Chandigarh: Dr Santosh Kumar, assistant professor, department of urology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, has developed an innovative surgical technique to treat parasitic cystic tumour of kidney, a rare disease that can lead to destruction of kidney.
In this Santosh PGI Technique, Dr Kumar operated a 22-year-old woman by single 2 cm incision through umbilicus, the natural scar given by god, using conventional port and instrument.
The innovative surgical technique is described in a paper published in the Asian Journal of Endoscopic Surgery, a journal of the Japan Society of Endoscopic Surgeons.
According to Dr Kumar, the new minimal invasive technique helped the patient recover fast and without scar. Her kidney was saved. “We believe it is the first case of this kind in this large hydatid parasitic tumour in which this technique was used,” he said.
Parasitic cystic tumour is common in canine, dogs, sheep etc. Humans get infected by eggs and embryo in contaminated vegetable and meat. The patient may not have any symptoms, can present with palpable tumour in abdomen, allergic reaction and obstruction of kidney, according to a statement by PGIMER.
Rupture of parasitic cystic tumour like mass can lead to shock and death. Removal of kidney by open surgery used to be traditional treatment, the statement said.
Treating a giant parasitic tumour kidney was earlier reported by Dr Kumar in the Journal of Endourology, an American Endourological Society journal. In this article he described how he performed treatment of various genitourinary hydatid cystic mass by laparoscopy by three small incisions.
Talking about his latest innovation, Dr Kumar said, “In our case the patient was newly married, who had been deserted by her husband because of unfortunate social condition and risk of morbidity of disease and surgery. Single hole surgery with this new technique through natural scar i.e. umbilicus guided by nephroscope, which is very common armamentarium of urologist, was an excellent advantageous condition for her.”
“It is interesting to say that after successful surgery the husband united with her wife happily,” he added.
|More from RESEARCH|