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Monday, February 19, 2018

Unusual incident in MONICA: a major the patient was operated on sitting

To come up with a non-standard method surgical procedures for men, the weight of which exceeds 250 kilograms, had doctors, a multidisciplinary Moscow regional research clinical Institute. M. F. Vladimirsky.

photo: Natalia Gubernatorova

As it became known “MK” on Wednesday in Department of ophthalmology of the Institute were hospitalized, the patient with over-the-top weight and a “bouquet” of comorbidities complicated by hydrothorax and ascites (accumulation of fluid in the abdominal cavity).

However, the reason for treatment to doctors was not it: the man had a nasty fall, injured his eye, and the clinic did to his severe concussion, loss of membranes and infection.

The doctors came to a disappointing conclusion: to save the second eye, the injured “eye” to remove. But there was a risk that during the operation under normal conditions overweight patient he’s gonna get killed. Doctors had to improvise: they put a man on the operating table browsing for the best ventilation.

According to the Director of the Institute, Professor Dmitry Semenov, usually patients who are overweight during planned surgery, the doctors recommended to first reduce weight and then to seek surgical assistance. “But in this case the situation was dire and critical” the expert says.

The operation was successful: the next day the patient was discharged home.

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