Jammu (Kakryal), January 08: Reaching yet another milestone in the field of patient care, a lifesaving procedure was done for tumour bleed in a high-risk elderly patient.
A 73 years old male, a diagnosed case of carcinoma base of tongue who presented with active profuse bleeding from the tumour was given a new life at SMVDNSH. The patient is a known case of Carcinoma Vallecula treated with Chemo-radiation in 2007 & was later on diagnosed with 2nd primary tumour in Base of Tongue in 2018 for which he had received radiation therapy. At present, the patient was on Immunotherapy as the disease was still progressing. Apart from this, the patient is also a known case of Coronary Artery Disease (Post CABG-2014) & was on double anti-coagulants.
The patient had already bled profusely for a few hours before reporting to the emergency department of Shri Mata Vaishno Devi Narayana Superspeciality Hospital (SMVDNSH) on 28th November 2019 in late hours. Immediately a multi-disciplinary team consisting of Surgical Oncologist, Cardiologist & Anaesthesiologist attended the patient.
In spite of being a high-risk case, the patient was taken up for surgery immediately as further bleeding would have endangered the life of the patient. The patient underwent Emergency Tracheostomy and Right external carotid artery ligation. Patients airway was then cleared off the blood clots. Post-operative period was uneventful, the patient recovered well & was discharged after one week.
This emergency surgery was made a success with the meticulous efforts of a dedicated team of surgical oncologists, Dr Sujeet Kumar Bhat and Dr Vikas Heer and Anaesthesiologist, Dr. Pankaj Gupta.
Speaking about the success of this case, Dr. Sujeet Kumar Bhat, Surgical oncologist, SMVDNSH told that “tumour bleed” in head & neck cancer patients is a life-threatening emergency as there is the risk of exsanguination and airway compromise because the blood is aspirated into the airways. Surgical oncology team of SMVDNSH has performed three such lifesaving procedures in the last 6 months. This particular case was a very high risk due to the poor cardiac status, compromised airway and high risk of bleeding as the patient was on double anti-coagulant therapy.
Commander Navneet Bali, Regional Director of Narayana Health stated that our hospital has always proved its commitment in providing comprehensive care to Head and Neck Cancer patients and will continue to do so in the near future also.