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Healt h Talk ISSUE: 5 | APRIL, 2017 We frequently use MAST for our adequately managed with a 2.5 cm various patients. skin incision, and with the use of MAJOR BACK SURGERIES Fractures of spine microscopes and MAST these have become day care surgeries with Fractures of spine due to fall, patient being discharged free of accidents etc can be adequately pain the same or next day. managed with percutaneous MINUS MAJOR SCARS Lumbar Canal Stenosis pedicle screws with stab incisions and patients are relieved of pain and Lumbar canal stenosis is a disease of can be allowed to sit and walk elderly in which due to age related Minimal Access Spinal Technologies (MAST) immediately after surgery without degeneration old people develop the fear of further worsening of radiating pain in lower limbs which patients to return to regular, active imaging systems, tiny cameras and ability to walk due to possible typically increases with walking and lives with less interruption and pain. small skin incisions. damage to nerves and spinal cord gets better with rest. It leads to Spine problems can develop due to This offers patients physical, following fracture. deterioration of both quality and birth defects, age related wear and psychological, emotional and Old age leads to weakening of quantity of life as the patient tear, fracture or injury, infection, aesthetic advantages that make bones either due to age related gradually loses his ability to walk. cancer etc. Most of these problems surgery less daunting. osteoporosis or some underlying This is a rampant problem present in can be dealt with medications, Benefits of MAST Procedures disease of bone which can lead to our elderly and if non operative physiotherapy, regular exercises, treatment fails, it can be managed The direct benefits to the patients fractures of spine, these can be bracing but for some surgery may with minimally invasive unilateral of MAST procedures are quicker adequately managed with the be the best option for restoring laminectomy and bilateral return to normal activities, less technique of balloon kyphoplasty patient's quality and quantity of life. decompression in which with a 2.5 pain after the surgery, less damage under xray machines to provide cm skin incision nerves of spine M i n i m a l A c c e s s S p i n a l to muscle and skin, less blood patients strength and stability and going in both the limbs are Technologies loss, easier rehabilitation after r e l i e v e s p a i n o f f r a c t u r e decompressed from one side. Minimally invasive procedures surger y and smaller scars. immediately. Spine surgery for years have been daunting and exhaustive. made possible by Minimal Access Outpatient surgery is also possible Prolapsed Intervertebral Disc done with traditional open Spinal Technologies (MAST) for some patients. A basic tenet of surgery is to Prolapsed intervertebral disc or approaches but has been associated potentially help to successfully treat effectively treat pathology with We at Sarvodaya Centre for Spine commonly known as the problem of with long incisions, cutting and spine problems with the least minimal disturbance of normal can proudly say that we have disc which causes excruciating pain removal of muscle from the spine, amount of interruption with the anatomy: leaving “the smallest both the infrastructure and skill to in legs of patients and severe and considerable post-surgical pain. patient's body tissues, while f o o t p r i n t ” a n d d e v e l o p i n g provide our patients the benefit functional and psychological All these factors sometimes made achieving the same surgical procedures through minimally of minimal access spine surgery impact on patients, can be the patients’ experience of surgery objectives as open surgeries with using the latest techniques. Dr. Ashish Tomar invasive methods may allow Consultant - Orthopedics & Spine Surgery SARVODAYA ACCOMPLISHES A MAJOR MILESTONE BY PERFORMING FIVE SUCCESSFUL COCHLEAR IMPLANT SURGERIES Sarvodaya Centre for ENT & Empowerment and Sh. Krishan Pal gives an opportunity for the child to Cochlear Implant announced the Gurjar, Honourable Minister of lead a normal life like anyone else accomplishment of a major milestone State for Social Justice & post cochlear implantation. in aid of hearing impaired by Empowerment with initiative of Who should get a cochlear performing five successful Cochlear whom the deaf children will be able implant ? Implant surgeries. The department to benefit from Sarvodaya's headed by Dr. Ravi Bhatia, Senior cochlear implant program in • People having severe to Consultant, ENT is backed by Faridabad. profound sensorineural hearing & deafness in both ears. dedicated team of ENT surgeons, Sh. Krishan Pal Gurjar addressed the audiologist and speech therapists to press conference at Sarvodaya • Those having a functional provide a comprehensive cochlear Hospital & Research Centre where hearing nerve implant