A dwarf woman, Nishi Punam, 40, from Andaman weighed 28kgs and was only 93 cm in height, has undergone a complex surgery to correct fibroid uterus (tumours in the uterus) at a private hospital.
Having the condition of 'dwarfism' caused by Achondroplasia -- mutation in fibroblast growth factor receptor that results in severely shortened bones -- her stature was that of a three year old child.
Having the condition of 'dwarfism' caused by Achondroplasia -- mutation in fibroblast growth factor receptor that results in severely shortened bones -- her stature was that of a three year old child.
Nishi had visited the hospital's gastroenterology department with acidity problem, where doctors advised her to undergo gynaecological treatment. A USG revealed she was suffering from fibroid uterus (tumours in the uterus) and required surgery.
‘Any kind of surgery is very risky, complex and tough for people who are dwarf as they have an anatomy that is in between the paediatric and adult group.’
Banerjee said in such cases, the abdominal space required for such a surgery is limited and anaesthesia was also a high risk procedure since the throat and the spine were very short. However, Nishi was wheeled into the OT for the surgery.
"As feared, Nishi's anatomy was coming in our way of performing the necessary surgical procedures. Her cervix was like an infant, longer than her uterus and it was also extremely tough to use the necessary instruments required for such a surgery for the risk of internal injury since she had such limited space.
"Moreover, she had endometriosis (a disease where tissues that grow inside the uterus grow outside it) and her bladder was adhered to the anterior wall of her uterus. We had to dissect it and both her ovaries which were endometriotic had to be removed," Banerjee said.
Nishi underwent total hysterectomy with bilateral salpingo-oophorectomy-surgical removal of the entire uterus, the right and left fallopian tubes and the right and left ovaries. A few days after the successful surgery, she left for Andaman with her family members.
Source: IANS
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The patient had visited multiple gynecologists and was told that her fibroid could be removed only by open operation and that it was impossible to save her uterus.
Achondroplasia
Achondroplasia is a rare genetic disorder of bone growth that causes short-limbed dwarfism. It occurs due to mutations in a single gene called the FGFR3.
Fibroids in Uterus
Uterine fibroids are non-cancerous tumors that take origin from the myometrium and the neighboring tissue of the uterus. Uterine fibroids cause abnormal vaginal bleeding and pelvic pain.
Prolapse of Uterus
Uterine Prolapse or prolapse of the uterus is a condition when a woman’s uterus (womb) sags or slips out of its normal position. Uterine prolapse is easier to prevent than cure after its occurrence.
