BLK Pulse encapsulates information on the hospital, its progress, and insight into some of the very complex and rare cases, on a monthly basis. All the articles and special achievement features, which have been covered in this edition, are unique in their own ways.
We will always be on the lookout for such inspiring articles, news of special achievements, significant announcements and any material that you feel will be of interest to us. Please do not hesitate to write to our editorial team at firstname.lastname@example.org.
Come September and we all start enjoying the balanced fall weather. This month has a special significance as ‘World Heart Day’ is observed on the 29th of September. BLK Heart Centre, one of our Centres of Excellence, has conducted some of the most crucial heart surgeries and is amongst the most sought after centres in the region. This ‘World Heart Day’ special issue features a heart procedure involving the Transcatheter Aortic Valve Replacement (TAVR), an innovative technique of replacing the Aortic Valve of the heart through a small blood vessel in the leg.
In another classic case of a ‘stitch in time’, there is a gripping story of a middle-aged man who suffered a sudden heart attack at his workplace. Luckily, as you will and out, his colleagues’ presence of mind and our doctors at the Emergency made sure that the story had a happy ending.
Continuing our international collaboration, we entered into a strategic partnership with CARe Medical College Hospital, Bangladesh, under which both the hospitals shall be engaged in working together to strengthen each other’s capabilities.
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Stay Healthy! Stay Positive!
A 25-year-old, Iraqi lady came to India to find the right treatment for her Dysplastic Hip Joint. She had undergone an unsuccessful Hip Replacement Surgery in her country. Much to her dismay the surgeon was unable to identify the true socket and erroneously developed another socket in the iliac wing of the pelvis and implanted an acetabular cup much above the true acetabular socket. Accordingly, the femoral shaft was also shaped and shortened to match this cup and a total Hip Joint was constructed along the ilium. The Hip failed within no time with total disruption of the joint causing more misery to the Iraqi lady. She was bedridden for one year and later came to BLK Super Speciality Hospital, India to find the right cure.
The team at BLK was confronted with the task of salvaging the Hip and providing her a stable construct on which she would be able to walk again. A surgery was performed to remove the old acetabular cup with all its screws and debris. The index acetabulum was identified by imaging techniques. The dysplastic acetabulum was reamed and reconstructed with bone grafts and then a 'Tripolar Acetabular Cup' was implanted in correct version and inclination. The bigger challenge was yet to come with the high riding femoral head, which was about 4 to 5 cms above the newly constructed acetabular rim. There were severe muscle contractures and scarring from previous surgery that did not let the femoral head reduce in the acetabular socket. After wide soft tissue releases and stripping the soft tissue up to the mid shaft of femur, the reduction of the femoral head was accomplished and a stable construct was achieved, thus, salvaging a difficult situation.
Kamlesh, a 22-year-old daily wage-worker had an accident at work. His employer and colleagues wasted no time in rushing him to a local clinic when his wrist got stuck under the sheet cutting machine and was ripped off completely. The severed part was preserved in the ice bag immediately at a nearby clinic and the patient was then referred to BLK Super Speciality Hospital for immediate surgery
After a very challenging 17-hours long surgery, the wrist was replanted by a team comprising of 7 experts and 2 surgeons led by Dr. Lokesh Kumar, Director & HOD, BLK Centre for Plastic & Cosmetic Surgery. The severed part had squashed arteries and nerves, the challenge was to precisely identify each and separate them. Arteries, nerves and tendons of the amputated part was fixed to the stump using K wires, which held the severed hand together in place before titanium plates were inserted to join the bones. Once the bone was fixed, the most important step was to start the blood flow to the severed part which was done by attaching the arteries and veins under the magnification of operating microscope. The last step was to join other structures like nerves and tendons which are important to bring function to the replanted hand.
Kamlesh is doing well now and showing consistent improvement.
