During another hectic day in the OPD at Sunrise Hospital, a lady with a visibly protruding belly walked in. At first, she appeared to be pregnant and due for delivery soon. She was breathing with great difficulty, and any effort made it worse, due to her protruding belly. As she got comfortable in the chair, she explained that she was unmarried, 40-year-old and had come from Bahrain. It immediately struck out to be an extremely mysterious and unique case to Dr Nikita Trehan, the gynaecologist (ladies complaints specialist). Patiently, the team went ahead with case taking which yielded that the lady was a doctor, a skin specialist that too, and had already travelled around the world for treatment without any fruitful results.
She had been diagnosed with multiple large fibroids. Fibroids are noncancerous growths of tissue occurring on the walls of the womb (uterus) in a woman. She was clearly under tremendous stress because the only treatment option she had been given by all other doctors she had met was to remove her entire uterus, the sack carrying the baby during pregnancy. Another worry was that such a high-risk surgery could lead to several life-threatening complications during or after the surgery. To find a solution to this dilemma, trying to avail the most advanced medical treatment, she also went to Germany, but the opinion of the doctors even there was the same.
Being a physician herself she knew what removing the womb meant, that she would never be able to have her child. Being an unmarried lady, just like any other woman, she wished to get married and have kids someday. She was heartbroken and as a last resort had come to India to Dr Nikita Trehan. Dr Nikita is a world-renowned gynaecologist and laparoscopic surgeon and Managing Director of Sunrise Hospital, Delhi. To diagnose the case, an ultrasound and later an MRI scan was performed. This confirmed that the woman had multiple large fibroids in her uterus which was the reason for her large belly and breathlessness. Not only were the fibroids numerous but some were as large as 30 cm. This would be an extremely high-skilled and time-consuming laparoscopic surgery, Dr Nikita realised.
This was, without doubt, an unusual case, considering the skin specialist’s age and other aspects. Nonetheless, Dr Nikita had performed several such complex surgeries and had mastered complex laparoscopic fibroid removal. She understood and was determined to help out her fellow doctor by undertaking this operation without removing the uterus and relieve her of her breathing trouble as well as the fibroids.
A laparoscopy is a minimally invasive procedure used for the removal of uterine fibroids. The surgeon makes a 1-3 inch small cut on the abdomen and uterus and inserts a tube with a small camera fitted at one end, called the laparoscope. This helps visualise the fibroids clearly on a screen outside. Other tiny laparoscopic instruments are then introduced to free the fibroid from the walls of the womb. Large fibroids are cut into little pieces to facilitate their removal through the small incision.
This procedure was performed on the patient, and all her fibroids were removed while keeping the uterus intact, fully functional and without any complications. Overwhelmed with happiness and gratitude, the skin specialist thanked the team at Sunrise Hospital with tears in her eyes. Delighted with The success of the procedure Dr Nikita and the team were thrilled to know that the surgery has been entered into the Guinness Book of World Records for the removal of the largest uterine fibroid laparoscopically weighing around 6.5 kg.
The success of this operation not only lied in the deletion of the fibroids but in the fact that the lady dermatologist is happily married today and pregnant now, expecting her little bundle of joy. This was possible only because of the skilled hands of Dr Nikita and her excellent team at Sunrise Hospital. Overjoyed, Dr Nikita said “This has been one of the most enriching experiences of my life. No reward can be bigger for a gynaecologist than to know that the patient is healthy, now expecting and will soon be a mother.”