program. The team is well media was able to interact with • Patients willing to work toward equipped to serve children and adults children operated at Sarvodaya. speech and language skills with of all ages with varying levels of therapy hearing impairment. What is Cochlear Implant? Cochlear implant (bionic ear) is a • People not benefitting from Parents from low-income group can other kinds of hearing aids now get cochlear implant - a costly device that restores useful hearing • Having no medical reason to medical device - free of cost for their in severe to profoundly hearing avoid surgery children, who are either born deaf or impaired people, when the organ of have hearing loss. Thanks to hearing situated in the inner ear has • Living in or desiring to live in the Ministry of Social Justice & not developed or is destroyed. It “hearing world” No one will guess you had a spine surgery. Minimally Invasive Spine Surgery. Big spine surgeries no longer leave behind big ugly scars. At Sarvodaya, we now perform many complex spine surgeries through minimally invasive (keyhole) technique. Which results in minimal scarring, lesser pain and faster recovery. So if you have a problem in your spine, don't suffer unnecessarily. Many spine correction surgeries can now be performed even with little, or no hospital stay. Sarvodaya offers the following spine surgeries: • Minimally invasive transforaminal lumbar interbody fusion • Microscopic discectomy • Percutaneous pedicle screws fixation • Scoliosis and kyphosis correction To know more, or to book an appointment SMS ‘SHRC SPINE’ to 52424 or call 9643408039 SARVODAYA HOSPITAL & RESEARCH CENTRE: Y.M.C.A. Road, Sector - 8, Faridabad, Haryana | Ph: 0129-4184444 EMERGENCY 105959 02 ISSUE: 5 | APRIL , 2017 1.5 CM STONE IN 9 YEAR OLD GIRL REMOVED BY NO-CUT NO SCAR TECHNIQUE (RIRS) Neelam, a nine year old girl, came to is avoided in these developing off from school. Stone fragments Sarvodaya with on and off right Kidneys which was done in the can be obtained for biochemical flank pain for last 2 years. On earlier popular technique of PCNL analysis and it is usually a single investigating she was found to have (Key Hole surgery). stage procedure unlike ESWL 1.5 cm x 1 cm stone in right Kidney. commonly known as Lithotripsy. RIRS is the future of stone surgery. Dr. Tanuj Paul Bhatia, Sr. Urologist, With availability of LASER at both Metabolic workup for stone Sarvodaya Centre for Urology & our centres of Sarvodaya (sector 8 forming children at SHRC Laser Surgeries explained parents and sector 19), we are providing this of Neelam about the new scarless It is important to know the reason of facility at both the centres. More technique of Retrograde Intrarenal formation of stones in children. For than 1000 LASER procedures have Surgery (RIRS) using Holmium same reason, Department of been performed by Department of LASER. The child underwent single Pathology at SHRC now provides Urology over last 2 years. stage right RIRS. After complete facility of metabolic workup of clearance of stone was achieved, Advantage of RIRS in children with stone formation to elucidate the Neelam was discharged next day Kidney Stones exact cause of Kidney stone formation in these children and thus and she recovered very well. The benefits of RIRS are that it treat accordingly. At Sarvodaya, we have performed involves no cut, no scar technique, RIRS for 6 such children with no hole in children's developing excellent results. RIRS is very good kidneys, it is safe and effective. It surgery option for children as a hole has Excellent results and Cost effectiveness with minimum days Dr. Tanuj Paul Bhatia (left) and Dr. Ghanendra (right) with patient in centre HoLEP: NEARLY BLOODLESS EXTENSIVE DISEASE OF TECHNIQUE OF LASER PROSTATE SURGERY PERIPHERAL VESSELS Dr. Tanuj Paul Bhatia, Consultant - Urology TREATED Prostate is a gland which surrounds Only a certain number of Prostate Resection of Prostate). This popular the surgery, and patient can go the urethra (Urinary outlet tube) patient’s require surgery.The technique involved resection using home. With increasing prevalence of bilateral superficial femoral artery. near the neck of Urinary bladder. indications for surgery of Prostate e l e c tr i ca l cu r re n t (cau te r y ) . Another benefit of HoLEP is better diabetes, hypertension & smoking, Pankaj was a young active male with This gland is present only in males. are no or poor response to Problems that some patients clearance of adenoma and probably peripheral vascular disease (PVD) long life expectancy, he was treated As men age, this gland grows in size medication, recurrent urinary encountered with TURP were has become increasingly prevalent. with “Aorta – bifemoral– by long recurrence free period. HoLEP thus producing obstruction to retention(blockage of urine), intraoperative fluid overload and However, because of lack of popliteal bypass surgery”.

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