Our Bone and Joint care at Mumbai and Bangalore has been a center of ,excellence in Joint Replacements and Orthopedic Treatments.Our Bangalore and Mumbai centers are equipped to treat all types of muscular-skeletal problems ranging from Orthopedic Trauma Surgery to Minimally Invasive Arthroscopic Surgery. The hospital also specializes in surgery for joint replacements, sports medicine, ligament repair, knee surgery, spine surgery and physical therapy for rehabilitation.
Wockhardt Hospitals Bone & Joint Care has complete technology and advanced skills to perform Microscopic Lumber & Cervical Discectomy, Endo-scopic Spine Surgery and Arthroscopic surgeries such as Ligament Reconstruction in the knee, Subacromial Decompression in the shoulder.
Some of our Medical Breakthroughs in Bone and Joint Care include
1)We were the first hospital chain in Western India to perform Hip Resurfacing or Surface Replacement
2)We are the first hospital in India to perform mobile bearing Hi-flex Uni Knees (Half Knee Replacement )
3) Wockhardt Hospital was among the first Hospital to have performed India's first bilateral knee replacement surgery. In a bilateral knee replacement, both the knees are replaced in the same surgery which is performed on the same day.
4)Among the first Hospital to have performed India's first Birmingham Hip resurfacing: Unlike a total hip replacement (THR), the BIRMINGHAM HIP resurfaces the joint. The worn cartilage and damaged first layer of bone are removed and a fresh, low-wearing metal surface is installed.
4)We are Credited performing the largest number of "tissue preserving joint replacement surgeries".This is a technique where by making a superior incision, rather than a posterior incision, neither the posterior hip capsule, nor the gluteus medius or minimus are dissected. This results in improved post-operative results in the form of less dislocations and better healing.
5)Doctors at Wockhardt Hospitals was successful in treating 'synovial chondromatosis'where 98 small pieces of loose bones, ranging from 5 mm to 40mm, in the Knee Joint removed from a 60 year old woman.
to schedule an appointment with our Bone and Care doctors,please email us at enquiries@wockhardthospitals.net
~Faith by His Side, This Case Challenged Medical Excellence~
A complicated beating heart surgery was performed by the cardiac team at Wockhardt Hospitals.Mulund,Mumbai on a 59 year old patient without blood transfusion. Mr. Kabilar a resident of Kalyan had successfully undergone an emergency beating heart bypass graft surgery without receiving a single drop of transfused blood. The surgery was performed by Dr. Ajay Chaugale, Consultant Cardiovascular Surgeon, Wockhardt Hospitals and his team.
Mr. Kabilar was suffering from a coronary artery disease, leaving his heart with a capacity to pump blood only up to 20 percent ejection fraction. In addition to this, he was a diabetic (type II) and suffered low weight. His hemoglobin count was a discouraging 8.5 gm/dL as against the standard count of 13-15 gm. “The patient was required to undergo Coronary Artery Bypass Graft (CABG) procedure to enhance the blood pumping ability of the heart. The patient was ready to check options available for treatment, but was firm about not accepting blood, however much the quantity,” explains Dr. Ajay Chaughule, Cardiovascular Surgeon, Wockhardt Hospitals addressing the press meet.
The fact that Mr. Kabilar is a member of Jehovah Witness and as per their religious belief they oppose blood transfusions made the case all the more complicated. “The case of this patient presented with several complications and serious potential risks was far more challenging to treat when compared to any other patient with similar complications,” said Dr. Bharesh Dedhia, Chief Intensivist, Wockhardt Hospitals.
Under normal circumstances doctors generally look into the possibility of conserving blood when operating and one way of blood saving procedure known as autologus blood transfusion. In this procedure, a required quantity of blood is drawn from the patient prior to the surgery. The blood is preserved and then transfused back into the person, should there be a need for it in the course of a certain surgical procedure. These procedures also aid in conserving the patient’s blood in terms of hemoglobin counts” explained Dr. Ajay Chaugale.
Being a staunch believer of his religion, the Mr. Kabilar was not even ready for an autologus blood transfusion. So the next option the doctors suggested to him was `Cell Saver’ technique. In this procedure the blood that is lost during the surgery can be sucked and purified in order to extract the patient’s RBC that can be given back to the patient.
