患有罕見疾病的嬰兒透過專家手術成功恢復健康

此案例研究報告了一名出生時患有肛門直腸畸形、導致肛門開口缺失的一歲嬰兒的成功治療。這名嬰兒接受了多次手術，包括結腸造口術、肛門重建術和結腸造口閉合術，以糾正先天性疾病。此外，也進行手術來解決其他發育問題，例如尿道下裂和舌繫帶過短。透過適當的介入和手術治療，嬰兒已經達到了適合其年齡的發展里程碑，這凸顯了及時醫療介入對患有先天性疾病的新生兒的重要性。

A Triumphant Tale: Baby Born Without Anal Opening Restored to Health through Expert Surgical Intervention

勝利的故事：肛門未開的嬰兒透過專家手術幹預恢復健康

In a remarkable medical achievement, a one-year-old infant who was born with a severe congenital condition known as anorectal malformation (ARM), characterized by the absence of an anal opening, has been successfully treated after undergoing a series of complex surgeries. The timely and skilled interventions of a dedicated medical team at Wockhardt Hospitals, Mira Road, have enabled this young patient to overcome significant challenges and reach developmental milestones appropriate for his age.

這是一項了不起的醫學成就，一名一歲嬰兒出生時患有嚴重的先天性疾病，稱為肛門直腸畸形（ARM），其特徵是沒有肛門開口，在經歷了一系列複雜的手術後，已成功治癒。米拉路沃克哈特醫院的專業醫療團隊及時而熟練的干預措施使這位年輕患者克服了重大挑戰，並達到了適合其年齡的發展里程碑。

A Journey of Resilience

堅韌之旅

Shortly after birth, the baby's parents received the distressing news that their newborn had ARM, a rare condition that can cause significant distress and developmental issues if not treated promptly. Undeterred, the family sought expert guidance at Wockhardt Hospitals, where a team led by Dr. Bhavesh Doshi, consultant pediatric surgeon, and Dr. Nitu Mundhra, neonatologist, took on the challenge of restoring the baby's health.

出生後不久，嬰兒的父母就收到了令人痛心的消息，他們的新生兒患有 ARM，這是一種罕見的疾病，如果不及時治療，可能會導致嚴重的痛苦和發育問題。但家人並沒有被嚇倒，而是向沃克哈特醫院尋求專家指導，在那裡，由兒科顧問外科醫生 Bhavesh Doshi 博士和新生兒科醫生 Nitu Mundhra 博士領導的團隊接受了恢復嬰兒健康的挑戰。

Upon examination, the medical team identified additional anomalies, including hypospadias, a condition where the male reproductive part was bent and the opening of the urinary hole was not in its proper place. The baby was also found to have tongue tie, a condition where the tongue is attached too tightly to the floor of the mouth, hindering its mobility and causing feeding and speech difficulties.

經過檢查，醫療團隊發現了其他異常情況，包括尿道下裂，這是一種男性生殖部位彎曲且尿孔開口不在正確位置的情況。嬰兒還被發現有舌繫帶過短的情況，即舌頭與口腔底部貼得太緊，阻礙其活動並導致餵食和言語困難。

A Comprehensive Treatment Plan

綜合治療計劃

Drawing upon their collective expertise, the medical team devised a comprehensive treatment plan that involved a series of surgical interventions tailored to address each specific issue. The first step was a colostomy, a procedure that created a temporary opening in the abdomen to allow for stool elimination while the anal area was prepared for reconstruction.

醫療團隊利用集體專業知識，制定了全面的治療計劃，其中包括針對每個特定問題量身定制的一系列外科手術幹預措施。第一步是結腸造口術，手術在腹部創建一個臨時開口，以便在肛門區域準備重建時排出糞便。

At two months of age, the baby underwent a four-hour-long posterior sagittal ano rectoplasty (PSARP) surgery, a meticulously planned and executed procedure that successfully created a new anus at its normal position. Two months later, the final surgery for ARM was performed, during which the colostomy was closed, restoring the natural pathway for stool passage.

兩個月大時，嬰兒接受了長達四個小時的後矢狀肛門直腸成形術（PSARP）手術，這是一項精心計劃和執行的手術，成功地在正常位置創造了一個新的肛門。兩個月後，進行了最後一次 ARM 手術，關閉了結腸造口，恢復了糞便通過的自然通道。

In addition to addressing the ARM condition, the medical team also performed a major surgery to correct the bent-over genitalia and restore the urinary opening to its normal position. This intricate operation involved three hours of delicate surgical work, culminating in the restoration of the child's urinary function.

除了解決ARM的問題外，醫療團隊還進行了一次大手術，以糾正彎曲的生殖器並將尿道口恢復到正常位置。這場複雜的手術歷經三小時的精細手術，最終恢復了孩子的泌尿功能。

A Year of Milestones

具有里程碑意義的一年

The culmination of these surgeries has been a remarkable transformation for the young patient. At one year of age, he has achieved all developmental milestones appropriate for his age, a testament to the expertise and dedication of the medical team that has guided him on this extraordinary journey.

這些手術的最終結果是這位年輕患者發生了顯著的轉變。一歲時，他就實現了適合他年齡的所有發展里程碑，這證明了指導他踏上這段非凡旅程的醫療團隊的專業知識和奉獻精神。

Dr. Bhavesh Doshi, who led the surgical team, emphasized the importance of early intervention in cases of ARM. "Timely and appropriate surgical treatment is crucial for ensuring the optimal development and well-being of these children," he explained. "We are incredibly proud of our team's efforts and the positive outcomes we have achieved for our young patient."

手術團隊的領導者 Bhavesh Doshi 博士強調了早期介入 ARM 病例的重要性。 「及時、適當的手術治療對於確保這些兒童的最佳發展和福祉至關重要，」他解釋道。 “我們對我們團隊的努力以及我們為年輕患者取得的積極成果感到非常自豪。”

Dr. Nitu Mundhra, the neonatologist involved in the baby's care, praised the resilience and determination of the parents, who played a vital role in their child's recovery. "The parents' unwavering support and meticulous home care were instrumental in the baby's progress," she said.

參與嬰兒護理的新生兒學家 Nitu Mundhra 博士讚揚了父母的韌性和決心，他們在孩子的康復過程中發揮了至關重要的作用。 「父母堅定不移的支持和細緻的家庭護理對嬰兒的進步起到了重要作用，」她說。

A Brighter Future Ahead

更光明的未來

As the baby continues to grow and develop, the medical team at Wockhardt Hospitals remains committed to providing comprehensive follow-up care, monitoring his progress and ensuring his continued health and well-being. The successful treatment of this young patient serves as a beacon of hope for other families facing similar challenges, demonstrating that even the most complex congenital conditions can be overcome with expert medical intervention and compassionate support.

隨著嬰兒的不斷成長和發育，沃克哈特醫院的醫療團隊仍然致力於提供全面的後續護理，監測他的進展並確保他持續的健康和福祉。這位年輕患者的成功治療為其他面臨類似挑戰的家庭帶來了希望，表明即使是最複雜的先天性疾病也可以透過專家的醫療幹預和富有同情心的支持來克服。