A 7-year-old girl presented with persistent pain in the right knee for two months. Initial investigations, including X-ray and MRI, raised suspicion of a malignant lesion in the distal femur near the knee joint.

A biopsy confirmed the diagnosis of osteosarcoma, a rare bone malignancy seen in children and adolescents. A metastatic workup was conducted to assess disease spread, which showed no evidence of metastasis.

The patient was initiated on a structured treatment protocol involving multiple cycles of neoadjuvant chemotherapy, followed by planned surgical intervention and postoperative chemotherapy.

After completion of four chemotherapy cycles, repeat imaging demonstrated a favorable response, and surgical management was undertaken. Considering the child’s age and significant remaining growth potential, the key challenge was to achieve oncological clearance while preserving future limb growth.

A customised expandable prosthesis was designed for the patient to accommodate longitudinal bone growth through future length adjustments. The surgical procedure was completed successfully, and the postoperative course remained stable and uneventful.

The patient continues under follow-up, with the focus on long-term recovery, functional preservation, and support for normal growth and development.
 

Treatment By:
Dr. Nikhil Tandon

Advanced Bronchoscopic Intervention at Yashoda Medicity Removes Eraser from 4-Year-Old's Airway, Restores Collapsed Lung.

Doctors at Yashoda Medicity successfully saved a 4-year-old child after a piece of eraser became lodged in his left main bronchus, causing near-complete airway obstruction and collapse of the left lung. The 4-year old child accidentally inhaled the eraser while playing nearly two days before reaching the hospital.

An emergency bronchoscopic procedure was performed using a flexible ultrathin bronchoscope and cryoprobe. The multidisciplinary team included Dr Rajesh Kumar Gupta, Director; Dr Ankit Bhatia, Senior Consultant in Respiratory Medicine and Interventional Pulmonology; Dr Lokesh, Principal Director & HOD of Anesthesiology & Critical Care; and Dr (Maj) Shaifali Bhatia, Senior Consultant - Paediatrics & Neonatology.

During the 90-minute procedure, doctors successfully removed the eraser and restored airflow to the collapsed lung. The intervention was particularly challenging because the child's airway measured only about 4 mm in diameter, requiring precise airway management and close coordination between the bronchoscopy and anaesthesia teams.

Speaking about the case, Dr Rajesh Kumar Gupta, Director, Respiratory Medicine and Interventional Pulmonology, Yashoda Medicity, said, “This was a particularly challenging procedure because the child’s airway measured only about 4 mm in diameter. Maintaining adequate oxygenation while simultaneously navigating specialized instruments through such a narrow airway required meticulous planning and close coordination between the bronchoscopy and anaesthesia teams over a 90-minute procedure.

Dr Ankit Bhatia, Senior Consultant, Respiratory Medicine & Interventional Pulmonology, said, “Cases like these highlight how small objects such as erasers, toy parts, nuts, and seeds can quickly turn into life-threatening airway emergencies in children. Any episode of sudden coughing, wheezing, or breathing difficulty after playing should never be ignored. Early diagnosis and timely treatment can prevent serious complications, including lung collapse, and can save lives.”

Describing the ordeal as one of the most frightening experiences for the family, the child's parent said, “Watching him struggle to breathe was one of the most frightening experiences for our family. We are deeply grateful to the doctors and medical team at Yashoda Medicity for their timely intervention, expertise, and constant support throughout the treatment. Knowing that specialists from different disciplines were working together and that advanced facilities were available gave us immense confidence during a very difficult time. We hope other parents learn from our experience and seek immediate medical attention if a child develops persistent coughing, wheezing, or breathing difficulty after inhaling or choking on a small object.”

Following removal of the foreign body, the child's breathing improved immediately. Airflow to the left lung was restored, allowing the collapsed lung to re-expand. The child recovered well and was discharged in stable condition on 18 June 2026.

Doctors emphasized that young children are particularly vulnerable to accidentally inhaling small objects during play. In this case, the foreign body had already caused the collapse of the left lung. Further delay in treatment could have resulted in severe infection, persistent lung collapse, irreversible lung damage, respiratory failure, and potentially life-threatening complications.
The successful outcome underscores the importance of timely diagnosis, advanced bronchoscopic expertise, specialized equipment, and a multidisciplinary approach in managing complex airway emergencies in children. Yashoda Medicity remains committed to providing comprehensive, advanced interventional pulmonology and critical care services, backed by state-of-the-art technology and specialist teams capable of handling complex medical emergencies across age groups.

