Doctors at Cloudnine successfully perform a rare fetal procedure for the first time in Gurgaon
Cloudnine team (From right – Dr. Pallavi Vasal, Dr. Shreyasi Sharma & Dr. Manish Balde) with the baby after successful delivery
City-based
Cloudnine Hospital had successfully delivered the fetus that received Gurgaon’s
first-ever vesico-amniotic shunt insertion. The vesico-amniotic shunt insertion
procedure was done on the fetus at 25 weeks of gestation by Dr. Shreyasi
Sharma, Fetal Medicine Consultant at Cloudnine Hospital, Sector 47, Gurgaon. After 12 weeks since the procedure,
the pregnant mother had delivered the baby without any complications. A
multidisciplinary team involving doctors across Fetal Medicine, Obstetrics
& Gyneacology, and Pediatrics & Neonatology specialities coordinated
for realizing this successful outcome.
In this
intervention involving the insertion of a vesico-amniotic shunt, the fetal
medicine specialist directly operated on the unborn fetus in the mother’s womb. A vesico–amniotic shunt is a tube
that is inserted into the unborn baby's urinary bladder and drains the baby’s
urine directly into the pregnancy sac containing the amniotic fluid. This procedure
was necessitated as the baby had a condition called lower urinary tract
obstruction where the baby is unable to pass urine because of obstruction in the
urinary system (at urethra). In this condition, urine gets accumulated in the urinary
bladder resulting in kidney damage. Not proceeding with the intervention would
have resulted in serious and irreversible kidney damage.
Dr. Shreyasi Sharma performing the vesico-amniotic shunt insertion
The diagnosis of lower urinary tract obstruction in the fetus was first made at 24 weeks (6 months) of pregnancy. In the follow-up scans, further deterioration was observed as the urine was leaking into the baby’s abdomen. To avoid any fatal outcome, Dr. Shreyasi Sharma immediately performed the vesico-amniotic shunt insertion at 25 weeks of pregnancy.
Explaining
the procedure that culminated in a successful pregnancy, Dr. Shreyasi Sharma,
the operating physician, has commented, “To put it plainly, the procedure
involved the insertion of a small pipe between the bladder of the unborn fetus
and the pregnancy sac so that any excess fluid accumulation in the bladder gets
drained into the pregnancy sac. This helps in decompressing the urinary
bladder. Unlike open surgery, the procedure is technically challenging as a
small structure has to be precisely placed in the right position and
orientation under ultrasound guidance only, while the fetus continues to be in
the mother’s womb.”
Newborn baby with the intact vesico-amniotic shunt (in red square inset)
|
Outlining
the further course of action, Dr. Sanjay Wazir, Director – Paediatrics &
Neonatology at Clounine Hospital, said “The baby will undergo surgery in a few
days to correct the obstruction and the shunt will also be removed as part of
the surgery.”
For further
details, Contact:
Akhilendra Kumar
Center Head, Cloudnine, Gurgaon
Ph: +91-9958880444
Email:
akhilendrak@cloudninecare.com /
About Fetal Medicine
Fetal
Medicine is a well-recognized specialization in the West, rapidly gaining
acceptance with few practitioners in India. The advances in fetal medicine and
its growing practice in India ensure that critical and care-intensive high-risk
pregnancies can now be managed locally. Cloudnine Hospital, with its intense
focus on providing the best-in-class medical care to expecting mothers in
Gurgaon, is fast emerging as the one-stop solution for critical fetal needs
& high-risk pregnancy care through its dedicated Fetal Medicine department
backed by state-of-the-art Neonatal Intensive Care Unit (NICU).
About Cloudnine
Set up in
2007 by the renowned neonatologist Dr. R. Kishore Kumar, in partnership with
investing partners Matrix Partners, Sequoia Capital, and True North, Cloudnine
is India’s premier destination for comprehensive maternal, gynecological,
neonatal, and paediatric care. The organization’s vision is to effectively
bridge the gap between Indian and international standards through a combination
of clinical excellence, comprehensive care, and an atmosphere of well-being, to
ensure world-class standards in woman and child healthcare. With its presence
across 8 cities, 16 centres & having delivered 1,00,000+ babies across the
country since inception, Cloudnine has emerged as a pioneer in managing
pregnancy from conception to delivery.
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