Originating from modest roots in Andhra Pradesh, India, Dr. Sajja's journey epitomizes perseverance and commitment. He earned his MBBS from Guntur Medical College, followed by an MS in General Surgery from JIPMER, Pondicherry, and an M.Ch in Cardiothoracic and Vascular Surgery from AIIMS, New Delhi. His academic path led him to prestigious institutions, including advanced cardiovascular training at the Texas Heart Institute under Prof. Denton A Cooley. Dr. Sajja's influence in Cardiothoracic Surgery extends worldwide. As the founder of the Society of Coronary Surgeons, Dr. Sajja is committed to advancing coronary surgery in India. His leadership as Chairman of the Sajja Heart Foundation led to its recognition as a Scientific and Industrial Research Organization (SIRO) by the Government of India in 2019. Renowned for his innovative nature, Dr. Sajja's groundbreaking contributions to the field include pioneering the development of a mechanical prosthetic heart valve, holding patents in both the USA and India, thereby eliminating the need for long-term oral anticoagulation. Additionally, his design of the Mammary Artery Support Platform (MASP) has significantly improved surgical outcomes in CABG procedures. With an extensive background in over 21,000 open heart surgeries, Dr. Sajja leads multicenter randomized trials in Cardiac Surgery across India. His "PROMOTE Patency Study" garnered global recognition as India's first multicenter randomized controlled trial in cardiac surgery. Currently, he directs the "PREDICT Study" with backing from the Indian Council of Medical Research, New Delhi. Dr. Sajja's influence extends internationally through active participation in Multi-Centre International trials, contributing to global advancements in cardiac surgery. A member of prestigious international societies such as AATS, STS, EACTS, and ASCVS, Dr. Sajja has presented numerous original research papers at international conferences. His extensive publication record surpasses 110 original articles in peer-reviewed international journals. As the President of the Indian Association of Cardiovascular-Thoracic Surgeons (IACTS) from 2023-2024, Dr. Sajja continues to shape the future of cardiac surgery, benefiting patients worldwide. Dr. Lokeswara Rao Sajja's journey from a rural village to a pioneering Cardiothoracic Surgeon stands as a testament to his unwavering dedication, innovative spirit, and commitment to advancing cardiac care and research in India.
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Mumbai: On the eve of World Parkinson’s Day, Jaslok Hospital and Research Centre announced findings from a groundbreaking clinical trial led by Prof (Dr) Paresh Doshi.
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.
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