Dr Anil heroor

http://www.mid-day.com/articles/nigerian-can-eat-again-after-doctors-construct-a-new-food-pipe/15080068

When the 45-year old Nigerian national bought a cough medicine from a store back home, little did he know that it would end up damaging his food pipe, making him unable to swallow food or even his saliva for months. However, Nuruddin Shittu can finally see light at the end of the tunnel as Mumbai doctors constructed another food pipe using his forearm’s skin tissues, and replaced it with the damaged one. - See more at: http://www.mid-day.com/articles/nigerian-can-eat-again-after-doctors-construct-a-new-food-pipe/15080068#sthash.77xwlecK.dpufWhen the 45-year old Nigerian national bought a cough medicine from a store back home, little did he know that it would end up damaging his food pipe, making him unable to swallow food or even his saliva for months. However, Nuruddin Shittu can finally see light at the end of the tunnel as Mumbai doctors constructed another food pipe using his forearm’s skin tissues, and replaced it with the damaged one. - See more at: http://www.mid-day.com/articles/nigerian-can-eat-again-after-doctors-construct-a-new-food-pipe/15080068#sthash.77xwlecK.dpufWhen the 45-year old Nigerian national bought a cough medicine from a store back home, little did he know that it would end up damaging his food pipe, making him unable to swallow food or even his saliva for months. However, Nuruddin Shittu can finally see light at the end of the tunnel as Mumbai doctors constructed another food pipe using his forearm’s skin tissues, and replaced it with the damaged one. - See more at: http://www.mid-day.com/articles/nigerian-can-eat-again-after-doctors-construct-a-new-food-pipe/15080068#sthash.77xwlecK.dpuf

Using stem cells, doctors restore 14-yr-old’s vision

At 65 per cent, the vision in Omkar Babhat’s right eye is increasing steadily after the stem cells were transferred from his healthy left eye

Babhat had accidentally sprayed glass-cleaning fluid into his eye while struggling to open the cap, which meant he could just see an occasional flash of light, and nothing more MUMBAI While the past four months have been painfully slow for 14-yearold Omkar Babhat, the increasing vision in his right eye, now a healthy 65 per cent, has been a growing relief for him and his parents, thanks to a novel method of surgery using stem cells from his left eye. In March last year, the Airoli resident had accidentally sprayed glass-cleaning fluid into his eye while struggling to open the cap, which had reduced his vision to seeing the occasional flash of light, and nothing more. After consulting several eye doctors, the Babhats realized that a complete corneal transplant was not possible in Omkar’s case as chemical burns had caused damage to his corneal limbus — the junction where the black and white portions of the eye meet. It was only when they approached corneal surgeon Dr Suresh Palanisamy in October 2013 that hope dawned for the family. Palanisamy suggested they go in for Simple Limbal Epithelial Transplantation (SLET) — a process wherein healthy stem cells are harvested from the corneal limbus of the undamaged eye and transplanted to the damaged cornea. “The patient had suffered ocular surface damage due to severe chemical burns. The cornea, which is normally clear, had turned opaque blocking the vision. There was also accumulation of scar tissue due to the burns,” explained Palanisamy, who operated on Omkar at the Fortis Hospital in Mulund . The two-hour-long procedure involved removing 2 mm of stem cell tissue from Omkar’s left eye. After that, the scar tissue accumulated in the right eye was carefully removed. “A layer of amniotic membrane was then stuck onto the damaged cornea using a special glue. The stem cell tissue obtained from the healthy eye was then cut in 10 tiny bits, that were spread on the amniotic membrane and affixed with the same biological glue,” said Palanisamy. He added, “The amniotic membrane (the sac in which a foetus develops) promotes stem cell multiplication and dissolves gradually. As the healthy stem cells multiply, the opaque cornea started clearing up and Omkar began regaining his vision. It will get better over the next three months.” Remembering the horror and frustration of the initial days after the accident, Omkar’s father Shivaji said, “We immediately splashed water into the eye and consulted an ophthalmologist who prescribed medicines and eye drops, but the condition of his eye only worsened with time, and led to a complete loss of vision. He could only see lights flashing. Now, he can see everything and even read.” WHAT IS SLET? Simple Limbal Epithelial Transplantation (SLET) is a procedure wherein limbal stem cells from the undamaged eye are transplanted to the damaged one to restore its vision. About five years ago, the process of multiplying the limbal stem cells was carried out in a petri dish. In 2012, doctors from the L V Prasad Eye Institute in Hyderabad were the first to carry out the procedure directly on the damaged eye.

Dad’s alertness saves infant twins’ eyes from rare cataract damage

The babies had cataract in both their eyes due to a congenital condition that affects five out of 10,000 live births

Since the babies' eyeballs are tiny, they will have to wear special spectacles till they are five years old.

For the past two months, the Agraharis were a worried lot. Their twin boys - born in October last year - had been detected with congenital cataracts in both eyes sometime in December, a condition that affects five out of 10,000 live births and leads to visual impairment if not detected early.

In fact, it was Sunit Agrahari, their father, who spotted the tell-tale spots of white in their eyes that kept getting bigger with time. Soon, Agrahari had ascertained that the twins were not reacting to light. "We could feel that something was amiss," said Agrahari, aresident of Vidyavihar.

