Pediatric Oncology & Hematology

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