Apollo News (1108)
Clinical Excellence
A team of doctors have successfully performed a complex Paediatric liver transplant surgery on a 4-year old ch...
According to Dr. Manish C. Varma, Senior Consultant and the Chief transplant surgeon, who led the transplantation surgery, a 4-year old child named Salama was suffering from a rare metabolic disorder Ornithine transcarbamylase (OTC) deficiency, where the liver lacks enzymes required for processing proteins. So the child was deprived of living a normal life of her age and was not allowed to eat chocolates and drink milk. She would become unconscious every time she consumed proteins in her diet.
After consulting various doctors, she was admitted to Apollo Hospitals in July and was advised a liver transplantation surgery to lead a normal life. Since there were no suitable donors in their family, the child was put on a waiting list as there were not suitable donors available. However, the team of Apollo doctors were also considering to transplant a split liver extracted from a brain dead person, but fortunately the child could get the liver of a brain dead child made available through Jeevandaan scheme of the state government.
Upon finalizing that the available liver was an appropriate match, the team of doctors at Apollo carried out the liver transplant surgery successfully and the child could recover in just 15 days after the operation. Speaking about the operation, Dr. AnuragShrimal, Liver transplant surgeon, said, “Finding appropriate size organs for small babies is an onerous task and hence closing the abdomen after fitting the new liver in is always a challenge. We have used a new technique, composite graft, wherein the closure became very easy.”
Paediatric liver transplantation requires advanced infrastructure and well qualified staff who are specialised for dealing with critical paediatric patients. Apart from a meticulous surgery, the biggest challenge is the intensive care in the post-operative period. The margin of error in paediatric liver transplant patients is extremely narrow and the management has to be coordinated like clockwork.
The liver transplant programme at Apollo Heath City, Hyderabad has a success rate of over 97 per cent, which besides being the best in India, is also one of the best in the world.
Clinical Excellence
Keralite girl’s rare Heart and Lung Transplantsurgery successfully performed at Apollo Hospital, Chennai
Ambili was suffering from a rare disease where her lungs become dysfunctional as the good and bad blood get mixed through a hole in the upper compartment of her heart.
The 11-hour long surgery wasled by Senior Consultants and Cardiothoracic and Transplant surgeons, Dr Paul Ramesh Thangaraj, Dr Sunder T and Dr Madhan Kumar, of Apollo Hospitals Chennai. On Wednesday 12th August, relatives of a brain-dead person came forward to donate his organs to Ambili.
Ambili is recovering well and will soon resume her day to day activities.
Milestones
University of Ilorin Teaching Hospital (UITH) Nigeria successfully performed its first Open Heart Surgery by a...
Prof. Abdulwaheed Olatinwo, Chief Medical Director (CMD), University of Ilorin Teaching Hospital (UITH) had announced this achievement that was performed on two young girls.
He said the feat achieved was carried out by a team of surgeons led by Dr Neville Solomon, Consultant, Pediatric & Adult Congenital Cardiac Surgeon, Apollo Hospitals Chennai, India.
The CMD described Dr. Solomon as a world renowned Cardiac surgeon who performs over 3, 000 heart surgeries free around the world in a year.
“The strategic partnership is of two benefits: first is that it exposes our patients to the highest quality of surgical care comparable to that which is obtainable anywhere in the world,” Olatinwo said.
He said the collaboration with Apollo Hospital would also facilitate skills transfer to the Teaching Hospital’s Cardiac care team so that they could carry out subsequent surgery.
Awards & Accolades
Apollo Hospitals – Kakinada has been formally accredited by NABH.
Apollo Hospitals, Kakinada has been formally accredited by NABH – making it the 11th hospital in the group to be accredited. The Hospital is now the first NABH accredited group hospital in the re-formed state of Andhra Pradesh.
Ms. Sangita Reddy, Joint Managing Director, Apollo Hospitals Enterprise Limited, Dr. Hari Prasad (CEO- Central Region) & Mr. Karunakar (Vice President – HR) congratulated the team.
Awards & Accolades
Apollo Hospital, Jubilee Hills, Hyderabad has been selected by the World Hypertension League (WHO Partner) for...
Apollo Hospital, Jubilee Hills, Hyderabad – Apollo Institute for Blood Pressure Management has been selected by the World Hypertension League (WHL) for its office in South Asia.
