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Minimally Invasive Mitral Valve Replacement Surgery performed at Medica

A team of surgeons at Medica Superspecialty Hospital recently added a new chapter to the History of Cardiac Surgery in Eastern India. Led by Dr. Ratan Kumar Das, Director Cardiac surgery, the team successfully conducted a Minimally Invasive Thoracoscopy Assisted Mitral Valve Replacement on 20 June on an 18 year old patient from Orissa, suffering from Rheumatic Heart disease with severe Mitral Regurgitation.

This was the first such surgery performed in Eastern India.

The patient was extubated one hour after the surgery and is doing well now.

Rajiv Behera (name changed on request) had been suffering from breathlessness and fatigue for quite some time. When he visited a physician in Orissa, the doctor advised him to consult Dr. Das at Medica in Kolkata. After the initial round of check-ups Dr. Das was convinced that surgery was the best option and post discussions with his team and the patient’s relatives, he decided to conduct the surgery by the minimally invasive procedure.

The procedure involves performing surgery through a small hole in right side of the chest wall with special thoracoscopic instrument and femoro -femoral bypass. The procedure leaves a very small, cosmetically desirable, scar under the breast as in laparoscopic surgery.

Renowned Cardiac surgeon from Belgium Dr. Hogo Verman is credited with first bringing the procedure to public knowledge, the letter on it was popularised by Dr. Chitwood in USA and Dr. F Mohr of Leipzig Heart Centre in Germany. Medica launched this programme a couple of months ago after Dr Das spent some time with Prof F Mohr in Leipzig Heart Centre to learn this procedure. At present this procedure is used in only a handful of medical centres in India. However, it is gaining popularity very fast and is soon likely to become the procedure of choice in Mitral Valve Surgery.

Almost all types of Mitral Valve Surgery, Tricuspid Valve Surgery, Adult ASD closure, and Cardiac tumours can be operated by this technique.

Other members of the team involved in the surgery include Dr Abhijit Paul, Dr. Saikat Banerjee, Dr Ashima Velotkar and Mr. Tanmay Acharia.

Surgical treatment for Parkinson’s Disease

Medica Institute of Neurological Diseases has introduced surgical treatment of Parkinsonism, tremors and dystonias. Deep brain stimulation (DBS) is a surgical procedure used in the brain to treat a variety of disabling neurological symptoms - particularly the debilitating symptoms of Parkinson’s disease such as tremor, rigidity, stiffness, slowed movement, and walking problems. The procedure is also used to treat essential tremor and dystonia, which cause uncontrolled involuntary neck or limb movements. Patients suffering from severe depression and chronic pain have also benefited greatly from this treatment.

DBS uses a surgically implanted, battery-operated medical device called a neurostimulator - similar to a heart pacemaker and approximately the size of a stopwatch - to deliver electrical stimulation to targeted areas in the brain that control movement, blocking the abnormal nerve signals that cause tremor and abnormal symptoms.

This path-breaking treatment leads to many patients experiencing considerable relief from their symptoms and greatly reduces the intake of medication and their associated side effects. MIND provides a complete and most advanced setup for Deep Brain Stimulation.

The Institute held a two-day Medica Functional Neurosurgery Workshop at the hospital on the 8th and 9th of November 2010.

Prof. Tipu Aziz, Professor and Head of Functional Neurosurgery unit at John Radcliffe Hospital, Oxford, England and Dr. Dipankar Nandi, Consultant Neurosurgeon, Charing Cross Hospital and Sr. Lecturer Imperial College Healthcare NHS Trust, delivered incisive lectures in their respective fields.

Live surgery was performed for tremor (essential and Parkinson disease), by the renowned neurosurgeons along with MIND Director Dr. Tripathy and his team. The surgery was performed on a 53-year-old woman who has been suffering from Parkinson’s for the past 10 years. The patient had severe tremor in the right side of her body. Doctors installed a neurostimulator, known as Deep Brain Stimulation (DBS) to provide electrical stimulation to targeted areas of the brain that control movement and block abnormal nerve signals causing severe tremor. Post surgery the patient was completely cured of her symptoms.

ENT uses path breaking procedure to treat child

Medica ENT Institute is proud to have conducted a "sialendoscopy camp" in Kolkata, the first such case in eastern India

Sialendoscopy is a new technique that has been developed only in the last decade. This highly specialised technique that is practised in only select centres in the world as yet, involves introducing a very thin endoscope of about 0.7mm into the salivary glands and their ducts to see inside them so as to diagnose disorders of these salivary glands and also treat them.

Most patients with salivary gland disorders have either stones or constrictions (called strictures) in the outflow channels. Conventional forms of treatment usually involve extensive open surgery to remove the whole gland with the possibility of serious complications.

With Sialendoscopy it is now possible to extract stones and dilate constrictions in the channels to treat such disorders without the need for extensive operations.

Among the patients who underwent this path breaking new procedure for the very first time in West Bengal was a small child of 3 1/2 years with "Juvenile Recurrent Parotitis" a condition where recurrent infections in the major salivary glands (called the parotids) cause narrowing of the outflow channels. Not only was this new technique used to diagnose her condition but the doctors at Medica ENT Institute were also able to institute a therapeutic instillation of medicines in her channels to help improve her condition

Successful surgery on 17-day-old baby

Medica ENT Institute has added another feather to its cap. Doctors at the Institute recently operated successfully on a large vallecular cyst in the throat of a 17-day-old Mizo baby. This large cyst, sitting above the wind and food pipes, was making the baby very sick and without surgery the baby would not survive. The child was a patient of renowned paediatric surgeon Dr. Ishika Ghosh of Bhagirathi Neotia Hospital. The child was shifted to Medica Superspecialty Hospital early in the morning where a team of doctors was waiting for him.

Medica’s Anaesthesia department did a most wonderful job intubating and anaesthetising such a difficult airway ably supported by a neonatologist.

The surgery was quite challenging and required excellent coordination between the operating team members with three pairs of hands working in perfect harmony to complete the surgery through the tiny mouth of the baby. Post surgery the child has been shifted back to Neotia safely.

This was the third case where another hospital has sought Medica ENT’s expertise to treat very sick babies, the previous two referrals having come from RTIICS to help diagnose and treat airway problems in small children.