Treatment By:
Dr Rajesh Kumar Gupta, Director; Dr Ankit Bhatia, Dr Lokesh; and Dr (Maj) Shaifali Bhatia.

A professional WWE wrestler sustained a knee injury during a wrestling bout while on tour in India, resulting in acute pain, instability, and inability to continue performance. Clinical and radiological evaluation confirmed an anterior cruciate ligament (ACL) tear along with a concomitant meniscus injury.

He was evaluated by the orthopaedic team, led by Dr. Brajesh Koushle, and was advised to undergo surgical intervention to restore knee stability and enable early return to high-impact activity. Given the functional demands of a professional athlete, a minimally invasive, precision-driven approach was planned.

The patient underwent arthroscopic ACL reconstruction using an advanced Xiros ligament system, along with an all-inside meniscus repair. The procedure was performed using keyhole techniques, ensuring minimal tissue disruption and optimal anatomical restoration.

Postoperatively, the patient showed rapid recovery. Early mobilisation was initiated, and he was able to bear weight and walk on both limbs from the very next day. With structured rehabilitation, he is on track for a timely return to professional wrestling within a few weeks.

Treatment By:
Dr. Brajesh Koushle and Team

Advanced minimally invasive surgery plays a critical role in managing complex abdominal conditions, enabling precise intervention with faster recovery and reduced surgical impact. At the Yashoda Institute of Minimal Access, Robotic and Bariatric Surgery (MARBS), a 38-year-old male presented with low-grade adenocarcinoma of the colon, with mucosal extension and partial luminal obstruction.

Following preoperative optimisation in coordination with the Gastroenterology team, the patient underwent a laparoscopically assisted left limited hemicolectomy with partial mesocolon excision.

The colocolic anastomosis was completed through a small 2-inch subcostal incision, maintaining a minimally invasive approach while ensuring surgical precision. The postoperative course was uneventful, and the patient was discharged in a stable condition on Day 5.

This case reflects the strength of a minimally invasive surgical approach in managing complex cases, enabling effective treatment with faster recovery and improved patient outcomes.

Treatment By:
Dr. P.K. Dewan, Dr. Abhimanyu Dewan, Dr. Ismail Khan, and Dr. Pooja

A 4-year-old, 11 kg child was brought to the Department of Pediatric Cardiac Sciences at Yashoda Medicity, Indirapuram, with complaints of bluish discoloration of fingernails and toes, poor weight gain, easy fatigue on walking, and recurrent hospital admissions. 
Clinical evaluation revealed an oxygen saturation of 75%, prompting further investigations including echocardiography and CT pulmonary angiography.

The child was diagnosed with Cyanotic Congenital Heart Disease known as Tetralogy of Fallot (TOF), with additional apical muscular VSD and a hypoplastic pulmonary annulus.

The patient underwent open-heart surgery called Intracardiac Repair, including closure of multiple VSDs with a transannular patch over the neopulmonary valve. The procedure was led by Dr. Abhinavsingh Chauhan, Consultant Pediatric Cardio-thoracic and Vascular Surgery. Advanced post-operative care in the Pediatric Cardiac ICU was uneventful, and post-operative echocardiography confirmed a successful repair.

The child was discharged in a stable and ambulatory condition on the 5th post-operative day, with oxygen saturation improving to 99%. This case reflects Yashoda Medicity’s expertise in managing complex pediatric cardiac conditions, combining cutting-edge surgical techniques with specialized intensive care to ensure safe, life-transforming outcomes for children.

Treatment By:
Dr. Abhinavsingh Chauhan

An International patient from Myanmar with Mitral Regurgitation, pulmonary hypertension and low ejection fraction-35% underwent successful transplant


A middle aged male was diagnosed with chronic kidney disease when he developed generalized body weakness, puffiness of face and swelling of legs with nausea, intermittent vomiting . On Investigations, he was found to have deranged renal function with urea-300 mg/dl,creatinine of 15 mg/dl, hb-9 mg and was subsequently started on hemodialysis via catheter inserted in right side of neck. 

He subsequently visited India where he consulted our expert team of doctors-Dr Prajit Mazumdar, Dr Inderjit G Momin,Dr Vaibhav Saxena and Dr Kuldeep Agarwal at Yashoda Super Speciality Hospitals, Kaushambi who advised her to under renal transplant as it is the best form of renal replacement therapy. His Transplant workup was subsequently started and donor was wife and blood group was same.

