Exeptional Care by our Exeptional Doctors

A Team of Doctors led by Onco-surgeon Dr Dale Rodrigues, Vascular surgeon Dr Aniruddha Bhuiyan and Plastic surgeon Dr. Parag Vibhakar successfully performed a challenging surgery on a 70 yr. old female patient with a Right Thigh Sarcoma; 20 cm in size in the anteromedial compartment of the right thigh.

After a Multidisciplinary Oncology opinion by our team of Doctors preoperative Radiotherapy was decided and was given by Dr. Ajay Kolse (Head of Radiation Oncology ) Dose 50.4 Gy in 28 fractions over 6 weeks . The patient tolerated her radiation very well and was sent home and asked to follow up after 6 weeks with a restaging MRI SCAN. Dr Dale Rodrigues (Surgical Oncologist) operated this patient after 2 months of completion of her Radiation. The Patient was explained in detail about Limb saving surgery and the possibility of an amputation. During the surgery, the blood vessels i.e. Femoral vessels were completely encased by the mass. This would have otherwise gone for an amputation of the leg but with the help of our Multispeciliality team at Holy Spirit Hospital that is Onco-surgery, Vascular surgery and Plastic surgery we were able to save her leg. Dr Dale Rodrigues resected the mass and the encased femoral vessels. The surgery was then taken over by Vascular surgeon Dr Aniruddha Bhuiyan by grafting the 2 ends of the blood vessels with a PTFE graft thus saving the vascularity of the limb and in turn the entire lower limb. The plastic surgeon Dr Parag Vibhakar then took over to cover the grafted vessels by transposing the thigh muscles .The patient was kept on blood thinners in the postoperative period with continuous monitoring of her distal pulses .Final Histopathology report showed residual viable intermediate grade myxofibrosarcoma ,16cms in size with circumferential margins free ,vascular cut margins free of tumour and absent lymphovascular emboli . The Patient has recovered very well with minimum dysfunction and is walking after surgery with adequate physiotherapy. She is extremely happy with the outcome and thanks HOLY SPIRIT HOSPITAL and its team of doctors for believing in her .

Dr Dale Rodrigues (Surgical Oncologist) - HOLY SPIRIT HOSPITAL .