approaches:

  • Less Surgical Complications

The Total Laparoscopic Hysterectomy also helps the patient enjoy the benefits of reduced complications as there is very minimal blood loss which in turn leads to a minimal chance of infection and decreased adhesion formation post the surgery.

  • Short duration of Stay in the Hospital

The duration of stay is one of the most important factors a patient considers while undergoing an operation since they mostly want to get back home and to their normal lives as quickly as they can once the operation is over. TLH comes as a relief to those who want a quicker and shorter stay at the hospital as the duration of stay is minimal.

  • Quick Recovery time

Patients of TLH often report quicker recovery times when compared to the conventional surgical methods mainly due to the use of the laparoscopic procedure that ensures that there is minimal incision points, thereby leading to an accelerated healing time.

  • Prevents uterine cancer in future

TLH is also effective in preventing the possibility of a uterine cancer in the future which is a considerably huge benefit especially if the patient has a hereditary line of ancestors affected with uterine cancers.

Since the incision is minimal, the surgery also involves relatively minimal scarring. This method of operation also has a great track record of being very successful.

 

Address:

M-4, SCI INTERNATIONAL HOSPITAL, GREATER KAILASH-1, NEW DELHI

 

IMG-20180511-WA0025