The first major liver resection (right hepatectomy) was performed by the ILC Team at Aster Hospital, Mankhool on a 28-year-old female who was incidentally detected to have an 11 cm hepatocellular carcinoma (HCC) in the right lobe of the liver. A solid lesion in a cirrhotic liver is generally an HCC. In non-cirrhotic livers, solid lesions may be due to hemangioma, hepatic adenomas, focal nodular hyperplasia, cholangiocarcinoma, HCC, metastases and rarely tuberculoma or lymphoma. The diagnosis is essentially based on cross-sectional imaging with CT and MRI. The index patient had a contrast enhancement pattern characteristic of HCC on a dynamic triple phase CT scan. While HCC usually develops in a background of liver cirrhosis, about one-third cases occur in a non-cirrhotic liver. The patient’s alpha-fetoprotein (AFP) levels were normal. AFP levels are elevated in only two-thirds of HCC and AFP is not mandatory for a diagnosis of HCC. Biopsy is usually not required for diagnosis if the radiological findings are characteristic. Continue reading “Right Hepatectomy for Non-Cirrhotic Hepatocellular Carcinoma”
A total Knee replacement surgery was performed on a 52-year-old man at Aster Hospital, Mankhool. The patient, Mr. Abdel Gawwad presented with severe trauma in his left leg due to an injury sustained 20 years ago. Mr. Gawwad led a significantly impaired life for the past 20 years, given the injury that made his mobility extremely painful and difficult to perform, particularly over the past 5 years.
Referred to Aster Hospital by his friend who had previously undergone a successful hip replacement performed by Dr. Manjunatha G.S, Specialist Orthopedic Surgeon at Aster Hospital, Mankhool, Mr. Gawwad decided to consult the doctor for a second opinion. Dr. Manjunatha who specialises in Joint replacements, upon thorough investigation, diagnosed that the patient had developed severe osteoarthritis, also known as post-traumatic osteoarthritis, a condition caused due to ageing and injury. Further investigations also revealed that the patient’s left lower limb/leg was 2.5cm shorter than his right one.