New Delhi: A two-month-old baby weighing 2.1 kilograms recently underwent successful transplant at a Gurgaon hospital. Doctors claim he is the lightest baby yet to undergo the surgical procedure.
David, a Nigerian national, was brought to Medanta Medicity hospital by his parents as such advanced medical care was not available in his country.
The director of children’s liver diseases and transplant, Dr Neelam Mohan said the child had severe liver and bone marrow failure when he reached the hospital and was barely alive.
Liver transplant was the only way he could be saved, but it wasn’t easy given the complexities involved. First, the child’s father was the only suitable donor, but he was about 43 times heavier. There were no previous reports of a successful transplant with donors heavier than 25 times the recipient’s size,” said Dr AS Soin, chairman of Medanta Liver Institute.
He added that they prepared for the rare operation on a 3D model of the donor liver on CT scan. During surgery, a small piece of donor liver was removed and transplanted into David using high magnification microscopic surgery.
The head of liver anaesthesia at Medanta Medicity, Dr Vijay Vohra maintaining the child under anaesthesia for nine hours. It was a big challenge because of his small veins and windpipe, small dosages of medicines needed, and the precision required down to a millilitre in managing fluid and blood product administration. “The doctors managed to overcome the complexities. The patient is doing fine and the transplant was successful,” he added.
The transplant took place on August 2 and doctors said the child remained in the hospital for nearly two months. Doctors said, being weak and malnourished, David could not even breathe on his own for 45 days, necessitating prolonged ventilator support, intravenous nutrition and nasogastric tube feeding support.
“In the two months that he remained in hospital post-surgery, the child underwent intensive antibiotic therapy to fight infections. “David, now nearly three months, weighs 3.8kg, is playful, and growing well with normal liver and bone marrow function,” Dr Mohan said.
Dr Soin said that the rare feat needed the combined effort of a 50-member multidisciplinary team of doctors. “We have already submitted the scientific report to an international journal,” he added.
Article Source: https://www.google.com/amp/s/m.timesofindia.com/city/delhi/Lightest-baby-gets-a-new-liver/amp_articleshow/54945269.cms