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Rare surgery performed at Hinduja Hospital

Six-month-old Shankar Khede (name changed) was born with a congenital defect termed as ‘imperforate anus’.

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Six-month-old Shankar Khede (name changed)  was born with a congenital defect termed as ‘imperforate anus’. Shankar’s rectum ended blindly, as he was born without an anus.

“This is a condition seen in one in every 5,000 live births and is treated by reconstructing a new anus,” explained Dr Rasik Shah, paediatric and laparoscopic surgeon, Hinduja Hospital, who performed the four-hour long surgery using a minimally invasive technique.

The surgery was telecast live at Paediatric Endoscopic Surgeons — India 2009 conference, held at Hinduja Hospital, which was attended by over 200 paediatric surgeons.

“Laparoscopic paediatric surgery has advanced very rapidly in the last 20 years. Today almost all surgeries can be performed using laparoscopic techniques,” said Dr Shah, who is also the organising secretary, PESI.

However, very few of these surgeries are being performed in Mumbai, he said. “This is either because patients are not aware of it or are not being offered this technique,” Dr Shah explained.

The advantages of laparoscopic paediatric surgery are many, including less pain, early recovery and early mobilisation.

“Besides a child is going to live much longer, and so he will derive benefit of the surgery for a much longer duration than say a 60 or 70-year-old person undergoing a laparoscopic surgery,” said Dr Shah.

In Shankar’s case, surgeons first performed a colostomy, where the colon is brought to the abdominal wall to make an exit-passage for the stool. Later, the anus is reconstructed.

In all, 13 surgeries were performed.
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