Two international patients had successful abdominal reconstructive operation
Zekria Rammonzi, from Afghanistan and Kadhim Hasan Ali, from Iraq underwent reconstructive surgeries of the abdomen, executed in an intricate and carefully crafted manner at Fortis Hospital, Shalimar Bagh. Dr Richie Gupta, head of plastic and reconstructive surgery and Dr Pradeep Jain, Director, GI-ONCO and MAS along with their teams worked tirelessly to ensure that the patients were given the best treatment possible.
Zekria Ramozi, 49 years old was admitted on June 13th with a large tumor on the abdominal wall, which was continously discharging pus. Though a surgery was already performed in Kabul, the surgeons were unable to excise it fully and after partial excision, abandoned the procedure. However, to minimise the chance of recurrence, the tumor had to be excised totally, as a result the final defect in the abdominal wall would have become huge in future if not treated immediately.
The doctors opted for a free tissue transplant from the entire left side of patients back with microsurgical joining of vessels to restore blood flow. The surgery took 10 hours and the patient was discharged after ten days. Ramoziis now is recovering and is all set to go back home.
Kadhim Hasan Ali, a 36 year old soldier from Iraq was grievously injured in a bomb blast. He was admitted on June 26th with multiple injuries. He had previously undergone an abdominal surgery with resection of the intestine with permanent colostomy on the anterior abdominal wall. His right lower limb had also been amputated at pelvic level. On June 28th he underwent a 13 hour-long surgery for the correction of the huge anterior abdominal hernia wall and covered with a thin layer of skin. The area was covered with free muscle and skin flap from the back and the vessels were joined using a microsurgical technique. Ali remained on ventilator for three days and is now recovering well.
Talking about the two cases Dr Jain shared, “In the first case the tumor had to be carefully excised along a 5cm peripheral margin so that the disease was completely removed but it left the liver and intestines exposed. And in the second case, the earlier skin cover was thin and fragile. The hernia was gradually increasing in size, causing severe pain and discomfort to the patient.”
Adding to the details of the two cases Dr Gupta said, “These were extremely challenging cases as these involved reconstruction of abdominal wall to protect internal organs which would otherwise have suffered severe damage. largest flaps available in the body were used to cover these effects. Such large flaps require constant monitoring to detect early thrombosis and flap loss.”
Mahipal Bhanot, Facility Director, Fortis Hospital Shalimar Bagh shared, “We are glad that we could effectively provide treatment to the two international patients. This reflects our commitment to provide the best of healthcare services from patients across the world. Both our experts handling these cases excel in their fields. The reconstructive surgery space was a critical factor that made treatment in these cases possible and successful.”