Surgeons at Wockhardt Hospitals,Mulund ,Mumbai led by Dr S.K Mathur performed a major liver resection which took 11 hours when they operated on a 58 year old man to remove a cancerous tumor.

Mr R. Jain, a 58-year-old male from Jodhpur, Rajasthan was diagnosed with a cancerous tumor in his liver (Hepatocellular Carcinoma- HCC) in October 2006. What followed the diagnosis was a liver resection involving removal of a part of the liver containing the tumor.

Single Incision Laparoscopic Surgery (SILS) has now been made routine at Wockhardt Hospital, Cunningham Road, Bangalore .The team led by Dr. Aashish Shah, Consultant Gastrointestinal and Laparoscopic Surgeon, Wockhardt Hospitals, has performed 10 Single Incision Laparoscopic Surgeries which include Cholecystectomies (removal of the gallbladder) and Appendicectomies (removal of the appendix) with remarkable success and getting patients back to their normal life faster.

A 14 year old girl from Uganda who came to India with a dilating heart showing signs of heart failure has undergone a complicated open heart surgery at Wockhardt Hospitals. The cardiac team at Wockhardt Hospitals led by Dr. Vivek Jawali, Chief Cardio Thoracic Surgeon performed risky and complicated open heart procedure to replace the mitral valve, repair a leaking tricuspid valve and maze procedure to correct her abnormal heart rhythm.

Abigail Kanyonyozi was brought to Wockhardt Hospitals when she was on the brink of heart failure. Abigail was diagnosed to have a blood cancer called acute myeloid leukaemia in 2000 and Lynda's saga of her fight for her daughter began. Abigail had undergone a prolonged and expensive treatment in South Africa for her blood cancer. This led Lynda (her mother) exhaust her all finances to bring Abigail back to normal life. After few years of fully recovering from her blood cancer Abigail was diagnosed with heart disease called dolurebecin cardio myopathy which dilates the heart resulting in cardiac failure.

69 year old Mr. Ramgopal Mundhra who underwent bilateral knee replacement at Wockhardt Hospitals 10 months ago, completed 5 kilometer Majja Run in the recently concluded Bangalore Marathon. Mr. Mundhra, a businessman from Bangalore, was suffering from pain in both his knees for the past 20 years and in the last two years had lost complete mobility and was unable to even complete the simple chores of daily life without assistance.

Mr. Mundhra consulted Dr. Sanjay Pai, Consultant Orthopedic Surgeon Wockhardt Hospitals and was diagnosed with Osteoarthritis in both his Knees and was advised to undergo a total knee replacement. He underwent bilateral knee replacement within a span 2 days, post which he went through a comprehensive rehabilitation program. His recovery was remarkable and at the time of his discharge he was able to walk with the help of a walker. Not only this Mr. Mundhra started driving on the 5th week of his surgery and on the 6th week he was able to swim.

Wockhardt Hospitals sets yet another benchmark in Cardiac Surgery: Performs Minimal Access Endoscopic Mitral Valve Replacement

 

Wockhardt Hospitals sets yet another benchmark in Cardiac Surgery: 11 month Orissa baby undergoes Double switch heart surgery to get a new life at Wockhardt Hospitals, Bangalore

 

Treatment For Brain Tumor

Doctor Samir Dilwale of Wockhardt Heart Center,Hyderabad shares his expertise about Bypass Surgery.What does bypass surgery mean? When is it recommended for patients? What are the benefits of this operation? What are the different ways in which it can be performed? These are some common queries that came immediately to mind when one hears this term.

Arthritis of knee is the world's leading cause of disability. Arthritis causes pain, swelling, inability to walk, reduced bending of knee, inability to sit cross legged, deformity and so on.

Conventional total knee replacement is a well-known treatment for advanced knee arthritis. Knee replacement surgery provides excellent results to the patient, relieving him from pain. The surgery also improves walking ability and allows pain-free knee bending. Most importantly, it improves the quality of life of the patients.

Flexion is the action of bending a joint, such as your knee or elbow. The opposite motion is extension, which is the straightening of a joint. Generally, traditional knee replacements accommodate flexion up to 110 degrees and have not been designed to allow the patients to squat and kneel, which require higher flexion. Many daily activities require a higher range of motion: Gardening, golfing or activities such as kneeling for prayer and sitting cross-legged can demand up to 130-150 degrees of bending.

