A laparoscopy surgery at the state-run JJ Hospital has won encomiums from the global medical fraternity for the second time in a row.
The hospital’s general surgery team of doctors won the best international video abstract for podium presentation at Houston, Texas, USA on March 22 to 25, 2017.
The team had submitted six videos and nine research papers this year. “It is a proud moment as over 1,000 laparoscopy surgery videos were submitted to the Society of American Gastrointestinal & Endoscopic Surgeons (SAGES) this year. One of the videos was also awarded the best international abstract ‘Go Global’ and received a scholarship grant of 1400 dollars as appreciation for the novelty of the video,” said Dr Ajay Bhandarwar, team leader and chief operating surgeon.
The team had documented 22 patients on whom the unique laparoscopy surgery was performed for chronic pancreatitis (swelling and inflammation of the pancreas) treatment. Explaining the journey of getting the SAGES award, Dr Amol Wagh, Assistant Professor, Surgery Department, JJ Hospital, said the first laparoscopy stapler surgery was done in March 2016 on a 35-year-old woman with pancreatitis.
“In pancreatitis, the patient comes with chronic pain. The stone formation can be due to repeated infections, alcohol consumption. In the Indian population there is a genetic predisposition which leads to formation of big stones resulting in constant and severe pain in the abdomen,” said Dr Wagh.
Dr Chintan Patel, a Surgeon who was part of the team explained that in pancreatitis, enzymes secreted by pancreas are not able to reach the intestine or are not active enough to digest the food.
“Formation of big stones in the pancreas itself can be life threatening. With enzymes secreted by pancreas not reaching intestines, the patient starts losing weight and is prone to being malnourished,” said Dr Patel.
Open surgery or conventional laparoscopy surgery are the most preferred treatment options for pancreatitis.
“In these 22 patients, we decided to use stapler technology in laparoscopy. This technique is generally used in intestinal surgeries or bariatric surgery,” said Dr Saurabh Gandhi, Surgeon at JJ Hospital.
He said in the conventional laparoscopy procedure, the mortality rate is high. “Advantage of this technique is it that it reduces the mortality rate, there is much stronger connection between pancreas and intestine, the surgery period is shortened by nearly one and half hour thereby reducing the ICU stay, infection rate and ventilator requirement,” said Gandhi. The other doctors who were part of the team were Dr Dattaguru Kulkarni, Dr Raj Gajbhiye, Dr Eham Arora, Dr Priyank Kothari and Dr Hridaynath Desai.