Dr Anil Heroor, consulting oncology surgeon at Fortis Hospital

Surgery helps woman avoid amputation, survives rare tumour

When 35-year-old Manisha Goyal (name changed) was told she would have to get her hand amputated, she lost all hope. She had a very rare tumour weighing 3kg attached to lungs and hand. But fortunately for her, she was operated on successfully at Fortis Hospital on Friday without having to lose her hand. Three years ago, the inflammation and pain Goyal suffered from on her left shoulder spread to her neck and underarm. After carrying out the required test, doctors at Fortis identified that she had desmoid fibromatosis, a rare tumour, and recommended amputation. According to doctors, a desmoid tumour—which is 0.03% of all tumours—usually develops in the stomach due to an injury. However, there was no such prior reason in Goyal’s case and the tumour had developed in her chest above her lungs. She was successfully operated at Fortis hospital without hand amputation. On consultation, several doctors had told her that amputating her arm was the only solution to rid her of her pain. For, not only was her tumour rare, but also difficult to operate on as it was attached to her lungs, including important blood vessels that supplied blood to her right arm, and extended to her wind pipe as well. However, Dr Anil Heroor, consulting oncology surgeon at Fortis Hospital in Mulun, said they decided to give surgery a chance. “We were very careful while segregating the nerves to ensure that her arm was still functional after the surgery. Luckily, we didn’t have to reconstruct any of the blood vessels. The surgery was successful without any hassle,” Dr Heroor said. Although the team had been able to save her nerves, Goyal still feels some weakness in her fingers, which Dr Heroor assured would be alright post-physiotherapy sessions. For now, Goyal must undergo radiotherapy sessions to reduce the risk of the tumour recurring.

Dr Ashish Arbat, orthopedic surgeon at Fortis Hospital

It’s never too late at age 93 for a new beginning

~ After being bedridden for more than a month and undergoing a successful total hip replacement surgery, 93-year-old Leo Kolge has got a new lease of life at Fortis Hospital ~

Kalyan, 2012 Dr Ashish Arbat, Knee & Hip Replacement Surgeon, Fortis Hospitals kalyan with his team has successfully performed total hip replacement surgery on a 93 year old man Mr Leo Kolge from kalyan. Who felt while walking and damage the hip joint. Surgery performed with minimal blood loss & a combination of advanced & specialized mix of navigation techniques and better patient-specific implants.

A resident of Kalyan, Mr Kolge tripped and fell a month and a half ago. However, he ignored the pain and remained bedridden during that period, and was needed urgent surgical treatment. Looking at the age, family was worried to take the decision. When they met Dr Ashish Arbat at Fortis Hospital Kalyan their confidence level increased and were confident taking decision of undergoing Hip replacement surgery.

Dr Ashish Arbat, orthopedic surgeon at Fortis Hospital said, “When Leo came to me, he was completely bedridden and he needed a hip replacement surgery. When we told him about the surgery and advance technology available to operate patient at this age, Family was readily willing to go under the scalpel, which was an assuring sign. We made the patient walk on day three after the surgery and he is doing fine.”

Kolge, who can now walk without any support, said, “I was totally bedridden and needed support. Since age was not on my side, a few doctors refused surgery. After the surgery, I am happy that I am back on my foot. Now I can walk alone to church”

“An older patient needs to be fit for a total hip replacement surgery. Total hip replacement surgeries are mostly done on patients aged between 55 and 80. It also depends on the bone condition of the patient and how fit s/he is” says Dr Arbat.

“Total Hip Replacement surgery was very complicated at this age & was successfully done with MIS (minimally invasive surgery); Minimal skin incision up to 4 inches. Special smaller instruments called MIS instruments were used in the surgery. Surgery took about 1 hour, and with expert anesthesia very less blood loss. Post surgery Leo was made to stand on 2^nd day & was discharged day 4, only on oral medicines. Physciotharphy execise was conducted at his home which made him to come walking to us by 3 weeks” says Dr Arbat.

Haresh Trivedi, Facility Director, Fortis Hospital, Kalyan Says “In today’s lifestyle everyone wants to be fit & fine to avoid further complications in their leading lifestyle without falling sick and to be away from pain, so they take all the efforts they can by regularly exercising and by following a healthy diet . If we see the past scenario, there was a time when people were afraid and avoid of going big surgeries and coming to the old age factor, the thoughts of going through the surgery was a mental trauma. They would prefer to bear the pain but will not go ahead for surgery for relieving the pain but the 21st century thought process bypassed all the old thoughts and people were open to accept new technologies which offers best care to their health if surgery required. Infact, they go one step ahead by doing research on the ailments and to get the best benefit out of it” 

“Earlier in India operating such old patient it was difficult or may be Dr’s were not confident to take the challenges. Doctor in abroad do regular surgeries on old ages have change the mind sets of Indian Dr. With latest technology Dr’s now confident to operate on such old ages” Said Trivedi

13 cm live worm removed at Fortis Hospital

Mosquito behind live worm in 75-yr-old’s eye

In a bizarre twist to one of the city’s rarest medical cases, test reports of the 13-cm-long live worm which was surgically removed from a Mulund resident’s eye last month confirmed that it was a parasite transmitted by a mosquito-bite. What has surprised doctors even more is that the parasite, Dirofilaria Repens, which is usually found in dogs, wolves, cats or foxes, is rarely transmitted to humans.

