8 Jun 2010 09:00 Africa/Lagos
Heart & Liver Surgery Without a Break Gives a New Lease of Life to 63 Year Old Nigerian at Fortis Hospitals
MUMBAI, India, June 8, 2010/PRNewswire/ -- Adding another feat to the history of cardiothoracic surgery at Fortis Hospitals Bangalore, the team of experts led by noted Dr. Vivek Jawali, Chief Cardiothoracic Surgeon and Dr. Ramcharan Thiagarajan, Consultant Surgical GI & Hepato-Pancreatic Biliary Surgoen has performed a combined cardiac bypass and liver tumor surgery on a 63 year old Nigerian.
This is one the most rare and complicated case where a patient underwent a cardiac bypass and a liver surgery at the same time. Mr. Saidu Abubarkar, retired Executive Director of Nigerian Television Authority had visited Fortis Hospitals Bangalore couple of months ago for a cardiac consultation. He was diagnosed to have coronary artery disease with severe left ventricular dysfunction and had 6 blockages and was recommended for a bypass surgery. During his preoperative evaluation he was diagnosed to have compensated liver disease with a malignant tumor in the right lobe of the liver. He was known to be positive for Hepatitis B virus for which he was advised to take antiviral medication. The elevated liver marker was suggestive of Liver cancer and was advised for a liver resection.
"This is a very risky and complicated situation where the patient's heart was weakened with 6 blockages, he was hypertensive, diabetic, cirrhotic liver and had liver tumor. We had to carefully understand and evaluate Mr. Saidu's case to ensure that he receives the appropriate treatment and both his liver and cardiac problem was taken care of" said Dr. Vivek Jawali.
"We have done many combined cardiac surgeries in the past, but a cardiac bypass and a liver surgery of his nature is to my knowledge is one of its kind in our country. Both the surgeries were high risk surgery and to perform both in the same sitting was a challenge which our team took and successfully accomplished" added Dr. Vivek Jawali.
"The tumor was resting deep inside and back of the liver and due to its location he was not a candidate for other palliative options and surgery was the best option. The liver had cirrhosis on visual examination. About 20 - 25% of his liver was resected along with the tumour completely with adequate surgical margin. However since his liver is already affected by Hepatitis B and has cirrhosis, he has to ultimately get a liver transplant at a later stage" said Dr. Ramcharan Thiagarajan.
"The advantages of the combined surgery are that the patient need not have to wait to recover from his heart surgery and then go through rigmarole of major liver surgery and recover again, faster recovery, financial benefit of one surgery rather two and he need not have to worry about the spread of Liver cancer during the waiting time. With the clinical expertise and facilities available at our institution, we were successful in handling the criticality of the situation and perform both the surgeries without much blood loss and help the patient recover at the earliest" added Dr. Ramcharan.
"I visited Saudi Arabia, Egypt, South Africa and London apart from doctors in Nigeria. Some doctors told me my condition was too critical and surgery would be risky for me. Learning about the expertise available at Fortis Hospitals India we knew it was the perfect choice for my treatment. I am thankful to the doctors at Fortis Hospitals and wish to come here for any further medical treatment if required" said Mr. Saidu.
Media Contact:
Priyam Bortamuli
Fortis Hospitals Ltd.
Mobile - +91-984555-8559, landline - +91-080-66139900, extn - 910
Email - priyam.bortamuli@fortishopitals.in
enquiries@fortishospitals.in
Source: Fortis Hospitals Ltd.
Media Contact: Priyam Bortamuli, Fortis Hospitals Ltd. Mobile - +91-984555-8559, landline - +91-080-66139900, extn - 910, Email - priyam.bortamuli@fortishopitals.in, enquiries@fortishospitals.in
Releases displayed in Africa/Lagos time
9 Jun 2010
05:32
Bill Gates dédicace un ballon de football au Nigeria en soutien à l'éradication de la polio en Afrique / Les Rotary clubs du Nigeria et d'Afrique unissent leurs efforts alors que le ballon achève son périple de quatre mois à travers le continent africain.
