logo
Delhi: World's largest adrenal tumor removed robotically at Safdarjung Hospital

Delhi: World's largest adrenal tumor removed robotically at Safdarjung Hospital

Time of India26-04-2025
New Delhi:
Safdarjung Hospital
has achieved a new milestone in its
robotic surgery
program with the successful conduct of a complex robotic surgery on a 36-year-old woman who was diagnosed with a giant adrenal tumour.
Medical Superintendent of Safdarjung Hospital, Dr Sandeep Bansal, informed that the adrenal tumour, measuring 18.2 x 13.5 cms, is the largest ever adrenal tumour in the world to have been removed robotically in a minimally invasive fashion.
The robotic surgery was conducted by Professor and Head of the Department of Urology and Renal Transplant, Dr Pawan Vasudeva, along with Dr Niraj Kumar and Dr Avishek Mandal. The anaesthesia team, comprised of Dr Sushil, Dr Bhavya, and Dr Megha.
The procedure was fraught with dangers since the tumour not only had grown to a massive size but had also encroached upon and was dangerously adherent to three critical body structures that is the Inferior Vena Cava, the Liver and the Right kidney.
The tumour needed to be removed in its entirety without damaging the critical surrounding structures. Dr Vasudeva opined that precise dissection is the key to performing such surgeries and that the 3d Vision of the Da Vinci robot, along with its dextrous robotic arms, allows one to perform complex surgeries with greater precision than what is usually possible with laparoscopy.
In this case, the surgery lasted over three hours, and the tumour could be completely removed without any complications. Post-operative recovery was uneventful, and the patient was discharged in three days.
Robotic surgery offers numerous benefits, including small keyhole incisions, precise work, reduced postoperative pain, early
postoperative recovery
and discharge with a faster return to work.
If this surgery had been performed by an open route, it would've required a skin incision of more than 20 cms, with subsequent complete healing requiring a few weeks, informed Dr Vasudeva.
Dr Sandeep Bansal said that this milestone showcases Safdarjung Hospital's expertise in robotic surgery and its dedication to delivering cutting-edge quality healthcare free of cost to all patients.
A complex robotic surgery of this nature, which was performed free of cost at Safdarjung Hospital, would've cost upwards of a few lakhs in the private sector.
Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

Delhi may conduct a stray dog census soon
Delhi may conduct a stray dog census soon

Indian Express

time04-08-2025

  • Indian Express

Delhi may conduct a stray dog census soon

Delhi may soon see a census of stray dogs in the Capital. This is one of many measures that the panel formed by the Municipal Corporation of Delhi's Standing Committee earlier this month, amid an outcry over rising cases of stray dog bites, has planned to take. The committee, which held its second meeting on Monday, gathered suggestions from the MCD, doctors from government hospitals, NGOs running 20 sterilisation shelters, animal welfare experts, and dog lovers. Sub-committee chairperson, Sunder Singh Tanwar, said a monitoring team will be formed to inspect one shelter a week and look at sterilisation records. 'We'll see if the shelter has enough rabies injections, look at its sanitation conditions, if an infected dog is kept isolated, and check records of sterilisation,' he said, adding that RWAs will also be roped in to carry out the measures. Officials said the civic body, in collaboration with various NGOs, plans to implant a microchip in every dog at sterilisation centres. The chip will record details of their sterilisation status and other vital information, enabling effective monitoring and tracking in the future. Former BJP MP and founder of People for Animals, Maneka Gandhi, who was also present at the meeting, emphasised the need to upgrade and equip the ABC (animal birth control) centres run by the corporation, improve existing medical facilities, and train staff. Tanwar said dog lovers demanded that the Delhi government and civic body-run hospitals should function 24×7 and provide special attention and care to dogs who meet with accidents. Animal welfare expert Gauri Maulekhi, who was also part of the meeting, said, 'The 'nexus' between several ABC centres and MCD officials concerned was formally brought to the attention of the Standing Committee's chairperson.' She also alleged that there's no information on veterinarians working at ABC centres on the MCD website. Her recommendations to the committee included: robust monitoring, infrastructure upgradation, civil society participation, capacity-building, and transparent fund utilisation. 'We remain hopeful that the Standing Committee will rise above decades of bureaucratic inertia and initiate meaningful implementation of the law,' she added. Satya Sharma, Standing Committee Chairperson, said the MCD aims to adopt a holistic approach to strike a balance between animal welfare and public health. 'We are taking strong and effective steps in this direction with the support of all agencies concerned and experts to resolve the issue of stray dogs.' Last month, the Supreme Court had taken suo motu cognizance of a report about infants in Delhi falling prey to the menace. Three big hospitals in the Capital — Safdarjung Hospital, Dr Ram Manohar Lohia Hospital and Hindu Rao Hospital — are witnessing a surge in the cases of dog bites over the last few years. Data accessed by The Indian Express had shown that Centre-run Safdarjung Hospital saw a massive surge in dog bite cases this year when compared to the figures in 2021. While 63,361 cases were reported in the entire year in 2021, the hospital has already registered 91,009 cases till July this year

