In what can only be termed as a medical marvel, Dr Ashish Rawandale-Patil,
a urologist from Dhule, Maharashtra, gained a place in 'Guinness Book of World
Records' on Oct 20 for removing a record number of 172,155 kidney stones
from a single kidney.
The world record feat was carried out on 8 December last year at the
Institute of Urology at Dhule, when Dr. Ashish performed the Herculean
task of removing over a lakhstones from a single kidney of his patient, Dhanraj
Wadile.
Dr Patil stated, ?The Guinness team took time to verify world-wide records.
The earlier record holder, a doctor from Nashik, had removed 14,098 kidney stones.?
He added, "The certificate from the Guinness Records officials only came 10 days
ago so we waited this long to make the announcement. We are very excited.?
Wadile suffering from rare birth defect Wadile, 45, had been enduring acute pain
for over six months and had stopped eating and going to work. He had consulted
numerousdoctors and was also taking medicines for the pain before he approached
Dr. Ashish.
A thorough examination revealed that Wadile was suffering from the rare birth
defect called Pelvi-Ureteric Junction obstruction where his kidney was abnormally
positioned in the pelvic and had an obstruction.
In addition, the clinical investigations revealed the patient had a large number
renal stones.
After the patient was cleared as medically fit, the doctors worked out the
details of the surgical procedure to be performed.
A 4-hour complex operation The doctors used both open surgery and flexible
endoscopy in the complex four-hour operation. The team of medical experts
working on Wadile was amazed at the number of stones that were removed
from the patient.
Wadile felt relieved immediately after surgery. The stones removed comprised
of calcium oxalate and calcium phosphate and varied in size from one millimetre
to 2.5 cms.
Dr Patil stated, ?The surgery was complicated due to the number of kidney
stones. It was difficult to remove so many stones from his kidney. These
stones were anywhere between the size of 1mm to 2.5cm.
?The possibility of leaving some stones behind was one of the risks as it could
have jeopardized the surgery. Bigger stones had to be tackled individually. We
also did a plastic surgery to widen the opening of the kidney.?
Counting the stones another mammoth task Following the surgery, the doctors
faced another mammoth task of counting the stones. For this purpose they
employed a diamond worker who counts and verifies diamonds on a regular
basis to team up with one of the doctors.
The counting process of the stones took nearly three daily for well over a month
to be completed.
Dr Patil stated, "I then wrote to the Guinness Book of World Records and they
asked me to send the stones and related documents. They verified it and wrote
back to me in October telling me that I have made a record".
He added "This is an important milestone for me and my institute. It is the
combined effort of my team that could take this small town to an international level.?
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