Our network of hospitals across Mumbai, Bangalore and Kolkata are equipped with the very best in Medical Infrastructure to guarantee quality healthcare and customer care.
Apart from expertise across four primary specialities, we also have an extended team of doctors and healthcare professionals who operate across a wide array of associated specialities.
Equipped with the very latest in Medical Technology and backed by expertise across a range of clinical specialities, we have become the choice provider of Healthcare for thousands of Foreign Nationals.
Quality Healthcare and Award Winning Customer Care
Our associations and accredidations with leading medical institutions around the world are a testimony to Wockhardt Hospitals' commitment to provide the very best in healthcare to our community.
Total Knee Replacements: Knee replacement surgery can be performed as a partial or a total knee replacement. In general, the surgery consists of replacing the diseased or damaged joint surfaces of the knee with metal and plastic components shaped to allow continued motion of the knee.A total knee replacement is a surgical procedure whereby the diseased knee joint is replaced with artificial material.
Knee Replacement At Fortis Hospitals,Mulund Mumbai ,surgeries are conducted in special environments called Space Theaters that are created and constructed for knee replacements. This special environment is a combination of expert surgeons and their team, Clean Air Laminar Air Flow System, and Space suits.
The Laminar Air Flow System helps keep the air clean of dust and micro-organisms. The HEPA (High efficiency particulate absolute) filter, which is the filtration of air on control velocity condition, cleans the air as per the specifications of the federal standard 209E. The efficiency of HEPA filters is 99.999% of all particles larger than 0.3 micron ensure that the laminar air flow is ultra cleaned over the entire operating area and instantly the theatre is bacteria free.
During the surgery, the surgeon and the immediate assistant wear specially designed space suits to assure absolute sterile handling of Bones and Joints. This suit comprises of a helmet worn and covered by a space gown.
Computer aided surgery facilitates current placement of artificial joint Prostheses to match the normal human anatomy. A normative anatomical data is already established in the computer. Based on the intra-operative findings during the surgery, the surgeon can control the outcomes by precisely implementing the 3D plans while collecting and analyzing detailed treatment data. This information reduces the risk of complications, surgery time, hospitalization time, and artificial joints wear through suboptimal selection and position of the implant.
Fortis Hospitals , Bangalore Ushers In the Latest Technology in Knee Replacement Surgery, Conducts Asia’s First Custom Fit Knee Replacement Surgery in Bengaluru
Ushering in the latest in Joint Replacement Surgery Fortis Hospitals Bangalore today announced Asia’s first ‘Custom Fit Knee Replacement Surgery’ performed on two patients with degenerative disease of the knee. Lead orthopedic surgeon Dr. Sanjay Pai and his team at Fortis Hospitals Bangalore performed this revolutionary surgery by literally remodeling the anatomy of the patient’s knee and recreating or customizing a knee with the right kind of technology and expertise. The new custom fit knee replacement technology designs a perfect instrumentation system that matches the patient’s knee and ensures lesser pain, less tissue damage and faster mobilization.
Case Highlights
A 56 and 59-year- old women suffering from degenerative disease of the knee
Brought to Fortis Hospitals with complications, underwent Asia’s first Custom Fit Knee Replacement Surgery
Patients were discharged within five days of the knee replacement operation
Patients started walking normally within a fortnight unlike the usual 6-8 weeks required before starting normal activities in the conventional surgery.
Benefits of Custom Fit Knee Replacement Surgery
According to Dr. Sanjay Pai, Senior Orthopedic Surgeon, Fortis Hospitals “The two operations for knee replacement have been performed for the first time in Asia using the custom fit knee replacement technology. This is indeed a medical breakthrough and likely to revolutionize the way knee replacement surgeries are performed in India. We are glad to be the first adapters of this technology.”
Difference between conventional Knee Replacement and Customized Knee
While conventional knee replacement surgeries retro-fit predetermined sizes of prosthetics on to the patients’ knee, this procedure is very different because it works on the principle that no two patients’ knees are similar. With this technology the patient’s knee is digitally recreated with 3D image mapping after taking into account, the bone structure, weight ratios, gender, age and even mechanical alignment. Based on this 3D model the customized knee is created. Something, that just fits them right. This technology ensures far greater accuracy and reduces the operation time by almost 40 % and also results in less loss of bone & tissues.
Benefits of Customized Knee Replacement
Smaller incision
Less soft tissue damage
Lesser pain
Early and better mobilization
Better and pain free range of motion
Improves alignment and sizing by using computer generated images of the patients anatomy to determine bone cuts and implant positioning preoperatively
Faster Recoveries That Get Patients Back To Life Faster
Right from diagnosis, Fortis Custom Fit Knee Replacement procedure aims to get patients back on their feet faster. It takes about 4 week duration to get the custom fit instrumentation and the doctor being ready with the perfect procedure, the incision is just about 4inches which itself minimizes the pain, infection, blood loss, and tissue damage are also reduced to a great extent. And specialized post-operative recovery procedure ensures that the patient achieves early and full mobility within days after his/her surgery.