On June 28, Mumbai Mirror reported a rare operation performed at Fortis Hospital, Mulund, to remove a 13-cm worm from P K Krishnamurthy’s eye.

For two weeks, Krishnamurthy, 75,  was suffering from an odd prickling sensation in his right eye. Following an examination, Krishnamurthy was told there was a worm in his eye and that he would have to undergo surgery. The worm was coiled up underneath the conjunctiva (the transparent layer that covers the front of the eye). The surgery lasted 20 minutes.

The pathology tests of Krishnamurthy’s case were conducted at the Fortis Hospital’s microbiology department and reports were issued on Tuesday. “It is extremely rare for these parasites to take humans as hosts. But mosquitoes are the known vectors (carriers) which transmit these parasites to humans,” said eye surgeon Dr V Seetharaman. “There have been cases of worms measuring 9 cms, but this case was an exception,” he added.

Dr Seetharaman is now documenting the case with video recordings and tests reports for publication in international medical journals. According to him, such cases are usually found in European countries surrounding the Mediterranean. In India, very few cases, from Karnataka and Kerala, have been reported.

According to Dr Seetharaman, an infected cat or dog might have led to the infection through a mosquito-bite. However, Krishnamurthy, is clueless as to how he acquired the parasite as he has no pets nor comes in close contact with stray dogs or cats.

Mosquito behind live worm in 75-yr-old’s eye

13cm live worm removed from 75 yr old man at Fortis Hospital In a bizarre twist to one of the city’s rarest medical cases, test reports of the 13-cm-long live worm which was surgically removed from a Mulund resident’s eye last month confirmed that it was a parasite transmitted by a mosquito-bite. What has surprised doctors even more is that the parasite, Dirofilaria Repens, which is usually found in dogs, wolves, cats or foxes, is rarely transmitted to humans. On June 28, Mumbai Mirror reported a rare operation performed at Fortis Hospital, Mulund, to remove a 13-cm worm from P K Krishnamurthy’s eye. For two weeks, Krishnamurthy, 75, was suffering from an odd prickling sensation in his right eye. Following an examination, Krishnamurthy was told there was a worm in his eye and that he would have to undergo surgery. The worm was coiled up underneath the conjunctiva (the transparent layer that covers the front of the eye). The surgery lasted 20 minutes. The pathology tests of Krishnamurthy’s case were conducted at the Fortis Hospital’s microbiology department and reports were issued on Tuesday. “It is extremely rare for these parasites to take humans as hosts. But mosquitoes are the known vectors (carriers) which transmit these parasites to humans,” said eye surgeon Dr V Seetharaman. “There have been cases of worms measuring 9 cms, but this case was an exception,” he added. Dr Seetharaman is now documenting the case with video recordings and tests reports for publication in international medical journals. According to him, such cases are usually found in European countries surrounding the Mediterranean. In India, very few cases, from Karnataka and Kerala, have been reported. According to Dr Seetharaman, an infected cat or dog might have led to the infection through a mosquito-bite. However, Krishnamurthy, is clueless as to how he acquired the parasite as he has no pets nor comes in close contact with stray dogs or cats.

Doctor pulls 13cm live worm from man's eye at Fortis Hospital Mumbai

MUMBAI — A doctor in India has pulled a live 13 centimetre-long worm from the eye of an elderly patient who was complaining of persistent pain in an operation reminiscent of a far-fetched alien movie plot. When Dr V. Seetharaman examined 75-year-old patient P.K. Krishnamurthy at Mumbai's Fortis Hospital this week, the eye expert was shocked by the highly unusual sight of the writhing parasite and had to operate speedily to remove it before serious damage was caused. "It was wriggling there under the conjunctiva," Seetharaman told AFP, referring to the thin membrane lining the eye. "It was the first time in my career of 30 years that I had seen such a case." Krishnamurthy had been suffering for more than two weeks with redness and irritation before the doctor pin-pointed the threadlike creature under a microscope on Wednesday. "He was also confused and very much disturbed," said Seetharaman. The specialist removed the 13-centimetre (five-inch) worm by making a small opening in the conjunctiva -- a 15-minute operation that was observed by the patient's horrified wife, Saraswati. "It just kept moving and jumping; it was scary for a bit," she told the Mumbai Mirror. The patient was relieved of his symptoms while the worm, which was alive for another 30 minutes after surgery, was sent to the hospital's microbiologists to be identified. Seetharaman had previously only heard of worms of about two to three centimetres being removed. "Probably this is a record," he said. He suggested the creature could have entered the patient from a cut in his foot or from eating raw or improperly cooked food, before entering the bloodstream and travelling to the eye. "If the worm was not removed it could have gone into the layers of the eye and caused visual loss," he said. "It could have entered the brain and caused major neurological problems." Dr S. Narayani, the hospital's medical director, agreed it was an extremely rare case. "We have a very active ophthalmology department and we have not come across a case like this in the last 10 years," she said.

