By 121 News
Mohali, Jan.27, 2025:- Doctors at Max Super Speciality Hospital, Mohali, performed a lifesaving Whipple surgery on a 50 years old patient Vikramjit, Singh from Amritsar, who was suffering from deep jaundice and a tumour in stomach and small intestine.
The surgery was performed by Dr Manmohan Bedi, Associate Director Department of General Surgery, Max Super Speciality Hospital, Mohali, and his multidisciplinary team of doctors.
Vikramjit Singh was brought to Max Hospital, Mohali, in a critically deteriorating condition. He was suffering from yellowish discoloration of his eyes. After careful evaluation it was revealed, he was diagnosed with deep jaundice which led to further evaluation of the patient and disclosed a tumour in the duodenum (small intestine). The biopsy was taken from the tumour to determine its nature.
In addition, Vikramjit Singh's condition continued to deteriorate further, he started to pass blood through motion thus causing a dangerous fall in his blood pressure level due to continuous bleeding from the affected intestine, all efforts to stop the bleeding failed despite repeated endoscopy and efforts through interventional radiology. Furthermore, his haemoglobin dropped down to 3 grams despite transfusing 20 units of blood. The drugs to maintain the blood pressure too failed to maintain the level.
Commenting upon the complex case, Dr Manmohan Bedi Associate Director Department of General Surgery, Max Super Speciality Hospital, Mohali said that the surgery was extremely challenging and complex. It required the removal of the bleeding part of the intestine, along with a major portion of the head of the pancreas, the lower end of the common bile duct, and part of the stomach, to control the bleeding.
Given the poor health condition of the patient, which was deteriorating with time, the surgical option was opted for by the patient by understanding the high complications of the case.
Further, Dr Bedi added that the major challenge in this highly complex surgery was the patient's critical condition and administering anaesthesia to maintain stability during the procedure, ensuring the removal of the affected organs with minimal blood loss.
Post-surgery, the ICU critical care team took over, providing the patient with blood transfusions and other blood products—platelets, plasma, and SSE—to correct any abnormalities. The patient was gradually taken down from the ventilator, and the endotracheal tube was removed on the fourth day after the reconstruction procedure. On the fifth day, the patient underwent reconstruction of the digestive tract, which was successfully completed, and the abdomen was closed. He began taking oral feeds the very next day and was moved to the general ward on the seventh day.
With a good diet and physiotherapy, the patient made a remarkable recovery and was discharged in stable condition on the eleventh day following surgery.
The surgery highlighted the exceptional teamwork and medical expertise of the surgeons, anaesthetists, and critical care team at Max Hospital, who successfully restored the patient's health by reconstructing the digestive pathway after removing the affected parts of the intestine and vital organs in the stomach.
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