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Rare surgery gives Ratnagiri tiny tot a new breath of life

Ratnagiri resident Mubin Shaikh and his wife were on cloud nine when their only child, Mohammad, could eat a full meal and sleep well for the first time since he was born almost two years ago.

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Ratnagiri resident Mubin Shaikh and his wife were on cloud nine when their only child, Mohammad, could eat a full meal and sleep well for the first time since he was born almost two years ago. After a rare and complicated laparoscopic surgery, the first of its kind, they look forward to start a normal life.

Mohammad was malnourished and underweight as he was suffering from a rare congenital disorder called ‘Stridor’ (noisy and tough breathing).

Mubin, an ex-fitter for merchant navy, who lost his job after taking frequent leave due to Mohammad’s complication, said: “He vomited every time he ate. He could not breathe and sleep with ease. Multiple hospitalisations due to repeated chest infection and vomiting affected him badly.”

“Mohammad was suffering from severely dilated oesophagus (congenital megaoesophagus). Normally it is about 2.5 inches in children of same age, but in Mohammad’s case, it was more than 5 inches and that too without active muscles contraction.

Therefore his food was pushed down not by oesophageal peristalsis but by gravity. Thus it used to take nearly 2 hours to get it down. Dilated oesophagus was compressing the trachea so his breathing was also compromised,” said Dr Ravindra Ramadwar, consultant paediatric and laparoscopic surgeon at Bombay Hospital.

To try a safer procedure, Dr Ramadwar and his team decided to try laparoscopic surgery and operated up on Mohammad on August 26. Dr Ramadwar claimed: “For the first time, this type of laparoscopic surgery has been performed on a child.”

It has been 15 days since the surgery and Mohammad is eating well and sleeping in peace. According to Dr Ramadwar, Mohammad has to now learn how to swallow food properly. He will be discharged in a couple of days. Mohammad will receive annual check-up for the next 15 years.

Dr Sanjay Oak, dean, KEM Hospital and pediatric surgeon said: “I have never heard of a laparoscopic surgery for this disorder. I have operated on a few cases of absence of oesophagus but by open surgery. Dr Ramadwar has done a commendable job.”

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