Robotic kidney transplant operations were utilized by Fortis Hospital in Bengaluru to treat two patients with end-stage renal disease, which is a noteworthy display of medical innovation and proficiency. Among the patients were an 11-year-old Yemeni kid and a 34-year-old Bengaluru-born IT engineer. These stories show how cutting-edge surgical methods can significantly enhance patient outcomes and quality of life, particularly for those with complicated medical issues.
Since he was four years old, Ahmed, the Yemeni youngster, has been battling Steroid Resistant Nephrotic Syndrome (SRNS), a serious kidney disease. Despite receiving steroid therapy, people with SRNS experience significant protein leakage from their kidneys into their urine. Nephrotic syndrome, which is marked by proteinuria (too much protein in the urine), hypoalbuminemia (low amounts of albumin in the blood), hyperlipidemia (high cholesterol), and edema (swelling), may result from this ongoing leakage. Eventually, end-stage renal disease and chronic kidney disease, which require a kidney transplant, can develop from SRNS over time.
Ahmed’s chronic renal disease has progressed to stage five, the last stage in which the kidneys almost completely lose their capacity to work. Significant proteinuria, excruciating edema, and elevated cholesterol levels were among his complaints. His parents were not suitable candidates for organ donation due to health issues. Ahmed was able to have a life-saving kidney transplant because his aunt kindly offered to donate her kidney.
Ahmed underwent a laparoscopic live-related renal transplant surgery with the assistance of a robot. Using robotic technology, this minimally invasive procedure helps surgeons make accurate incisions and carry out complex procedures. Improved vision and precision offered by the robotic system are vital for reducing damage to surrounding tissues and guaranteeing precise transplant placement.
Ahmed also had ureteral stenting, a treatment in which a thin, flexible plastic tube called a double J stent is temporarily inserted into the ureter, in addition to the transplant. By facilitating the flow of urine from the kidney to the bladder, this stent helps to ensure that the transplanted kidney functions properly and helps to prevent problems. Ahmed was remarkably released from the hospital five days following the surgery, demonstrating the effectiveness and efficiency of the robotically assisted process.
Chetan, a 34-year-old software engineer from Bengaluru, was the second patient. He had a different but no less difficult set of circumstances. Chetan was suffering from a condition known as solitary kidney disease, which occurs when a person is born with only one kidney rather than two. His single kidney started to fail over time, further worse by a history of hypertension. This decline eventually led to end-stage kidney disease, necessitating a transplant.
Despite reservations about his advanced age, Chetan’s father, who is 74 years old, offered to give his kidney. This readiness to provide highlights how important family support is to the success of transplant outcomes. Chetan received dialysis for two weeks before to the procedure in order to control his kidney function and get his body ready for the transplant.
Chetan, like Ahmed, had ureteral stenting after a robot-assisted laparoscopic live-related renal transplant procedure. Given the elderly age of the donor and the requirement for precise surgical techniques to minimize risks and guarantee a satisfactory outcome, the utilization of robotic technology was very advantageous.
The benefits of robotic surgery in such complicated cases were highlighted by Dr. Mohan Keshavamurthy, Senior Director of Urology, Uro-Oncology, Uro-Gynecology, Andrology, Transplant, and Robotic Surgery at Fortis Hospitals. Smaller, more accurate incisions are made possible by robotic surgery, which lessens tissue damage and speeds up recovery. The robotic system’s improved visualization guarantees careful dissection and precise graft placement, which is especially helpful when working with donors who have unusual medical histories.
The advantages of robotically assisted surgeries go beyond the immediate surgical results, according to Dr. Keshavamurthy. Less scarring results from the smaller incisions, which enhances patient satisfaction and speeds up healing and lowers the risk of complications after surgery. This strategy represents a major breakthrough in the field of renal transplantation by improving patient outcomes and revolutionizing surgical practices.
The accomplishments of these procedures at Fortis Hospital highlight how crucial it is to use cutting-edge medical technology when treating complicated medical issues. In the realm of organ transplantation, robot-assisted laparoscopic surgery is a huge advancement that gives hope to patients who might otherwise have dismal prognoses.
The instance of Ahmed, in particular, demonstrates the significant influence of these developments. Ahmed had suffered from SRNS for the majority of his childhood, which had caused him much physical and psychological suffering. His quality of life significantly improved after the successful transplant, which not only reduced his physical problems but also gave him a new lease on life and the ability to resume regular activities.
Chetan’s tale similarly emphasizes how robotic surgery can be used to solve certain medical problems. Living with a single kidney is dangerous by nature, and his health was seriously threatened by the decline in kidney function. Thanks to robotic technology, Chetan was able to successfully complete his transplant, overcoming his obstacles and looking forward to a healthier future.
SOURCE:
THE NEW INDIAN EXPRESS
