Mangaluru, July 7, 2025: In a remarkable feat of medical coordination, Kasturba Medical College Hospital, Attavar, has once again proven why it stands at the forefront of complex tertiary care in Karnataka. A 39-year-old man weighing nearly 200 kg, with a BMI of 53+ and riddled with severe comorbidities, was successfully operated on for bilateral tibia and fibula fractures sustained in a road traffic accident — a case many considered nearly inoperable.

The patient, who could not lie supine due to severe obstructive sleep apnea (OSA), chronic hypoxia, and compromised lung function, was referred to KMC Attavar for emergency trauma care. The case demanded not just surgical precision, but also careful orchestration across multiple medical disciplines.

Recognizing the critical nature of the situation, the hospital immediately launched a multi-specialty response. Under the guidance of Dr. Akshatha (Anesthesiology) and with vital input from Dr. Visak Acharya (Pulmonary Medicine), the patient was stabilized in the ICU — a task made especially challenging by his respiratory condition and body mass.

Once optimized for surgery, the orthopedic team led by Dr. Atmananda Hegde, with Dr. Chetan Shetty and Dr. Keerthan Ranga Nayak U, proceeded with bilateral closed reduction and intramedullary nailing of the tibia — a high-stakes operation with zero margin for error.

Behind the scenes, the anesthesia team led by Dr. Sumesh T Rao navigated a minefield of clinical hurdles: difficult airway management, challenging patient positioning, venous access in morbid obesity, and safe neuraxial anesthesia. Throughout the procedure, non-invasive ventilation was used to support breathing — a testament to the meticulous planning and execution by the perioperative team.

The successful outcome was made possible through the unwavering support and swift coordination of Medical Superintendent Dr. Chakrapani and Deputy Medical Superintendent Dr. Deepak Madi, whose leadership ensured seamless integration of resources and personnel.

The surgery was completed uneventfully, and the patient had a smooth post-operative recovery, shifting to the ward by Day 2 and eventually being discharged in stable condition. Follow-ups in the outpatient clinic revealed promising healing and good rehabilitation progress.

“This case highlights not only our medical capability but our commitment to taking on cases that many would turn away,” said a hospital spokesperson. “It exemplifies what coordinated, compassionate, and skilled care can achieve.”

Why This Matters:
In an era where morbid obesity often complicates and delays critical care, KMC Hospital Attavar’s success story reaffirms the institution’s ability to handle high-risk, high-complexity medical scenarios with confidence, competence, and care.