World’s first Neo-Bladder Reconstruction Surgery on Haemophilia patient successfully performed at Fortis Bangalore

• First instance of such surgery following radical cystectomy
• Expertise in doctors to perform critical surgeries on patients with haemophilia

A team of doctors at Fortis Hospital, Bannerghatta Road successfully performed the world’s first radical cystectomy with Neo-Bladder reconstruction surgery
on patient with haemophilia here recently. The team of doctors was led by Dr Mohan Keshavamurthy, Director Urology, Uro-oncology, Andrology, Transplant &  Robotic Surgery, Fortis Hospitals, Bangalore. Along with this feat, the doctors at this hospital has now perfected the craft of performing surgeries on patients with Haemophilia as this marks the 9 th such surgery. This feat has clearly established the distinct advantage that the doctors bring in clinical excellence while treating patients with this lethal condition. Doctors from Urology and Orthopaedics also performed the total knee replacement and anterior cruciate ligament (ACL) reconstruction on Haemophilia patients to reach this position within a span of two days.

Haemophilia is a bleeding disorder where the person suffers from defective clotting protein and requires external blood factors to avoid bleeding in case of an injury. Based on the clotting factor the disease is categorised into haemophilia A and haemophilia B. This is the first time in the world that a radical cystectomy with Neobladder reconstruction was done on a patient with haemophilia. The joint replacement surgeries were conducted by Dr Narayan Hulse, Director, Orthopaedics & Joint Replacement Surgery. Dr Jagadeesh PC, Consultant- Orthopaedic Surgeon & Sports Medicine conducted his first ACL reconstruction atFortis Hospitals, Bannerghatta road.

“This was our first complex radical cystectomy on a PwH and I am glad that despite multiple challenges the procedure was uneventful. The entire procedure was carried out in around 4 hours. The procedure required the entire bladder affected with cancer to be removed and a new bladder reconstructed using the small intestine.”

~  Dr Mohan Keshavamurthy, Director Urology, Uro-oncology, Andrology, Transplant &  Robotic Surgery, Fortis Hospitals, Bangalore.

The risk of bleeding while reconstructing the bladder is a significant challenge in such patients and meticulous care was taken to maintain absolute hemostasis.”

~ Dr Karthik Rao, Consultant Urology, Fortis Hospitals, Bangalore

“Operations and Anesthesia in PwH must be carried out with utmost diligence. A careless injection would lead to bleeding at sensitive areas such as the spinal/brain. No complications of any kind were encountered in any of the three patients.”

~ Dr Murali Chakravarthy, Director, Department of Anesthesia, Critical Care and Pain relief

The country is estimated to have over one lakh haemophiliacs. Most of the people with haemophilia remain undiagnosed and many are picked up when they get admitted for some other ailment. These patients need special care even for simple procedures. We, as an Institute can deliver all complex cases which require high-end care with utmost importance to patient safety.

~ Dr Niti Raizada, Director, Medical Oncology, Hemato Onco.ogy and Stem Cell Transplant

Maintaining clotting at near-normal levels and facilitate operations is extremely crucial. This status is achieved by administering the required factors. The same status is maintained up to complete wound healing. Though this is tricky to achieve, the haematology team at Fortis hospitals made sure of the success.

~ Dr Wanve Balasaheb, Associate Consultant, Hematology

Specialities

Neurology

Urology

Gastroenterology

Orthopaedic

Hematology

Transplant programme