|
||||
|
Issue 123, 13 November 2002
|
||||
|
Bloodless surgery helps save lives
ROAD traffic accident victims face a better chance of
survival due to a revolutionary technique developed by Imperial
College and the Hammersmith hospital. Designed to help remove cancerous tumours in the liver, the
novel technique involves virtually no blood loss by using radio
frequency energy to create a seal around the area of the liver to
be removed. Invaluable to patients with liver cancers, the
technique is also being applied to accident victims suffering
massive blood loss from the spleen. "People in car accidents often get hit in the stomach,"
explained Mr Nagy Habib, head of liver surgery at the Hammersmith
campus. "Both liver and spleen are vascular and start bleeding
immediately. When a patient has a ruptured spleen it will keep
bleeding, is very difficult to stitch, and to save the life, the
surgeon is faced with removing it completely. "However, removing the organ responsible for maintaining the
immune system leads to vulnerability to infection and the need to
take antibiotics for life. With the radio frequency heat ablation
procedure, which makes a safe passage for us to cut around the
tumour, we can stop the bleeding, conserve the spleen and the
immune system stays intact." The technique was successfully tested by Mr Habib and his
colleagues on one middle aged man whose spleen ruptured during a
road traffic accident . More than 60 patients suffering from liver
tumours have benefitted from the technique, highlighted in American
journal, Annals of Surgery. The technique's break through is in reducing the time it takes
to seal the area and stop bleeding. High frequency energy waves,
delivered through an electrode placed in normal liver tissue around
the tumour, heat cells causing them to dehydrate and form the seal
in just 40 seconds. Mr Habib recently trained liver specialists in Paris, Germany
and Italy who have now completed 45 operations using the procedure.
Next month, he travels to the USA to lecture and assist in an
operation using the method. "We can save the NHS £6,000 per patient as this procedure
cuts operating time and the need for blood transfusions – any
amount up to 20 pints is lost during surgery to remove liver
tumours,"he added. "Also, intensive care units aren't required and
there are fewer post-operative complications because of the reduced
surgical impact on the patient therefore leading to shorter
hospital stay and earlier discharge. "At a time when the NHS is in crisis for skilled consultants, we
can cut down the years needed for training a liver specialist as
this is an easy technique to teach. "We now need research money to develop the technique further so
it can be used around organs other than the liver and spleen." |
||||
|
||||
| ©2003 Imperial College London |
||||