Recent innovation of knee design (High Flexion Rotating Platform Knees) is a breakthrough where complete flexion upto 155 degrees could be achieved. Desire for high flexion may be dictated by patient's favourite activities or cultural background. Many daily activities require the ability to flex the knee beyond 120 degrees.

The fixed bearing conventional knee provides 110 degrees of flexion. For most patients, this is not enough. The rotating platform knee is specially designed to safely accommodate up to 155 degrees of flexion in patients who has good pre operative range of motion. This means that with appropriate rehabilitation a patient can resume an active life style after total knee replacement - deeply bending the knee for recreation. Day to day activities, which may include prolonged kneeling, squatting and cross-legged sitting, can be done.

Complete knee bending is a pre requisite for the patients of Asia, Japan and more so in Indian continent. This will raise high level of confidence in patients to get surgery done as they will also get good flexion. So now day's patients should not hesitate to get knee replacement done due to reduced knee bending after knee replacement.

Dr Neelam V. Ramana Reddy,Consultant Wockhardt Hospitals,Hyderabad shares his thoughts about Minimal Invasive Hip Replacement.

Total knee replacement (arthroplasty) is a surgery that is performed for severe degeneration of the knee joint. Knees wear out for a variety of reasons, which include inflammation from arthritis, injury or simple wear and tear arthritis.

Minimally invasive total knee arthroplasty (MIS) is one method of performing a knee replacement. It uses a smaller incision. Unlike conventional total knee replacement, which requires a large incision (8 to 12 inches) and significant disruption of the muscles and tendons. MIS Knee Joint Replacement is performed through an incision as small as 3 to 4 inches. In MIS procedures the amount of soft tissue (muscles and tendons, etc.) that are disrupted during surgery is reduced. Through that same small incision, the diseased surfaces of the knee joint are exposed and then replaced, one at a time, with the artificial joint components. This new technique is also called quadriceps-sparing knee replacement.

MIS Knee Joint Replacement is considered a giant step forward in total knee replacement for a number of reasons, which may include the following: a shorter hospital stay, faster recovery, less pain and much less scarring.


Potential benefits of this new techniques

1. More rapid return of knee function. Patients who undergo this procedure get muscle strength and control back more quickly than patients who have had traditional total knee replacement. This is because the quadriceps muscle and tendon are not divided in the course of the surgical exposure like in traditional knee replacement, and the kneecap is not everted (flipped out of the way) as it is in traditional total knee replacement. The recovery time is much quicker, often permitting patients to walk with a cane within a couple of weeks of surgery or even earlier.

2. Smaller incision. While this procedure would not be worth performing for cosmetic benefits, many patients do prefer the shorter incision. Traditional knee replacement incisions often measure 8" or longer; minimally invasive quadriceps-sparing knee replacement incisions are about 4" in length for most patients.


3. Decreased post-operative pain. This may be a function of the smaller incision and the fact that the incision stays out of the important quadriceps muscle/tendon group. The less-traumatic nature of the surgical approach also decrease post-operative pain and diminish the need for rehab and therapy compared to more traditional approaches.

4.Faster Recovery and Lesser Hospital Stay: Since minimally invasive procedure involves minimal incisions, there is less wounds to heal , which means faster recovery and early return to work.

Minimal invasive quadriceps-sparing total knee replacement is an evolution of surgical technique, which permits the use of time-tested implant designs. This gives some reassurance that while the surgical approach is new, the implants themselves have a good proven track record.

The Surgery would be a preferred choice for most patients, as there is no cost difference between the Conventional Surgery and the Minimally Invasive one. However as with all minimally invasive procedures the patient selection criteria is important, basically chronically deformed joints can not be dealt with, with this kind of surgery.


Article Courtesy :

Dr Neelam V. Ramana Reddy, MS Ortho; MCh Ortho (UK)
Consultant Joint Replacement Surgeon
Wockhardt Bone & Joint Hospital
Kamineni Wockhardt Hospitals,King Koti, Hyderabad.