However on transplant work up, it was found that he had Mitral Regurgitation, pulmonary hypertension and low ejection fraction-35% which increased his peri operative risk. Subsequently he was started on medicines and decongestion was done with diuretics and intensive hemodialysis. Subsequently renal transplantation was done after obtaining cardiology clearance with moderate risk and explaining the risk.

He underwent renal transplantation with Solumedrol and ATG induction. After transplantation he had good urine output with decreasing creatinine and was subsequently discharged with creatinine of 1.2 mg/dl . After transplant his pulmonary hypertension decreased and mitral regurgitation decreased which proves renal replacement therapy in form of transplant leads to improvement of cardiac condition.   He is doing well on OPD  follow up even today, 1.5 year after transplant with stable graft function and enjoying his life in myanmar.
 

Treatment By:
Dr Prajit Mazumdar, Dr Inderjit G. Momin, Dr Vaibhav Saxena, and Dr Kuldeep Agarwal

Total Hip Replacement in a Young Adult with Secondary Osteoarthritis of the Hip due to Sequelae of Childhood Septic Arthritis

Early and effective treatment of childhood hip septic arthritis is crucial to prevent or minimize long-term complications such as avascular necrosis, hip dislocation, osteoarthritis, and leg length discrepancy.

We present a case of a 30-year-old male patient suffering from secondary osteoarthritis of the left hip, with complete destruction of the joint over the past 20 years. He had septic arthritis of the left hip at the age of 9, which was only partially treated, resulting in long-term sequelae.

This was a challenging case due to the chronic arthritic hip and associated soft tissue contractures. We performed an uncemented total hip replacement with subtrochanteric osteotomy. The procedure proceeded as planned: the limb length discrepancy was corrected, and the patient was mobilized within 24 hours. He was discharged after four days, pain-free, and walking with support.

He is expected to achieve full weight-bearing and return to all activities of daily living within eight to ten weeks.

Treatment By:
Dr. Amit Sharma

A new life donated to daughter-in law by mother in law

A 30-year-old female was diagnosed with chronic kidney disease after presenting with generalised weakness, loss of appetite, and intermittent vomiting. Investigations revealed impaired renal function, and she was started on haemodialysis through a catheter placed in the right side of her neck. She was advised maintenance haemodialysis three times a week.

She consulted our expert team of doctors including Dr Prajit Mazumdar, Dr Inderjit G. Momin, Dr Vaibhav Saxena, and Dr Kuldeep Agarwal at Yashoda Super Speciality Hospitals, Kaushambi. They recommended renal transplantation as the most effective form of renal replacement therapy. Her transplant workup was initiated, with her mother considered as the first donor option.

However, her mother was found to have diabetes, her father had a cardiac condition, and her husband was not a compatible blood group. With limited donor options, her mother-in-law, who had a matching blood group, came forward to donate a kidney and save her daughter-in-law’s life.

After obtaining clearance from cardiology, pulmonology, gynaecology, and psychiatry, along with approval from the authorisation committee, the transplant was successfully carried out with ATG induction. Post-transplant, she maintained good urine output with steadily improving creatinine levels. She was discharged with a creatinine of 1.2 mg/dl. The donor also recovered well and continues to do fine.

Treatment By:
Dr Prajit Mazumdar, Dr Inderjit G. Momin, Dr Vaibhav Saxena, and Dr Kuldeep Agarwal

An International patient from Myanmar with Mitral Regurgitation, pulmonary hypertension, and low ejection fraction-35% underwent successful transplant

A middle-aged male was diagnosed with chronic kidney disease after developing generalised weakness, facial puffiness, swelling of the legs, nausea, and intermittent vomiting. Investigations revealed severely impaired renal function with urea of 300 mg/dl, creatinine of 15 mg/dl, and haemoglobin of 9 g/dl. He was started on haemodialysis through a catheter placed in the right side of his neck.

He later visited India and consulted our expert team of doctors, including Dr Prajit Mazumdar, Dr Inderjit G. Momin, Dr Vaibhav Saxena, and Dr Kuldeep Agarwal at Yashoda Super Speciality Hospitals, Kaushambi. Renal transplantation was advised as the most effective form of renal replacement therapy. His transplant workup was initiated, and his wife, who had a matching blood group, volunteered to donate.

