Tag: Vaishali

Doctors reconstruct wind pipe & food pipe to save life of 22-year-old dying man

Doctors at Max Hospital, Vaishali successfully saved the life of 22-year-old Mohammad Irfan who was brutally injured in a road accident with completely split wind pipe and food pipe. Even the minutest delay in intervention would have costed him his life since his oxygen levels were severely low. Conducting a marathon surgery for 6 hours, his trachea (wind pipe) and oesophagus (food pipe) were meticulously reconstructed to give him a new lease of life.

Irfan, who is a resident of Amroha is a healthcare worker, who after completing his emergency room shift in the morning left the hospital around 8:30 AM. While riding back to his home he suddenly got entangled in a thin calibre rope hanging across the street and fell down with excruciating pain in the neck and breathlessness. Passer-by, rushed him to a local hospital where he was provided with first aid. Owing to the severe injury and deteriorating condition, he was referred to Max Hospital Vaishali and was shifted immediately.

Upon arrival at Max Hospital Vaishali, even though the patient was maintaining saturation, but was unable to talk. He underwent an emergency CT scan at the referring hospital which revealed a complete tracheal transection (splitting up of wind pipe into two) with both ends wide apart, which is a very rare injury and life-threatening condition due to complete loss of ventilation.

“Such severe tracheal injuries are usually fatal and many patients never make it to the hospital. But since his split wind pipe formed a pseudo passage of tissue tunnel, maintaining minor ventilation to the lungs, he was lucky to reach the Operating room on time. He was stabilized and taken for surgery at around 9 PM. Since the food pipe was also vertically injured for around 8-10 cm, though blood vessels were intact, the food pipe was repaired first and thereafter the wind pipe was repaired meticulously. The duration of the entire surgery was around 6 hours. The alternate pipes for food and air were also put in simultaneously to let the repair heal. The patient was bought to consciousness and shifted to ICU thereafter. He was shifted to normal room after two days in ICU.” Said Dr Pramoj Jindal, Director – Thoracic Surgery, Max Hospital, Vaishali.

Post operatively the patient was monitored closely and after a week, video bronchoscopy revealed that the repair was fine, and was discharged to home next day.

One of the major reasons that Irfan’s life was saved is due to the improved territorial connectivity that he was able to reach a well-equipped hospital (Max Hospital Vaishali) in a much shorter time.

Successful management requires emergent evacuation of the injured to a trauma care centre for stabilisation and a quick, safe and efficient transfer to a centre where definitive surgical management (tracheal reconstruction in this case) can be undertaken at the earliest. This rare case exemplifies the successful management of airway trauma where each step was carried out in the recommended manner leading to a successful outcome.

“The patient who is recovering well, is under speech therapy and regular training to get his voice back. While looking at the entire situation, the patient may take another 2-3 months to get his voice back and regular swallowing pattern, but something of a very insignificant time, seeing him alive and healthy.” He added

Max Super Specialty Hospital, Vaishali launches Minimal Access, Bariatric and Robotic Surgery OPD in Meerut

Meerut: Leading healthcare provider in Western Uttar Pradesh, Max Super Speciality Hospital, Vaishali,  launched its Minimal Access, Bariatric and Robotic Surgery OPD Services in Meerut. The OPD launch is yet another patient-centric step taken by the healthcare provider to empower patients with accessibility to quality healthcare services. The facility will provide expert advice in Minimal Access, Bariatric and Robotic Surgery pertaining to obesity, hernia, gallbladder diseases, appendicitis and laser surgery for fistula / fissure / piles.

Operational from today, the OPD will be conducted on every 1st and 3rd Monday of every month at Max Med Centre Meerut from 1 PM to 4 PM. With the launch of the OPD services, patients across age groups, socio-economic backgrounds, etc. can avail the best consultation in Meerut and nearby regions, without the inconvenience of travelling to another city.

At the launch, Dr Vivek Bindal, Head of Department, Institute of Minimal Access, Bariatric and Robotic Surgery, Max Super Speciality Hospital Vaishali said, “Bariatric or Metabolic surgery is the most effective way to treat obesity and related comorbidities like diabetes, high blood pressure, joint pains, slip disc, infertility, PCOD, migraine etc. Endoscopic Sleeve Gastroplasty is a totally non-surgical weight loss procedure that is very effective, is done without any scars and there is no pain. The success rates of minimal access, bariatric and robotic surgeries that we conduct are at par with international standards. We work with specialists and best dieticians in India to provide post-surgery care for such patients who are on a path to recovery. Through the launch of this OPD service, the people from Meerut will get access to the best-in-class services and we will raise awareness about obesity-related disorders. There have been tremendous advancements in robotic surgeries such as the use of the highly efficient Robotic Surgery System – Da Vinci Xi Robot. This gives us increased visualization of the stomach and surrounding organs and hence superior control over movements during the surgery for the severely obese patients. The recovery period is faster than traditional surgeries too.”

