A Remarkable Team Effort: Successfully Managing a Complex Multinodular Goitre Case at BCMCH

 

A Remarkable Team Effort: Successfully Managing a Complex Multinodular Goitre Case at BCMCH

At Believers Church Medical College Hospital (BCMCH), we take pride in delivering exceptional patient care, especially when faced with complex and high-risk cases. Today, we are thrilled to share a challenging yet inspiring surgical success story that showcases the dedication, skill, and teamwork of our multi-disciplinary medical team.

🔹 The Case: A High-Risk Multinodular Goitre with Retrosternal Extension

🔸 A 64-year-old woman was referred to Dr. Aneesh Sugunan (Surgical Endocrinology) with a recurrent multinodular goitre.
🔸 The goitre had an extensive retrosternal extension into the anterior mediastinum, reaching as far as the tracheal carinal bifurcation and lying between all major thoracic vessels.
🔸 Given the complex anatomical challenges and the risk to major thoracic structures, the case required meticulous planning and a multi-specialty approach.

🔹 The Surgical Approach: A Precise & Coordinated Effort

✅ Total Thyroidectomy via Cervical Approach – The primary thyroidectomy was performed with a careful cervical approach to ensure complete gland removal while safeguarding vital structures.
✅ Mediastinal Extension Removed via Hemi-Sternotomy – Given the deep thoracic involvement, a hemi-sternotomy was required to safely excise the mediastinal portion of the goitre.

This highly intricate procedure was made possible through the seamless collaboration of multiple specialized departments.

🔹 A True Team Effort: Multi-Disciplinary Excellence

The success of this case was the result of exemplary teamwork, with contributions from:

🫀 Cardiovascular & Thoracic Surgery (CVTS) Team – Special thanks to Dr. John Valliath, Dr. Kannan, and Dr. Benson, whose expertise was crucial in navigating the complex mediastinal anatomy.
💉 Critical Care Team – Ensured optimal perioperative and post-operative management, preventing complications.
🦠 Medical Endocrinology – Provided specialized care for hormonal balance and metabolic stability.
🫁 Pulmonology Team – Assisted in respiratory optimization and post-surgical lung function management.
💪 Physical Medicine & Rehabilitation (PMR) – Ensured a smooth recovery process with targeted rehabilitation support.

🔹 Successful Outcome: A Grateful Patient, A Proud Team

🎉 The patient has been successfully discharged and is doing well without any complications.
👏 This incredible achievement highlights Team Believers’ commitment to excellence, innovation, and compassionate care.

Every complex case reminds us of the power of collaboration, the precision of surgical expertise, and the unwavering dedication to our patients.

Kudos to Dr. Aneesh Sugunan and the entire team for making this high-risk procedure a success!

🔗 Hashtags:

#BCMCH #SurgicalExcellence #TeamBelievers #MultinodularGoitre #EndocrineSurgery #CVTS #CriticalCare #Pulmonology #PatientSuccess #MedicalInnovation #CompassionateCare


**********

Comments

Post a Comment

Be Connected

QUEST 2025: Telemedicine in India – Legal Clarity for Confident Practice

Image
  QUEST 2025: Telemedicine in India – Legal Clarity for Confident Practice Empowering Healthcare Professionals with Telemedicine Knowledge The healthcare landscape is rapidly evolving, and telemedicine has emerged as a critical component of modern medical practice. To help healthcare professionals navigate the legal and practical aspects of teleconsultation, Believers Hospital, Thiruvalla , is hosting an insightful session under the QUEST medical education series. Event Details 📅 Date: April 3, 2025 (Thursday) ⏰ Time: 8:00 AM 📍 Venue: Amphitheatre, Believers Hospital The session, titled "Telemedicine in India: Legal Clarity for Confident Practice" , will be led by Dr. Indra N , Professor of Physiology and Deputy Medical Superintendent . Understanding Telemedicine in the Indian Context With the introduction of the Telemedicine Practice Guidelines (2020) by the Medical Council of India (MCI) and the National Medical Commission (NMC) , medical professionals no...
Read more