The Apollo family is proud for being selected as the South Asia Office of WHL (a WHO partner). We will now be able to spread awareness for better blood pressure control in India through our coalition with WHL/WHO. The South Asia office of WHL at Apollo will cover India, Pakistan, Bangladesh, Nepal, Sri Lanka, and Myanmar.
Apollo in partnership with WHL is bound to reduce the burden for non-communicable diseases in South Asia. Noted pioneer in hypertension, Dr. C. Venkata S. Ram of Apollo Institute for Blood Pressure Management is the Director of South Asia centre of WHL located in the Apollo Health City, Hyderabad. Recently Dr. Daniel Lackland, Director and incoming President of WHL was in Hyderabad to meet Dr. Ram and go over the WHL plans for blood pressure control in India/South Asia through its regional office now located at the Apollo Jubilee Hills Campus/Hyderabad.
Clinical Excellence
10 years of JCI accreditation in India celebrated at Indraprastha Apollo Hospitals, New Delhi
Indraprastha Apollo Hospitals has completed 10 years of accreditation by Joint Commission International (JCI). In July 2005, Indraprastha Apollo Hospitals became the first hospital in India and the 6th in Asia to be accredited. JCI accreditation is the gold standard for international accreditation as it reflects provision of the highest levels of patient care and patient safety. An event was organized to mark the occasion. The Deputy Chief Minister of Delhi, Shri. Manish Sisodia, Ms. Paula Wilson, CEO, JCI and Mr. PrabhuVinayagam, MD Asia Pacific Region, JCI graced the function on 30th July, 2015.
Shri Manish Sisodia, Deputy Chief Minister of Delhi congratulated the Apollo Hospitals Group and the entire team and also expressed his desire to replicate their committed efforts and excellence across the capital in several new health initiatives that the government is planning to set up.
Ms. Sangita Reddy, Joint MD, Apollo Hospitals Group said, “Apollo Hospitals has always been a fore-runner in quality improvement and patient safety. We were the first ones to bring the JCI accreditation to India and six of our hospitals are accredited today.”
Mr. Jaideep Gupta, MD, Indraprastha Apollo Hospitals said “Indraprastha Apollo Hospitals has always set benchmarks in patient care, clinical research protocols and healthcare delivery systems. The JCI accreditation is a testimony to Apollo Hospitals’ constant endeavor to provide world-class patient care and maintain highest standards in healthcare delivery systems in India.”
Speaking about the accreditation, Dr. AnupamSibal, Group Medical Director, Apollo Hospitals Groupsaid, “The JCI accreditation is a recognition and reiteration of Apollo Hospitals’ commitment to provide healthcare services of International standards in the country. Our endeavor is to provide excellent clinical outcomes and accreditation has helped us in this”.
Milestones
175 cases in the Advanced Fever Clinic successfully treated by Prof. Dr. T.V.Devarajan at Apollo First Med Hos...
At the event, the CD on “175 cases Advanced Fever Clinic” was released by Dr. Preetha Reddy – Executive Vice Chairperson, Apollo Hospitals and was received by Kavingnar Vairamuthu.
The CD on “Text Book of Medicine” was released by Prof. Dr. K. V. Thiruvengadam and was received by Dr. D. Shantharam – Vice Chancellor Tamil Nadu Dr. M. G. R. University. The CD & Book on “Poisoning Drug Over Dose” was released by Mr. R.S. Munirathinam – Chairman RMK group of colleges and was received by Mr. R. Sekar – I.P.S, Director General of Police – Vigilance / TANGEDCO Chennai.
Technology
Robotics help Apollo Children’s Hospital, Chennai transform the lives of 65 children from India and abro...
Apollo Children’s Hospital has once again showcased its expertise and technical know-how on implementing some of the latest technologies for the benefit of the patients. Surgeries performed at Apollo Children’s Hospital using the da Vinci Robot provides patients with all the advantages like quicker discharge time, reduced discomfort and pain, minimal scarring, smaller incisions, enhanced magnification, greater accuracy, better precision and less blood loss that conventional Laparoscopy offers over open surgeries.
Highlighting the need for awareness on Robotic surgeries, doctors and experts said that even though Robotic procedures have proven to be highly precise and targeted, the expertise, infrastructure and referrals by many doctors is minimal hindering the development of Robotic surgeries in Chennai.
