New Delhi: In Delhi, a group of doctors successfully performed a complex Aortic Surgery, rescuing a 55-year-old Indian national. While on vacation in Bali, Indonesia, the patient was diagnosed with NSTEMI (non-ST-elevation myocardial infarction), acute renal failure, and Stanford Type A Aortic Dissection. The described condition carries a mortality risk of approximately 30-40% upon occurrence, with the risk escalating by 1 to 2% for every hour of delayed surgery. A private hospital team in the national capital arranged the patient's safe transfer from Bali to Delhi via an air ambulance. Upon arrival in Delhi, a collaborative effort involving the Delhi Police, aviation authorities, and the establishment of a designated green corridor facilitated a smooth transition to Apollo Hospitals, as stated by the hospital. Dr. Niranjan Hiremath, Senior Consultant in Cardiovascular and Aortic Surgery at Indraprastha Apollo Hospitals, New Delhi, elaborated that this case posed a complex medical
challenge, particularly due to its diagnosis in Bali. Despite the patient's critical condition with a completely damaged aortic valve and internal aortic tearing jeopardizing blood flow to the coronary arteries, the hospital's aortic team, led by Dr. Niranjan Hiremath, conducted an extensive eight-hour surgical procedure to reconstruct the damaged aorta, aortic valve, and adjoining arteries. With meticulous post-operative ICU care, the patient was swiftly weaned off ventilation support, experienced a smooth recovery devoid of complications, and was discharged six days later, exhibiting normal kidney, coronary, and organ functions post-surgery. Dr. Priyadarshani Pal Singh, Head of Emergency at Indraprastha Apollo Hospitals, emphasized the demanding yet compassionate nature of emergencies, highlighting the profession's essence in providing hope and healing during crises. The hospital's commitment to swift action and seamless coordination ensures optimal patient outcomes, as expressed by Dr. Pal Singh. Despite the surgery's high-risk nature, successful execution was achieved, underscoring the grave threat posed by Stanford Type A aortic dissections, with untreated mortality rates soaring to 30-40% within 24 hours. The remarkable coordination among diverse medical specialties, from diagnosis to air ambulance transport arrangement and the swift execution of an arduous eight-hour open heart surgery upon the patient's arrival, demonstrated extraordinary teamwork and efficiency, as noted by the doctor.
In a landmark achievement, doctors at the Jaslok Hospital and Research Centre in Mumbai announced the successful Total Knee Replacement (TKR) procedure on a 72-year-old American man, weighing a remarkable 193 kg. This groundbreaking surgery marks a significant milestone as the heaviest patient ever to undergo such a procedure globally. TKR stands as a transformative intervention for individuals grappling with excruciating knee pain, offering them renewed mobility and an improved quality of life. However, for overweight individuals, accessing this treatment presents formidable challenges due to heightened surgical risks and technical intricacies.
According to the surgical team, led by Dr. Rajesh Nawalkar, Senior Consultant in Orthopaedics, every patient's unique circumstances demand a tailored approach to surgery. By meticulously customizing their techniques and collaborating closely with fellow medical professionals, they successfully navigated the complexities posed by the patient's weight, culminating in a triumphant outcome. Among the foremost hurdles encountered in TKR for overweight patients are the elevated risks associated with anesthesia and the heightened potential for embolism. This underscores the importance of precision and vigilance in addressing the specific needs of each patient to ensure optimal results and minimize complications.
Furthermore, the conventional use of a tourniquet, a standard protocol in TKR surgeries, presents technical challenges due to the patient's larger thigh circumference, heightening the risk of tissue damage and post-operative complications. In response to these challenges, Dr. Nawalkar collaborated closely with instrument manufacturers to devise specialized instruments tailored to accommodate the patient's unique anatomy, thereby ensuring optimal surgical outcomes. Additionally, meticulous preoperative assessments and consultations were conducted to ascertain the patient's readiness and obtain informed consent.
Richard Koszarek, the patient, underwent the surgery on January 7, 2024, with no reported complications during the procedure. However, the path to recovery was equally crucial, with rehabilitation playing a pivotal role in achieving successful outcomes. Despite facing reluctance from numerous doctors in India and abroad due to his weight, Richard expressed gratitude to the surgical team for their unwavering commitment and skillful intervention, which enabled him to regain mobility and resume an active lifestyle.
ന്യൂ ഡൽഹി: അഞ്ചു വയസ്സുകാരിയിൽ "അവേക്ക്" ബ്രെയിൻ ട്യൂമർ ശസ്ത്രക്രിയ ചെയ്ത് ചരിത്രം കുറിച്ചിരിക്കുകയാണ് ഡൽഹി എയിംസിലെ ഡോക്ടർമാർ.
New Delhi: Authorities disclosed on Wednesday that a 24-year-old individual aspiring to crack the National Eligibility and Entrance Test (NEET) was apprehended for masquerading as a doctor at Ram Manohar Lohia Hospital in central Delhi.
Doctors can now refuse treatment of violent patients or relatives: NMC
The National Medical Commission (NMC) has issued new regulations for RMPs (registered medical practitioners) in a gazette notification on August 2.
Dr. Ishwar Chander Verma, who was honored with the Padma Shri award, and served as an advisor at the Institute of Medical Genetics and Genomics at Sir Ganga Ram Hospital, has passed away, as confirmed by a statement from the hospital on Friday.
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