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In an extraordinary display of surgical innovation, doctors at the Asian Institute of Nephrology and Urology (AINU) in Hyderabad performed a rare life-saving feat, saving the kidney of a critically ill 65-year-old man by combining two rarely performed procedures. The West Bengal man had developed life-threatening complications following a kidney stone surgery in 2023 that blocked both ureters, the tubes through which urine is drained from the kidneys to the bladder.
From rejection to remarkable recovery
The patient suffered months of crippling pain, repeated infections, and increasing creatinine levels that were the warning signs of kidney failure. Several hospitals turned him away, citing the extreme complexity of his condition. When he finally reached AINU, the doctors admitted that conventional methods would not work and decided on a bold, two-part surgical strategy.
Using the appendix as a life-saving ureter
To restore the function of the right kidney, the medical team used a rarely used but brilliant procedure called appendix interposition. In this robotic-assisted procedure, the patient’s own appendix was re-engineered to replace the damaged ureter.
This is one of the most creative and minimally invasive ways to fix a long blockage in the ureter. It’s not commonly done, but in his case, it was the ideal solution.
Dr. Syed Md Ghouse, Senior Consultant Robotic Surgeon, AINU
The gamble paid off. After the surgery, the right kidney resumed normal function, allowing the removal of the excretory system that was keeping it going.
Renal autotransplantation: Giving the left kidney a new home
Two months on, the patient's left kidney continued to drain inadequately. With the appendix already utilized and other surgical options that are more risky, the team decided to resort to renal autotransplantation. This is a rare and technically challenging procedure where the kidney is transplanted to another site in the body where it can function better.
Dr.Vijay Kumar Sarma Madduri, Consultant Urologist, explained.“We basically gave the kidney a new home inside the same body. It’s a complex and high-precision surgery, used only as a last resort, and done in very few centers across the world.”
A new lease on life
The patient has now fully recovered. His kidney function is normal, pain has vanished, and his creatinine levels are back to normal. What was once a desperate case is now an inspiring tale of medical creativity and determination.
Dr. C. Mallikarjuna, Chief Consultant Urologist and Managing Director AINU, discussed the case: “What makes this case so unique is that we used two different, rarely performed surgical techniques—appendix interposition and renal autotransplantation—to save both kidneys. Auto-transplants have been done for decades—we’ve done several back in the 1980s and 1990s. But using the appendix like this is a new experience.”
The medical team behind this extraordinary feat included Dr. C. Mallikarjuna, Dr. Syed Md. Ghouse, Dr. Vijay Kumar Sarma Madduri, Dr. Taif Bendegeri, and supporting doctors Dr. Karthik and Dr. Asit.
This case stands as a powerful testament to how modern medical science, creative thinking, and teamwork can turn even the worst of diagnoses into a story of survival.
(Input from various sources)
(Rehash/Muhammad Faisal Arshad/MSM)