Celebrating Mrs. Reenu K. Mathew: A Star in Bone Marrow Transplant Unit

Image
  Title: Celebrating Mrs. Reenu K. Mathew: A Star in Bone Marrow Transplant Unit Introduction: In this blog post, we celebrate the exceptional contributions of Mrs. Reenu K. Mathew, Assistant Manager of the Bone Marrow Transplant (BMT) Unit at Believers Church Medical College Hospital (BCMCH). Her unwavering commitment and dedication in the field of Clinical Hematology and BMT have made a profound impact on the lives of patients and their families. Join us as we express our heartfelt appreciation for Mrs. Mathew's outstanding service, her warm demeanor, and her commitment to bringing hope and healing with the love of Christ. A Star in the BMT Unit: Mrs. Reenu K. Mathew stands out as a star in the Bone Marrow Transplant Unit at BCMCH. Her exceptional dedication and commitment to her work have touched the lives of countless patients. She goes above and beyond the call of duty, providing compassionate care to each patient in the BMT Unit, as well as in the wards and private rooms. Her...
Read more

Invited Lecture by Dr. Nithin Thomas Philip on Mid-Flexion Instability in Arthroplasty

Image
  🌟🌟🌟 Invited Lecture by Dr. Nithin Thomas Philip on Mid-Flexion Instability in Arthroplasty 🌟🌟🌟 We are pleased to announce that Dr. Nithin Thomas Philip has been invited to deliver a lecture on "Mid-Flexion Instability in Arthroplasty" at the Master's course in Vapi, Gujarat. This lecture promises to be an invaluable opportunity for orthopedic professionals to gain insights into this critical aspect of arthroplasty. About Dr. Nithin Thomas Philip: Dr. Nithin Thomas Philip is a highly regarded orthopedic surgeon known for his expertise in arthroplasty. With a wealth of experience and a dedication to excellence, Dr. Philip has established himself as a leader in the field, earning the respect and admiration of his peers. Focus of the Lecture: The lecture on mid-flexion instability in arthroplasty will provide attendees with a comprehensive understanding of this challenging issue. Dr. Philip's insights and expertise will shed light on the causes, diagnosis, and ...
Read more

Kudos to Mr. Biju Thomas on His Article on Antimicrobial Resistance (AMR) in The Times of India

Image
  Kudos to Mr. Biju Thomas on His Article on Antimicrobial Resistance (AMR) in The Times of India Kudos to Mr. Biju Thomas on His Article on Antimicrobial Resistance (AMR) in The Times of India On the occasion of World Pharmacist Day, September 25, 2024 , we are thrilled to congratulate Mr. Biju Thomas , the Head of Pharmacy Services , for his insightful and impactful article on Antimicrobial Resistance (AMR) and Antibiotic Misuse . His piece, published in the prestigious Times of India , serves as a timely reminder of the growing threat of AMR and the urgent need for global action in antibiotic stewardship. Raising Awareness on a Global Health Crisis: Antimicrobial Resistance Antimicrobial Resistance, often referred to as the "silent pandemic," is a rapidly emerging global health concern. In his article, Mr. Biju Thomas brilliantly highlights how overuse and misuse of antibiotics contribute to this escalating crisis, where bacteria evolve to resist the effects of medicatio...
Read more

Celebrating the Success of Our Fourth Batch of Masters in Emergency Medicine MEM Residents!

Image
  🎓🎉 Celebrating the Success of Our Fourth Batch of Masters in Emergency Medicine Residents! 🎉🎓 It is with great pleasure and a sense of accomplishment that we announce the successful completion of the course by our fourth batch of Masters in Emergency Medicine residents - the batch of 2020. They have not only shown exceptional dedication and perseverance but have also displayed exemplary skills in their field. As we mark this milestone, we cordially invite you to join us in the Graduation Day program, which will be held on Tuesday, August 1, 2023, in the Central Courtyard. This year has been an exceptional one for Believers Hospital, as we have been crowned the best training site among the 20 institutes that George Washington University partners with in India. This recognition is a testament to the high standard of education and training we provide, as well as the commitment of our faculty to nurturing future emergency medicine specialists. Our residents have not only excelled...
Read more

A Melodious Evening: Mr. Abraham C Mathew Conducts 1000 Strong Singers and Orchestra at Carolsav

Image
  Title: A Melodious Evening: Mr. Abraham C Mathew Conducts 1000 Strong Singers and Orchestra at Carolsav In a symphony of harmonious melodies, the prestigious Vijaya International Centre resonated with the enchanting tunes of Carolsav, graced by the eminent Mr. Abraham C Mathew. This evening, under his expert baton, a remarkable assembly of 1000 strong singers and a talented orchestra brought to life a musical celebration like no other. The Maestro Behind the Magic: Mr. Abraham C Mathew At the heart of this extraordinary musical spectacle is Mr. Abraham C Mathew, a distinguished Choir Master and Conductor, renowned for his expertise and profound contribution to the world of music. His illustrious career and mastery in leading choral ensembles have earned him acclaim far and wide. A Musical Legacy Unfolds at Vijaya International Centre Carolsav, an annual musical extravaganza, witnessed a momentous occasion as Dr. Jithin's father took the center stage, graciously accepting the invi...
Read more

