Innovative surgery at Lilavati Hospital offers independence to spina bifida patient
Innovative surgery at Lilavati Hospital offers independence to spina bifida patient Posted by Niilesh waghela Mumbai — Lilavati Hospital & Research Centre Mumbai, has successfully performed a first-of-its-kind minimally invasive colonoscopic cecostomy on Merlyn D’mello, a 28 year-old IT professional living with spina bifida related neurogenic bowel. The innovative endoscopic technique created percutaneous cecum access with colonoscopic guidance and introduction of a 24 Fr PEG catheter, allowing self-performed antegrade colonic irrigation without open surgery or abdominal incisions. The patient has been receiving medical attention since childhood for congenital spina bifida and has lifelong issues with severe constipation, incontinence, and reliance on caregiver-administered enemas. An earlier surgical procedure (Malone Antegrade Continence Enema/MACE) did not yield sustainable bowel control and necessitated advanced endoscopic management. During a well-planned intervention, th...