Doctors at the Government Medical College and Associated Hospital in Raigarh successfully removed an approximately 8-kg abdominal tumour from a 46-year-old woman in a high-risk surgery after the mass had become deeply attached to the intestines and was affecting surrounding organs.

The complex procedure was performed by a multidisciplinary team comprising specialists from the departments of Obstetrics and Gynaecology, General Surgery and Anaesthesia. The patient, identified as Champa Yadav from Jhalmala village, had reportedly been suffering from severe abdominal pain, swelling and vomiting for about a month before being admitted to the medical college on August 22.

Patient admitted in critical condition

According to the information provided by the hospital team, Yadav was in a serious condition when she arrived at the facility. Her blood pressure had dropped to around 84/54 mmHg and she was also found to have significant anaemia.

Imaging investigations, including CT scan and ultrasound, revealed a large tumour occupying the abdomen. The mass had displaced the uterus and was exerting pressure on the left ureter, affecting the kidney. Liver-related parameters were also reported to have deteriorated.

Given the patient's condition, doctors decided to stabilise her before attempting the major surgery.

Blood transfusions before surgery

The medical team first worked to improve her overall condition and correct the severe blood loss. Multiple units of packed red blood cells were reportedly administered, along with antibiotics and supportive treatment.

Doctors proceeded with surgery only after the patient's condition became sufficiently stable for the high-risk procedure.

Tumour found attached to intestines

The surgery was performed on September 1 under general anaesthesia. During an exploratory laparotomy, doctors encountered the major challenge of separating the large tumour from the intestines, where it was deeply attached.

Because of the complexity of the procedure and the proximity of vital structures, specialists from General Surgery were involved along with the gynaecology and anaesthesia teams.

The doctors carefully separated the tumour from the intestines and protected both ureters during the procedure. The tumour, along with the uterus, was subsequently removed. The combined specimen was reported to weigh around 8 kg.

Patient recovering after operation

The surgery was completed successfully and the patient was shifted to the recovery area following the procedure. She has been receiving intravenous fluids, pain-management medication and postoperative care.

According to the information provided, her condition is currently stable and she is gradually recovering.

The case highlights the importance of coordinated care in complicated abdominal and gynaecological surgeries, particularly when a large mass is affecting multiple organs and requires the involvement of specialists from different departments.

Three departments involved in surgery

The operation was conducted under the guidance of Medical College Dean Dr Santosh Kumar and Hospital Superintendent Dr Durgashankar Patel.

The medical team included Obstetrics and Gynaecology department head Dr Raghavendra Mahilange, Dr Kunti Chaudhary and Dr Anees Bhagat. The Anaesthesia team was led by department head Dr Ashok Singh Sदार, while the General Surgery team included Dr Nikhilesh Shinde.

Nursing and paramedical personnel also supported the procedure and postoperative management.

The details of the patient's symptoms, clinical condition, procedure and recovery are based on the information supplied for this report. The available Raigarh district government website confirms the medical college and associated government hospital, but an independent official release specifically documenting this surgery was not located during verification.

The recruitment covers positions ranging from Assistant Professor to Professor and includes appointments for both AIIMS New Delhi and the AIIMS-CAPFIMS Centre in Maidan Garhi. The vacancies were spread across more than 50 departments, reflecting one of the institute’s largest faculty hiring exercises in recent years.

According to AIIMS, more than 3,200 candidates applied for the available positions. The recruitment process covered 265 faculty posts at AIIMS New Delhi and 199 posts at AIIMS-CAPFIMS. The selection exercise took nearly six months to complete due to the scale and complexity of the process.

In a first for the institution, AIIMS used blockchain-based digital technology during the recruitment process to enhance transparency, security, and confidentiality. Candidate scores were protected through a one-time password (OTP)-based system, ensuring that evaluation data remained secure throughout the selection process.

The institute said the final merit list was generated through software based on pre-defined criteria and rules, eliminating the need for human intervention in most cases. Manual intervention was limited only to situations where candidates secured identical scores and tie-breaking measures were required.

Officials believe the large-scale recruitment will strengthen patient care services, medical education, and research activities across departments. With more faculty members joining the institution, AIIMS is expected to improve specialist availability, reduce workload pressures, and enhance academic and training programs for medical students.

The issue of faculty shortages has been raised repeatedly in recent years, with concerns over vacant positions affecting healthcare delivery and academic operations. The latest recruitment drive is being viewed as a significant step toward addressing those challenges.

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