“The Cell Saver technique could have been a good option to consider for the patient’s CABG (Coronary Artery Bypass Graft) procedure, but what came in the way this time around was the high cost. The technique did not seem financially viable for the patient. The challenges to get everything working in his favour were many” said Dr. Ajay Chaugle.
The next best alternative was to put the patient under therapeutic agents (hematenics) to increase hemoglobin concentration and to enhance the overall quality of the patient’s blood. According to Dr. Ajay Chaugle “We put the patient on hematenics for about a month and the results were quite encouraging, his hemoglobin count jumped from 8.5 gm/dL to 11 gm/dL within a month.”
With his hemoglobin counts encouraging, doctors decided to go ahead with a beating heart surgery for Coronary Artery Bypass Graft (CABG). As the name suggests, the surgery is performed without stopping the heart. A special device stabilizes the part of the heart that gets being operated upon. In beating heart surgeries, blood circulation to the heart muscles is not modified. Predictably, the risk of complications associated with temporarily stopping and restarting the heart function and the complicated arising from blood flowing through (fusion )
The biggest advantage of Beating Heart CABG are
• No wear and tear of blood components, and
• Less chances of further complication.
The more common conventional CABG surgery is performed on a stopped heart. The heart is temporarily made to stop beating by administering a special solution – cardioplegia – every 25 minutes during the surgery. The functions of the heart and the lungs are isolated with a Cardio Pulmonary Bypass Machine (heart-lung machine). With the blood flowing to the oxygenator through this machine comprising several tubes, the blood cells may be subjected to some wear and tear. Complications can arise following injury to the blood cells.
But all that and more was shelved in the case of this patient and more importantly, accomplished without blood transfusion despite complications in the patient. The three-hour Beating Heart CABG was performed successfully and the patient was discharged after 3rd post operative day. “Surgeries on members of the Jehovah Witness community have been performed in the past, but it was the complication and the risk associated with this patient that made this case a rare one,” says Dr. Ajay Chaughule.
Doctor's Name :Dr Belan N Kedia M. D. (Gyn/Obs), D. G. O. Gynaecological Laproscopic Surgeon
Dr. Bela Kedia is a well trained Gynaecologist and Obstetrician from Mumbai University. She trained from Wadia Maternity Hospital, which is affiliated to KEM. Hospital – a premier Medical Centre of our country.Her areas of interest include Minimally invasive Gynaecological surgery, which includes laproscopy ,Hysteroscopy and Microsurgery, and has been practicing Minimal Access Surgery since 1996 and has been involved in over 1000 surgeries
Dr Belan also worked at the following centers at USA:
Pennsylvania and Columbia University with Dr. Harry Reich Dr. Herbert Goldfarb Centre for minimally invasive Gynaecology
Honors and awards
1. Sliver Medal at DGO Exam – CPS Board. 2. N. D. Patel Scholarships in Surgery – KEM Hospital. 3. P. G. Merit Scholarship – Mumbai University for Postgraduate Studies in Gynaecology
OPD Schedule for Dr Belan Kedia at Wockhardt Hospital,Mulund Mumbai
Monday :9am to 1pm Wednesday :9am to 1pm Saturday 9am to 1pm
You can also email us at enquiries@wockhardthospitals.net for scheduling an appointment
Doctor's Name :Dr.Mandakini Parihar Gynecologist & Fertility Specialist M.D. DGO
Dr. Mandakini Parihar brings to Wockhardt Hostpital a vast experience in infertility treatement. She did her training in Reproductive Endocrinology at the University of Texas Medical School, USA. She returned to India and started Fertility Clinic and IVF Centre. During her stay at USA, she has received extensive training in Endoscopic surgeries and has further attended Advanced Laparoscopic and Hysteroscopic training in USA, UK Germany and The Netherlands.
Dr Mandakini is regularly invited at national and international conferences as faculty and has numerous presentations and publications to her credit. She is also the editor of 5 books. She is an under - graduate and post graduate teacher. She is also the All India Chairperson of Family Welfare Committee of FOGSI (The Federation of Obstetric & Gynaecological Societies of India).
Her Surgical Expertise includes
Gynaecological Laparoscopic Surgeries including Laparoscopic hysterectomy, myomectomy, ovarian cysts. Endometcriosis, adhesiolysis etc.
Hysteroscopic surgeries including Endometrial Resection, Septum resection etc. Successful & Fully Equipped IVF Centre offering all forms of Assisted Reproduction including IVF, ICSI, IUI, Assisted Hatching Etc.
