Wockhardt Hospitals helps Chandrakant Kothere walk tall again
Friday, October 30, 2009
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Chandrakanth Kothere with Dr Sachin BhonsleMrs+Shobha+C+KothereMr++Chandrakant+Kothere.JPG)
Mrs Shobha Kothere and Chandrakanth Kothere
After years of bowing down to fate, Wockhardt Hospitals helped Chandrakant Kothere walk tall again .Proving its medical one-upmanship yet again Wockhardt Hospitals performed a complicated bone deformity correction with limb lengthening surgery on 42 year old Chandrakant Kothere who was living a crippled live after a traumatic accident three years back. The Orthopedic team at Wockhardt Hospitals,Mumbai led by Dr. Sachin Bhonsle has finally made Chandrakant’s dream come true relieving him of his three year long trauma and help him walk again.
Chandrakant Kothere was 39 years old when he suffered multiple compound fractures on his right tibia, extensive soft tissue damage and skin loss following a road accident. He was advised immediate amputation of his leg in a city hospital where he had undergone initial treatment. Since he was determined not to compromise his life at such an young age, this Hindustan Petroleum employee chose to get the fractures of the leg stabilized.
The doctors in the city hospital went ahead to treat him with stabilization of the bones and subsequent plastic surgery procedures to provide a skin cover. But in a few months following the treatment, the condition worsened as the site of infection on the leg had not healed. The fracture on the leg remained un-united. Unable to bear his body weight, the broken leg bowed in disproportion and he became shortened by almost three inches on one side. The writhing pain was only worsening with time, it was almost impossible for him to walk without a pronounced limp. Having exhausted other avenues, the patient visited Wockhardt Hospital for a consultation in January this year.
According to Dr. Sachin Bhonsle, Consultant Joint Replacement and Orthopaedic Surgeon Wockhardt Hospitals, who treated Chandrakant said “Since the earlier surgery had failed the chances of failure of corrective procedures, was increased by 20 percent. So, ascertaining the nature of injuries and the inherent risk factors that would be involved in the treatment, we were confronted with three challenges
• The three year old fractures had to be healed,
• The leg had to be straightened out, and
• The leg length had to be matched to prevent the patient from limping.
All this had to be done without disturbing the microvascular skin graft in position. “And if, by chance, the corrective surgeries also failed then amputation would have been the last option. It actually took us some time to think over the treatment plan and make up our mind to go ahead,” recalls Dr. Bhonsle.
The surgery was performed in two stages. The first stage was to clear all the infected and un-united bone at fracture site; align the leg and fix the bone fragments using a ring shaped Ilizarov External Fixator. A further cut was made in the top bone fragment so that the middle bone segment could be moved to take up the left over defect to correct the leg length.
In three months following the first surgery, the middle bone segment was moved downwards -- 1mm a day to achieve complete continuity. At this stage the second surgery was performed to slip a special titanium plate from under the skin to fix all three bone fragments together to achieve a solid union. Bone grafting was done at this stage. It took further two months for these bones to heal fully and the patient finally got a straight leg with normal leg length.
“Last three years has been quite painful as I had to lead a crippled life and was under huge trauma and fear of amputation of my affected limb. Due to my condition I was unable to resume work and it became a huge liability on my family. For a last opinion I decided to visit Wockhardt Hospitals where I consulted Dr. Sachin Bhonsle and that’s when I had a ray of hope to stand back on my feet. My utmost gratitude to Dr. Bhonsle and the team at Wockhardt Hospitals for whom I am able to stand in front of you all and have a motivation to lead a healthy life ahead”, said Mr. Chandrakant Kothere.