Dr. Venkat Sripathi, Senior Consultant Paediatric Urologist says, “The magnification and 3D view that robotics offers helps us navigate in a targeted manner and complete the procedure without affecting neighbouring cells and tissues which is crucial in Paediatrics.”
Elaborating on how Robotics helped in the treatment of 3 year old Aditya Somani, Dr. Sripathi said, “Aditya had urine flowing back to his kidneys, a condition called Vesico-Ureteral Reflux, and an obstruction, the combination of which had caused damage to the kidney requiring urgent surgery. With the help of Robotics, we completed the procedure in 1 hour and 45 minutes reducing the child’s discomfort and helping him recover quite immediately. The block was removed, ureter reattached to the bladder and fixed in a way to prevent urine backflow into the kidneys.”
Another interesting case is that of 5 year old Bhargavi who was suspected to have a block outside the kidney. The space constraint outside the patient’s kidney made it difficult to consider a conventional surgery as that would have required the doctors to make a large incision to approach the kidney which could have been complicated. However with Robotics, given its superb magnification and manoeuvring capabilities, helped the team of doctors to remove the block in just 1.5 hours.
“At Apollo, we have always believed that harnessing the right technology and entrusting it in skilful hands can help work miracles. If you have the expertise, your battle is half won already. The only area we then focus our energies on is to ensure that our patients are well counselled on the techniques we will be adopting to cure them or their loved ones so that we can allay any fears that may be in their minds. We are a privileged lot today as our clinical excellence continues to give hopes to many and makes decision making far easier for patients with the availability of cutting edge technology within their reach,” added Ms. Preetha Reddy, Vice Chairperson, Apollo Hospitals.
Clinical Excellence
Apollo Hospitals, Chennai restructures shattered pelvic bone in just a day; treats patient who sustained multi...
The patient from Jharkhand sustained grievous injuries when his two-wheeler collided with a moving train and was shifted to the hospital by train.
The incident has also highlighted the importance of a quality trauma care for emergency situations.
Mr. Vijay Kumar Singh (55) from Chirkunda, Jharkhand, was riding a two wheeler when he collided with a moving train sustaining multiple injuries. Mr. Singh was diagnosed with an open book pelvic fracture, fracture sacrum, fracture of all spinous processes of lumbar vertebrae, fractured dorsal spine, multiple fractured ribs on both sides, blood in abdomen (Hemoperitoneum), and blood in chest (Haemothorax).
Although he was immediately rushed to a hospital in Kolkata, his condition worsened prompting his family to look for other options. Dr. Balaji Srinivasan, Consultant Orthopedic surgeon at Apollo Hospitals, Chennai was consulted and following his advice, a doctor and nurse travelled to Kolkata and helped shift Mr. Singh to Chennai by train.
Mr. Singh was admitted to Apollo Hospitals, Chennai on July 8th. A major 5 hour pelvic surgery was performed, in which a 1 inch key hole was used to fix the big sacral pelvic fracture. The fixation is so stable that the patient has already been mobilized and is on a wheelchair ready to travel back to his hometown in less than 72 hrs.
Commenting about the importance of trauma care, Dr. Balaji Srinivasan said, “Trauma care is as important as any other discipline in medicine and it is crucial that every hospital has the necessary comprehensive medical services in place. Thanks to the facilities and expertise available at Apollo Hospitals, Mr. Singh is now able to return safely back to his hometown.”
New Initiatives
Hon’ble Prime Minister, Shri Narendra Modi inaugurates the first Telemedicine link between India and Cen...
Hon’ble Prime Minister, Shri Narendra Modi inaugurated the first telemedicine link between India and Central Asia and witnessed a Tele-consultation with Apollo Hospitals Delhi for a cardiac patient.
The Tele-consultation for a cardiac patient happened between doctors in Osh city in Southern Kyrgyzstan, with doctors in Bishkek and with Apollo hospital and AIIMS in Delhi.
Clinical Excellence
Apollo Children’s Hospital, Chennai successfully cures Hypertension in a child with rare tumor through a...
A 14 year old boy was admitted in Apollo Children’s Hospital, Chennai with severe Hypertension and a tumor in the chest. He was evaluated by Endocrinologist, Dr.S.Ramkumar. Investigations showed very high level of adrenaline in blood and a MIBG Scan confirmed the chest tumor and Hypertension due to a rare tumor called Paraganglioma.