He can move his fingers and has partial wrist movement. It took
about 6 weeks to naturally regenerate his bone strength and
muscle movement, saving him from a lifetime of disability
Transcatheter Aortic Valve Replacement (TAVR) is an innovative
technique of replacing the Aortic Valve of Heart through a small blood
vessel of leg with the help of a catheter-based assembly. The technique is
specially reserved for patients who have significant Aortic Valve
Dysfunction requiring Aortic Valve Replacement, but are at a very high
risk for conventional surgery.
A 62-year male was admitted to the BLK Heart Centre with severe Aortic Valve Dysfunction. He underwent detailed Echocardiography and was found to have renew Aortic Valve Stenosis with poor LV function and was severely symptomatic. The patient was a very poor candidate for conventional Aortic Valve Surgery along with the added risk of a reoperation.
TAVR technique does not require any kind of anaesthesia or any special preparation. Pre-procedure CT scans delineating exact Aortic Outfiow Anatomy was done to ensure proper sizing of the suitable valve. During the procedure the patient was awake and a small arterial puncture was made in the right leg artery through which the whole valve assembly was passed up to the Aortic Valve in the Heart. Then, very carefully the valve was placed in the Aortic Outfiow under Fluoroscopic guidance. The valve was seated carefully and checked under Fluoroscopy. The whole procedure took 30 minutes and the patient was shifted to recovery for one-day observation.
The best part of this technique is that immediately after the procedure (which hardly takes 30 minutes),the patient is kept under observation for 24 hours in recovery and can be discharged the very next day. In this case, the patient had a very smooth recovery and was discharged from the hospital on the 3rd day in satisfactory condition.
At just a tender age of one year, young Ayaan had to suffer a lot because of a rarest of rare medical condition - a dancing eye and feet syndrome that causes abnormal jerky movements of the eyes, head, trunk and extremities. With a rare occurrence of 1 in 10 million, this medical condition represents a serious problem with a Tumour near the Lung and Heart Arteries. The critical condition of their son left the parents immensely worried and clueless until they reached BLK Super Speciality Hospital in New Delhi. A team of doctors at the Hospital lost little time in diagnosing and performed a life-saving non-invasive surgery to give the child a new lease of life.
The initial assessment of the child revealed a neurological disorder, which appears to be the result of an autoimmune process involving the nervous system. A rare presentation of a Tumour originating from neural tissue (Neuroblastoma) was diagnosed. An MRI of the Chest and Spine revealed a well-defied moderately enhancing Tumour close to the side of the Spine. The Tumour was lying close to the major vessel (Aorta), however there were no signs of Tumour elsewhere. Doctors had to deal with the challenge of removing the Tumour completely without damaging the adjacent organs. After much deliberation, doctors decided for the relatively painless minimally invasive surgery (Thoracoscopy), as the open surgery was fraught with risks and included long duration of hospitalisation.
This procedure was a definitive forward move in this domain of medical science and is still being studied carefully worldwide.
After a challenging surgery, the Tumour was successfully removed by gently separating it from the Aorta.
This is a classic case of how timely intervention can save precious lives, in the wake of much-dreaded Heart Attack. Rajesh Kumar and Santosh Singh were nervous, and shivering when they brought their friend Pankaj Malhotra to the emergency ward. Pankaj had collapsed suddenly while at work, and as luck would have it, their office was just few minutes away from BLK Super Speciality Hospital. Doctors were equally concerned as Pankaj's ECG monitor displayed a straight line for about 3 minutes. However, a team of experts at the emergency ward put all their might to resuscitate him, and succeeded.
When Pankaj was brought to BLK Super Speciality Hospital, his condition was extremely critical. The team at BLK immediately put him on ECG monitor. It was an intense situation as the monitor reading displayed a straight line for a good 3 minutes. This implies that his condition had worsened a bit too much and it was a situation from where many patients slip into extreme danger. On examination, it was found that the level of oxygen to his brain was very low, had he not been revived in a few more seconds he could have been brain dead or not been able to survive. He had 99% blockage and an Angioplasty was performed post Angiography.