About Wockhardt Hospitals Bone & Joint Centre:
The Wockhardt 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. Procedures performed at Wockhardt Hospitals Bone & Joint Centres are
• Arthroscopic surgery: Key hole surgery for disorders of knee and shoulder
• Minimal Access Spine surgery
• Hip Resurfacing
• Paediatric Bone & Joint Surgeries
• Fracture Treatment
• Sports Medicine
• Speciality Clinic for Arthritis
• Trauma & Pain Management
• Osteoporosis
• Lifestyle Modification Programme (Rehabilitation)
• Patient Education Programme
• Total Knee Replacement
• Unicondylar Knee Replacement
• Total Hip Replacement
• Hip Resurfacing / Surface Replacement Arthroplasty
• Shoulder Replacement
• Neck & Elbow Replacement
CME on Upper Limb Arthroscopy,Hip and Knee Replacement on 24th October
Friday, October 23, 2009
Date: October 24th ,2009
7.45 pm onwards
Venue
Hotel Atria
1,Palace Road
Followed by fellowship and Dinner
Call Farooq 98455 26242
Sunil: 9845526242
7.45 pm onwards
Venue
Hotel Atria
1,Palace Road
Followed by fellowship and Dinner
Call Farooq 98455 26242
Sunil: 9845526242
Portal HyperTension and Patient Selection
Portal Hypertension
View more presentations from Sumit Roy.
Portal hypertension is an increase in the blood pressure within a system of veins called the portal venous system. Normally, the veins come from the stomach, intestine, spleen and pancreas, merge into the portal vein, which then branches into smaller vessels and travels through the liver. If the vessels in the liver are blocked, it is hard for the blood to flow causing high pressure in the portal system.
Patients with portal hypertenson may undergo EGD to rule out esophageal varices, and perhaps correct them at the same time with banding or sclerotherapy. Acute or severe complications may be treated with intravenous octreotide or terlipressin (an antidiuretic hormone analogue) to decrease the portal pressure. Octreotide inhibits the release of vasodilator hormones such as glucagon, indirectly causing splanchnic vasoconstriction and decreased flow into the portal system.
Liver transplant is the most definitive treatment of portal hypertension and cirrhosis.
Management and Patient Selection for Liver Metastatis
Wellness Tips For The Spine
Wednesday, October 21, 2009
For those of us who spends a large time at our workplace sitting on a chair and working on the computer tend to forget about our sitting position.How you sit on your desk affects the spine. A posture that keeps your spine in its position can prevent you from backaches and other spinal problems.
Adjust your chair at the proper height : Tall people tend to slump towards the desk and short people tend to slump forwards.. Keep your feet flat on the floor and keep your knee at a 90 degree angle.
Take frequent breaks and stretch yourself .Do not work more than 2 hours on your desk without taking a break.
Avoid leaning too much towards your desk. Keep your computer at the right angle so as to avoid straining forward or backward.
Good Posture:Sit with your back firmly supported on the back of the chair.The basis for good posture is maintaining a "neutral spine."
Having good posture eases a lot of stress on the spine and promotes a healthy spine. There are several ways to change your posture. One is by standing up straight and the other is by sitting up straight.
Rheumatoid Arthritis : No Longer a Diseases of the Old
Thursday, October 15, 2009
If you are a young urban professional spending more than 10 hours of your working away at climbing up the corporate ladder and also fighting to keep your job, you should know that all time which you think you are spending to make your life more meaningful might have different repercussion to your health.
Today various Work-related upper limb pain is becoming more and more common in Indian cities,specially the metros and among IT professionals.
The problem may be ascribed to a number of reasons such as bad sitting posture and the viewing of the computer screen from various awkward angles, not taking enough breaks from work,sedentary lifestyles, not paying attention to view the computer at the right anglesf and incorrect head and neck posture leads to upper limb pain frequently.
"Arthritis has long been ignored, as people do not think it is life threatening," says rheumatologist Ramesh Jois from Wockhardt Hospitals,Bangalore
"It is very important for the doctor to be able to diagnose the disease firstly and, secondly, get it treated immediately," says Jois.
However newer research has given people suffering from arthritis hope.
"There is great chance of getting the disease within control if early intervention is sought . This can prevent permanent disabilities," says Jois.
However what is increasingly becoming more and more apparent that the younger people too are slowly falling prey to Arthritis.There is a myth that only old people suffer from the disease.
"Anybody can suffer from Arthtritis, from the middle-aged to the very young," says Jois. "Westernised lifestyle, obesity, change in lifestyle, not leading a physically active life, using the computer for most of the time , without using the correct posture all lead to different types of this disease including Arthritis.
Patient interest groups are being formed that will be endorsed by the medical fraternity. "Arthritis is a chronic disease and people are in this for the long term," he says. "It is more important to know what people think."
