Mucormycosis: 21 surgical procedures carried out in SSG in a day

Written by Aditi Raja
, Sohini Ghosh
, Kamaal Saiyed | Ahmedabad, Surat, Vadodara |
May 21, 2021 3:41:41 am
SSG Hospital in Vadodara carried out 21 surgical procedures on mucormycosis sufferers on Thursday — highest single-day procedures carried out on such sufferers in current instances in any metropolis hospital within the state.
In 48 hours till 8 pm Thursday, SSG hospital noticed 15 transnasal endoscopic partial maxillectomy (removing of maxillary sinuses positioned under the cheek), 22 procedures of native debridements (cleansing up of the rhino-celebral passage surgically) and 4 orbital exenterations (removing of the contaminated eyeball).
On a mean, the hospital sees near 12 indoor admissions for the invasive fungal an infection of mucormycosis each day — a majority of sufferers being from different districts. Medical Superintendent of SSG hospital, Dr Ranjan Aiyer, who can be the Head of Department of ENT, mentioned, “Other than the actual surgical procedures that involve the extraction of affected parts, there are also certain surgical procedures that are diagnostic in nature. For instance, almost every patient needs a nasal endoscopy, which allows us to ascertain the damage that has been caused and pinpoint the scale of the surgical procedure that will be involved. The second step is a KOH (potassium hydroxide) exam of a part of the lesion extracted and the third step is the tissue biopsy. Almost all patients admitted have undergone these procedures, but only those who have tested negative for Covid-19 can be taken up by the surgical teams for debridements and extractions,” Aiyer mentioned.
Aiyer added that the Vadodara administration is contemplating making a separate facility within the metropolis, the place the sufferers who’ve already undergone surgical procedure might be despatched for the administration of the injection — Amphotericin-B — and proceed to be monitored by their doctor for security profiling of their blood sugar ranges. “This will take the load off from the main hospital as patients from other districts, who have to stay back for the drug administration can be shifted to the facility and only critical surgical cases can be admitted in the main wards,” Aiyer mentioned.
SSG hospital in Vadodara has a complete of 154 sufferers admitted to the 2 mucormycosis wards. Of these 33 are Covid19 constructive and 23 RTPCR stories are nonetheless awaited, the hospital mentioned. The hospital, on Thursday, additionally started admitting sufferers in a 3rd ward created to deal with the an infection. The hospital has to date seen 12 mortalities and 5 recoveries, Aiyer mentioned.
Gujarat Medical Education and Research Society (GMERS)-run Gotri hospital has a further 35 sufferers admitted. The well being division is but to establish the whole variety of sufferers affected by mucormycosis within the metropolis as a number of sufferers have sought therapy at personal hospitals, officers mentioned. The metropolis has additionally seen a number of mortalities resulting from mucormycosis, particularly in sufferers who remained Covid-19 constructive and couldn’t be operated upon, officers mentioned.
However, the non-availability of the Liposomal type of Amphotericin-B — the anti-fungal drug that’s identified to deal with mucormycosis — in personal hospitals are drawing sufferers to authorities amenities.
Aiyer mentioned, “…We receive a lot of patients from other districts because they have realised that the drugs would be made available to the government hospitals first…”
Aiyer mentioned that since 1992, SSG hospital had seen solely about 20 circumstances of mucormycosis. “With Covid-19 now… the number of cases in the current wave has surpassed lifetime figures of such patients. The steroids may have helped in Covid19 but immunity and glycemic levels of the patients were compromised,” Aiyer mentioned.

Aiyer mentioned that every affected person present process therapy for mucormycosis wants near seven vials of Amphotericin-B each day.
In Rajkot, Dr R S Tivedi, superintendent at PDU Hospital, mentioned the hospital is conducting eight to 10 surgical procedures on mucormycosis sufferers every day. The hospital has elevated its mattress capability for mucormycosis sufferers to 500, with 430 sufferers admitted at current. According to an Ahmedabad Civil Hospital supply, there are 371 mucormycosis sufferers admitted on the hospital with a complete of 156 surgical procedures performed until date.

In Surat, Dr Bhavin Patel, head of ENT division at Kiran hospital, confirmed {that a} whole of 70 surgical procedures have been carried out to date with a every day common of eight. The hospital has a pending record of 75 sufferers awaiting surgical procedure. At Surat’s New Civil Hospital, a complete of 27 surgical procedures have been performed with a every day common of seven, whereas SMIMER hospital has seen 12 surgical procedures at a charge of two per day to date.