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Robotic Surgery Gave New Life to Little Ashura
The team of pediatric urologists in Apollo Children’s Hospital Chennai successfully accomplished a robotic surgery of a seven-year-old girl from Tanzania whose urethra was crushed after a severe road accident in her home town.
After many unsuccessful attempts by the Tanzanian doctors to normalize the urinary bladder, Ashura’s parents brought her to Apollo hospital a year ago hoping to see their child enjoying a normal life again. The attempts by the Tanzanian doctors left her with a tube hanging from her bladder to pass urine causing mental and physical trauma.
Ashura had gone through a number of tests and finally the Apollo pediatric urologists found that the child’s bladder had shrunk and as a result it was constantly draining to the outside. In the open surgery, a flap of the bladder muscle was placed into the tube and to serve as the urethra, it was tunneled to a normal positioning. When she came back for a review, the doctors discovered that her left urethra had displaced towards the bladder neck causing urine flux to the kidney; this in turn resulted in frequent urinary infection and renal damage in her.
After having a proper evaluation, the team led by Dr. V. Sripathi, consultant pediatric urologist at Apollo, decided to do a robotic surgery of the patient to stop the urine influx. On June 25, the seven year old Ashura went through a robotic surgery. Dr. V. Sripathi said, “We ruled out open surgery to cease urine reflux, as it would leave the girl again with a tube to pass urine while a laparoscopy would have been unusually complicated because the urethral opening was very low”.
With the help of the Da Vinci Si robotic system with features such as 3-D field-view and “snake-wrist”