Capsule Magazine Jan 2018
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Medi Magazine kauvery A quarterly magazine from VOLUME - 22 | ISSUE - 01 | JANUARY 2018 - 22 | ISSUE 01 JANUARY VOLUME Congenital Abdominoplasty kyphoscoliosis correction (Tummy Tuck Surgery) Bentall Management Of Difficult Procedure Airway Using Awake Fibreoptic Intubation A case of aplastic anemia presenting with bleeding Boopp manifestations Successfully Treated with ATG. An unusual case of rapidly progressive Dethethering by renal failure and deformity correction: pulmonary hemorrhage. World Spine Day Celebration 2017 To download this magazine This magazine is free circulation for hospitals and doctors only, Not for sale. Design and logo of kauvery hospital are property of scan this QR Code Kauvery Hospital, To get this magazine copy mail us at: [email protected] with QR scanner APP If you want to know any other details contact us on Editorial Address in your smartphone KAUVERY CAPSULE | JANUARY 2018 CAPSULE MAGAZINE Capsule Magazine is published 01 02 by Kauvery Hospital MANAGING JOINT MANAGING Copyright 2016 © Kauvery Hospital DIRECTOR’S MESSAGE DIRECTOR’S MESSAGE Dr. S. Chandrakumar Dr. S. Manivannan 03 EXECUTIVE DIRECTOR’S PATRONS MESSAGE Dr. S. Chandrakumar Dr. D. Senguttuvan Dr. S. Manivannan 04 06 ADVISORY BOARD Dr. D. Senguttuvan ABDOMINOPLASTY MANAGEMENT OF Dr. Aravindan Selvaraj (TUMMY TUCK DIFFICULT AIRWAY Dr. T. Senthil Kumar SURGERY) USING AWAKE FIBREOPTIC INTUBATION EDITOR Dr. S. Senthil Kumar 07 11 EDITORIAL TEAM BOOPP CONGENITAL Dr. S. Velmurugan Dr. S. Aravinda Kumar KYPHOSCOLIOSIS Dr. Iyyappan Ponnuswamy 13 15 CORRECTION BENTALL A CASE OF APLASTIC PROCEDURE ANEMIA PRESENTING TECHNICAL TEAM WITH BLEEDING Dr. Ve. Senthil Vel Murugan MANIFESTATIONS Dr. A. Subramanian SUCCESSFULLY TREATED WITH ATG. 17 18 ADMIN TEAM Mrs. JPJ. Bindhu BREAKING AN UNUSUAL CASE OF FRONTIERS RAPIDLY PROGRESSIVE ENDOSCOPICALLY RENAL FAILURE AND CO-ORDINATORS PULMONARY HEMORRHAGE. Mrs. G. Percy Mr. Delip Rajkumar S DESIGN & LAYOUT Editor’s desk Mr. Vahid Ali N. Dear Readers, It gives immense pleasure to present you the 22nd edition of CAPSULE. On behalf of the editorial team and our hospital consultants, I wish you all a very Happy New Year 2018. The New Year is all about new things. Every New Year is a bundle of New opportunities to perform and grow. Let us Aim for higher goals in 2018 and work hard to achieve them. I thank each and every author of this Edition for their wonderful articles. EDITORIAL OFFICE Kauvery Hospital VI Floor, Administrative Office, #6, Royal Road, Cantonment, Dr. S. Senthil Kumar, Ms., DNB., (Uro) Tiruchirappalli-620001. Call us at (431) 40 77 777 HOD & Senior consultant Urologist and Andrologist Transplant Surgeon, Laparoscopic surgeon E: [email protected] Kauvery Kidney Centre, Tennur, Trichy W: www. kauveryhospital.com My Dear fellow Clinicians, I wish new beginnings and new hopes for you Kauvery’s journey continues to expand in few and your family in the coming year. 2017 was more locations and doubling the bed capacity a momentous year in which we embarked on in the next couple of years will become a our ambitious journey to become a major reality with all your continuous support. 2018 player in Tamil Nadu. The year was indeed will be the year of growth, efficiency and another milestone in Kauvery’s journey. We patient safety which will dawn a new era to have started our 7th unit a 175 bed multi become the most respected and affordable speciality hospital at Salem and we have been healthcare provider in the country. implementing various organizational development programs in quest towards become a professionally managed organisation. We have made innovations in our continual Improvement as an integral part of our progress. Our focus on key initiatives like induction of CXO’s across functions, assessment of our talent pool across levels , May this 2018 be a great strengthening the mid management, year and bring happiness Leadership development programs, and many other OD initiatives are in a nascent stage and and good health to all set to yield the desired results.The ultimate you and your family objective of all these efforts has been towards creating and building a hallmark enterprise that would stand the test of time Warm regards Dr. S. Chandrakumar, MD As we commence the New Year, I would like to express my utmost gratitude to all fellow Founder & Managing Director members of the clinical fraternity and family Kauvery Group of Hospitals members for supporting us throughout our journey. JANUARY 2018 • CAPSULE MAGAZINE • 01 In this turbulent time when the trans deficit among the public is very high, Let us stay united to increase the brand value of doctor’s community. Let’s improve our communications and media visibility and ensure that