Honours & Awards
Dr. Kumud Tamaskar Research Prize of best original work in Infertility. Dr. D.K Datta Prize for the best book of the year. Dr. C.S Dawa Prize for the best original paper in Infertility.
OPD Schedule
Tuesday : 9am to 11am Thursday:9am to 11am
You can also email us at enquiries@wockhardthospitals.net for scheduling an appointment
Dr. Venkatesh S, MD, DM,Consultant Cardiologist Wockhardt Hospitals,Bangalore shares his thoughts on the "Risks of heart diseases and stroke for diabetic patients"
To have diabetes mellitus or Pre diabetes (a condition where blood sugar levels are high but not high enough to be labeled as diabetes) increases your risk of heart disease and stroke. According to medical research two out of three diabetic people die form heart disease or stroke.
Diabetes is a condition caused when the body fails to produce enough insulin or when there is resistance to the action of circulating insulin. Insulin is a hormone produced by the pancreas (a gland behind the stomach), that is required by the body to move glucose from the blood stream into the cells of the body where it converted into energy.
The human body converts digested food into energy that sustains the cells in the body. Most of the food we eat is broken down into glucose (a form of sugar) and dispersed into the blood stream to be used as energy. When there is deficiency of insulin the cells in the body fail to get the required energy resulting in a build of glucose in the blood stream and hence the cells starve when there is not energy in the body.
High glucose levels in the blood can lead to several complications and disorders such as heart disease & Stroke. It left uncontrolled there could be several other complications i.e. Blindness, kidney failure and amputations of the limbs caused by damaged arteries.
Diabetes and the Risk of Heart Disease and stroke
High blood sugar over a period of time leads to damaged nerves and blood vessels. There is hardening of the blood vessels and increased deposit of cholesterol on their walls – a process termed as atherosclerosis. Atherosclerosis can lead to narrowing of the blood vessels and also causes increased tendency for clot formation within. These two processes are the ones responsible for most heart attacks and strokes.
A Diabetic patent is twice as likely of having heart disease or stroke as compared to a normal person. Diabetic patents tend to develop heart disease and stroke at a younger age than people without diabetics. People with diabetics are also more likely to have a second heart attack as compared to healthy people. Women with diabetes are also at a much higher risk of developing heart disease and stroke. Heart attacks in diabetic patents are generally more serious and complex and are more likely to be fatal.
Ways of Preventing of Hearti Risks in a Diabetic Patient
• Since diabetes is a chronic disease that can only be controlled it is very important to stick to the advice given by the doctor and to take your daily dose of medication at the right times. Go for regular check ups and monitor your pressure and blood sugar regularly.
• Stick to a healthy diet – plan your diet with your doctor and stick to it. Diabetics require a diet that provides the necessary calories, fiber and protein Care should be taken to avoid the intake of sugar, saturated fats and food with high cholesterol
• Regular Exercise – follow a program that optimizes your physical activity, follow exercise routines and walk at least 45 minutes a day (consult your doctor before starting any exercise routine)
• Quit smoking - it could be the worst thing for you
Some Symptoms of an Impending Heart Diseases
• Common Symptoms for heart disease o Chest pain or discomfort o Pain that runs down the arms o Pain in the neck and stomach o Excess breathlessness or perspiration even after short exertion o Nausea and dizziness
In Women the symptoms may be very subtle and difficult to diagnose. A regular check up is very essential.
Common Symptoms for Stroke
o Sudden severe headache o Weakness an numbness that comes on suddenly o Disorientation and confusion or sudden difficulty in recognizing people and speaking o Dizziness and loss of balance o Blurred and double vision
If you have the above symptoms it is of utmost importance that you receive treatment at the earliest. Remember the earlier the heart attacks and strokes are recognized the more effectively they can be treated and complications prevented. Delay in treatment can result in loss of life. So, if there is a suspicion that you or someone around you is having a heart attack or stroke, immediately seek medical help. Keep important telephone numbers and emergency numbers always at hand.
Summarizing, diabetes is a chronic disease which can throw up sudden surprises in the form of heart attacks and strokes. Good control of diabetes helps prevent these conditions. Periodic monitoring, regular diet and exercise and strict adherence to the doctors’ treatment is of paramount importance. If symptoms and signs of heart attack or stroke are noticed, getting medical help quickly can make a difference between life and death.
