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Tiny Patient Undergoes Complex Hysterectomy
19 Oct
Summary
- A 44-year-old woman, 98 cm tall and weighing 22 kg, had surgery.
- Severe osteoporosis presented unique challenges for anaesthesia and positioning.
- Doctors adapted surgical techniques to prevent fractures during the procedure.
At AIIMS, a 44-year-old woman, measuring 98 cm tall and weighing 22 kg, recently underwent a laparoscopic hysterectomy. She had been suffering from severe osteoporosis since 2019, which complicated the procedure.
The patient experienced severe menstrual pain for nearly a year due to deep pelvic endometriosis and adenomyosis. Conventional hormonal treatments were not feasible due to her age, bone fragility, and hypertension. Doctors recommended removing the uterus to alleviate her symptoms.
Multidisciplinary teams from gynaecology, endocrinology, and anaesthesia collaborated to manage the risks. A major concern was the standard lithotomy position, which could have risked fractures due to her severe bone weakness.
To mitigate this, surgeons opted for a modified approach, carefully positioning her flat on her back. Despite the uterus being enlarged and adhered to surrounding intestines, the laparoscopic hysterectomy was completed successfully in approximately 90 minutes. The patient recovered well and was discharged three days post-surgery.
