NewZNew (Chandigarh) : Max Super Specialty Hospital (MSSH), Mohali has conducted a successful highly complicated caesarean surgery of 47-year old woman. Ms. Rajinder Gaur who have 4 children born by caesarean section in past presented at MSSH with complaint of abnormal uterine bleeding. Investigations suggested malignant cancer of the uterus for which she needed uterus removal, commonly called Hysterectomy. She was in urgent need of surgery but her earlier surgeries had distorted her uterus.
Addressing a press conference at a sector-43 hotel here today, the treating surgeons, Dr KS Dhillon and Dr Divya Awasthi from Department of Advanced Laparoscopic Surgery, MSSH informed that they have been routinely doing these surgeries with history of two or three caesarean section. But this case was different as the patient with previous four caesarean childbirths underwent laparoscopic hysterectomy successfully in which uterus weighing 250-gms and both ovaries and fallopian tubes with both tubes swollen to the size of 6cm and 4cm, were removed.
We were proud and glad that such advanced and complicated surgeries were being undertaken in the tricity, asserted Mr. Sandeep Dogra, VP-MSSH.
We had been running from pillar to post in desperate need of treatment, but all hospitals refused us, rued a distraught Ms. Rajinder Gaur. She was told that her surgery involved lot of risk and serious complications because of her history of four caesarean operations and the fifth surgery would be dangerous. She required the removal of her uterus, ovaries, tubes and lymph glands in her lower abdomen, and no hospital was ready to take my case because of the risk involved.
Dr Dhillon further explained that after previous successive caesarean surgeries, the uterus got entangled in adhesions which were a web of new tissue and flesh formed by body to help in healing. All her internal organs like intestine and urinary bladder had got stuck around her uterus and ovaries because of the repeated surgeries. Operating again on her would involve a high risk of bleeding and accidental cutting of her intestines and urinary bladder which could lead to spillage of urine and faecal matter inside her body during the surgery. This in turn could lead to infection and even death, he pointed out.
Talking about this high risk surgery, Dr Dhillon said that the extent of adhesions and number of complications would increase with each caesarean surgery. Such cases would have very high chances of injury to urinary bladder as it would get stuck with the lower part of uterus. Injury to major blood vessel could also lead to excessive blood loss. These complications could be life threatening if not detected and managed timely.”
Women were advised not to have any pregnancy after 2-3 caesarean operations as this could put the life of both mother and child in danger, maintained Dr. Awasthi.