๐๐๐๐ค๐ ๐ซ๐จ๐ฎ๐ง๐
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).
๐๐ซ๐๐จ๐ฉ๐๐ซ๐๐ญ๐ข๐ฏ๐ ๐๐ฌ๐ฌ๐๐ฌ๐ฌ๐ฆ๐๐ง๐ญ
Dr. De Souza conducted a comprehensive preoperative assessment, acknowledging the complexities introduced by Mrs. Chaubalโs 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.
๐๐ก๐ ๐๐ฎ๐ซ๐ ๐๐ซ๐ฒ
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.
๐๐จ๐ฌ๐ญ๐จ๐ฉ๐๐ซ๐๐ญ๐ข๐ฏ๐ ๐๐๐ซ๐
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.
๐๐๐๐จ๐ฏ๐๐ซ๐ฒ ๐๐ง๐ ๐๐๐ก๐๐๐ข๐ฅ๐ข๐ญ๐๐ญ๐ข๐จ๐ง
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.
๐๐ฎ๐ซ๐ ๐ข๐๐๐ฅ ๐๐ฎ๐๐๐๐ฌ๐ฌ
Mrs. Supriya Chaubalโs 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.