Hoshiarpur- Amritsar resident Vikramjit Singh (50) suffering from jaundice and small intestine tumor has got a new life after a successful complex Whipple surgery at Max Hospital. Giving information, Associate Director General Surgery Dr. Manmohan Bedi said that Vikramjit was brought to Max in critical condition.
The patient had yellowness in his eyes. Further investigation of jaundice revealed tumor in the small intestine. The patient's condition deteriorated as blood pressure level fell dangerously due to continuous bleeding from the affected intestine. Despite repeated endoscopy and interventional radiology efforts, all efforts to stop the bleeding failed. Moreover, his hemoglobin dropped to 3 grams despite 20 units of blood transfusion. Medicines to control blood pressure also failed to maintain its level.
Dr Bedi said, “The surgery was extremely challenging and complex. It required removal of the bleeding portion of the intestine as well as a large portion of the head of the pancreas, the lower end of the common bile duct and a portion of the stomach to control the bleeding.”
The biggest challenge in this highly complex surgery was the patient’s fragile condition and the administration of anesthesia to maintain stability during the procedure, so that the affected organs could be removed with minimal blood loss.
After the surgery, the critical care team of the ICU took over and provided blood transfusions and other blood products—platelets, plasma and SSE—to correct any abnormalities in the patient. The patient was gradually weaned off the ventilator and the endotracheal tube was removed on the fourth day of the reconstruction procedure. On the fifth day, the patient’s digestive system was reconstructed, which was successfully completed.