Radiant Pulse features important information from both the group hospitals encapsulating breakthrough achievements, innovations, insight into rare and complex cases and expert advise from renowned doctors!
It is truly heartening to see that every month we are getting more articles and stories than we can possibly print in each edition. Our editorial team is working efficiently to get the best pieces to reach you. The cover story this month is indeed very emotional and heartwarming.
As you go through it, you will be acquainted with two adorable children who are today smiling and enjoying like any other child. Making use of the ECMO Technology and the expertise of our Paediatric team, we are happy to have played a substantial role in their lives after they were presented with serious lung infection. It is cases like these that give us satisfaction and encouragement to achieve greater heights.
Last month, continuing our international outreach program, we had signed MOUs with Jakaya Kikwete Cardiac Institute (JKCI), Dar Es Salaam, Tanzania and Republican Scientific Centre of Neurosurgery – Uzbekistan. We have also become the first Indian hospital to perform cardiac surgery and procedure at the Jakaya Kikwete Cardiac Institute (JKCI), Tanzania.
This will be the first issue where we are featuring a guest article by Dr. Pradeep P. Bhosale, Director, Arthritis and Joint Replacement Surgery from Nanavati Super Speciality Hospital, a member of our Radiant Life Care family. I know this is just the beginning and we can look forward to many such articles.
As always, we would be happy to receive your valued inputs and suggestions. You can write to the editorial team at firstname.lastname@example.org and continue to support us.
Wishing you all great health.
Weekend Facelift is an attractive alternative to surgical correction
of ageing facial skin. The procedure rejuvenates the face for a
fraction of the cost of surgery, with far less risk and recovery time.
In fact, this is done as a day care procedure and does not even require
What separates Weekend Facelift from Traditional Full Facelift is that incisions are kept to an absolute minimum. Many times there are no cuts involved in this procedure. Basically, there are two techniques used in Weekend Facelift which are:
• An endoscopic Weekend Facelift that uses three or more tiny incisions and a small camera, which the surgeon uses to find his or her way around the area under treatment. The surgeon is then able to reshape muscles and trim away excess skin with the help of a monitor.
• Non-endoscopic procedure is done with the help of barbed sutures which are strategically placed under the skin to give a subtle lift.
Many variants based on these two techniques exist. But it is best to consult your doctor who can decide which technique or combination of techniques will work best for you.
The most common risks of Weekend Facelift are:
• Bruising • Allergies to the anaesthesia
• Swelling • Excessive bleeding
• Infection • Clotted blood at the incision site
These are actually not risks but after-effects of the procedure and in case any of these occur, it is easily treatable with minimum medication.
Cytoreductive Surgery (CRS) and Hyperthermic Intraperitoneal
Chemotherapy (HIPEC) is an innovative technique to treat GI &
Gynae Cancers which spread but are confined to a peritoneal cavity,
usually carrying a dismal prognosis. However, there are chances of improved
survival and cure in select patients. It is being performed in select centres
across India including BLK Cancer Centre and abroad.
Cytoreductive Surgery (CRS) is aggressive removal of all or most visible Tumours in the abdomen and preventing growth of microscopic cells which are left behind. Hyperthermic Intraperitoneal Chemotherpy (HIPEC) is instilled via a machine which circulates Chemotherapy solution in the peritoneal cavity at 42 Celsius for 60-90 minutes.
A 65-year-old hypertensive lady with Carcinoma Ovary post three cycles of Chemotherapy was admitted to BLK Cancer Centre. Despite undergoing Chemotherapy her disease was present with nearly two liters of ascites and thickened omentum and peritoneum.
She underwent TAH + BSO + Pelvic and Para-aortic Lymphedenectomy + Peritonectomy + Supraacolic Omentectomy + extended right Hemicolectomy to achieve a CC0 score followed by Hyperthermic Intraperitoneal Cisplatin (HIPEC) for 90 minutes.
