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Chennai: Twin sisters, hailed as "miracle babies," were given a second chance at life by doctors at a Chennai hospital. Born prematurely at just 24 weeks, weighing 620 gm (twin 1) and 720 gm (twin 2), they underwent surgeries for hernia and a congenital heart defect. The doctors at Cloudnine Hospital, Chennai, shared that the babies relied on ventilator support for two months. Dr. Dhilip Kumar S, Senior Consultant Neonatologist and Paediatrician at Cloudnine Group of Hospitals, Chennai, OMR branch, mentioned that both twins faced critical conditions early on, battling chronic lung disease and other complications. Despite doubts about their survival, the twins' resilience, along with the doctors' patience and perseverance, proved instrumental in their journey to recovery. The twin girls were born to a couple in Chennai who had faced several unsuccessful attempts at pregnancy. The mother, aged 36, encountered complications including an incompetent cervix, chronic hypertension, fever, and amniotic fluid leakage. Despite undergoing cervical cerclage at the 15th week of pregnancy to temporarily close the cervix, it prematurely opened, weakened, and shortened at 24 weeks while carrying twin babies. Throughout the pregnancy, she battled persistent high blood pressure and fever. The babies, weighing 520 gm (twin 1) and 590 gm (twin 2) at birth, experienced breathing difficulties and required ventilator support. Both twins remained unresponsive, with their eyes closed for the initial two weeks, and measured a little over 13 inches in length. Twin 1 was diagnosed with stage 4 chronic lung disease, enduring multiple lung collapses and unsuccessful attempts to remove the breathing tube, leading to a prolonged need for oxygen for 90 days in the neonatal intensive care unit (NICU). She was also found to have an inguinal hernia due to underdeveloped abdominal wall muscles, requiring corrective surgery. Twin 2 didn't cry at birth and showed signs of a low heart rate and skin bleeding. An echocardiogram revealed a significant patent ductus arteriosus (PDA), a congenital heart defect where the ductus arteriosus fails to close after birth. Despite attempts at medical intervention, Twin 2 required open-heart surgery to address the condition. After a 105-day hospital stay, the twins were discharged weighing 2.2 kg (Twin 1) and 2.3 kg (Twin 2) respectively, to return home, according to the doctors.
In the latest communication issued by the National Medical Commission (NMC), there has been a decision to temporarily suspend the implementation of the recently published "National Medical Commission Registered Medical Practitioner (Professional Conduct) Regulations, 2023." This suspension is effective immediately. The NMC has clarified that until a further Gazette Notification on the subject is issued by the NMC, these regulations will not be in effect
മംഗളൂരു: ഐ.എം.എ മംഗളൂരു വിഭാഗം പുതിയ പ്രെസിഡന്റായി ഡോ. രഞ്ജൻ രാമകൃഷ്ണനെ തെരെഞ്ഞെടുത്തു. മംഗളൂരു കസ്തൂർബാ മെഡിക്കൽ കോളേജിലെ (കെ.എം.സി) അനസ്തേശ്യ വിഭാഗത്തിലെ അസ്സോസിയേറ്റ് പ്രൊഫസർ ആണ് ഡോ. രഞ്ജൻ.
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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