Press Release
MIMS witnessed the world’s first 3D Laparoscopic approach for giant renal vein
aneurysm and successful auto transplantation
Dubai, August 26, 2014: Malabar Institute of Medical Sciences (MIMS), Calicut conducted the
world’s first 3D Laparoscopic approach for giant renal vein aneurysm of right kidney and
successful auto transplantation to Mr. Abdul Khader, a 44 year old male from Kadavalloor,
Thissur, Kerala.
3D Laparoscopic Urologist Dr. Krishna Mohan and the team could bring the man back to normal
life through this extreme life threatening surgery. Mr. Abdul Khader came to MIMS after
detecting to have a life threatening venous aneurysm (around 10 cm sizes) of right kidney.
Nephrectomy i.e. Kidney removal surgery was suggested from other centres.
“We are happy to inform you all that we are the first hospital to do keyhole surgery for giant
renal vein aneurysm in the world and we could successfully give back the kidney to the patient”
Dr. Krishna Mohan, 3D Laparoscopic Urologist at MIMS said.
Renal vein aneurysm is due to venous malformation due to defective development during later
stage of embryogenesis while venous trunks are formed. Weakness of venous wall due to lack of
development of media. The venous aneurysm can be detected incidentally or can present as
abdomen pain, hypertension or due to complications like spontaneous rupture or rupture and
bleeding in trivial accidents and can cause death. Thrombosis and pulmonary embolism and
pressure effects on adjacent organs can occur. This situation can be assessed as a bomb in
abdomen which can explode at any moment resulting in fatal bleeding and death. If it bleeds
even there won’t be time to shift to hospital as hemorrhage will be fatal.
The treatment is surgery and priority is to save the life first by nephrectomy and to save the
kidney if possible. Other option is to embolization of renal artery and to block the renal artery
which may result in non-functioning of the kidney or to do nephrectomy by an open surgery or
laparoscopy.
Since the right kidney was functioning better than the left kidney, saving the kidney was another
priority for us. We did renal angiogram which gave the clear cut picture of complex vascular
anatomy. The embolization of renal artery was deferred as high risk of pulmonary embolism and
sudden death. We decided to take him for surgery after explaining the complications and
necessity of complex surgery. The surgery was highly complex due to the risk of aneurysm
rupture and massive bleeding, embolism, including a major threat to life. This was a surgery on
major blood vessels aorta and inferior venava which associated with heart. Aorta arises from
heart carries oxygenated blood. Inferior venacava takes blood to heart. Dr. Krishna Mohan
added.
“We explained about the high risk and gave confidence to the desperate patient and to his family.
Our plan was to do a 3D laparoscopic nephrectomy and to repair the kidney after renal cooling in
bench surgery (outside) and finally auto transplantation” he added
3D laparoscopy was chosen since it is 36 times magnified vision and vessel anatomy will be
much clear compared to non 3D Laparoscopy and open surgery. Since any small pressure on
aneurysm may result in rupture and sudden death, 3D Laparoscopy was the best choice. MIMS is
the second urology and transplant unit in India with this facility.
Mr. Abdul Khader underwent surgery on 4/8/2014. This complex unusual surgery took 8 hrs. and
no blood transfusion required. He stayed in ICU for 2 days discharged after 2 weeks’ hospital
stay on 18/8/2014. It was second life to him.
The Surgery team included Dr. Krishna Mohan laparoscopic urologist and transplant surgeon,
Dr. Harigovind, Senior Consultant Urologist & transplant surgeon and Head of the department,
Dr. Ashish Jindal, Consultant Urologist and transplant surgeon, Dr. Rekha S, Consultant
Anesthesiologist. The Radiology support was by Dr. K.G. Ramakrishnan, Senior Consultant
Radiologist and Dr. Shailage, Consultant Radiologist at MIMS
Participants in Press Conference
Dr. Hamza P., Chief of Medical Services, MIMS
Dr. Abdulla Cheryakkat, Managing Director, MIMS
Dr. Krishna Mohan, 3D Laparoscopic Urologist, MIMS
Dr. Harigovind, Senior Consultant Urologist, MIMS
Dr. Ashish Jindal, Consultant Urologist, MIMS
Dr. Rekha S, Consultant Anesthesiologist. MIMS
Mr. Abdul Khader, the Patient
Mr. Abdul Khader who underwent the world’s first 3D Laparoscopic approach for giant renal
vein aneurysm of right kidney and successful auto transplantation thanking MIMS doctors, who
include (from right) Dr. Hamza P., Chief of Medical Services, Dr. Ashish Jindal, Consultant
Urologist, Dr. Harigovind, Senior Consultant Urologist, Dr. Krishna Mohan, 3D Laparoscopic
Urologist, Dr. Rekha S, Consultant Anesthesiologist and Dr. Abdulla Cheryakkat, Managing
Director.
Dr. Krishna Mohan, 3D Laparoscopic Urologist & Transplant surgeon conducting the world’s
first 3D Laparoscopic approach for giant renal vein aneurysm of right kidney and successful auto
transplantation.
C.T image of giant renal vein aneurysm of right kidney of Mr. Abdul Khader.
High Res Photo
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