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Innovation and Teamwork Save the Day in a Unique Surgical Challenge
A recent adenotonsillectomy for a 10-year-old girl showcased the extraordinary adaptability and quick thinking of a surgical team. The procedure, performed on a healthy patient (ASA I), began routinely with a smooth nasotracheal intubation using a 5.5 ID PVC endotracheal tube (ETT). However, during surgery, the ENT surgeon identified a unique complication: the ETT had unexpectedly broken, with its distal segment lodged in the trachea. The team’s immediate response highlighted their expertise. Despite challenging conditions, including limited visibility due to bleeding, they swiftly stabilized the patient’s oxygen levels using a smaller 3.5 ETT. Without access to a fiberoptic bronchoscope, the team embraced innovation. Imaging confirmed the position of the broken tube near the vocal cords, and a nephroscope, paired with…
Continue Reading →The Hidden Dangers of Outdated Medical Practices: Insights from Dr. Udaya Bhaskar Tupakula
We live in a world where technology has advanced immensely—rovers are on Mars, humans have walked on the Moon, and smartphones with 5G and AI are in our hands. Yet, when it comes to healthcare, outdated and primitive practices still harm our most valuable asset: the human body. For the past 14 years, I’ve worked to raise awareness about the importance of modern, evidence-based medical treatments. But recently, the number of patients suffering from complications due to outdated methods has made this mission more urgent. In areas around Tirupati, like Puttur/Eslapuram and Kallur, we see many victims of these outdated treatments. The issue affects everyone, regardless of education or social status. Many people avoid surgery out of fear or cost…
Continue Reading →Success in Retroperitoneal Tumor Surgery
Nagamani and Sai Nath, parents from Proddatur, brought their 7-month-old baby to Shanthiram Hospital, concerned about severe bloating, abdominal swelling, and vomiting. Scans revealed a large mass in the baby's abdomen (Retroperitoneal Tumor). Further tests showed that the baby had critically low hemoglobin levels (6.0), prompting a blood transfusion before surgery could be performed. During the surgery, the baby's blood pressure dropped, and the mass was found to be wrapped around vital organs, resembling cancerous growth. The mass was sent for further evaluation ie, histopathology and IHC evaluation, this would give us further direction of management in this child, currently, the child is relieved from the symptoms, further, the team will involve appropriate specialists for further medical management in this…
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