Team of doctors with the girl: KGMU administration
Jagran Correspondent, Lucknow: On December 16, doctors of King George's Medical University brought out a bullet lodged in the brain of a three-year-old girl and brought laughter to the face of a poor family.
The doctors of Neuro Surgery, Anesthesia and Pediatric departments made the impossible operation possible. He removed the bullet lodged seven centimeters deep in the brain. After surgery, after five days on ventilator and 25 days in ICU, the girl is now fine and will be discharged from the hospital on Monday.
An innocent child was shot while playing in Indira Nagar of Ghazipur police station area of Lucknow. The bullet fired from the pistol entered the girl's head from the left side and the girl became unconscious. When a CT scan was done at the local hospital, the bullet was embedded about three centimeters in the left part of the brain. The doctors referred the girl to KGMU. The family members ran to KGMU hoping for a miracle and a miracle happened.
According to Dr. Ankur Bajaj of Neuro Surgery Department, after reaching KGMU, after seeing the condition of the girl and seeing the referral letter, CT scan was done again and in the report, the bullet had moved four centimeters more from the original place and reached the deep basal part of the brain. In such a situation, we decided to get the patient done CT angiography.
When angiography was done about 25 hours after the injury, the situation was shocking. Actually, in the first CT scan the bullet was three centimeters deep, but in the angiography the bullet was seven centimeters deep. This part is of the brain, where there are many very thin blood vessels. The entire team was surprised by the constant change in location of the bullet, as such a situation is serious. Due to this, important blood vessels of the brain could be in danger.
Intraoperative method made surgery easier
Dr. Bajaj says that this is the most complex and rare case of migratory or wandering intracranial bullet that he has seen in his career. The biggest challenge during this surgery was the regular repositioning of the bullet. This was tracked with the help of intraoperative fluoroscopy. It is a modern and safe method used to prevent damage to blood vessels during brain and spinal cord surgery, which helps the surgeon keep an eye on the nerves. Many X-rays were also done during the surgery, so that no blood vessel of the brain was affected. The complex surgery, which took about three and a half hours, was successful. Anesthesia and pediatrics departments also played an important role in the surgery.
Surgery was not easy, how complex work became easy
On ventilator support for five days
KGMU spokesperson Prof. KK Singh told that when the girl was brought to KGMU, her left hand and leg were not working at all. After surgery, the girl was shifted to Pediatric ICU. Kept on ventilator support for five days. After removal of the ventilator, he was treated in ICU for 25 days. Now the girl's hands and legs have become completely active and her health has improved rapidly.
Surgery under government scheme
Pro. KK Singh told that this surgery was done in KGMU under the government scheme. If the girl had been operated on in a corporate hospital, it would have cost around Rs 20 lakh. The team that performed the surgery included Dr. Anup Singh, Dr. Ankan Basu and Dr. Shraddha, Head of the Department of Neurosurgery, Prof. BK. Ojha and Dr. Monica Kohli of Anesthesia also made important contributions.
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