Fortis Foundation Creates New Guinness World Records™ of 3039 people

...............................(L-R) Nikhil Shukla, Guinness World Records™ India representaMr. Ashish Bhatia, Chief Operating Officer (COO), Mr. Varun Khanna, Regional Director – East & West, ManpreetSohal, Zonal Head ................................................................................................ Vashi (Navi Mumbai), 22nd June 2012: Thousands of school kids today 22nd June 2012 rewrote the record books creating a new Guinness World Records™ for ‘the highest number of people sanitizing their hands simultaneously at a single venue’. The record achievement was attempted at Centre One Mall, Vashi in Navi Mumbai by 3039 total participants, including 2848 kids from 19 schools who accounted for the dominant count. This splendid mass awareness campaign entitled; ‘Clean Hands To Save Life ™’, is a tailored-made, far-reaching, one-of-its kind SIX STEP OF HAND WASH crusade organised by Fortis Foundation in association with the Navi Mumbai District Lions International, Fortis Hiranandani Hospital, Vashi, Navi Mumbai Association of Paediatrics and Indian Association of Occupational Health, Thane and Raigad branch. The record breaking feat was a result of a combined effort by enthusiastic, eager-to-learn students, teachers, community leaders from diverse social backgrounds and strata; to come together to highlight the need and consequence of hand hygiene in maintaining good all-round health. The exclusive event was witnessed by Mr. B B Nayak, a multiple holder of Guinness World Records™, Music Maestro Shri. Shankar Mahadevan and the Guinness World Records™ India representative Mr Nikhil Shukla. Nikhil Shukla, Guinness World Records™ India representative Says “Fortis Foundation today has made a new record of 3039 people to be the most people sanitizing their hands simultaneously. Breaking the prevision record of most people sanitizing their hands simultaneously of 2,258 which was achieved by Kaiser Permanente, San Diego (USA) at the Town and Country Hotel in San Diego, California, USA, on 28 September 2011” Mr. Varun Khanna, Regional Director – East & West said, “Large sections of the country’s population have the ‘misconception’ that they do not need to wash their hands which apparently looks clean and will not make them sick. The Clean Hands To Save Life ™ campaign is an attempt to create a platform to tutor students, parents and teachers and the community as a whole. Programs for creating an awareness of hand hygiene is long term activity and would help to educated more than 50,000 kids in the city. Fortis Foundation’s various initiatives educating the children to help themselves to be away from various diseases will support parents to keep kids healthy.” Mr. Ashish Bhatia, Chief Operating Officer (COO), Fortis Healthcare, said: “Clean Hands To Save Life™ is planned to be a national and later an international campaign by Fortis Foundation and we will impact the behavioral pattern of millions of kids worldwide. Our parents taught us how to brush our teeth and massage our gums, we do it today too. However, seldom few parents taught us to brush teeth before going to sleep! Many of us as adults hence don’t brush teeth before going to bed. This impactful training on ‘Six steps of hygiene’ wash by parents today will make a an impact on the next generation” Dr Subash Rao, Secretary, Navi Mumbai Association of Paediatrics said, “Our association with this campaign is primarily driven out of the increased need to educate parents on prevention of highly contagious diseases like typhoid, diarrhea, hepatitis A, and upper respiratory tract diseases. These diseases have seen a rapid rise over the last few years because of urban population’s direct negligence to hand hygiene. According to India’s public health association statistics only 30 percent of Indian populations wash their hands before preparing food, 38 percent wash their hands before eating and just over 53 percent of the country’s populations wash their hands after defecating”. “Clean Hands To Save Life™ is the three-phased campaign that was kick-started with drives to train teachers and school kids, corporate employees along with public awareness campaigns from June 13, 2012. Apart from the partnering schools we received inspiring response from our public contact programmes at Vashi railway station on June 13 and 14, 2012. The corporate contact programmes for creating an awareness of hand hygiene among parents are underway and will be conducted across 100+ corporate entities till September 30, 2012. The awareness drive in the various schools across Navi Mumbai was conducted from June 18 to 21. We will ensure that initiative Fortis Foundation has taken will be great success for community,” said Manpreet Sohal, Zonal Director Mumbai, Fortis Healthcare, Vashi.

Dr Hasmuk Ravat, Cardiologist Fortis Hospital - Valentine Day