Patient Overview

Patient Overview

 Bloodless Cancer Surgery (Prof. Dr. Ashequr Rahman Bhuiyan)

Patient Profile:

• Name: Mr. Z (pseudonym)
• Age: 58
• Gender: Male
• Medical History: History of hypertension, no previous surgeries, non-smoker, non-drinker.

Presentation:

• The patient presented with a mass in the throat and difficulty swallowing for the past 3 months. After a biopsy, he was diagnosed with laryngeal cancer. The tumor was localized in the larynx and had not spread to other organs.
• The patient had concerns about blood loss during surgery due to his medical history and other health concerns.

Clinical Examination & Diagnostics:

• Physical Examination: A firm, non-tender mass was palpable in the neck, consistent with laryngeal cancer.
• Imaging: CT and MRI scans revealed a localized tumor in the larynx without evidence of distant metastasis.
• Biopsy: Confirmed the diagnosis of laryngeal carcinoma.

Diagnosis:

• Localized Laryngeal Cancer with no evidence of metastasis.

Treatment Plan:

1. Bloodless Surgery Approach:

   • Prof. Dr. Ashequr Rahman Bhuiyan decided to proceed with bloodless surgery for the patient, employing advanced techniques and a multidisciplinary approach.
   • Preoperative Preparation:
     • The patient was placed on iron supplementation to ensure adequate hemoglobin levels and reduce the need for blood transfusion.
     • Intraoperative management was carefully planned to minimize blood loss.

2. Surgical Procedure:

   • The surgery was conducted using precise surgical techniques aimed at minimizing blood vessels disruption. Prof. Dr. Ashequr Rahman Bhuiyan used minimally invasive techniques and advanced cauterization methods to control bleeding.
   • Endoscopic procedures were utilized to remove the tumor without the need for large incisions, ensuring minimal blood loss.
   • Electrocautery and laser technology were employed to cauterize blood vessels during tumor removal, reducing bleeding during the procedure.

3. Postoperative Care:

   • After surgery, the patient was closely monitored in the ICU for any signs of complications.
   • He was placed on oxygen therapy and pain management, with fluids administered to maintain hydration and support recovery.
   • The patient was provided with a specialized diet and speech therapy to help with recovery of his swallowing and speaking functions.

4. Follow-up and Rehabilitation:

   • A follow-up schedule was planned for the patient, including regular scans and laryngoscopies to monitor the recovery process.
   • The patient was advised on lifestyle changes such as avoiding alcohol and tobacco to prevent further recurrence of the cancer.

Outcome:

• The patient recovered well from the surgery with minimal bleeding and no need for transfusions. The tumor was successfully removed with clean margins, and no complications related to blood loss occurred.
• His swallowing and speech functions gradually improved, and he reported feeling generally well post-surgery.
• Subsequent follow-ups confirmed that there was no recurrence of the tumor, and the patient was free from cancer.

Conclusion:

Prof. Dr. Ashequr Rahman Bhuiyan’s ability to perform bloodless cancer surgery for laryngeal cancer allowed the patient to undergo treatment with minimal complications. The use of advanced surgical techniques and meticulous preoperative preparation ensured successful tumor removal without blood loss, leading to an expedited recovery and enhanced quality of life for the patient.