3-month-old boy becomes youngest in world to undergo surgery to remove obstructions in kidneys:AIIMS
New Delhi, May 21: Doctors at the AIIMS here performed a laparoscopic surgery on a three-month-old boy to remove obstructions in both his kidneys, the premier government-run hospital said on Sunday, and claimed he became the youngest patient in the world to undergo this procedure.
The doctors in the Department of Paediatrics performed the bilateral laparoscopic pyeloplasty procedure, which is a minimally invasive surgical technique used to treat ureteropelvic junction obstruction, a congenital condition that obstructs the urinary tract and impairs urine flow from the kidneys to the bladder.
The procedure was performed in December and the patient was discharged three days after the surgery.
Three months after the surgery, the doctors performed a test called renogram to ascertain the success of the surgery and to confirm that the obstruction in the kidney outflow was relieved, said Dr Vishesh Jain, additional professor in the Department of Paediatrics.
"The successful surgery not only showcases AIIMS' commitment to cutting-edge paediatric surgical care but also highlights the institute's expertise in anaesthesia considerations, resulting in the child's discharge within just three days," the All India Institute of Medical Sciences (AIIMS) said in a statement.
On the three-month-old boy, the hospital said, the decision to operate both kidneys using laparoscopy approach was taken to minimize invasiveness and maximize benefits. Prior to the surgery, extensive planning was conducted to ensure optimal results.
"The use of a miniature camera inserted through the belly button improved cosmesis, while additional incisions were strategically placed to facilitate surgeries on both sides without sharing the same incisions," the statement read.
During the two-hour operation, the surgical team meticulously reconstructed the obstructed ureteropelvic junction using microscopic sutures and fine instruments.
The successful completion of this advanced procedure on such a young child required careful considerations regarding anaesthesia, it said.
"Thanks to the advanced surgical techniques and anaesthesia management employed by AIIMS, the infant experienced a rapid recovery. Within just three days, the child was discharged, enabling a swift return to their family," the statement said.
In addition to the positive outcome for the infant, the laparoscopic approach eliminated the need for future surgeries, Dr Jain said.
"Under the leadership and guidance of Dr M Bajpai, Head of the Department of Paediatric Surgery, the department has increasingly employed laparoscopic techniques to treat such conditions. Traditionally, these surgeries were performed sequentially, requiring separate surgeries for each affected kidney," the statement added.
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India Open: Sindhu out; Srikanth, Prannoy advance
New Delhi (PTI): Two-time Olympic medallist P V Sindhu was knocked out of India Open but Kidambi Srikanth and HS Prannoy progressed to the second round on a mixed day for the hosts at the USD 950,000 Super 750 badminton tournament, here Wednesday.
Sindhu, who reached the semifinals of Malaysia Super 1000 last week, couldn't maintain the pressure after narrowly pocketing the opening game to eventually go down 22-20 12-21 15-21 to Vietnam's Thuy Linh Nguyen in 68 minutes.
"I don’t think it was my day, she isn’t an easy opponent. At this level, everyone plays well and you can’t expect easy points or easy wins. She has good strokes, you had to keep the tempo and keep the shuttle in play. Small mistakes in those moments become decisive," Sindhu said after her exit.
"I definitely need to be more consistent. Giving away easy or consecutive points is something I have to stop. After losing one point, I need to reset immediately and be ready for the next rally. That’s the main takeaway for me."
Earlier, former world No. 1 Srikanth had to dig deep to outlast fellow Indian Tharun Mannepalli 15-21, 21-6, 21-19, while Malvika Bansod, returning from an injury layoff, displayed patience and defensive solidity to beat Chinese Taipei’s Pai Yu Po 21-18, 21-19.
Prannoy, who received a last-minute entry in the tournament, made it count as he outwitted last year's runner-up Lee Cheuk Yiu 22-20 21-18 to advance to the second round. He will next face eighth seed and former world champion Loh Kean Yew of Singapore.
Tanvi Sharma, silver medallist at the BWF World Junior Championship, then played her heart out before going down fighting 20-22 21-18 13-21 to world number 2 Wang Zhi Yi.
Indian women’s doubles campaign also got off to a positive note with Treesa Jolly and Gayatri Gopichand cruising past Thailand’s Ornnicha Jongsathapornparn and Sukitta Suwachai 21-15, 21-11.
The Indian pair, fresh from defending their Syed Modi International title, will next face seventh seeds Li Yi Jing and Luo Xu Min of China.
However, it was a disappointing day for India in mixed doubles, with three Indian pairs exiting the tournament at an early stage.
Dhruv Kapila and Tanisha Crasto went down 15-21, 14-21 to Thailand’s Pakkapon Teeraratsakul and Sapsiree Taerattanachai, while Rohan Kapoor and Ruthvika Shivani Gadde lost 19-21, 14-21 to Germany’s Marvin Seidel and Thuc Phuong Nguyen.
Ashith Surya and Amrutha Pramuthesh were also shown the door after a 15-21, 7-21 defeat to Japan’s Yuichi Shimogami and Sayaka Hobara.
Sindhu vs Nguyen
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Coming into the match after two losses in her last two meetings against Nguyen, the Indian knew the importance of a strong start. She raced to a 3-0 lead.
The Vietnamese clawed back to 6-6 before Sindhu pulled away again to make it 12-6. Nguyen, however, stayed in touch, narrowing the gap to 11-12 and then 13-14.
A smash followed by a sharp cross court drop helped Nguyen close in at 16-17 before she drew level at 19-19 and earned a game point.
She failed to convert, though, spraying a return wide, and Sindhu capitalised immediately with a decisive smash to take the opening game.
The second game began on an even note with the scores locked at 4-4. Nguyen then moved ahead 7-4, but Sindhu once again reeled her in at 8-8. The Vietnamese went into the interval with a two point cushion and surged ahead to 15-9 after the restart.
A series of wide and long shots compounded Sindhu’s frustration as Nguyen raced to 19-11. A precise backline placement earned her multiple game points and she sealed the game with a body smash to force a decider.
The third game followed a similar script with neither player willing to yield ground. Two superb cross court smashes helped Sindhu stay level at 7-7 and the contest remained tight at 10-10 before another wide error from the Indian shifted momentum.
Nguyen seized control after the break, opening up a four point lead at 18-14 and then unleashed another accurate smash to move within two points of victory. The Vietnamese earned five match points. Sindhu erred again as she closed it out comfortably.