A 15 month old boy and a 3 year old girl survived a critical condition of severe Heart and Lungs disorder. Baby Joy, the boy, was diagnosed with acute blood infection and congestion in his Heart while the girl named Naina had severe fiu. This was made possible with the successful application and use of a life saving technique called ECMO or Extracorporeal Membrane Oxygenation. The unique ECMO technique mimics the artificial Lungs and pumps oxygenated blood to the Heart, thereby taking over the functions of the Lungs and Heart.
At the time of admission baby Joy was found with Septicemia and acute Respiratory Distress Syndrome or ARDS. He also had poor Heart function. In the case of Naina, she was going through acute breathing problems due to severe fiu. Joy’s condition was critical, as his BP had plummeted to a scary low of 35 on maximum medication and ventilatory support at the outlying hospital. Since Joy’s pupils were incoherent, it indicated some disorder in the brain as well. Given the precarious condition in both the cases, the kids were transported by BLK's team in a very critical state. An urgent call on the use of ECMO was taken, which is an extreme form of life support for such patients.
After their successful treatment using ECMO, Joy and Naina started to recover soon afterwards. Joy’s Heart function recovered by 40% within 48 hours and Lung function started to show improvement after about a week. Naina also reported remarkable signs of improvement. ECMO was removed from both the kids after 10 days along with the ventilator. After careful observation, they were discharged, turning the worries of their parents into smiles.
The team of doctors at BLK were upbeat after the success they achieved in these two cases. While ECMO technology is present at many centers, its successful application has been an issue. Although, the use of ECMO in patients with Heart ailments was prevalent, its successful usage in life threatening medical conditions like that of Joy and Naina – Septicemia and ARDS – was rare
Incidence of Prostate Cancer is on the rise in the Indian sub-continent.
According to the National Cancer Registry, 'Prostate' is the second
leading site of Cancer among males in large Indian cities like Delhi,
Kolkata, Pune and Thiruvananthapuram; third leading site of Cancer in
cities like Bangalore and Mumbai and is among the top ten leading sites of
Cancer in the rest of the population-based Cancer registries. There has
also been a shift in the stage of diagnosis and now more and more patients
are being diagnosed in the early curable stage.
Radical Prostatectomy is the current gold standard treatment for management of localised Prostate Cancer. It was traditionally performed by the Open Retropubic method RRP (Radical Retropubic Prostatectomy) and later by Laparoscopy. Now Robotic Assisted Laparoscopic Radical Prostatectomy is emerging as new standard of treatment for Prostate Cancer.
There is a resurgence of Radical Perineal Prostatectomy as a Minimally Invasive Surgery for Prostate Cancer. It has all the advantages of Robotic Surgery with equal surgical outcomes and the advantage of a Minimal Perineal Incision. The cost of Radical Perineal Prostatectomy (RPP) is one- fifth the cost of Robotic Surgery with no requirement of special equipment. The functional outcome of RPP vs Robotic is essentially the same, though the latter claims to have better potency but substantial data is lacking. RPP was found to be the most cost effective with an easy learning curve when compared to RRP.
Ankylosing Spondylitis (similar group like Rheumatoid Arthritis) is
a common condition in Asia. It affects mainly young males leading
to complete closure of mobility of Spine and Hips. Hips are usually
fused in deformed position of both the legs.
A 22-year old man had been suffering from 'Ankylosing Spondylitis' for the past 10 years and became bedridden in the last two years. He studied till high school but could not pursue further education due to his medical condition. Both his hips were fixed in 60 degree bent position with bony fusion having '0' movement.
The patient had approached Dr. Bhosale in Nanavati Super Speciality Hospital, Mumbai. On examination, it was found, his bones were soft and soft tissues around hips contracted in deformed position. Hence, there was a risk of injuring bones, blood vessels and nerves during surgery. When the hip is mobile, the surgery is easier. In this case, the bone had to be cut first because the anatomy was not very clear. Dr. Pradeep Bhosale performed the Bilateral Total Hip Replacement in a single stage with release of all tight structures.