Published On : Tue, Nov 6th, 2018

Injury during caesarean goes undetected at Daga hosp

Nagpur: Medical complications caused during a caesarean delivery at Daga Hospital forced a 27-year-old woman to undergo hysterectomy (uterus removal) in the fertile age. She had to run from pillar to post and spend huge money in private hospital for correcting the damage that remained undetected at the hospital. Hailing from Kanhan, the financially weak family of Sonu Seshrao Satpaise admitted her to Daga Hospital last month, where she underwent a caesarean and tubectomy (family planning) operation on October 17 at 5pm.

Daga hospital medical superintendent Dr Seema Parvekar said Sonu developed abdominal adhesions, bands of fibrous tissue that caused the uterus and bladder to stick together, but were separated during the operation. “After surgery, the urine was clear. Due to the presence of catheter and movement of the mother, the wound was not allowed to fill. On the third day, blood was seen in the urine. Since a general surgeon was not present at the hospital then, we referred the patient to GMCH apprising the relatives about the situation,” she said.

The status of the patient before discharge was stable, she added. According to Sonu’s husband Seshrao, after the patient was shifted to GMCH, the doctors did not continue treatment till a week, nor responded to queries by the relatives forcing them to shift her to Seven Star hospital at Jagnade Square, Nandanvan. “We were not told anything about her condition. After we brought her to Seven Star, the doctor said her condition is serious and admitted her to ICU,” said Satpaise, adding that he will lodge a formal complaint with the police and hospital authorities on Tuesday.

This was the patient’s second caesarean delivery. She has given birth to a male child both times. “Reports of sonography and angiography revealed that the urine has spread in the stomach and caused an infection,” Satpaise said, adding that the overall treatment has added a burden of Rs4 lakh on his shoulders. On Sunday, Dr Prashant Rahate performed hysterectomy (uterus removal) on the patient and repaired her urinary bladder.

“According to our investigations, the patient was bleeding during urination and from her vagina. She had a urinary bladder injury with a clot in the uterus. “With involvement of a urologist and gynecologist, we treated her. Adhesions are known complications which are not evident right after the surgery and can sometimes be overlooked. The scars are usually noticed on the fifth day,” said Dr Rahate. The patient is now safe and will be discharged in another five-odd days.