If possible, the doctors at Fortis Hospital where Agrahari took his sons, Mihir and Manav, for treatment were even more on tenterhooks. Two month-old infants meant cataract surgeries on four eyes, scaled down to micro levels. The doctors decided to operate on the babies one by one, with a two-week gap between each eye.

"The babies had cataract in both their eyes, and that too in the centre, which was obstructing light. Had it not been treated, they would have been visually impaired," said Dr Anand Subramanyam, a vitreo-retinal surgeon who operated on them along with ophthalmologist Dr Girija Suresh, at Fortis.

"To avoid infection, we did one eye at a time and gave a considerable gap before performing the next. The surgeries were high-risk as the patients were so tiny. Administering anesthesia was difficult, but operating on such a small area in the eye was even more challenging," he said, adding that bilateral cataracts in twins was rare as well.

Doctors made a pair of tiny holes in each eye and used a surgical instrument to cut and aspirate the cataract. Then, a specialised instrument was used to make the keyholes miniscule which helped to avoid use of sutures.

Generally, an intraocular lens is implanted in adults who undergo cataract surgeries but since the babies' eyeballs are tiny, doctors have given them special spectacles which they will have to wear till they are about five years old.

"The only difficulty is ensuring that the babies are constantly wearing their spectacles," said Agrahari, adding that the surgeries cost him Rs 90,000.

According to Dr Nagendra Shah, an eye specialist with Bombay Hospital, congenital cataracts are generally caused due to poor antenatal care, infection in mother during pregnancy, poor hygiene. "The root cause may be genetic or hereditary," said Shah.

What is congenital cataract?

Cataract is clouding of the lens in the eye, affecting vision, and a congenital cataract occurs at birth. Medical experts say that 5 in per 10,000 live births may suffer from congenital cataracts, but not all expand and lead to visual impairment. 

Dr Aashish Arbat, Orthopedic Surgeon

Patient walks within 1 hours of knee replacement surgery

~ Dr Aashish Arbat, Orthopedic Surgeon adopts unique surgical and pain management approach to ensure Rapid Recovery After Surgery (RRAS) ~

Fortis Hospital has successfully performed total knee replacement surgery on 71 year old man from Kalyan. Dr Aashish Arbat, Knee & Hip Replacement Surgeon, Fortis Hospitals Kalyan performed the surgery on 71 year old Mr. Baburav Chaudhari who was suffering from end-stage knee osteoarthritis. Surgery was performed with minimal blood loss - a combination of advanced muscle sparing surgical exposure,  specialized mix of navigation techniques and patient-specific implants. Patient walks within 1 hour of knee replacement surgery without taking any support.

Mr. Baburav Chaudhary who works as a car driver since 1961 had a sudden pain in his right leg. His pain lasted for more than two month & was unbearable that he was not able to walk or go for work.

After going through his x-ray report Dr Arbat confirmed him end-stage knee osteoarthritis and suggested Knee replacement need in future. Family was aware of benefits of knee replacement surgery and decided to undergo surgery to get pain free life.

“Patient was very confident about his fast recovery; it does happen very few time when patient show confidence with doctor before doing knee or hip surgery“Says Dr Arbat.  This helped Dr Ashish Arbat, Joint Replacement Surgeon who has conducted several knee replacement surgeries that have enabled patients to walk within a few hours of the operation and recover with minimal pain after at Fortis Hospital in Kalyan.

Knee replacement surgery or knee arthroplasty involves replacing a damaged, worn or diseased knee with an artificial joint.

The most common reason for this surgery is severe osteoarthritis. Osteoarthritis is the leading cause of disability in India and affects over 15 million Indians every year. In addition to a rapidly ageing population, this most prevalent form of arthritis is becoming increasingly common among people in the age group of 35-55 years.

In usual knee replacement surgeries, post-operative pain is the biggest impediment to early discharge and recovery. Pain is also the most important reason why a large number of patients choose to endure the immobility rendered by severe osteoarthritis instead of getting their damaged joint replaced.

Dr Ashish Arbat, Knee & Hip Replacement Surgeon, at Fortis Hospital Kalyan, however, has crafted a unique approach to ensure Rapid Recovery after Surgery (RRAS). He combines:

·         Skin glue – All surgeries are stitch-free.

·         No drains – The bleeding is controlled before closing the wound instead of draining it after.

·         Catheter - It provides a low dose anesthetic directly to the area.

·         Common, non-drowsy pain medication – Crocin and Voveron

·         Extensive counseling – allowing patients to feel the implants, showing pictures of the surgery, familiarization with physiotherapy, free interaction with patients already admitted at the hospital, confidence-building

Minimally Invasive TKR using subvastus muscle sparing approach with rotating platform design PS 150 knee implant was used. In 20 min of post surgery Mr. Chaudhari was made to move his operated Rt.  Limb & about 1hr he was able to walk without anyone support. Normally it takes minimum 48 hrs to give such a type of physio activity &  3 weeks to make patient walk with full weight bearing. These kinds of patient with high level of motivation are fit to technique called “Rapid Recovery After Surgery (RRAS)”.  We counsel each and every patient before & after surgery and facilitate the entire rehabilitation program for the patient Says Dr Arbat