A Precious Life Saved Very Well At Harmony Hospital
Harmony Hopital Medical Center regularly receives letters of thanks from former patients or their family members for the high level of care we provide throughout our facility.
Sex/Age – F/43
Clinical Presentation :
On arrival, patient had following fractures:
# Rt. Metacarpal, # Rt. humerus shaft, # Rt. acetabulam and ischium, Pubic diastasis, Left ulna dislocation, # Rt. orbit,
Displaced # 7th and 8th ribs on right side,Undisplaced #D10 vertebra, Linear # coracoid process of Rt.scapula,Frontal
hemosinus b/l maxillary hemosinus,Rt.zygomatic arch fracture, Linear # L1,L,L3,L4.
On further CT imaging of brain and thorax suggested that she had moderate hemothorax in Rt. And Lt.lung with Rt
pneumothorax,pneumocranium,SAH in bilateral hemisphere, multiple hemorrhagic contusions with cerebral oedema.
Hospital Management
- Aggressive medical management with utmost intensive care in ICCU – Higher antibiotics, Blood products (PCV, PRC, FFP) + Ventilatory support + Nutritional support + Management of Septicaemia + meticulous tracheostomy care.
- Conservative management for bilateral hemopneumothorax.
- Multiple staged stepwise surgeries performed for above mentioned fractures:
- Rt. Orbit floor fixation with plating
- Pubic symphysis fixation
- Rt. acetabulum plating
- B/L humerus plating
- Later on right sided effusion increased, fluid was positive for chylomicrons and triglycerides. Patient was diagnosed a case of chylothorax (post traumatic thoracic duct injury) on HRCT thorax. Lymphangiography with leak embolization with glue done.
- sigmoidoscopy done s/o – large rectal ulcer with visible vessel, gluing done.
Treating Physician – Dr. Paresh Gohel
Operating surgeons – Dr. Dilip Pethani(Orthopeadic Surgeon), Dr. Nilesh Ghelani (Plastic Surgeon), Dr. Chintan
Patel & Dr. Chirag Vaghasiya(M.S)
Cross reference – Dr. Suhas Panat (Neurophysician), Dr. Jay Kothari (Critical Care), Dr. Aniket Shah (ID
Specialist), Dr. Rozil Gandhi (Interventional Radiologist), Dr. Mitesh Dave (Pulmonologist), Dr. Jinkal
Shah(Ophthalmologist), Dr. Rajni Jeeyani (Gynecologist), Dr. Keshu Antroliya (M.S), Dr. Satish Patel (ENT), Dr.
Priyanka Barot (Physiotherapist)
ICCU management – Harmony Hospital Anaesthesia and Critical care Team
Case study Prepared by – Dr. Darshali Pansuriya (medical officer)
Safeguard your kidney from Stones
Precaution before kidney stone operation
- Hydrate every time: Drink plenty of water throughout the day! Aim for 2-3 litres (around half a gallon to three-quarters of a gallon) to dilute urine and prevent minerals from concentrating.
- Diet Matters: Choose a balanced diet rich in fruits, vegetables, and whole grains. Limit sugary drinks, processed foods, and animal protein. This helps maintain a healthy urine pH and reduces the risk of stone formation.
- Limit on Salt and Oxalate: While sodium intake is important, excessive amounts can contribute to kidney stones. Similarly, certain foods like spinach, rhubarb, and nuts are high in oxalate, a mineral that can form stones in some individuals. Moderation is key!
- Keep Your Body Fit: Exercise is great for overall health, but be mindful of hydration during physical activity. Sweating depletes fluids, so drink plenty of water before, during, and after workouts to compensate for lost fluids.
- Body signals: If you experience frequent pain or discomfort in your lower back or abdomen, blood in your urine, or difficulty passing urine, consult a doctor. Early diagnosis and treatment can prevent future issues and manage existing stones effectively.
- Trusts Healing Process: Listen to your body and prioritize rest for the first few days after surgery. Gradually return to your regular activity level as your doctor advises.
- Pain Management Partner: Manage any post-operative discomfort with the prescribed medication from your doctor. Don’t hesitate to reach out if the pain becomes severe or if medication isn’t effective.
- Follow Diet: Follow the doctor’s dietary plan to promote healing and prevent future stones. This might involve limiting certain foods or beverages.
- Stay Connected with Your Doctor: Attend all scheduled follow-up appointments. This allows your doctor to monitor your progress, answer questions, and adjust your treatment plan as needed.
- Maximise Water intake: Drinking a lot of fluid is important for treating and preventing all types of kidney stones. Staying hydrated (having enough fluid in your body) will keep your urine diluted. This makes it harder for stones to form.