STATE TIMES NEWS
JAMMU: Eminent laparoscopic surgeon, Dr Rajive Gupta successfully treated 36-year-old man from Udhampur, ailing with a large hydatid cyst of the spleen.
Abishek Gupta, a 36-year-old from Udhampur, presented with a large hydatid cyst of the spleen, Dr Rajive Gupta.
“The standard treatment for such cases typically involves splenectomy, which is traditionally performed via open surgery,” Dr. Rajive Gupta, who opted for a laparoscopic approach despite the rarity of such procedures in the region, said.
He added that laparoscopic surgery involves making several small incisions (keyholes) instead of a large abdominal cut.
“This results in less pain, quicker recovery, early return to work, and reduced risk of complications like incisional hernia,” he added.
Dr. Gupta successfully removed the spleen and cyst through four keyholes of 5 to 10 mm size. Special precautions were taken during the operation to prevent complications, including the use of scolicidal agents and betadine-soaked gauze, Dr. Gupta said. He added that approximately 900 ml of dark-colored fluid was aspirated from the cyst cavity, which was then refilled with 10% Povidone iodine to kill daughter cysts and scoliosis. The laminated membrane of the cyst was removed.
“The specimen was taken out of the abdomen using a lap retrieval endo bag through one of the keyholes extended to 35 mm size to prevent leakage of cyst fluid and daughter cysts, reducing the risk of recurrence,” Dr Rajive said.
The operation was performed at Maxxlyfe Hospital under general anesthesia administered by Dr. Vishal, assisted by a competent team including Dr. Ritvik Resutra and senior cameraman, Joginder, along with other OT staff.
The patient’s recovery progressed well, with the patient sitting up 4 hours post-operation, starting oral liquids after 8 hours, and walking after 12 hours. Discharge was planned for the next day.