To contact our Arthritis Specialist email us at enquiries@wockhardthospitals.net
October 15th is Global Handwashing Day
Wednesday, October 14, 2009
An easy way to prevent infection :Hand washing is a simple habit that can help keep you healthy. Learn the benefits of good hand hygiene, when to wash your hands and how to clean them properly.
Hand washing is a simple habit, something most people do without thinking. Yet hand washing, when done properly, is one of the best ways to avoid getting sick. This simple habit requires only soap and warm water or an alcohol-based hand sanitizer — a cleanser that doesn't require water. Do you know the benefits of good hand hygiene and when and how to wash your hands properly?
The annual observance was launched in 2008 as an initiative of the Global Public-Private Partnership for Handwashing with Soap. It is endorsed by a wide array of governments, international institutions, civil society organizations, non-governmental organizations, private companies and individuals.
Change in handwashing behavior is critical to meeting the Millennium Development Goal of reducing deaths among children under the age of five by two-thirds by 2015 worldwide.
Change in handwashing behavior is critical to meeting the Millennium Development Goal of reducing deaths among children under the age of five by two-thirds by 2015 worldwide.
The dangers of not washing your hands
Despite the proven health benefits of hand washing, many people don't practice this habit as often as they should.Throughout the day you accumulate germs on your hands from a variety of
sources, such as direct contact with people, contaminated surfaces, foods, even animals and animal waste. If you don't wash your hands frequently enough, you can infect yourself with these germs by touching your eyes, nose or mouth. And you can spread these germs to others by touching them orby touching surfaces that they also touch, such as doorknobs.
Infectious diseases that are commonly spread through hand-to-hand contact include the common cold, flu and several gastrointestinal disorders, such as infectious diarrhea. While most people will get over a cold, the flu can be much more serious. Some people with the flu, particularly older adults and people with chronic medical problems, can develop pneumonia. The
combination of the flu and pneumonia, in fact, is the eighth-leading cause of death among Americans.
Inadequate hand hygiene also contributes to food-related illnesses, such as salmonella and E. coli infection. According to the Centers for Disease Control and Prevention (CDC), as many as 76 million Americans get a food-borne illness each year. Of these, about 5,000 die as a result of
their illness. Others experience the annoying signs and symptoms of nausea, vomiting and diarrhea.
Proper Hand-Washing Techniques
Good hand-washing techniques include washing your hands with soap and water or using an alcohol-based hand sanitizer. Antimicrobial wipes or towelettes are just as effective as soap and water in cleaning your hands but aren't as good as alcohol-based sanitizers.
Antibacterial soaps have become increasingly popular in recent years. However, these soaps are no more effective at killing germs than is regular soap. Using antibacterial soaps may lead to the development of bacteria that are resistant to the products' antimicrobial agents — making it even harder to kill these germs in the future. In general, regular soap is fine. The combination of scrubbing your hands with soap — antibacterial or not — and rinsing them with water loosens and removes bacteria from your hands.
Right Techniques For washing your hands
- Follow these instructions for washing with soap and water:
- Wet your hands with warm, running water and apply liquid soap and lather well
- Rub your hands vigorously together for at least 15 seconds.
- Scrub all surfaces, including the backs of your hands, wrists, between your fingers and under your fingernails.
- Rinse well.
- Dry your hands with a clean or disposable towel.
- Use a towel to turn off the faucet.
Proper use of an alcohol-based hand sanitizer
- Alcohol-based hand sanitizers which don't require water are an excellent alternative to hand washing, particularly when soap and wateraren't available.
- They're actually more effective than soap and water in killing bacteria and viruses that cause disease.
- Commercially prepared hand sanitizers contain ingredients that help prevent skin dryness. Using these products can result in less skin dryness and irritation than hand washing.
- Not all hand sanitizers are created equal, though. Some "waterless" hand sanitizers don't contain alcohol. Use only the alcohol-based products. The CDC recommends choosing products that contain at least 60 percent alcohol.
- To use an alcohol-based hand sanitizer: Apply about 1/2 teaspoon of the product to the palm of your hand. Rub your hands together, covering all surfaces of your hands, until they're dry. Wet hands and apply approximately If your hands are visibly dirty, however, wash with soap and water, if available, rather than a sanitizer.
When should you wash your hands?