doctors get the glory which they deserve. Wish you and your family a great year ahead. Warm regards Dr. S. Manivannan, MD, DNB Joint Managing Director 02 • CAPSULE MAGAZINE • JANUARY 2018 Dear Colleagues, I wish you and your family a happy and Kauvery assure to give affordable great successful new year 2018. healthcare as per our core values like Continual Improvement, Heartfelt Personal The start of a new calendar year 2018 seems Touch, Ethical, Empathetic Care, Real like an obvious time to talk about new accountability and Service Excellence. I thank beginnings. Each New Year brings new hopes one and all for your continuous support. and aspirations, new goals, targets and new challenges for us to explore new ideas. Let’s Once again I wish you all a very successful work towards our goals and find ourselves year ahead!! serving as the ideal for this year. Change is inevitable. Nowadays lot of criticism about doctors and hospitals are happening in Social Media. It is the time to think about the Regards same. The challenges are to be met with Dr. D. Senguttuvan courage to bring positive change in the field. Executive Secretary We will equip ourselves with good Kauvery Hospital – Cantonment, Trichy communication skill and proper documentation to see success. JANUARY 2018 • CAPSULE MAGAZINE • 03 ABDOMINOPLASTY(TUMMY TUCK SURGERY) Dr A Arul MozhiMangai,MBBS, MS (General Surgery), Abdominoplasty M Ch (Plastic Surgery) Consultant Plastic and Aesthetic Surgeon, (Tummy Tuck Kauvery Hospital,Chennai. Surgery) The common perception of Abdominoplasty or tummy excess skin and sufficient Female patients must plan beauty in the human body tuck procedure reduction of subcutaneous abdominoplasty after has undergone a dramatic encompasses not only adipose tissue volume can completing family. It is not change in the past three aesthetic body contouring be achieved. Additionally necessary to achieve a decades, culminating in a but also reconstruction closure of specific weight for this pre-occupation not only ofstructural integrity. The musculoaponeurotic laxity procedure but need to fulfill with body weight but also aesthetic goals of improve overall contour few conditions. with body contour. abdominoplasty are to and restore the structural improve the contour, integrity of abdominal wall. The emphasis made by minimize scarring and to modern society on a lean maintain a natural looking The patients’ skin type and PRESENTATION youthful appearance is umbilicus. Both age play an important part Weight is the first important largely responsible for the reconstructive and aesthetic in this surgery. In many factor that affects increased demand for goals should be patients it is not possible to presentation of patients. BMI surgical procedures incorporated in any remove all striae and folds which relates weight to designed to produce an abdominoplasty procedure. and this will be explained to height is most ideal aesthetic contour. Ideally maximal resection of the patients before surgery. commonly used parameter. 04 • CAPSULE MAGAZINE • JANUARY 2018 ABDOMINOPLASTY(TUMMY TUCK SURGERY) BMI = weight in kg/height in which skin is over expanded Drains are placed to prevent deleterious effect in wound m2. Upper limit of normal leading to a loose inelastic hematoma and seroma. healing. BMI is 25. 26-30 is skin fat envelope. Compression garment is considered overweight, 30 used in the post operative Abdominoplasty is and above is obese. PATIENT SELECTION AND period. performed by a qualified TECHNIQUE Plastic Surgeon after A variety of surgical Patient who have minimal to Patients who present with complete evaluation of the procedures is required to moderate subcutaneous fat laxity of skin below and patient. treat patients in different excess and no abdominal above the umbilicus are BMI ranges. wall laxity are good good candidates for full POST OPERATIVE CARE candidates for liposuction abdominoplasty. In this After surgery, the patient is Second factor that affect the alone. In this surgery, surgery, rectal fascia advised analgesics and presentation is fat through small incisions in plication above and below antibiotics for a few days. deposition pattern which is abdomen, fat is sucked out the umbilicus, along with They are also encouraged to genetically controlled. using cannulas. excision of excess skin and wear a tight jacket called Women typically deposit fat creation of new umbilicus is compression garment to in infraumbilical abdomen, Patients who present with done. Liposuction can be reduce the swelling. Light thighs and hip. Men in abdominal wall laxity with combined with work can be resumed after flanks, below umbilicus and minimal abdominal skin abdominoplasty to get good 2-3 days. Complete inside abdomen. excess below the umbilicus aesthetic results. Drains are recovery