Mangaluru: Kuntikana’s AJ Hospital and Research Center, which is known for successful management of complex surgeries, has added one more feather in its cap.

A 59-year-old man from Tumkur was treated at a well-known hospital in Bengaluru for a Pseudomonas tumor four years ago, but he again complained the same problem and was suffering from severe pain. When he was examined through a CT scan, it was found that he needs multiple organs treatment. The patient was admitted to AJ Hospital on August 14 after surgical inspection and pre-preparation. The doctor's team, led by cancer surgeon Dr. Vishwanath, performed an 18-hour surgery and successfully removed the tumor.

The surgeon's team included Surgical Gastroenterologist Dr. Rohan Shetty, Dr. Ashwin Alva, Medical Oncologist Dr. Rachan Shetty, and Anesthesiologist Dr. Trivikram Thantri.

The specialty of this surgery:

 The patient was subjected to a multiple organ surgery as the disease had spread to the principal organs of the body. This resulted in the removal of a part of the stomach, small intestine, large intestine, and spleen. The outer part of the pancreas had to be eliminated. Besides, peritoneum was also completely removed. It was a complicated surgery that was performed for 18 hours, Dr. Vishwanath informed.

Then the chemotherapy was performed within the stomach at a temperature of 42 degrees for 90 minutes by the Hyperthermic Intraperitoneal Chemotherapy (HIPEC) machine. Delivering hot chemotherapy directly into the peritoneal hole helps in destroying cancer cells that are not visible to human eyes. With chemotherapy given through HIPEC, the medicine will instantly be in contact with the cancer cells, and the side effects can be reduced.

As the HIPEC chemotherapy was given in Mangaluru for the first time, a team of doctors headed by Anastasia division head Dr. Trivikram Thantri kept the patient's condition in constant care. The patient was discharged from the hospital on the 12th day after the patient’s condition was normal.

The surgical procedure through HIPEC equipment has been given for the first time in the Karavali, and it is intended to treat patients with such technique hereafter as well. AJ Hospital has all the technology and expert specialists to treat such deceases.

People do not necessarily need to go to far places for the treatment of such problems. This treatment will be available in Mangaluru for the patients of Kerala and coastal region,

For more details on this surgery, the hospital cancer surgeon Dr. Vishwanath can be contacted on 8123567396.

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Budapest/Washington: US Vice President J D Vance has said that Lebanon was never included in the ceasefire understanding with Iran, describing the confusion as a “legitimate misunderstanding”.

Speaking to reporters before departing from Hungary, Vance said, “I think the Iranians thought that the ceasefire included Lebanon and it just didn’t. We never made that promise.”

He stressed that the United States had not included Lebanon in the scope of the ceasefire at any stage.

His remarks come amid continued Israeli strikes in Lebanon, where more than 200 people were reported killed, even as ceasefire talks between Iran and the US move forward.

Vance said Israel had “offered … to check themselves a little bit in Lebanon because they want to make sure that our negotiation is successful”.

He warned that if Iran allows the situation in Lebanon to affect the negotiations, it could derail the talks.

“If Iran wants to let this negotiation fall apart in a conflict where they were getting hammered over Lebanon, which has nothing to do with them and which the United States never once said was part of the ceasefire, that’s ultimately their choice,” he said.