During the evaluation, he was found to have mitral regurgitation, pulmonary hypertension, and a reduced ejection fraction of 35 percent, which significantly increased his perioperative risk. He was started on medications, optimised with diuretics, and maintained on intensive haemodialysis for decongestion. After cardiology clearance and counselling regarding moderate surgical risk, renal transplantation was planned.

He successfully underwent renal transplantation with Solumedrol and ATG induction. Post-transplant, he maintained good urine output with steadily decreasing creatinine levels and was discharged with a creatinine of 1.2 mg/dl. His pulmonary hypertension and mitral regurgitation also improved, demonstrating the positive impact of renal transplantation on cardiac function.

He continues to do well on outpatient follow-up, one and a half years after transplant, with stable graft function, and is enjoying a healthy life in Myanmar.

Treatment By:
Dr Prajit Mazumdar, Dr Inderjit G. Momin, Dr Vaibhav Saxena, and Dr Kuldeep Agarwal

A case of ABO incompatible transplant with high ANTI B TITRES

A 37-year-old male was diagnosed with chronic kidney disease three years ago after presenting with frothy urine and hypertension. Initial investigations revealed a serum creatinine of 3 mg/dl. Over the next few years, his kidney function deteriorated, and he was started on maintenance haemodialysis three times a week via an arteriovenous fistula. He was referred to our hospital by a former recipient who had undergone renal transplantation under Dr Prajit Mazumdar. On evaluation by our team of doctors, the need for renal transplantation was explained in view of end-stage renal disease.

His transplant workup was initiated, with his father considered as the first donor. However, he was rejected due to diabetes. Donor evaluation of his mother was then undertaken, but her blood group was incompatible with the recipient. In view of ABO incompatibility, anti-A and anti-B titres were assessed and revealed a high anti-B titre.

After detailed counselling regarding prognosis, risks, and cost, the family opted to proceed with an ABO-incompatible renal transplant. Rituximab was administered two weeks prior to transplantation, and he was started on tacrolimus and mycophenolate mofetil. This was followed by two sessions of Glycosorb column treatment on days 12 and 14, after which his anti-B titre decreased to 1:2. He then underwent renal transplantation with Solumedrol and Simulect induction, with anti-B titres monitored every 12 hours.

Post-transplant, he maintained brisk urine output and his serum creatinine gradually declined. He was discharged with a creatinine of 1.2 mg/dl and continues to do well on follow-up.

Treatment By:
Dr Prajit Mazumdar

A challenging Case of renal transplant with a history of >22 units of blood transfusion and class 1 DSA positive

A 26-year-old male was diagnosed with chronic kidney disease after developing generalised weakness and loss of appetite. Investigations revealed impaired renal function with a creatinine of 12 mg/dl and haemoglobin of 5 g/dl. He was started on haemodialysis through a catheter placed in the right side of his neck and advised AV fistula creation with maintenance haemodialysis three times a week.

Despite regular dialysis, his anaemia persisted and he required multiple blood transfusions (more than 22 units over three months) even while receiving erythropoietin and iron therapy. Anaemia workup revealed occult blood in the stool, and upper GI endoscopy confirmed peptic ulcer disease.

He consulted our team of nephrologists (Dr Prajit Mazumdar and Dr Inderjit G. Momin) and urologists (Dr Vaibhav Saxena and Dr Kuldeep Agarwal) at Yashoda Superspeciality Hospitals, Kaushambi, where renal transplantation was advised. His mother, who had a matching blood group, was identified as the donor. However, transplant workup revealed donor-specific antibodies on single antigen bead testing (Class I) with an MFI greater than 2500 on multiple beads, most likely due to the multiple blood transfusions. This significantly increased the risk of acute rejection in the immediate post-transplant period, making the case high-risk.

After thorough counselling regarding risks, he underwent desensitisation with two sessions of plasmapheresis and IVIg to reduce the donor-specific antibodies. He then successfully underwent renal transplantation with ATG induction. Post-transplant, he maintained good urine output with steadily improving creatinine levels and was discharged with a creatinine of 1.2 mg/dl.

He continues to do well on outpatient follow-up.

Treatment By:
Dr Prajit Mazumdar, Dr Inderjit G. Momin, Dr Vaibhav Saxena, and Dr Kuldeep Agarwal