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States » SouthPosted at: Apr 18 2025 12:38AM


Hyd: Doctors save woman’s kidneys with 9-Hour laparoscopic surgery

Hyderabad, Apr 17 (UNI) Doctors in this southern Indian city have successfully saved the kidneys of a 52-year-old woman through a complex 9.5-hour laparoscopic surgery — a rare medical feat, a leading urologist said on Thursday..
“This is the first time in India that both ureters have been replaced using a complete laparoscopic approach. Previously, similar surgeries have only been done in China, where nine such cases were handled with an average surgery time of six hours," Consultant Urologist Chandramohan, who led the team of surgeons, said at a press conference here.
"Although similar conditions have been addressed in India, they were performed as open surgeries. This is the first successful bilateral ureteral reconstruction using the keyhole technique,” Chandramohan emphasised.
After undergoing a hysterectomy three years ago, the woman developed complications due to infection or other unknown causes, which led to the complete deterioration of both ureters — the tubes that connect the kidneys to the bladder. This rare condition caused recurring infections, elevated creatinine levels, and declining kidney function.
While temporary stents were being used earlier, the woman’s condition progressively worsened, said the urologist..
Upon detailed evaluation at Preeti Urology, it was discovered that the woman’s ureters were entirely damaged along a 35 cm stretch, leaving only the renal pelvis (upper end near the kidneys) intact. “This is an extremely rare scenario. Globally, only nine such cases have been treated, and never before in India,” said Chandramohan.
Typically, laparoscopic surgeries require only 3 small incisions, but in this case, due to the complexity and the need for multiple angles, the doctors made ‘13 keyhole incisions’.
Since the ureters were completely damaged and narrowed, they were non-functional. "We had to take two 35 cm segments from the patient’s small intestine, reconstruct them into ureters, and connect them from the kidneys to the bladder on both sides,” Chandramohan explained.
The procedure took 9.5 hours and post-surgery, the patient can walk, her creatinine levels have returned to normal, and kidney function has stabilised.
Such surgeries require not only advanced equipment but also highly skilled surgeons with expertise in ureteral reconstruction," he said. UNI KNR
Tags: #Hyd: Doctors save woman’s kidneys with 9-Hour laparoscopic surgery
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