more-in A team of doctors, including paediatric surgeons, at G. Kuppuswamy Naidu Memorial (GKNM) Hospital in Coimbatore have performed cholecystectomy, (surgical removal of gall bladder), on a 214-day-old male baby, using a minimal invasive procedure. Sharvesh, child of an agriculturist from Dindigul, was operated upon on September 6 to remove the gall bladder that contained three stones and sludge. The intricate surgery lasted one-and-a-half-hours and the baby was discharged from the hospital on Sunday. The hospital has reached out to the Guinness Book of World Records to claim the credit for having performed the delicate gall bladder removal on the youngest person in the world. The record currently rests with a medical team of the Jawaharlal Nehru Medical College, Aligarh Muslim University, for a similar surgery done on a 244-day-old girl child. The baby was brought to the hospital three days before the surgery with complaints of severe abdominal pain and fever. The child was refusing feeds and constantly crying due to the pain over a week before hospitalisation. After a round of examinations, the presence of gall stones was identified as the underlying cause of pain. “Anaesthetising the baby as well as performing the surgery involved challenges. Due to the limited working space in a baby’s abdomen, it had to be inflated to create space for the procedure to be carried out without compressing the heart and lungs. Also, it is difficult maintain the ventilation during anaesthesia. The surgery demanded extreme precision as liver and bile duct could get cut due to any movement by the child, if it woke up from sedation,” said paediatric anaesthesiologist Dhinesh Kumar Gunasekaran, who was part of the team. Dr. Gunasekaran said the procedure was done with meticulous planning and precision as any lapse could have caused life-long disability in the child.

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