28 February 2017: Hundreds of nephrectomies (removal of kidney) have been performed in Bermuda over the years, but the Bermuda Hospitals Board (BHB) can now report the first case of a patient having the procedure done laparoscopically.
Urologist Gordon Kooiman, MBBS MSc FRCS(Urol), joined BHB last December. A specialist not only in urology but also laparoscopic surgery, he quickly received a referral from another local urologist.
Forty-three-year-old Elizabeth DeSilva said she wasn’t in pain, but when she learned that her left kidney “was completely filled up with large stones” her physician told her it would be best to have it removed. “He called me up and said I should get a second opinion from Dr Kooiman at the hospital,” said Mrs DeSilva. “[He] explained that if he did the surgery I would have a scar about 12 inches long but that Dr Kooiman might be able to do it where the scar would be much smaller.”
Mrs DeSilva said after meeting Dr Kooiman she and her husband opted for him to remove her kidney laparoscopically.
“He was a really wonderful doctor,” she said. “He made both my husband and I feel at ease with the surgery he was going to perform. He was really warm and friendly.”
A mother of three and grandmother of two, Mrs DeSilva said her entire family was concerned about her health. “And I was very nervous,” she added.
She had the nephrectomy on 15 December 2016.
“I was fine when I came out,” she said, “although I was sore. It took some time, but I eventually felt better.”
Dr Kooiman said: “Removing a kidney via the laparoscopic (keyhole or minimally invasive) approach is available in most urology centres worldwide. Three or four small 5-10mm wounds allow a camera and thin, long instruments to be used to free the kidney from the surrounding structures. The kidney is then removed by extending one of the small wounds. Because the main wound is smaller, laparoscopic nephrectomy is associated with less post-operative pain, quicker discharge from hospital and quicker return to work.”
In the case of Mrs DeSilva, she spent only four days recuperating in the Acute Care Wing compared with a likely stay of seven to 10 days if she had undergone open surgery.
If you would like more information on laparoscopic nephrectomy, contact Dr Kooiman’s office on 239-5908 or email Gordon.Kooiman@bhb.bm.
Gordon Kooiman MBBS MSc FRCS(Urol)
Director of Urology
Dr Gordon Kooiman, MBBS MSc FRCS(Urol), is the Director of Urology at Bermuda Hospitals Board. Prior to that, he was Consultant Urological and Laparoscopic Surgeon at King's College Hospital Foundation NHS Trust, and Guy's and St Thomas' NHS Foundation NHS Trust in London, UK. A Fellow of the Royal College of Surgeons, Dr Kooiman has obtained a Masters of Science degree in Urology at the Institute of Urology, London, where he was awarded the Geoffrey Chisholm Gold Medal in 2001. Special interests and skills include open and laparoscopic renal surgery, endourology (laser fragmentation of kidney stones) and general urology including the diagnosis and management of prostate disease.
Bermuda Hospitals Board, King Edward VII Memorial Hospital, 7 Point Finger Road, Paget, DV04
Tel: (441) 236-2345 - Email: Gordon.Kooiman@bhb.bm