Hand Washing Instructions for Kids
Although it's impossible to keep your bare hands germ-free, there are times when it's critical to wash your hands to limit the transfer of bacteria, viruses and other microbes.
- Always wash your hands after using the toilet
- After changing a diaper — wash the diaper-wearer's hands, too
- After touching animals or animal waste
- Before and after preparing food, especially before and immediately after
- handling raw meat, poultry or fish
- Before eating
- After blowing your nose
- After coughing or sneezing into your hands
- Before and after treating wounds or cuts
- Before and after touching a sick or injured person
- After handling garbage
- Before inserting or removing contact lenses
- When using public restrooms, such as those in airports, train stations, bus stations and restaurants
Hand Washing Instructions for Kids
You can help your children avoid getting sick by insisting that they wash their hands properly and frequently. To get kids into the habit, teach by example. Wash your hands with your children and supervise their hand washing.
Place hand-washing reminders at children's eye level, such as a chart by the bathroom sink for children to mark every time they wash their hands. Make sure the sink is low enough for children to use, or that it has a stool underneath so that children can reach it.
Older children and adolescents also can use alcohol-based hand sanitizers. Younger children can use them, too — with an adult's help. Just make sure the sanitizer has completely dried before your child touches anything. This will avoid ingestion of alcohol from hand-to-mouth contact. Store the container safely away after use.
Hand washing is especially important for children who attend child care. Children younger than 3 years in child care are at greater risk of respiratory and gastrointestinal diseases, which can easily spread to family members and others in the community.
To protect your child's health, be sure your child care provider promotes sound hygiene, including frequent hand washing or use of alcohol-based hand sanitizers. Ask whether the children are required to wash their hands several times a day — not just before meals. Note, too, whether diapering areas are cleaned after each use and whether eating and diapering areas are
well separated.
Hand washing doesn't take much time or effort, but it offers great rewards in terms of preventing illness. Adopting this simple habit can play a major role in protecting your health.
Using artificial "Cervical Disc" for degenerative disc diseases
Tuesday, October 13, 2009
Degenerative disc diseases can now be replaced with an artificial cervical disc. The biggest advantage of cervical artificial disc is the preservation of movement operated segment. The simple surgical intervention helps quicker healing and faster recovery time because of minimum hospital stay and faster return to work.
Till now, the most common treatment for patients with degenerative discs in the cervical spine was spinal fusion. In this procedure a surgeon removes the damaged disc then implants a bone graft and metal plate to fuse the vertebrae together. During artificial disc replacement surgery, the damaged disc is removed and replaced with an artificial disc, a stainless-steel device with a ball-in-trough design intended to allow for replication of normal motion.
The artificial cervical disc mimics the normal functions of healthy spinal disc for patients suffering from chronic and persistent neck pain which triggers and radiates right through the shoulders, arms and fingers can be relived with this safe and simple surgical treatment option, according to Dr Deshpande V Rajakumar, consultant, neurosurgeon, Wockhardt Hospital, Bangalore.
This is one of the biggest medical studies of its kind. Surgeons incorporating artificial cervical discs in their treatment regime recommend this procedure for young and active patients who suffer from chronic cervical discopathy symptoms and are uncomfortable to opt for surgical fusion of inter-vertebral discs. Experts are of the opinion that the advanced cervical artificial disc technology could well benefit surgery of the degenerative discs at any level of the neck - from C2/C3 to C7/T1, he added.
Operation of the cervical spine with the Artificial Disc Replacement procedure is performed with the patient lying on the back. A small incision is made on one side of the front of the neck to expose the disc between the vertebrae after pulling aside the surrounding fat and muscle tissues. The intervertebral disc and, in some cases, a portion of the bone around the nerve roots and/or spinal cord is removed to relieve the compressed neural structures to create additional space.
The cervical disc is then implanted in the space with the help of an appropriate surgical instrument.. The incision is closed and dressed. According to Dr Rajakumar, if a person is anticipating a cervical surgery, it is important to find out on being a potential candidate for a cervical artificial disc implant. Patients should also discuss the risks and limitations post surgery.
Patients with conditions like local infection, inflammation, pregnancy, morbid obesity, fever, mental illness, osteoporosis, and paediatrics are not advised for this procedure.
source:Pharmabiz.com
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