Lucknow SGPGI Surgery: Doctors created a new vein from the membrane of a cow's heart. This vein was connected to the affected kidney veins in the young woman's body. According to doctors, this was a very complex task.
Doctors created a vein from the membrane of a cow's heart.
Lucknow SGPGI Surgery: Doctors at Lucknow's Sanjay Gandhi PGI (SGPGI) have given a new lease of life to a young woman by performing a complex surgery. A 20-centimeter tumor in the patient's stomach and the largest vein of the body attached to it had become a challenge for the doctors. Along with removing the tumor weighing about two kilograms, the doctors also removed the affected part of the body's main vein, the inferior vena cava (IVC). After this, a new vein was created from the membrane of a cow's heart and implanted in the body. The kidney veins were also connected to the new system. Now both the kidneys of the young woman are functioning normally.
Went to many hospitals, did not get treatment
Divya Verma, a 27-year-old resident of Simaria Bazaar, Hanumanganj, Padrauna, Kushinagar, had been searching for treatment for the past year. She consulted doctors at several hospitals for a growing tumor in her stomach, but doctors refused to perform surgery, citing the risk to her life. She then went to the Urology Department of SGPGI.
The tumor had reached the kidney veins.
Professor Sanjay Surekha, urologist and kidney transplant specialist in the Department of Urology, explained that the patient came to the institute in a state of despair and distress. After several tests, it was revealed that she had a tumor larger than 20 centimeters in size on the right side of her abdomen. It was severely entangled with the IVC, the largest vein in the body. This vein carries blood from the legs, kidneys, liver, and intestines to the heart. The tumor was also connected to the kidney blood supply. Therefore, removing the tumor alone was not possible. During surgery, the affected parts of the IVC and kidney veins also had to be removed.
New vein created from cow's heart membrane
Doctors first removed a tumor weighing approximately two kilograms. After removing the affected portion of the IVC, they created a new vein from bovine pericardium, the membrane of a cow's heart. A special graft manufactured abroad, costing approximately 50,000 rupees, was used for this. Doctors created a new IVC by creating an 8x4 cm pipe-like graft from the membrane. The vein from the left kidney was connected to the new IVC, and the vein from the right kidney was connected to the gonadal vein. The young woman is being given special medications to prevent blood clots in the new vein.
The surgery was challenging.
The team of doctors who performed the surgery stated that this operation was not routine. A ruptured IVC could have caused massive bleeding, potentially fatal. Removing the kidney veins posed a risk of kidney failure. A blood clot in the new vein could have caused swelling in the legs and a life-threatening situation if the clot reached the lungs. Due to these risks, other hospitals had refused to perform the operation. Assistant Professors Dr. Arpan Yadav, Dr. Ashish Ranjan, Dr. Prakhar, and Dr. Devanshu from the Department of Urology performed the surgery. Professor Shantanu Pandey's team from the CVTS Department and Professor Tapas Singh, Professor Divya, and Professor Sandeep Sahu from the Department of Anesthesia assisted.
