Friday November 15, 2019

Vatican Children’s Hospital Carries Out A Pioneering Surgery On a 30-month-old

Surgeons performing a laparoscopy have an extremely detailed picture of the patient's anatomy, allowing more precise incisions with a lower risk of bleeding.

0
//
surgery
Toddler receives mother's kidney, part of liver in pioneering transplant. Pixabay

Surgeons at the Vatican children’s hospital in Rome have carried out a pioneering surgery in which a Lebanese woman’s kidney and part of her liver were transplanted in her 30-month-old son, who suffers from a rare metabolic disorder.

Doctors at the Bambin Gesu hospital performed path-breaking laparoscopic surgery on the left side of the woman’s liver and on her kidney.

The boy, named Danil, suffers from primary hyperoxaluria, a severe form of a rare metabolic disease called oxalosis, characterised by the formation of calcium oxalate deposits in organs and tissues.

Oxalosis can cause urinary infections and permanent kidney damage, and in the most severe cases, can stunt the patient’s growth and cause brittle bones that are vulnerable to fractures. It affects one in 100,000-333,000 people.

Surgery
All such patients treated at the Bambin Gesu have had dialysis during surgery and several days afterwards, and all the operations have been successful. Flickr

“This operation could be the first of its kind in the world,” the Bambin Gesu said in a statement.

“We are not aware of previous cases in which laparoscopic surgery has been carried out to transplant the same donor’s liver and kidney one after the other.”

The team at the Bambin Gesu that carried out the laparoscopic transplant in Danil of part his mother’s liver was led by Marco Spada, while the transplant of her kidney to the toddler was spearheaded by Luca dello Strologo.

Laparoscopic surgery to transplant a kidney from a living donor to a recipient is well-established, while the use of the minimally invasive technique for liver transplants is a more recent operation that is only done in the most specialist centres and, in Italy, currently only at the Bambin Gesu.

Surgery
Bambin Gesu hospital , Vatican. Flickr

All such patients treated at the Bambin Gesu have had dialysis during surgery and several days afterwards, and all the operations have been successful, according to the hospital. In the past 24 months, it has performed 32 liver or kidney transplants from living donors and 98 from deceased donors.

Also Read: Exposure to Arsenic, Lead may Spike up Risk of Heart Disease

The advantages of laparoscopy include a significant reduction in surgical trauma which reduces the length of time patients need to spend in hospital, less need for painkilling drugs, a lower risk of postoperative complications and a more rapid return to normal life, according to the experts.

And thanks to high-resolution (3K and 4K) and three-dimensional imaging technology, surgeons performing a laparoscopy have an extremely detailed picture of the patient’s anatomy, allowing more precise incisions with a lower risk of bleeding. (IANS)

Next Story

Here’s Why Complimentary Cancer Therapies Can Cause More Harm

Doctors need to be more proactive about asking their patients what else they are taking when they are being treated for cancer

0
Cancer
It is particularly important that patients always check with their doctors first before trying complementary therapies for Cancer that has spread to the skin. Pixabay

A medical expert has said that Cancer patients should tell doctors treating them about the herbal products they may be taking since some ingredients could affect their treatment.

Maria Joao Cardoso, the head breast surgeon at the Champalimaud Cancer Centre in Lisbon, Portugal, said that there was no evidence that herbal therapies or creams worked.

If in doubt, it is best not to take anything, she added.

Garlic, ginger and ginkgo pills, for example, can delay the healing of skin wounds when breast cancer spreads, she said.

“Doctors need to be more proactive about asking their patients what else they are taking when they are being treated for cancer,” Cardoso told the BBC.

She said that it is particularly important that patients always check with their doctors first before trying complementary therapies for cancer that has spread to the skin. This happens in one in five cases of breast cancer, and less in other cancers.

The danger is that many products can interfere with the hormone therapy or chemotherapy treatments, and certain ones prolong the blood clotting process, which can lead to wounds taking longer time to heal and more scarring.

She said that herbal products like green chiretta, feverfew, garlic, ginkgo, ginseng, hawthorn, horse chestnut and turmeric slow down clotting.

Cancer
A medical expert has said that Cancer patients should tell doctors treating them about the herbal products they may be taking since some ingredients could affect their treatment. Pixabay

Cardoso said that it is not surprising that patients and their carers go searching for complementary or alternative treatments that might make a difference.

But she said people should know that “they could end up doing more harm than good”.

ALSO READ: Fitbit to Unveil Latest Update for its Smartwatch

“The highest goal in medicine is important to remember: Do no harm,” she said.

As per the website of Cancer Research UK, some complementary therapies might stop conventional treatments working as well as they should. (IANS)