Delhi hospitals see spike in dog bite cases. Here's what you show know about rabies
Delhi hospitals see spike in dog bite cases. Here's what you show know about rabies

Indian Express

time29-07-2025

  • Indian Express

Delhi hospitals see spike in dog bite cases. Here's what you show know about rabies

A spike in dog bite cases across Delhi, with children and elderly largely at the receiving end, has sparked massive concern. With three big hospitals in the Capital — Safdarjung Hospital, Dr Ram Manohar Lohia Hospital and Hindu Rao Hospital — witnessing a surge in the cases of dog bites over the last few years, experts have cautioned that medical attention is necessary within 24 hours of the bite. On Monday, the Supreme Court took suo motu cognizance of a news report about infants in Delhi falling prey to the menace. Hundreds of dog bites in the Capital and nearby areas are leading to rabies, and ultimately, children and the elderly are falling prey to the dreadful disease, the apex court noted. The bench directed that the matter, along with the news report, be placed before Chief Justice of India B R Gavai for appropriate orders. Children — especially those under 10 years of age — are at a higher risk for severe or fatal outcomes following a dog bite, experts opine. The seriousness of a dog bite depends on factors such as wound depth, extent of damage to tissues, the location, and the dog's vaccination status. Even minor-looking bites should be carefully monitored, as per the experts. Immediate washing, cleaning, and medical treatment of the wound are crucial to prevent infection. Data accessed by The Indian Express shows that Centre-run Safdarjung Hospital has seen a massive surge in dog bite cases this year when compared to the figures in 2021. While 63,361 cases were reported in the entire year in 2021, the hospital has already registered 91,009 cases till July this year. At RML hospital, while 39,216 cases were registered between Apri 2022 and March 2023, the number increased to 45,432 between April 2022 and March 2025 — a 13% increase. At MCD-run Bara Hindu Rao Hospital, 4,861 dog bite cases have been reported till July 28 this year, 40% higher than 3,468 cases reported between January and July last year. 'For treatment we provide Anti-Rabies serum, which provides passive immunity against rabies in post-exposure prophylaxis of individuals exposed to the disease or virus which we have in stock in adequate numbers,' a senior official at the hospital says. Dog bites are dangerous due to the bacteria harboured in the animal's mouth, which can cause serious infection, including staphylococcus, pasteurella, and capnocytophaga, once the skin is broken, according to Dr Suranjit Chaterjee, Senior Consultant, Internal Medicine, at Indraprastha Apollo Hospital. The bite itself may damage the skin, muscles, tendons, nerves, or even bones, especially in severe cases, which can result in scarring, disability, or even death, he underlines. 'Complications from infection, such as sepsis, can be life-threatening if left untreated. Another critical risk is rabies, a fatal viral disease that can be transmitted through dog saliva,' he adds. This is a frequently asked question when it comes to dog bites. Survival from a rabies infection is extremely rare, according to doctors. Once symptoms appear, rabies is considered one of the deadliest infections known, with a nearly 100% fatality rate. 'The standard clinical teaching in medicine has long been that symptomatic rabies leads to an inevitable death, even as there have been a few exceptional cases where intensive support resulted in survival, sometimes with lasting neurological damage. Prompt preventive measures after exposure are therefore critical,' says Dr Chaterjee. Only a handful of human survivors have ever been documented worldwide, often due to either extremely aggressive critical care or infection by a weakened strain of the virus. Generally, if post-exposure prophylaxis (PEP) — a series of rabies vaccines begun before the onset of symptoms — is not received, the outcome is fatal. Seeking medical care within 24 hours for any animal bite that breaks the skin is vital to reduce the risk of bacterial infection, tetanus, or contracting fatal diseases like rabies, according to experts. Even apparently minor bites can drive bacteria deep into tissue, leading to infection that may develop rapidly, with symptoms such as redness, swelling, discharge, or fever, caution experts. 'Timely assessment allows healthcare providers to clean the wound thoroughly, evaluate the need for antibiotics, update tetanus vaccination, and, if the animal's rabies status is uncertain, start post-exposure prophylaxis,' Dr Chatterjee explains, adding 'Delay increases the risk of complications and makes effective treatment more difficult. Deep or contaminated wounds, bites near joints or vital structures, and bites by unknown or wild animals require even more urgent attention due to their high risk for serious infection or permanent tissue damage.' Rabies is a viral disease that can infect any mammal, not just dogs. While dogs account for the majority of human rabies cases — especially in developing countries — many other animals are possible carriers. These include cats, cattle, horses, goats, ferrets, bats, raccoons, skunks, foxes, coyotes, and monkeys. Wild mammals are significant transmission sources, especially bats and certain wild carnivores like raccoons and foxes. Domestic pets can contract rabies from wild animals and transmit it to humans. Birds, reptiles, amphibians, and fish cannot contract or spread rabies. Due to the risk, all animal bites from mammals should be taken seriously, and the animal's vaccination and health status should be verified.

