Civic run- LTMG Sion hospital’s ENT surgeon performs a scarless endoscopic thyroid surgery on a 19-year-old girl. This is the second public hospital in Mumbai to offer this surgery after JJ Hospital’s general surgery department performed in first on a 60-year-old woman last year.
Suhani Mishra (19), a Dharavi resident, had come with swelling in the neck. On investigation, doctors confirmed that she had a colloid goitre of the left lobe. “As she was young, we offered her this option of scarless surgery and she agreed. The tumour was non-cancerous,” said Dr Kshitij Shah, ENT surgeon, at Sion hospital who led the surgery.
Dr Shah, who underwent training in Bangkok for this procedure in May, approached the thyroid gland via lower part of the woman’s lips thereby leaving behind no visible scar. He is also the first ENT surgeon in the city to do this procedure.
“Thyroid gland enlargement is more common in women. The conventional method of removing the diseased gland involves opening up the neck region. It leaves behind scar which is unacceptable by many,” said Dr Shah.
Mishra had thyroid enlargement problem for a year but postponed the surgery because of the scar. She was operated last week at Sion Hospital.
Dr Shah explained that in the conventional method, the person gets 5-7 cm of scar in the neck part and generally has to face post-operative problems like change in voice, difficulty in moving neck for few days etc. “The recovery period in conventional method is long. It becomes difficult for the patient to move her neck. There is blood loss too. Unlike the open surgery, within three hours, Mishra was talking and moving her neck normally,” said Dr Shah.
Sion Hospital’s ENT department gets at least two cases like Mishra every week and the scar less thyroid surgery can be a revolution say doctors. “For the surgery, we had camera endoscopy set up. We took instrument for demonstration for laparoscopic set up. Our medical social workers helped us arrange fund for ligasure (equipment required to bleeding in control inside). The patient had to shell only Rs5000,” said Dr Shah.
Welcoming the feat achieved by the doctors at Sion Hospital, Dr Amol Wagh, assistant professor, surgery department, JJ Hospital, who was part of the team at JJ Hospital that did the first scarless endoscopic thyroid surgery last year said, “It is good thing that more doctors from public hospital are doing this surgery which will benefit more poor patients. We too see 2-3 patients eligible for thyroid surgery and most of them are women. For them, scarless thyroid surgery is a boon for cosmetic reasons as many are young and unmarried.” The team, in last one year, have operated at least 10 patients.