Shubham Gurav also becomes one of the lowest body weight patients to undergo the liver transplant in Maharashtra, after he underwent a successful surgery in a Pune hospital.
Shubham was first diagnosed with liver cirrhosis- end stage liver disease when he was 2 years old. “He had weight loss, loss of appetite and abdominal swelling. The parents consulted a local paediatrician who suggested tests that revealed swelling on the liver. He was then referred to paediatric hepatologist for further treatment,” said Dr Bipin Vibhute, Liver Transplant & Hepatobiliary Surgeon.
After multiple tests confirmed that Shubham had liver cirrhosis, doctors advised him to undergo immediate liver transplant. While considering his weight and age, it was a challenging task for the doctors to operate on him, his father Ajay faced another challenge of gathering money for the transplant.
Ajay, who works in Mumbai in an electrical company, took help of the NGOs and raised the required fund for the surgery. He was also the donor for his son. “Ajay’s blood group matched with Shubham. A part of Ajay’s liver was successfully transplanted in Shubham. Both the father and son recovered well,” said Vibhute.
Since, Shubham’s father Ajay Gurav, was the perfect match, a slice of the father’s liver was transplanted in Shubham using High Magnification Microscopic Surgery. The team prepared for this rare surgery on a 3D Model of the donor liver on CT scan.
“Liver Cirrhosis in children is rare. Paediatric liver transplant is more complicated than an adult liver transplant as it requires multi-disciplinary approach, cutting-edge infrastructure and experienced staff who are specialised in dealing with paediatric patients,” he said.
Vibhute also said the transplant anesthetists – Dr. Manish Pathak and Dr Dinesh Babu played a major role in the surgery as they faced a huge challenge in maintaining the child under anaesthesia for 12 hours. “Shubham’s small veins and wind pipe threw a big challenge for the anaesthetist. Due to this reason, the precision given was in milliliter and along with small doses of medicines in managing fluids and blood product administration,” said Vibhute.
Thanking the doctors, Shubham’s overjoyed father, Ajay said the doctors helped them understand basics of transplant. “While my wife and I had lost hopes, today we are in a happy space with our child,” said Ajay.