The team from the Department of Obstetrics and Gynaecology was led by Professor Rita Mahe and Dr Swati Tomar. (Pankaj Rai)
New Delhi: A multidisciplinary team at the All India Institute of Medical Sciences (AIIMS), New Delhi, has successfully performed a complex laparoscopic hysterectomy on a 44-year-old woman who is just 98 centimetres tall and weighs 22 kilograms.
The patient was suffering from severe osteoporosis, which significantly increased the risks associated with surgery, including potential bone fractures and airway-related complications. The operation was completed in approximately 90 minutes, and the woman was discharged from the hospital on the third day after surgery.
The achievement highlights the importance of careful planning, advanced surgical techniques and coordination among medical specialists when treating patients with complex medical conditions.
According to the information provided, the woman was suffering from severe endometriosis and adenomyosis, conditions that had caused intense pain in the pelvic region. Given her persistent symptoms and need for treatment, doctors determined that removing the uterus was necessary.
However, her exceptionally short stature, low body weight and severe bone weakness posed significant challenges for the medical team. The positioning normally required during surgery could have increased the risk of fractures, making careful handling essential.
The doctors also had to take special precautions while administering anaesthesia and securing the patient's airway to minimise potential complications.
The AIIMS team developed a surgical plan tailored to the patient's physical condition. Special positioning was adopted to protect her body, while pain management and anaesthesia were carefully adjusted to address the potential risks.
The doctors then performed the hysterectomy using a laparoscopic, or minimally invasive, technique. The procedure took approximately 90 minutes and was completed successfully.
The minimally invasive approach played an important role in enabling the team to carry out the operation while taking the patient's specific medical vulnerabilities into account.
Following the operation, the woman showed satisfactory improvement and recovered smoothly. She was discharged from the hospital on the third day after surgery.
The successful outcome brought considerable relief to the patient and her family, given the additional challenges posed by her underlying condition.
The team from the Department of Obstetrics and Gynaecology was led by Professor Rita Mahe and Dr Swati Tomar. From the Department of Anaesthesia, Dr Parin Lalwani and Dr Choro Athifro Kayina played important roles in the procedure.
The department's leadership, including Head of Obstetrics and Gynaecology Professor Neena Malhotra and Professor K. Aparna Sharma, was also associated with the achievement.
The successful operation demonstrates how clinical experience, modern technology, meticulous planning and coordination between medical specialities can help manage challenging surgical cases. It also offers encouragement for patients whose complex physical conditions make conventional treatment more difficult.
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