8 Jun 2010
21:05
Bristow Group Announces Departure of Elizabeth Brumley, Chief Financial Officer
17:33
Pan para el Mundo Destaca los Progresos y Fracasos de los Países Africanos, A pocos días del mundial
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Bread for the World 'Report Card' Highlights African Countries' Progress and Failures
14:00
20 Operators Team With Alcatel-Lucent to Bring Fast, Lower-Cost Broadband Connectivity in Africa With a New 17,000 km Submarine System
09:00
Heart & Liver Surgery Without a Break Gives a New Lease of Life to 63 Year Old Nigerian at Fortis Hospitals
08:00
England on the Drift but Betfred Offer England Fans Insurance
05:54
Bill Gates signs football in Nigeria to support final push to kick polio out of Africa / Rotary clubs in Nigeria and across the continent unite as ball's 4-month journey comes to a close in Egypt
05:55
Bill Gates firma un balón en Nigeria para apoyar el último esfuerzo para erradicar la polio de África / Al aproximarse el final del trayecto del balón en Egipto, los clubes rotarios de Nigeria y del resto del continente unen sus esfuerzos
Showing posts with label Bangalore. Show all posts
Showing posts with label Bangalore. Show all posts
Wednesday, June 9, 2010
Tuesday, January 19, 2010
Nigerian Baby Undergoes Major Open Heart Surgery in Bangalore
19 Jan 2010 10:33 Africa/Lagos
2-Year-old Baby With Complex Heart Deformity Undergoes Major Open Heart Surgery at Wockhardt Hospitals, Bangalore - (now a Network Hospital of Fortis) Without any Blood Transfusion
BANGALORE, India, January 19/PRNewswire/ --
- Faith by Their Side, This Case Challenged Medical Excellence
A team of cardiac experts led by Dr. N S Devananda, Consultant Cardiac Surgeon, Wockhardt Hospitals, Bangalore (Now a Network Hospital of Fortis) has performed a major open heart surgery on a 2-year-old baby from Nigeria. Baby Brendan was suffering from congenital heart defect called - Tetralogy of Fallot or complex blue baby syndrome.
"Baby Brendan was brought to us in a condition which was complicated and need surgical intervention to correct the anomaly. In this syndrome the pure and impure blood gets mixed in the heart and the amount of blood flow to the lungs is decreased. It is the most common complex heart defect, representing 55-70%, and the most common cause of blue baby syndrome. It can prove fatal if it is not treated in time," said Dr. N S Devananda, Consultant Cardiac Surgeon, Wockhardt Hospitals, Bangalore (Now a Network Hospital of Fortis).
The other bigger challenge which came before the surgery was the fact that the baby's parents belonged to the Jehovah Witness community and as per their religious belief they oppose to any form of transfusion of blood and any blood products however they could accept other from of treatment. This made the case all the more complicated.
"Babies with Tetrology of Fallout have two treatment options - the first is palliative where no open heart surgery is done and the defect is treated with shunt operation. The second is complete repair - which is definitive treatment where the patient undergoes an open heart surgery with a heart lung machine. In the case of Baby Brendan we obviously chose the second option due to its curative value. But the problem we faced was that the heart lung machine requires 500 ml of blood by itself to drive away the air and still haemoglobin at acceptable level. The challenge was with the baby weighed only 11 kgs and his blood volume was 800 - 900 ml and to conduct an open heart proved difficult without additional usage of blood" said Dr. Devananda.
The team devised many things technically to make operative time shorter and do the best possible ways so that re-operation or re-exploration can be avoided and the ICU stay is reduced. The heart lung machine circuit was modified in such a way that total priming volume was reduced to the least possible; the haemo-filteration technique was used in such a way that excess water from the body is removed and it gives back the RBC's to the body. We also had to reduce the sampling to the least possible for various tests.
"We did everything technically possible to reduce the requirement of blood. With all these modifications the baby underwent the open heart surgery and was out of ICU within 24 hours and is flying back to his native on the 7th post operative day. In an era where a lot of talking is happening around blood transfusion and adults have been undergoing surgery without blood transfusion, the same thing on a child is quite complicated. However with technical modification and surgical skills it is definitely possible and should be encouraged so that no child from the community remains untreated" said Dr. Devananda.
Brendan can live an active life like any other child of his age as this is a one time complete correction and his post op ECHO is satisfactory.
Brendan's mother Ettieh's faith in Jehovah has strengthened after this incident. She says, "Everybody should give proper attention to their child and keep monitoring the health of the baby time and again. Till one year when Brendan was not keeping too well and was not gaining weight we got very concerned and kept taking to the local physicians in Nigeria. However nobody could give us a proper answer to his continuous ill health until last year August, 09 Brendan complained of breathlessness and pain on his left chest. A thorough examination indicated that my baby has some heart complication which needed to be treated immediately. Being a member of the Jehovah Witness community our challenge was to take Brendan to the right hands where surgery was possible without using blood transfusion. That's when one of our friends at Nigeria who knew about Wockhardt Hospitals, Bangalore (Now a Network Hospital of Fortis) and their expertise in performing surgery without blood transfusion suggested us and we finally decided to fly Brendan down here for treatment. Initially when we decided to come to India for treatment I was engulfed with mixed feelings, but with the kind of care and response we received here I was quite confident that I have brought my baby to the right place."
