 8
year old Areesha came to the Paediatric
Surgery clinic at The Indus Hospital
in February 2008 from Hyderabad.
She had a history of being unable
to swallow any kind of liquids or
solids since birth. Immediately
after attempting to eat or drink,
she would regurgitate everything
out. She had been diagnosed to have
achalasia cardia (narrowing of the
lower end of the oesophagus) as
an infant but surgery had been deferred
by doctors. She had a nasogastric
tube in place, through which she
had been receiving pureed foods
all her life.
After confirming her diagnosis
with a barium swallow, she was scheduled
for surgery at The Indus Hospital
on February 24, 2008. Dr. Mohsin
Ali (senior paediatric surgeon)
and Dr. Saeeda Haider (senior anaesthetist)
donated their time to help perform
this surgery with Dr. Lubna Samad
and Dr. Akhtar Aziz (full time paediatric
surgeon and anaesthetist at The
Indus Hospital). A Heller myotomy
was performed successfully. On the
third postoperative day, Areesha
drank water for the first time without
vomiting it out! Her joy had to
be seen to be believed. She is now
back home, eating and drinking like
a normal child.
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 Noor
Bibi is a 74 year female who sustained
a fracture of the left hip over
one year ago. This was operated
at another hospital where a good
surgical fixation of the fracture
with a DHS plate was carried
out. Unfortunately due to unknown
reasons, the main screw holding
the fracture broke soon after surgery,
before the fracture could heal.
One end of the broken screw was
removed but the main part remained
inside her hip - this did not allow
her to walk as well as prevented
the fracture from healing. When
she was first seen at The Indus
Hospital, she had not walked for
around one year. She was in constant
pain and required urgent assistance.
After reviewing her case, the orthopaedic
surgeons, Dr. Mohammad Amin Chinoy
and Dr.Mansoor Ali Khan planned
a total hip replacement on her.
This is a complicated and very expensive
procedure, made more difficult due
to the presence of the broken metal
screw in her hip joint. The procedure
was performed on December 5, 2007,
and two days later Noor Bibi was
walking with the help of a walker
(picture). A week later she was
back home, pain free and able to
walk. All costs of surgery
as well as the Charnley Hip Replacement
Implant (UK) were borne by The Indus
Hospital.
|
 Mr.
Fayyaz Mohammad is a 67 year old mechanical
foreman who retired from Pakistan Steel Mills.
He receives a pension of Rs. 1500 per month,
and lives with his family in Korangi.
He had urinary symptoms for which he was seen
in the filter clinic at The Indus Hospital and
referred to the Urology Clinic. After
initial assessment and investigations, he was
admitted to The Indus Hospital for a flexible
cystoscopy as a day case on Friday, August 24,
2007. Cystoscopy was carried out which
showed him to have a possible communication
between his intestines and urinary bladder –
probably a complication of a previous abdominal
surgery. He was discharged 2 hours after
the procedure, and will be followed up in the
outpatient clinic for further work up before
definitive surgery is undertaken here, Insha'Allah.
Pictures before, during and after the procedure are attached. Alhamdolillah, this marks the first inpatient admission and procedure at The Indus Hospital – a memorable day indeed.>/p>
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