Minimally invasive surgeries have numerous advantages for patients in comparison to traditional surgeries including minimal scars, speedy recovery, reduced pain, shorter duration of hospital stays, and lesser post-surgery complications. The bariatric surgery is carried out using the latest in robot-assisted surgery technology, called Da Vinci Xi. The latest technology in robot-assisted surgery, Da Vinci Xi is the newest addition to the hospital’s technological advancements. In robotic surgery, small incisions are made in place of a large abdominal incision, which is therefore less invasive than the traditional bariatric surgery. This will not just treat patients but also improve their quality-of-life post-surgery.

Dr. Gaurav Aggarwal, Senior Vice President – Operations, Max Super Specialty Hospital, Vaishali said, “We, at Max Healthcare, endeavour to provide the masses access to the best of technology. We strive to raise awareness about obesity and the related lifestyle disorders it triggers. Armed with Da Vinci Xi Robot, surgeons are able to perform weight loss surgeries using computer-guided, magnified, 3-D visualization and the results are impressive. Patients are benefitted with short hospital stays, reduced scars, quick recovery, fewer complications, low infection rates, etc., all of which encourage them to opt for these surgeries and be on the path to lead a better quality of life. With this new OPD in Meerut we hope we can benefit a lot of people with such conditions for whom travel to other cities was an impediment in the way of their treatment.”

Max Institute of Cancer Care Vaishali Extends Medical Expertise in Bareilly with Launch of GI & HPB Oncology OPD Services

Bareilly: Leading cancer care provider in Western Uttar Pradesh, Max Institute of Cancer Care, Vaishali, today launched its GI & HPB (Gastrointestinal & Hepato Pancreato Biliary) Oncology OPD Services in Bareilly, in partnership with Khushlok Hospital. The OPD launch is yet another patient-centric step taken by the healthcare provider to empower patients with accessibility and quality healthcare services. The facility will provide expert advice and treatment for GI cancers (including cancers of the pancreas, stomach, colon, rectum, anus, biliary system and small intestine).

The OPD services were launched by Dr Vivek Mangla (Associate Director & Head – GI & HPB Oncosurgery, Max Institute of Cancer Care, Vaishali) and Dr Subhashish Das (Associate Consultant – G.I. & HPB Oncosurgery, Max Institute of Cancer Care, Vaishali. Dr Vivek Mangla is one of the leading GI Onco-surgeons in Delhi-NCR. He is experienced in latest techniques like Complex Laparoscopic Gastrointestinal surgery, VATS Esophagectomy, and has also published papers in various indexed journals. Dr Das will be visiting the OPD on the second and fourth Tuesday of every month for consultation.

At the launch, Dr Subhashish Das said, “Gastrointestinal cancers impact the GI tract and the digestive system including Esophagus, stomach, small and large intestines, liver, gallbladder, pancreas, etc. These cancers can origin from any organ in the abdomen as ulcers or masses and can metastasize to the other parts in no time if go unnoticed. A timely diagnosis increases the chances of a better treatment and prolonged survival of the patient. Delayed treatment impacts the outcome of the treatment and may also have adverse consequences on the quality of life. The rise in cases also show the low level of awareness due to which early detection isn’t possible. Through the launch of this OPD service, people from Bareilly will get access to the best-in-class services and we will raise awareness about these diseases.”

Dr. Gaurav Aggarwal, Senior Vice President – Operations, Max Super Specialty Hospital, Vaishali said, “We, at Max Vaishali, strive to equip the masses with knowledge by spreading awareness about the importance of early detection. We strive to raise awareness about stomach and small intestine issues such as IBD and GI cancer and provide a holistic and supportive environment for such patients. Such disease impacts a person physically as well as their mental and emotional psyche. Therefore, we firmly believe that the masses need to be aware about the symptoms and ensure regular check-ups for early detection. Delayed diagnosis leads to prolonged treatment which often gets complicated. With this new OPD in Bareilly we hope we can benefit a lot of people with such conditions for whom travel to other cities was an impediment in the way of their treatment

Max Hospital Vaishali Saves Life in an Emergency Procedure to Open Airways Blocked by Ayurvedic Tablet

Ghaziabad: Timely intervention of specialists at Max Super Speciality Hospital, Vaishali helped save the life of a 42 year-old man whose breathing passage was blocked by an Ayurvedic tablet, he was taking for diabetes. The tablet was obstructing the passage and collapsed his lungs.