For more information please contact:
Priyam Bortamuli
PR & Communication
Wockhardt Hospitals, Bangalore - Now a Network Hospital of Fortis
Mobile - +91(0)984555-8559
Email: priyam.bortamuli@fortishospitals.in
http://www.wockhardthospitals.net/
Source: Wockhardt Hospitals Bangalore (Now a Network Hospital of Fortis)
For more information please contact: Priyam Bortamuli, PR & Communication, Wockhardt Hospitals, Bangalore - Now a Network Hospital of Fortis, Mobile - +91(0)984555-8559, Email: priyam.bortamuli@fortishospitals.in
2-Year-old Baby With Complex Heart Deformity Undergoes Major Open Heart Surgery at Wockhardt Hospitals, Bangalore - (now a Network Hospital of Fortis) Without any Blood Transfusion
BANGALORE, India, January 19/PRNewswire/ --
- Faith by Their Side, This Case Challenged Medical Excellence
A team of cardiac experts led by Dr. N S Devananda, Consultant Cardiac Surgeon, Wockhardt Hospitals, Bangalore (Now a Network Hospital of Fortis) has performed a major open heart surgery on a 2-year-old baby from Nigeria. Baby Brendan was suffering from congenital heart defect called - Tetralogy of Fallot or complex blue baby syndrome.
"Baby Brendan was brought to us in a condition which was complicated and need surgical intervention to correct the anomaly. In this syndrome the pure and impure blood gets mixed in the heart and the amount of blood flow to the lungs is decreased. It is the most common complex heart defect, representing 55-70%, and the most common cause of blue baby syndrome. It can prove fatal if it is not treated in time," said Dr. N S Devananda, Consultant Cardiac Surgeon, Wockhardt Hospitals, Bangalore (Now a Network Hospital of Fortis).
The other bigger challenge which came before the surgery was the fact that the baby's parents belonged to the Jehovah Witness community and as per their religious belief they oppose to any form of transfusion of blood and any blood products however they could accept other from of treatment. This made the case all the more complicated.
"Babies with Tetrology of Fallout have two treatment options - the first is palliative where no open heart surgery is done and the defect is treated with shunt operation. The second is complete repair - which is definitive treatment where the patient undergoes an open heart surgery with a heart lung machine. In the case of Baby Brendan we obviously chose the second option due to its curative value. But the problem we faced was that the heart lung machine requires 500 ml of blood by itself to drive away the air and still haemoglobin at acceptable level. The challenge was with the baby weighed only 11 kgs and his blood volume was 800 - 900 ml and to conduct an open heart proved difficult without additional usage of blood" said Dr. Devananda.
The team devised many things technically to make operative time shorter and do the best possible ways so that re-operation or re-exploration can be avoided and the ICU stay is reduced. The heart lung machine circuit was modified in such a way that total priming volume was reduced to the least possible; the haemo-filteration technique was used in such a way that excess water from the body is removed and it gives back the RBC's to the body. We also had to reduce the sampling to the least possible for various tests.
"We did everything technically possible to reduce the requirement of blood. With all these modifications the baby underwent the open heart surgery and was out of ICU within 24 hours and is flying back to his native on the 7th post operative day. In an era where a lot of talking is happening around blood transfusion and adults have been undergoing surgery without blood transfusion, the same thing on a child is quite complicated. However with technical modification and surgical skills it is definitely possible and should be encouraged so that no child from the community remains untreated" said Dr. Devananda.
Brendan can live an active life like any other child of his age as this is a one time complete correction and his post op ECHO is satisfactory.
Brendan's mother Ettieh's faith in Jehovah has strengthened after this incident. She says, "Everybody should give proper attention to their child and keep monitoring the health of the baby time and again. Till one year when Brendan was not keeping too well and was not gaining weight we got very concerned and kept taking to the local physicians in Nigeria. However nobody could give us a proper answer to his continuous ill health until last year August, 09 Brendan complained of breathlessness and pain on his left chest. A thorough examination indicated that my baby has some heart complication which needed to be treated immediately. Being a member of the Jehovah Witness community our challenge was to take Brendan to the right hands where surgery was possible without using blood transfusion. That's when one of our friends at Nigeria who knew about Wockhardt Hospitals, Bangalore (Now a Network Hospital of Fortis) and their expertise in performing surgery without blood transfusion suggested us and we finally decided to fly Brendan down here for treatment. Initially when we decided to come to India for treatment I was engulfed with mixed feelings, but with the kind of care and response we received here I was quite confident that I have brought my baby to the right place."
For more information please contact:
Priyam Bortamuli
PR & Communication
Wockhardt Hospitals, Bangalore - Now a Network Hospital of Fortis
Mobile - +91(0)984555-8559
Email: priyam.bortamuli@fortishospitals.in
http://www.wockhardthospitals.net/
Source: Wockhardt Hospitals Bangalore (Now a Network Hospital of Fortis)
For more information please contact: Priyam Bortamuli, PR & Communication, Wockhardt Hospitals, Bangalore - Now a Network Hospital of Fortis, Mobile - +91(0)984555-8559, Email: priyam.bortamuli@fortishospitals.in
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