L U D H I A N A   S T O R I E S


Cancer patient gets new lease of life
Kuldip Bhatia

Dr Dinesh Goyal (left) and Dr K.C. Mukherjee along with patient Nirpan Singh in Ludhiana on Thursday.
Dr Dinesh Goyal (left) and Dr K.C. Mukherjee along with patient Nirpan Singh in Ludhiana on Thursday. — A Tribune photograph

Ludhiana, October 6
The will of the Almighty and skills of a team of cardio-thoracic surgeons at a private hospital here helped save the life of Nirpan Singh, a middle-aged city resident and the sole bread winner of his family.

Nirpan Singh’s world had come crumbling down sometime back when he learned that he had been suffering from cancer of the right main windpipe.

He was suffering from recurrent bleeding from the windpipe, for which he was investigated. It was revealed that his right lung was nonfunctional and had collapsed.

Addressing a news conference here yesterday in the presence of the patient, Dr Dinesh Goyal, a consultant pulmonologist at the hospital, said the final diagnosis turned out to be lung cancer in the form of a low-grade tumor of right main windpipe, which was causing obstruction to air flow in and out of the right lung, thus causing bleeding.

He said: “Before coming to us, the patient had sought consultation at several hospitals and everywhere he was advised removal of the lung. Complete removal of the right lung (which is bigger of the two lungs) would have rendered the patient incapacitated. This would also have stood in the way of earning his livelihood for his family.”

According to Dr Goyal, when the patient was referred to the hospital, the cardio-thoracic team took it as a challenge to treat the disease without making him handicapped.

“After study of his condition, we decided to do a lung sparing tumor removal surgery, which is a rare surgery, also called sleeve resection pneumonectomy. This is a very complex procedure and requires an advanced expertise and experience,” he explained.

A team of surgeons, headed by Dr K.C. Mukherjee and supported by a team of Dr A. Shrivastava, Dr Paresh Shah, Dr G. Majumdar, Dr A. Gupta, along with Dr Goyal, performed the three-hour-long surgery on Nirpan Singh in which the tumor, as well as part of the windpipe and a small portion of the lung was removed. Rest of the lung was joined back to the main windpipe.

The patient regained consciousness on the operating table and did not require any artificial respiratory support.

The recovery was uneventful and the patient was discharged from hospital the 10th day.

Dr Goyal said Nirpan Singh, coming regularly to the hospital for follow-up, was now symptom-free and carrying out his routine work.

His follow-up virtual bronchoscopy by multi-slice CT scan showed excellent healing of the windpipe with fully expanded right lung.



Plastic surgery a boon for torn scalp victim
Kuldip Bhatia

Minku shows natural growth of hair on his head in Ludhiana on Friday.
Minku shows natural growth of hair on his head in Ludhiana on Friday. — A Tribune photograph

Ludhiana, October 6
In July 2006, six-year-old Minku (not his real name) was brought to Dr Wahiguru Pal Singh Sidhu, a plastic surgeon here, with whole scalp avulsion.

He was standing near a tubewell with his hair open in his village when his hair got trapped in the belt and the whole of his scalp was torn apart, leaving the skull bone exposed.

The victim had profuse bleeding and was immediately shifted to a local hospital, where the bleeding was stopped.

When it came to repairing the scalp, there were two options — split skin graft or distant flap — as his avulsed scalp was badly crushed and mutilated.

In both procedures, the child would have been left with baldness over his head and would need a wig as a substitute for the whole of his life.

Deciding on an innovative technique, Dr Sidhu, Medical Superintendent at the Dr B.L. Kapur Memorial Hospital, fixed the remaining part of the skin with external fixator (4-fixator) and followed it up with slow tissue expansion.

Step by step, the whole of the scalp was repaired by this method in a month.

The child showed dramatic recovery and the scalp had natural growth of hair within a short period.

Dr Sidhu said tissue expansion in such a manner with the help of external fixator in traumatic avulsion of scalp had been done for the first time and the result was excellent.

This innovative procedure had not only helped in complicated wound closure, but also proved a boon to treatment in male pattern baldness.

Routine tissue expanders could not be used as the wound was wide open and the traditional procedure would have been expensive, he said.

During his stay at the hospital, the child was cooperative and other patients and attendants had extended moral and financial support to the child.



Scholarship for city doctor
Our Correspondent

Ludhiana, October 6
Dr Veena Jain, chief of gynaecology, obstetrics and gynaecological oncology at the Mohan Dai Oswal Cancer Treatment and Research Foundation in the city has been awarded with a travelling scholarship by the International Gynaecological Cancer Society (IGCS).

She will visit the USA to attend the 11th biennial meeting of the IGCS, to be held at Santa Monica, in California from October 14 to 18.

She will present scientific papers, based on her clinical experience in gynaecological cancers at the global meet, to be attended by leading gynaecological oncologists from all over the world.

Dr Jain informed that the papers to be presented at the conference would deal with ‘neoadjuvant chemotherapy followed by radical surgery in early stage bulky carcinoma cervix’ and ‘experience in radical surgery in early stage of cancer cervix’.



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