The patient, a businessman in Dubai, swallowed the ball-shaped tablet measuring about 1.5 cm in width, while on his way to his friend’s house in Ghaziabad. The tablet, however, got stuck in his airway making him wheeze and cough. By the time he reached his friend’s place, it became extremely difficult for him to breathe. When his friend noticed him becoming distressed and in extreme discomfort, he checked the blood oxygen level of the patient and was alarmed to find it to be just 70%, while anything below 90% is considered low.

The patient was rushed to the emergency room of Max Hospital Vaishali at 3 am where the emergency doctors resuscitated the patient and alerted the pulmonology team. Led by Dr Sharad Joshi, Principal Consultant, Pulmonology, and Dr Ankit Bhatia, Associate Consultant, Pulmonology, the medical team conducted a high-resolution computed tomography (HRCT) of the chest to view the inside of the air passages which was followed by a 30-minute bronchoscopy procedure to dislodge the tablet safely. The patient was discharged the next day, following another bronchoscopy, confirming that there were no residues left in his airway.

Commenting on this rare case, Dr Joshi said, “The tomography showed a 1.5 cm sized foreign body stuck in the left main bronchus, a passage of airway in the respiratory tract that conducts air into the lungs. It completely blocked the entry of the inhaled air, and collapsed the left lung, resulting in decreased levels of oxygen in the body. We performed a 30-minute procedure with flexible bronchoscopy to remove the foreign body. It turned out to be a large silver coloured Ayurvedic tablet.”

Timely detection for Arthritis is the key to quality of life : Dr. Akhilesh Yadav

Arthritis is the second most common rheumatologic problem, is also the most frequent joint ailment affecting the quality of life with a prevalence of around 40% among the Indian population. It is a serious disease with significant financial and socioeconomic implications. The impact is not limited to the knee with recent studies pointing towards a link between knee pain and increased mortality due to cardiovascular disease and other causes.

Attributing a plethora of reasons including lifestyle changes, obesity and increasingly ageing population the prevalence and complications related to arthritis is on the rise. Joint pains are often neglected until it causes distress or impaired quality of life, but still, a greater number of young patients are presenting with this problem. Obesity is a key modifiable factor which should not be overlooked as the joints are burdened with at least three to six times the load-bearing capacity.

Despite the progress in medical technology and decades of trying to understand the effects of an arthritic knee, in the absence of a cure the treatments strategies largely focus on symptom management including pain relief, improved joint function, and joint stability.

If diagnosed at an early stage, it can be treated with medications, but when the symptoms have crossed the extreme stage, surgery is the only option left. Timely detection and advancements made in the field of Total Knee replacements with minimally invasive techniques making use of computer assistance has been providing an enhanced pathway for better recovery and improving the quality of life. Surgeries are now performed under a highly specialized and advanced environment, ensuring shorter discharge time and negligible pain. This also enables a shorter hospital stay, speedy recovery and greater patient satisfaction.

With certain lifestyle choices such as eating habits, sedentary lifestyle and excessive steroid consumption, hip pain from arthritis is affecting the younger generation which was once considered a medical problem in the elderly population.

Arthritis is a progressive disorder which starts gradually and worsens with time. It occurs when the joint space of your hip is narrowed and the soft tissues surrounding it start to shrink and tighten.

Though joint-related problems have always been an issue related to ageing, for a variety of reasons including poor eating habits, sedentary lifestyle, consumption of bodybuilding supplements and steroids in excessive quantities more and younger patients have been diagnosed with joint-related ailments. There is a sudden rise among the youngsters regarding the usage of bodybuilding supplements and steroids that is leading to various types of joint-related ailments.

Excessive usage of such supplements prevents the adequate blood flow to the bones in the joints causing the breakdown of the bone cells. In the majority of the conditions, the majorly affected is the hip joint. The ball of the hip joint gradually loses its blood supply and starts shrinking, leading to declining in its shape and smoothness. Such conditions if not treated in time can lead to chronic pain and difficulty in walking.

During arthritis when we stretch and move, the hip joint hurts and over time leads to greater stiffness and worsening of the condition that alleviates pain.

Based on the diagnosis and imaging tests the surgeon begins the treatment. If the medications and therapies are not enough to get relief from the inflammation then surgeons might advise minimally invasive hip replacement surgery.

“It is an appropriate treatment option if the hip joint is severely damaged or if pain and swelling reduce motion in joints and affects the quality of life. Hip replacement surgery is one of the most successful modern orthopaedic surgical procedures and it is performed with smaller incisions which mean quicker recovery. During a hip replacement surgery, the surgeon removes damaged cartilage and bone from the hip joint and replaces them with man-made parts. Surgery can help to reduce pain, enhance the quality of life, and improve an individual’s ability to perform everyday activities with no restrictions.”

Dr. Akhilesh Yadav
Senior Transplant Head Joint Replacement(Hip and Knee)
Centre For Knee and Hip Care, Vaishali