Rare Cases

Bilateral Hand Transplantation from Female Donor to Male Recipient: Advancing the Boundaries of Vascularised Composite Allotransplantation

An 18-year-old male presented with bilateral traumatic hand amputations. He sustained a non-salvageable crush injury in a farm equipment accident in January 2024. The tissue damage required amputation of both hands and resulted in profound functional loss.

Treated By - Dr. Waliullah Siddiqui

Young Man Recovers After Rare and Complex Liver Surgery

A 27-year-old man, who had been su ering for months with severe abdominal pain, repeated jaundice, and even episodes of sepsis, finally found relief after undergoing a highly complex liver surgery at Max Super Speciality Hospital, Lucknow.

Treated By - Dr. Waliullah Siddiqui

8-Year-Old Undergoes Successful Mechanical Thrombectomy for Stroke

An 8-year-old boy presented with an inability to speak upon waking up in the morning. The child’s condition deteriorated rapidly, prompting his family to rush him to a nearby health center.

Treated By - Dr. Tegbir Singh Sidhu, Dr. Sanjay Kumar Mishra

Timely Surgery Saves the Dominant Hand of a 20-Year-Old Girl

She was shifted for surgery without delay and after an arduous 12-hour surgery which requires specialised and meticulous repair of each artery, vein, nerve, tendon and bone of her hand, her right hand was reattached to her body.

Treated By - Dr. (Maj Gen) Avtar Singh Bath

Myomectomy plus a Hysteroscopic Myomectomy of a patient with multiple fibroids

A 36-year-old woman patient came to the OPD at Max Super Speciality Hospital, Mohali, with complaints of two previous miscarriages and a wish to conceive. She was obese, with a BMI of 30.

Treated By - Dr. Seema Wadhwa

A case of complex Cervical Carotid Artery Stenosis

A middle-aged female with diabetes and hypertension came to Max Super Speciality Hospital, Shalimar Bagh. She was brought to ER from another hospital and presented with complaints of headache and numbness over the left half of her body. Her MRI of the brain stroke protocol showed acute Ischaemic Infarct in the right thalamus and sub-thalamic region. Her angiography revealed critical stenosis (97%) of the ipsilateral right cervical carotid artery. She had a major risk of further stroke in future, considering the degrees of stenosis.

Treated By - Dr. Shailesh Jain

Radial Head Replacement of left elbow

A 27-year-old female came to Max Super Speciality Hospital, Shalimar Bagh, with severe pain in her left elbow, massive swelling and inability to use the elbow. On X-ray of the left elbow AP lateral view, a grossly comminuted fracture radial head was formed. It

Case of Reverse CART (RCA opened from left side)

A chronic smoker male was admitted to Max Super Speciality Hospital, Shalimar Bagh, with complaints of chest pain on exertion. The patient was first admitted to another hospital, where he was diagnosed with LM-TVD (LM=90% stenosis, LAD proximal CTO, LCX proximal 80% stenosis, RCA-CTO). The patient’s 2D echo showed LVEF=23%, and then he was referred to Max Hospital, Shalimar Bagh, for CABG.

Treated By - Dr. Naveen Bhamri

Successful complex surgery for advanced-stage large Intestinal Tumour

Pertaining to the fact that there has been a significant rise in Gastrointestinal tract cancers (GI Tract) and to increase awareness amongst the public about the recent advancements made in its treatment modalities, Max Super Speciality Hospital, Vaishali, organised a public awareness session.

Treated By - Dr. Vivek Mangla

Management of Stage-IV Rectal Cancer with Liver Metastasis

A 65-year-old woman was diagnosed with rectal cancer with isolated liver metastasis (3 tumours, seg 1, 6 and 7) in February 2022 on evaluation for rectal bleeding. Follow-up PET-CT and MRI revealed significant responses in both rectal and liver lesions after initial chemotherapy. Subsequently, a Right Hepatectomy with partial caudate resection, incorporating all liver lesions,

Treated By - Dr. Vivek Mangla

Robot-assisted Bladder Diverticulectomy: An interesting case scenario

A male patient with severe diculty in passing urine came to Max Super Speciality Hospital, Patparganj. On ultrasound examination, it was found that his prostate was more than 200 cc which is ten times than normal prostate size. Both hips were fixed due to ankylosis of the hip joints. His serum PSA was normal, so there was no suspicion of prostate cancer. The usual surgery doctors opt for prostate is TURP/HOLEP, in which hip joints are flexed to put the patient in a lithotomy position. This was impossible in this case due to ankylosis of the hip joints. The only option was an open surgery (simple prostatectomy or Freyer’s procedure).

Treated By - Dr. Pawan Kesarwani, Dr. Shailesh Chandra Sahay

Endobronchial Balloon Tamponade using a Fogarty catheter

Haemoptysis is a medical emergency and needs urgent intervention. If not managed, the outcome can be catastrophic. Even if the patient stabilises post-bleed, the clots need to be evacuated to prevent secondary collapse or infection in the lung and also to decrease the oxygen requirement of the patient. Massive haemoptysis may even require emergency thoracotomy or BAE, which cannot be oered to a critical patient.

Treated By - Dr. Vaibhav Chachra