𝐁𝐚𝐜𝐤𝐠𝐫𝐨𝐮𝐧𝐝
Mrs. Supriya Chaubal, a 53-year-old woman, had been suffering from persistent left hip pain for over six months. Seeking relief, she consulted Dr. Anil De Souza, who diagnosed her with left hip osteoarthritis. Given the severity of her condition, Dr. De Souza recommended a left total hip replacement (THR). However, the surgery posed significant challenges due to Mrs. Chaubal’s pre-existing medical conditions, namely congenital heart disease (CHD) with dextrocardia and hypertension (HTN).
𝐏𝐫𝐞𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐯𝐞 𝐀𝐬𝐬𝐞𝐬𝐬𝐦𝐞𝐧𝐭
Dr. De Souza conducted a comprehensive preoperative assessment, acknowledging the complexities introduced by Mrs. Chaubal’s cardiac malformation and high blood pressure. To mitigate potential risks, a multidisciplinary team was assembled, including Dr. Barve, an experienced orthopedic surgeon, and Dr. Gujar, a cardiologist with expertise in managing complex cardiac conditions.
𝐓𝐡𝐞 𝐒𝐮𝐫𝐠𝐞𝐫𝐲
On January 10, 2023, Mrs. Chaubal underwent left hip replacement surgery at the hands of Dr. Desousa and Dr. Barve. During the procedure, her blood pressure spiked due to her hypertension. The surgical team promptly administered the necessary antihypertensive medications to stabilize her condition. Despite these challenges, the surgery was completed.
𝐏𝐨𝐬𝐭𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐯𝐞 𝐂𝐚𝐫𝐞
Following the surgery, Mrs. Chaubal was transferred to the Intensive Care Unit (ICU) for close monitoring. In the ICU, she required supplemental oxygen and a blood transfusion to address perioperative blood loss. Given her dextrocardia and ongoing hypertension, Dr. Gujar provided specialized cardiac care. He diagnosed Mrs. Chaubal with cardiac failure and initiated treatment with diuretics to manage her condition effectively.
𝐑𝐞𝐜𝐨𝐯𝐞𝐫𝐲 𝐚𝐧𝐝 𝐑𝐞𝐡𝐚𝐛𝐢𝐥𝐢𝐭𝐚𝐭𝐢𝐨𝐧
With diligent medical attention and appropriate interventions, Mrs. Chaubal’s condition gradually stabilized. Her hemoglobin levels improved, and her need for oxygen support diminished. Intensive physiotherapy played a crucial role in her recovery, helping her regain strength and mobility. By January 13, 2023, Mrs. Chaubal had made significant progress: her blood pressure was stable, and she no longer required oxygen support. She was subsequently discharged in a stable condition, able to ambulate well and resume her daily activities.
𝐒𝐮𝐫𝐠𝐢𝐜𝐚𝐥 𝐒𝐮𝐜𝐜𝐞𝐬𝐬
Mrs. Supriya Chaubal’s case underscores the importance of a multidisciplinary approach in managing complex surgical patients with pre-existing conditions. The successful outcome of her left hip replacement, despite the challenges posed by her cardiac malformation and hypertension, highlights the efficacy of coordinated care, meticulous planning, and postoperative management. This case also illustrates the critical role of physiotherapy in enhancing patient recovery and overall quality of life post-surgery.
