Pancreatic cancer is a serious and often lethal form of cancer that originates in the pancreas, an organ responsible for digestion and blood sugar regulation. It typically develops silently, leading to late-stage diagnosis when symptoms, such as abdominal pain, jaundice, and weight loss, become apparent. Risk factors include smoking, obesity, chronic pancreatitis, and family history. Treatment options may involve surgery, chemotherapy, and radiation, but the prognosis is generally poor due to its aggressive nature and resistance to treatment. Early detection remains challenging, emphasizing the need for ongoing research and awareness to improve outcomes for patients. The recent 16th National Conference ‘Ramaj-2024,’ organized by the Rajasthan Association of Minimal Access Surgeons (RAMAJ) at SMS Medical College, showcased significant advancements in surgical practices, particularly regarding pancreatic cancer and hernia treatment.
Traditionally, surgeries for pancreatic cancer involved the removal of the spleen, a crucial organ for maintaining the body’s immunity. However, new guidelines emphasize preserving the spleen whenever possible. This change is aimed at protecting patients’ immune systems, which can suffer significantly from spleen removal. Dr. Phanikrishna explained that previous practices led to a range of complications, including increased platelet counts, clotting issues, and a greater susceptibility to infections. The new approach ensures that patients can maintain their immunity and overall quality of life.
The conference featured over 150 sessions over two days, with contributions from numerous experts. Dr. Om Tantiya discussed the complications associated with obesity surgery, while Dr. Giriraj Bora addressed bile duct injuries. Dr. Vikrant Sharma presented on the use of robotic technology in sleeve gastrectomy, and Dr. Sanjay Mittal focused on the management of emergency urology cases in remote settings. Organizing chairperson Dr. Prabha Om noted that more than 350 doctors participated in this informative event, which also included a quiz session with awards for outstanding participants.
In another groundbreaking development, Dr. Rajesh Bhojwani introduced E-tape technology for hernia repairs. Traditionally, mesh was placed on the innermost layer of the abdominal wall, often resulting in significant postoperative pain. The new technique involves applying the mesh between the fourth and fifth layers, greatly reducing discomfort and allowing patients to be discharged as soon as the day after surgery. Dr. Bhojwani emphasized that while this technique offers many benefits, it requires extensive experience to execute effectively.
The Ramaj-2024 conference highlighted the medical community’s commitment to improving patient outcomes through innovative surgical practices, paving the way for enhanced quality of life for those undergoing these procedures.