A Story of Hope: A Journey Towards Healing for a Brave Little Boy

 A Story of Hope: A Journey Towards Healing for a Brave Little Boy This is the story of a 2-year-old boy , the child of a North Indian missionary family working in the Vikaspuri area of Delhi . He was brought to Believers Church Medical College Hospital (BCMCH) with a heartbreaking history: for the past three months, this little one had been unable to move his lower limbs. His family, driven by hope and desperation, sought answers at some of the best medical colleges in the country. However, despite their extensive efforts, they were left without the clarity and direction they desperately needed. Initially, Dr. Abel brought this child to Dr. Jijo’s OPD with a preliminary diagnosis of scurvy from Kalavati, but this diagnosis didn’t fit the clinical picture. After a thorough multi-disciplinary consultation involving Orthopedics , Hematology , and other departments, the child was admitted to the Pediatric ward. Anish Brillin took care of the child overnight, and with God’s guida...
Read more

Celebrating Academic Excellence: Dr. Vismaya's Presentation at IAPM Kerala Chapter Meeting

Image
  Title: "Celebrating Academic Excellence: Dr. Vismaya's Presentation at IAPM Kerala Chapter Meeting" Introduction: In a moment of pride for our medical community, we extend our heartfelt congratulations to Dr. Vismaya, a dedicated PG resident, for her remarkable achievement in presenting a paper at the Indian Association of Pathologists and Microbiologists (IAPM) Kerala chapter meeting. This article aims to recognize Dr. Vismaya's academic prowess and express gratitude to her mentor, Dr. Elizabeth Joseph, for her guidance and knowledge-sharing. Body: Dr. Vismaya's Accomplishment: The recent presentation by Dr. Vismaya at the IAPM Kerala chapter meeting held at Medical College, Thrissur, is a testament to her commitment to academic excellence. Presenting a paper at such a prestigious forum reflects not only her individual achievements but also contributes to the collective knowledge of the medical community. Significance of IAPM Kerala Chapter Meeting: The India...
Read more

A Green Initiative: Kerala Social Forestry Team's Visit to BCMCH Green Campus

Image
  Title: "A Green Initiative: Kerala Social Forestry Team's Visit to BCMCH Green Campus" Introduction: In a significant stride towards sustainable development, the Kerala Government Social Forestry Team, led by Dr. L. Chandrasekar IFS, recently paid a visit to the 'Believers Church Medical College Hospital' (BCMCH) Green Campus. The purpose of the visit was to witness firsthand the remarkable strides taken by BCMCH in creating an Alcohol, Tobacco, Drug, and Plastic-Free Environmentally Friendly Campus. Additionally, the team aimed to evaluate the Social Forestry Projects executed in collaboration with the 'National Resource Centre for NCDs.' Notable Attendees: The team, spearheaded by Dr. L. Chandrasekar IFS, included key figures such as Shri. A. P. Sunil Kumar IFS (Chief Conservator of Forests), Shri. G. Dhanik Lal (Asst. Conservator of Forests), Shri. A. S. Asok (Forest Range Officer), and Shri. P. John (Forest Deputy Range Officer). Their presence unde...
Read more

Believers Church Medical College Hospital Achieves 5-Star Eat Right Campus Certification!

Image
  Believers Church Medical College Hospital Achieves 5-Star Eat Right Campus Certification! ⭐⭐⭐⭐⭐ 💥 Breaking News! 💥 We are proud to announce that Believers Church Medical College Hospital’s Dora Food Court has been awarded the Exemplary 5-Star Rating by the Food Safety and Standards Authority of India (FSSAI) ! This prestigious recognition underscores our unwavering commitment to food safety, hygiene, and nutrition , making us a pioneer in healthcare food excellence . What This Means 🏆 Highest Standard of Food Safety – Ensuring every meal served is prepared under strict hygiene regulations. 🥗 Nutritious & Healthy Choices – Providing well-balanced meals to promote overall well-being. 🛡️ Safe & Hygienic Environment – Complying with FSSAI’s stringent quality and safety guidelines. 🎯 Benchmark in Healthcare Food Safety – We are the only hospital canteen in Pathanamthitta district to achieve this honor! Why This Matters? ✅ Better Nutrition for Patients...
Read more