In a highly skilled and complex procedure, life of a 24 year old patient was saved in Wockhardt Hospitals, Nagpur.
After a road accident, patient had ruptured Oesophagus (food pipe), fracture in facial bones & skull. Dr. Piyush Marudwar, Consultant- Gastroenterology, who was primarily treating the patient, repaired the ruptured food pipe. Dr. Rahul Zamad, Consultant- Neuro Surgery, operated the damaged skull bone and Dr. Parikshit Janai, Consultant- Plastic Surgery, repaired the damaged facial bones.
The patient hailing from Jabalpur was brought in emergency department of Wockhardt Hospital where he was initially stabilised by giving primary care. When he came to Wockhardt Emergency room, he was not completely conscious, his O2 level was low. He had Head injury with bleeding from nose, convulsions and vomiting. Due to rupture in food pipe, air and fluid leaked into his chest cavity which further got infected. He was started on O2 support and other supportive care and was admitted under Dr. Piyush Marudwar.
Same morning Dr. Marudwar did UGI endoscopy and site of perforation in Oesophagus using life saving, advance procedure and latest technique called Full Thickness over the scope Clipping, and sealed the perforation.
This case was more challenging as site of perforation was very high up in Oesophagus. Major Surgery was avoided using this latest endoscopic technique. Next day Using CT scan, it was confirmed that perforation was sealed completely, so he was started on oral diet. Tricky Facial bone Fracture Surgery was done by Dr. Parikshit Janai, to avoid facial deformity in young boy of 24 years old. Dr. Rahul repaired skull base using innovative endoscopic skull base
repair.
The patient also had Meningitis (infection of brain coverings). Meningitis was treated using Epidural and Intravenous antibiotics with the help of Dr Vaibhav Agrawal who is consultant Physician and Intensives. In good centres across world Survival rate with this type of meningitis is only 20-30 %. This patient recovered from all of this and was discharged successfully from the Hospital.
