The Department of Urology at the Super Speciality Hospital of Government Medical College (GMC) Srinagar has accomplished a noteworthy medical feat by effectively carrying out the first Primary Retrograde Intrarenal Surgery (RIRS) on a 5-year-old child in Jammu and Kashmir. This innovative surgery represented a major leap in pediatric urology care in the area since it used a minimally invasive approach to cure a 2 cm kidney stone.
Through the normal urine path, doctors can remove kidney stones using RIRS, a sophisticated endoscopic technique, without making any exterior incisions. To accurately fragment and remove the stones, this approach makes use of a laser lithotripsy tool and a flexible ureterorenoscope. Because of the procedure’s well-known high success rate and short recovery period, pediatric patients might benefit most from less trauma and a quicker recovery.
The young girl presented with symptoms of acute stomach pain and trouble urinating when she was hospitalized to the GMC Srinagar Urology Department. The urology team conducted extensive diagnostic assessments and found a big kidney stone with a diameter of 2 cm. Traditional techniques like open surgery or percutaneous nephrolithotomy (PCNL) offered substantial dangers and required longer recovery times, especially considering the child’s age and the size of the stone. As a result, the department decided that RIRS was the best and safest course of treatment.
The lead urologist for this case, Prof. (Dr.) Syed Sajjad Nazir, gave an explanation: “Performing RIRS on such a young patient presented unique challenges, but our team was well-prepared.” The patient responded admirably, and the treatment was successfully finished. We’re honored to have established this standard in the area.
A flexible ureterorenoscope was used throughout the procedure to make its way through the urinary tract and into the kidney. After the kidney stone was found, it was broken up into smaller pieces using a laser lithotripsy tool so that they could either be naturally passed or removed with ease. With this minimally invasive procedure, the child was guaranteed to recover quickly and with little discomfort.
next the procedure, the patient was attentively watched for any aftereffects and was released the next day without any problems. Because RIRS is less invasive, the child will have less discomfort and be able to resume normal activities, including schoolwork, soon after the surgery.
“This achievement underscores our commitment to providing cutting-edge medical care,” stressed Dr. Nazir. With cutting-edge methods like RIRS, we are committed to expanding urological therapies and enhancing patient results.
Prof. (Dr.) Iffat Hassan Shah, the principal/dean of GMC Srinagar, commended the department on its outstanding accomplishment. She complimented the department on its diligence and commitment to providing excellent patient care, cutting-edge surgery, and scholarly fervor. “The department is performing high-quality, state-of-the-art surgeries,” she continued.
The Super Speciality Hospital at Government Medical College Srinagar is a premier healthcare facility dedicated to offering cutting-edge medical treatments, as noted by Dr. Jehangir Bakhshi, the hospital’s medical superintendent. This innovative procedure demonstrates the hospital’s dedication to implementing the newest methods and technologies in medicine to enhance patient care.
Since 2019 at GMC Srinagar, RIRS—a cutting-edge technique for treating renal stones—has been widely used on adults. About 1,000 RIRS cases involving adult patients have been handled by the department with success, involving both simple and difficult stones. However, because children’s ureters are smaller than adults’, RIRS in pediatric patients poses unique difficulties.
The Department of Urology’s Associate Professor, Dr. Tanveer Iqbal, stated, “MiniPCNL and ESWL were previously used to address pediatric renal calculi. However, because PCNL is invasive, there is a chance of bleeding after surgery, a lengthier recuperation period, and a longer time to resume regular activities. However, RIRS has many benefits, including minimal bleeding, quicker recovery, and a shorter recovery period before returning to regular activities.
The successful use of RIRS to a 5-year-old child at GMC Srinagar is a major breakthrough in Jammu and Kashmir’s pediatric urology care. The young patient recovered quickly from this minimally invasive surgery, which also guaranteed the safe removal of a huge kidney stone. The accomplishment demonstrates the department’s dedication to implementing state-of-the-art medical technologies and offering top-notch healthcare services. It establishes a new standard for the area’s pediatric urology care and emphasizes the possibility of more developments in minimally invasive surgical methods.
SOURCE:
TIMES OF INDIA
