OVERCOMING A NIGHTMARE IN REALITY

-

 



A 17 year old youth had been presented in the emergency department of RubyGeneral Hospital post a road traffic accident. He could not think rationally (altered sensorium) and had a head injury with laceration over right eye and forehead along with multiple abrasions over chest, left shoulder, both arms and knees. He had been admitted under the care of Dr. Tamajit Chakraborty (Consultant Neurosurgeon) and after evaluation and relevant investigations the young man had been diagnosed to have a compound depressed fracture (break in a bone with depression in toward the brain, loss of skin and splintering) of frontal bone and anterior skull base with avulsion (a forcible tearing off of skin) of forehead skin and large skin defect. After discussion with the family members and with proper informed consent the young man had been posted for surgery. Bifrontal Craniotomy was made with elevation of depressed skull fracture. The multiple small fragments in the anterior skull base were cleared with removal of frontal lobe contusion. The anterior cranial fossa floor (ACF) had been repaired followed by cranioplasty (Surgical repair of a bone defect in the skull) using titanium mesh and eight screws. Finally, reconstruction of the right upper eyelid and forehead degloving injury (An injury where the top layers of the skin and tissue are torn away from the underlying muscle, connective tissue or bone) had been done under the guidance of Dr. Deepanjan Dey (Reconstructive and Plastic Surgeon). The postoperative period had been uneventful and according to the consultants it is usually very rare that after such an extensive injury, a patient shows a speedy recovery in just five days post surgery.

Location: West Bengal, Kolkata

Comments

Post a Comment

Popular posts from this blog

REMOVAL OF A TUMOUR WEIGHING ABOVE 8 KGS

-
Image
  A 65-year-old lady had hepresented at Ruby General Hospital with complaints of fullness in r abdomen and was admitted under the Care of (Prof) Dr. Sudhir Adhikari (Consultant Gynaecologist). The lady had been a known case of Hypothyroid for more than one and half decades. A thorough evaluation and relevant investigations revealed a huge mass in the abdomen. After discussion with the family members and with written and informed consent, the lady had been posted for surgery. Laparotomy (Open surgery of the abdomen to examine the abdominal organs) had been performed followed by Total Hysterectomy,   Bilateral Salpingo-Oophorectomy (BSO) (Removal of both ovaries and fallopian tubes) with vault fixation (A surgery to repair vaginal vault prolapse). On opening the abdomen a huge mass approximately 20 cms in diameter had been removed along with 6 litres of fluid. The mass weighed more than 8 kgs. The post-operative period had been uneventful and the lady went home with a lighter self and
Read more

A RARE TYPE OF INTERNAL HERNIA - GIANT PARAESOPHAGEAL HIATUS HERNIA

-
Image
  A 65-year-old lady had presented with complaints of chronic cough, chest pain, and discomfort associated with food regurgitation for a few years. She had a history of hypertension and hypothyroidism. After receiving treatment for some time, the symptoms kept recurring and she consulted Dr. Sumanta Dey (Advanced Laparoscopic, Bariatric and GI Surgeon) at Ruby General Hospital . After a thorough evaluation, relevant investigations were advised which revealed a giant Paraesophageal Hiatus Hernia (Type – III). A giant Paraesophageal Hiatus Hernia (Type – III) is a rare type of internal hernia where the esophagus (food pipe) along with the stomach slides into the chest causing compression over the lungs and heart. Thus, the patient usually presents with chest pain, breathing distress, dry cough, food regurgitation and bloating sensation. Sometimes, the blood supply of the stomach gets blocked and causes severe abdominal pain due to strangulated hernia which is a life-threatening situati
Read more

BOUNDARIES FADE WHEN IT COMES TO SAVING LIVES

-
Image
  An 80-year-old male from Bhutan presented with a right anterior thigh mass. An excisional biopsy revealed myxofibrosarcoma (A type of soft tissue sarcoma which starts as a small lump in the connective tissue), a relatively rare cancer. He underwent excision of the lesion in Bhutan and the tumour was 1.7 cm  X  1.1 cm with margin involvement. The final biopsy report was confirmatory for the same. The gentleman was referred to Ruby Cancer Centre, a unit of Ruby General Hospital in Kolkata for further treatment. Proper metastatic work–up started. He was put on adjuvant radiation under the guidance of Oncology Unit 1, Dr. Sanjoy Roy and Dr. Sandip Sarkar. It reduces the risk of cancer coming back after the primary treatment, eg. surgeries like microscopic bits of cancer sometimes remain undetectable post-removal of all visible cancer. The gentleman has completed 25 fractions of radiation without any complications and had tolerated the treatment perfectly well. Ruby General Hospital and
Read more