To Do For keeping Heart Risks at Bay
Maintain a healthy blood pressure for people with diabetes, this means less than 130/80.. Medication may be necessary for this
Get your cholesterol tested regularly and, if needed, take medication to lower it. Your LDL-cholesterol levels should be under 100mg/dl.
For consultation with our Doctors at Wockhardt Hospitals, please email us to enquiries@wockhardthospitals.net
The theme of World No Tobacco Day 2009,which is observed on 31st May is "Tobacco Health Warnings", with an emphasis on the pictorial warnings on the cigarette pack. These warnings have been shown to be particularly effective at making people aware of the health risks of tobacco use and convincing them to quit. More and more countries are fighting back against the epidemic of tobacco by requiring that packages of tobacco show the dangers of the product's use and also passing a law that bars selling tobacco to anyone below 18.
Inhaling the facts : Statistics on Tobacco use
A 2004 Study by the CDC's National Center for Chronic Disease Prevention and Health Promotion found that cigarette smoke contains over 4,800 chemicals, 69 of which are known to cause cancer.
Women account for 39 percent of all smoking deaths.
Pregnant women pass any chemicals they take in (from food, tobacco, alcohol and so on) to their unborn children through the placenta.
Women who smoke during pregnancy can slow down the baby's growth by reducing the amount of oxygen and increasing the amount of carbon monoxide that the baby receives during a critical time when its brain and nervous system are developing.
According to the Surgeon's General, Teenagers who smoke were:
* Three times more likely to use alcohol. * Eight times are likely to smoke marijuana. * And 22 times more likely to use Cocaine.
The biggest percentage of the world's tobacco is grown in China
About three quarters of the American Tobacco market is controlled by two companies, Philip Morris and RJR Nabisco (formerly R.J. Reynolds)
Workers on Tobacco Farms sometimes suffer nicotine poisoning when they absorb the chemical through their skin.
Breast cancer is expected to be the most commonly diagnosed cancer among U.S. women, but lung cancer will be woman's deadliest cancer, the American Cancer Society predicts.
1. Breast cancer: 192,370 new cases 2. Lung cancer: 103,350 new cases 3. Colorectal cancer: 71,380 new cases 4. Uterine cancer: 42,160 new cases 5. Non-Hodgkin's lymphoma: 29,990 new cases 6. Melanoma: 29,640 new cases 7. Thyroid cancer: 27,200 new cases 8. Kidney cancer: 22,330 new cases 9. Ovarian cancer: 21,550 new cases 10. Pancreatic cancer: 21,420 new cases
For a consultation with our Oncology Doctors at Wockhardt Hospitals, please email us at enquiries@wockhardthospitals.net
Until recently, most Americans who traveled for medical care abroad went for dentistry and cosmetic surgery or other procedures not usually covered by insurance. However now more and more Americans are beginning to travel to India and South Asian Countries for serious medical treatments and elective procedures such as heart surgery and hip replacements.
While the difference in medical costs are almost one tenth , for example open-heart surgery in the U.S. costs in excess of $100,000, the same procedure at an internationally-accredited hospital in India can cost one-tenth as much. For that reason, even some insurers are starting to add foreign providers to their networks.
BlueCross BlueShield of South Carolina, for example, has created a medical-tourism unit called Companion Global Healthcare that helps to facilitate care for patients at 18 internationally-accredited hospitals across 10 countries. Members in some group and individual health-care plans can access the foreign hospitals for in-network care; services also are available to uninsured patients.
While its true that most Indian healthcare companies boast of international standards in clinical specialties,some issues like post operative care,long distance travel specially for heart patients remain a problem specially for US and European patients.
It is precisely for these reasons insurance companies have come up with a Insurance plan to cover medical complications specifically for the " Medical Travelers"
Seven Corners Inc., a specialty trip insurer, introduced policies last year covering medical complications for medical tourists. The policies cover treatment of common surgical complications such as a reaction to anesthesia, blood clots and infections during and after treatment abroad. The policies provide no-deductible coverage for unexpected expenses and follow-up care, the company says.
Insurance broker Custom Assurance Placements introduced a similar program called Global Protective Solutions in December. One-time costs start at $70 and increase according to the riskiness of the procedure and the health of the applicant. A policy for major heart surgery can cost $5,000.