Safdarjung hosp third in Del to start DM in nephrology training
Safdarjung hosp third in Del to start DM in nephrology training

Time of India

time23-06-2025

  • Time of India

Safdarjung hosp third in Del to start DM in nephrology training

New Delhi: Vardhman Mahavir Medical College (VNMC) and Safdarjung Hospital have become Delhi's third institutions to start the Doctorate of Medicine (DM) in the nephrology training programme from the 2025 session. Previously, only AIIMS and RML Hospital offered this course. Dr Sandeep Bansal, the medical superintendent at Safdarjung Hospital, confirmed the allocation of three annual seats for DM in nephrology. "All three positions are being secured by candidates ranking within the top 10," he said. Principal of VNMC, Dr Geetika Khanna, expressed pride in launching this course. She emphasised the necessity of an additional workforce through postgraduate programmes, citing substantial patient numbers. Dr Himanshu Verma, who heads the nephrology department at Safdarjung Hospital, stated that approximately 6,000-7,000 kidney patients seek treatment at the hospital each month. India faces a significant shortage of nephrologists and dialysis specialists due to the increasing number of kidney-related health issues. Statistics indicate that 10% of Indians suffer from kidney-related conditions. The country has an expanding population of chronic kidney disease patients, with roughly 175,000 new end-stage renal disease cases annually. The nation incurs significant expenses for dialysis and transplant treatments. The govt's Pradhan Mantri National Dialysis Programme assists financially challenged patients. Despite having excellent nephrologists and transplant surgeons, India requires more specialists to handle the increasing population of kidney patients, particularly considering the country's size. Qualified nephrologists are essential to reduce healthcare costs through early identification and prevention of kidney ailments.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into a world of global content with local flavor? Download Daily8 app today from your preferred app store and start exploring.
app-storeplay-store