The child was planned for Video Assisted Thoracoscopic Surgery (VATS) by Thoracic Surgeon, Dr.Rajiv Santosham. Tumors like Paraganglioma and Pheochromocytoma secrete excess catecholamines like adrenaline in the blood and cause uncontrolled swings in blood pressure during surgery. So his blood pressure was optimally controlled with medicines prior to surgery. After complete control of blood pressure, Dr. Rajiv Santosham successfully performed VATS to remove the tumor. Intra-operative course was managed by Anaesthetists, Dr. Sanjay Prabhu and Dr. Anuradha.
Paraganglioma and Pheochromocytoma are rare catecholamine adrenaline secreting tumors. While Pheochromocytoma occurs in the adrenal glands, Paragangliomas are extra-adrenal and occurs in the abdomen, head, neck and chest. Paragangliomas secrete adrenaline in an uncontrolled fashion and cause serious health problems including stroke, heart attack, and even death. In the child’s case, Paraganglioma was identified in his chest in mediastinum. This is the first time VATS has been reported to remove mediastinal paraganglioma in a child in India. After VATS, his blood pesssure normalised without anti-hypertensive drugs and he was discharged without any medicines.
VATS- Video Assisted Thoracoscopic Surgery is a Minimally Invasive surgical technique in the chest. During VATS, a tiny camera (Thoracoscope) and surgical instruments are inserted into the chest through small incisions. The thoracoscope transmits images of the inside of the chest onto a video monitor, guiding the surgeon in performing the procedure. The traditional surgery done for these tumors was by open surgery called thoracotomy.When compared to thoracotomy, VATS result in less pain and shorten recovery time.
CT and MIBG images of the tumor
Events
Indraprastha Apollo Hospitals, New Delhi organises the 7th Asia Pacific Vascular Intervention Course
More than 1,000 delegates and faculty drawn from across the world attended the conference and it was thought to be one of the best and most attended conference in the Asia Pacific region.
The programme kicked off with an introductory speech by Course Chairman, Dr. (Prof.) N N Khanna, Advisor- Apollo Group of Hospitals, Dr. Michel Henry, Luxembourg, and Course Director, Dr. Saroj Das from Imperial College of London.
Dr. Amal Kumar Banerjee (Past President, CSI, API and SAARC Society of Cardiology) and Dr. H K Chopra (President, CSI) were present along with Dr. Clifford Buckley (President, ISES, USA), Dr. Jacques Busquet (Ambassador, ISES, France) and Dr. T J Collins (Governor, SCAI, USA).
The field of Endovascular Interventions is rapidly growing as its Minimally Invasive techniques offer an immediate and long termadvantageover traditional surgery. 35 International and about 80 National experts concluded that Endovascular Intervention today is state-of-the-art treatment for – Peripheral Arterial Diseases, Carotid Artery Stenosis, Failed or failing dialysis access, Aneurysms of Aorta, Deep vein thrombosis, Pulmonary Embolism, Varicose veins, Critical Limb Ischemia, Internal Pudendal Artery Stenting for Male Erectile Dysfunction, and Interventions for Acute Stroke, etc.
The International Faculty included many of the acknowledged pioneers and innovators in the field, such as Dr. Alain Cribier (France), who is the inventor of Transcatheter Aortic Valve Implantation, Dr. Michel Henry (Luxembourg), Dr. Clifford Buckley (USA), Dr. T J Collins (USA), Dr. Jacques Busquet (France), Dr. Amira Benjelloun (Morocco), Dr. Frank Criado (USA), Dr. Ramesh Adiraju (USA), Dr. Saroj Das (UK), Dr. Dai Do Do (Switzerland), Dr. Jaafer Golzar (USA), Dr. Sherif Sultan (Ireland) and Dr. Victor Costache (Romania), Dr. M Bouayed (Algeria), Dr. Hugo Rio Tinto (Portugal), Dr. K K Yeo (Singapore) and Mr. Noureddine Frid (Belgium), inventor of Multilayer Flow Modulator.
The format of the conference consisted of didactic lectures, Live Case Transmissions from various sites in Asia Pacific region, angiographic reviews of challenging cases, Iron Man Competition, and nine workshops with ample opportunities for interaction with faculty. Multilayer Flow Modulator (MFM) was launched in this Conference after its initial approval just a few days ago.
The Course is intended to be a truly collaborative cross-specialty training event incorporating the “”Interventionalists”” of the present and the future.
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