Recently a patient from London came to India for a family vacation during his stay here, he felt severe abdominal pain for which he visited Metro Hospital Faridabad where he consulted Dr. Mradul Garg, Sr. Consultant & Head of Unit II & Dr. Sachin Mittal Consultant unit II, his CECT abdomen showed perforated diverticulitis of small bowel for which doctors suggested him emergency surgery. Perforated diverticulitis of small bowel is the formation of numerous tiny pockets, in the lining of the bowel, they are formed by increased pressure on weakened spots of the intestinal walls due to chronic constipation. If not treated urgently they can perforate due to weak wall & can lead to massive infection in the abdomen.
The team suggested him to undergo laparotomy as it was a surgical emergency. But he wanted to consult doctors in other hospitals for second opinion, and everybody suggested the same but with open surgery, which he does not want as open surgery has its own limitation. He was bound to return to his country after certain days, so he decided to fly back to London for his treatment but his physician advised him immediate surgery without any delay, as delay can lead to catastrophic outcome. So he consulted Dr. Mradul and Dr. Sachin Mittal, they gave assurance that they will try to do it laparoscopically only unless some contra indication arises. Dr. Mradul Garg said that doing laparoscopy in such critical patients is very challenging. It need advance laparoscopy skill, well equipped OT, ICU & hospital set up. In cases of intestinal perforation, intestine is inflamed, swollen and adhered which is very difficult to handle laparoscopically.
During a laparoscopic procedure, the surgeon makes very small incisions in the abdomen, through which the laparoscopic instruments are inserted. Doctor performs the surgery with the help of a two-dimensional image on a video monitor. This surgery for perforated diverticulitis took 4 hours and laparoscopic bowel resection of 20 cm of bowel with laparoscopic drainage of Intra-abdominal collection was done. Patient had only five less than 1cm incision and a very quick recovery. He was able to walk next day with minimal pain and got discharge after 4 days in a healthy and stable condition.
Dr. S.S Bansal, M.D & Sr. Interventional Cardiologist of the hospital congratulates the whole team of doctors and support staff for encouraging outcome.