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 child if needed, stated Dr Ravinder leading the team
However, under the expert guidance of Pediatric Surgeon Dr. Ravinder, along with the anesthesia team led by Dr. Ravi Teja and Dr. Chiranjeevi, the retroperitoneal tumour surgery was completed. The mass was carefully removed without damaging surrounding organs, which the experts like the pediatric surgeon and the baby was safely discharged back home. The parents expressed their heartfelt gratitude to Dr. Ravinder, the anesthesia team, and the hospital management for giving their child a second chance at life.
A 31-year-old man successfully underwent laparoscopic Transabdominal Preperitoneal (TAPP) mesh repair for a rare left-sided primary upper lumbar hernia, known as Grynfeltt-Lesshaft hernia. This condition is extremely uncommon, with fewer than 300 cases reported worldwide.
The patient reported intermittent swelling in the left superior lumbar region over the past year, which became more noticeable during coughing and reduced spontaneously. DR.SATISH KUMAR RAJU.S, Consultant General & Laparoscopic Bariatric surgeon at SLG HOSPITALS, Bachupally, Hyderabad, who examined the patient, found a lump in the upper left lumbar area that became more prominent during coughing. Imaging tests confirmed it was a Grynfeltt-Lesshaft hernia. To treat this, Dr. Raju and his team performed a minimally invasive surgery called Transabdominal Preperitoneal (TAPP) mesh repair. They used a 15×15 cm synthetic mesh to strengthen the affected area. The procedure went smoothly without any complications. The patient recovered well and was discharged just 24 hours after the surgery. Follow-up checkups showed no recurrence of the hernia, indicating a successful outcome.
Chennai, 6 September 2024: A 23-day-old premature baby, born at just 28 weeks, has successfully undergone a rare and complex surgery to treat Amyand’s hernia, a condition where a ruptured appendix is located in the groin. This marks only the fourth known case worldwide involving a preterm neonate.
The infant developed an obstructed right inguinoscrotal swelling on the 23rd day after birth, prompting an emergency surgery. The procedure involved three key components: inguinal exploration to assess the groin area, appendectomy to remove the ruptured appendix, and herniotomy to repair the hernia by removing the hernia sac and fixing the abdominal wall defect.
Despite the delicate nature of the surgery, it was successfully completed within an hour, and the baby is now recovering well and gaining weight steadily under specialized care. Dr. M. Saravana Balaji, Consultant Pediatric Surgeon, who led the surgery, commented, “While neonatal hernias are relatively common in preterm babies, Amyand’s hernia is exceptionally rare, affecting less than 0.07% of these infants. In this case, the perforated appendix made it even more critical, with a mortality rate of up to 30% if untreated. Our team’s swift and expert intervention was crucial to saving this baby’s life.”
The surgical team also included Dr. Prathiba N, along with anesthesia experts Dr. K. Anand and Dr. Dheepak Kumaran, supported by NICU doctors Dr. S. Subash and Dr. Ashok C. Postoperatively, the infant received specialized care in the NICU to ensure proper recovery.
SRM Global Hospitals, where the surgery took place, has been recognized for its ability to manage complex and rare medical cases, setting a new benchmark in neonatal care.