Wockhardt Hospitals Blog

69 year old Mr. Ramgopal Mundhra who underwent bilateral knee replacement at Wockhardt Hospitals 10 months ago, completed 5 kilometer Majja Run in the recently concluded Bangalore Marathon. Mr. Mundhra, a businessman from Bangalore, was suffering from pain in both his knees for the past 20 years and in the last two years had lost complete mobility and was unable to even complete the simple chores of daily life without assistance.

Mr. Mundhra consulted Dr. Sanjay Pai, Consultant Orthopedic Surgeon Wockhardt Hospitals and was diagnosed with Osteoarthritis in both his Knees and was advised to undergo a total knee replacement. He underwent bilateral knee replacement within a span 2 days, post which he went through a comprehensive rehabilitation program. His recovery was remarkable and at the time of his discharge he was able to walk with the help of a walker. Not only this Mr. Mundhra started driving on the 5th week of his surgery and on the 6th week he was able to swim.

Addressing the media Dr. Sanjay Pai, Consultant Orthopedic Surgeon, Wockhardt Hospitals said “Mr. Mundhra stands out as an example to all who are apprehensive of undergoing knee replacements. Osteoarthritis is the degradation and degeneration of the cartilage in the knee. As the disease progresses the cartilage becomes thinner and even in some wears away altogether, necessitating total knee replacement. The surgery greatly improves the quality of life for patients who are in the advanced stage of the disease. The procedure is extremely safe with a high success rate and patients can get back to living a normal life with only a short recovery period”

“Forget the run; I never expected to walk a few steps on my own. The pain which I have gone through over the last two years was crippling. Thanks to the doctors at Wockhardt Hospitals, who reassured me and dispelled my fears of undergoing surgery. I can now run again and I am looking forward to the next marathon in 2010, who knows I may participate in the 10K run” said an overjoyed Mr. Ramgopal Mundhra.

According to Mr. Joseph Pasangha, Head of Physiotherapy, Wockhardt Hospitals, “Mr. Mundhra’s case shows the importance of proper rehabilitative care post surgeries. With proper training and a comprehensive rehabilitative program there can be immense improvement in a person’s quality of life post a surgery. The patient’s attitude goes a long way in speeding up the recovery. Mr. Mundhra is a very positive person and he is always ready to take up a challenge. Faced with adversity he came out smiling.”

He ran 5 kilometers during the Bangalore Marathon on 31st of May 2009 without any hitch, displaying the benefits of bilateral knee replacements and dispelling the fears and myths around total knee replacements.

The Wockhardt Hospitals Bone and Joint Care is equipped to treat all types of musculo-skeletal problems ranging from Trauma Surgery to Minimally Invasive Arthroscopy Surgery. The hospital also specilalises in surgery for joint replacements, sports medicine, ligament repair, knee surgery, spine surgery and physical therapy for rehabilitation. Wockhardt Bone & Joint Care has complete technology and advanced skills to perform Microscopic Lumber & Cervical Discectomy, Endoscopic Spine Surgery and Arthroscopic surgeries such as Ligament Reconstruction in the knee, Subacromial Decom-pression in the shoulder.

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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.

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)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.


to schedule an appointment with our Bone and Care doctors,please email us at enquiries@wockhardthospitals.net

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

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.

Gynaecologist Wockhardt Hospitals,Mulund,Mumbai

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

Pennsylvania and Columbia University with Dr. Harry Reich
Dr. Herbert Goldfarb Centre for minimally invasive Gynaecology

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

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.

Gynaecological Laparoscopic Surgeries including Laparoscopic hysterectomy, myomectomy, ovarian cysts. Endometcriosis, adhesiolysis etc.

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.

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.

• 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.

In Women the symptoms may be very subtle and difficult to diagnose. A regular check up is very essential.

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.

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.