How Custom Fit Knee Works
4 weeks. That’s the time we take to find the knee procedure complete with the instrumentation that fits you perfectly as opposed to the trial and error that you need to endure in the conventional procedure. Fast and convenient, it is a simple 4 step process.
Step 1: Stages of Custom Fit Knee Replacement
The process starts with a CT Scan of the whole leg from the hips to the ankle which is then used to create an advanced 3D image of the leg structure. The age, weight and gender are also taken into account, creating a complete patient imaging.
Step 2: Processing and planning
With the 3D plan of the leg structure in place, an anatomical model is created to determine the mechanical alignment – the basic philosophy on which the entire process rests. Virtual instrumentation is then done and the surgery is planned accordingly.
Step 3: Recreating the knee
Once the surgery is approved, the Custom Fit instruments are manufactured at state-of-the-art dedicated manufacturing centers. Even the individual patient name and data are etched on each unit to confirm identification during the surgery
Step 4: Fitting the knee
With the Custom Fit instrumentation in place, the knee bone is chiseled to perfection so that the prosthetics fit exactly without any requirement for later corrective surgeries. After a 60 minute surgery, the patient ill have the knee that fits you perfectly.
Patient Case Details:
Mrs. Rukmini Thimmaiah, a 59-year-old woman, was diagnosed with osteoarthritis of right knee after pre-operative evaluation at Fortis Hospitals Bangalore. The custom fit knee replacement surgery was successfully performed on Rukmini by Dr Sanjai Pai, Senior Orthopedic Consultant and his team at Fortis Hospitals and the patient was discharged within five days.
After 14 days, the patient started walking independently, was able to sit and get up comfortably, climb stairs without any support and did not complain of any pain, swelling or discomfort around the right knee.
Mrs. Sujatha Venkatesh, a 56-year-old woman, had a similar problem in her left knee. She also successfully underwent the custom fit knee replacement surgery at Fortis Hospitals and was discharged within five days. Within a fortnight, Sujatha was also able to walk, sit and climb stairs normally like in the above case.
A severely curved backbone with 67 degree curvature was straightened by specialists at Fortis Hospitals Mulund
Case Highlights:-
• 13 year old girl had increased curvature of her backbone two years back
• No history of any major illness or any trauma. She had normal birth and normal growth
• On examination Spine showed kypho-scoliotic (Rt) sided curve, with prominent rib hump, curve was not balanced and shoulder was not aligned with pelvis. Curve was partially correctible on bending on sides and rib hump was pronounced on bending forwards
• Her MRI and CT scan was also done to Rule out any associated congenital abnormalities and to assess spinal cord status.
• Curve being 67 degrees and progression of curvature, it was decided to operate on her and posterior corrective surgery was planned
• Doctors performed complex technique for passage of pedicle screws and for scoliosis corrections as it is a permanent solution compared to techniques in which hooks and rods are used
Spine specialists at Fortis Hospitals, Mulund have performed a complicated scoliosis correction surgery on a 13 year old girl from Kuwait. The team led by Dr. Vikas Gupte, Consultant Spine Surgeon Fortis Hospitals has done a complicated corrective surgery to straighten the 67 degree curvature.
Alicina Casteliono, a tall well built young girl has been quite active in sports and cultural activities since her childhood. Two years ago her parents noticed an increasing lateral curvature of her backbone which gradually got more pronounced during the past six months. “We were so worried and confused after seeing a sudden and substantial curvature with Alicina’s backbone. She had also started limping due to the problem. After an x-ray at a local hospital in Kuwait, we came to learn that her backbone was growing uncontrollably. Surgery being complicated, we were not able to find any local hospital at Kuwait to treat our daughter’s case.” said Mr Alphonous Casteliono, Alicina’s father.
Alicina’s school mate, who suffered from a similar problem and underwent surgery at Fortis Hospital, Mulund, Mumbai suggested taking Alicina to India and getting an opinion from the specialists. Seeing Alicina’s friends progress after sugery and the drastic improvements she had Alicina’s family decided to came down to Mumbai to consult Dr. Vikas Gupte.
A thorough examination by Dr Gupte and his team confirmed a case of Scoliosis. Scoliosis is a condition that can affect the spines of many children, teenagers and adults.
“On examination, her Spine showed a kypho-scoliotic (right) sided curve, with a prominent hump. Medically it is termed as Adolescent onset idiopathic scoliosis. The Curve was not balanced and shoulder was not aligned with her waist. Curve of the backbone being 67 degrees, we decided to operate on her and posterior corrective surgery was planned. We used techniques for passage of pedicle screws and for scoliosis corrections as it is a permanent solution compared to techniques in which hooks and rods are used.” said Dr Vikas Gupte. She underwent a successful surgery on July 1, 2010 which lasted for 4 hours. Within seven days of surgery Alicina was able to walk properly. “Doctor has asked me to exercise regularly for at least three months. I am very keen to start my dancing lessons as early as possible. All thanks to Dr. Vikas Gupte and the whole team of Fortis Hospital who helped me walk tall again.” says Alicina Casteliono.
Why was the surgery complicated?
Scoliosis surgery requires lots of planning before surgery. Length of fixation, level of fixation has to be decided before hand. This has to be accurate. Over correction or under correction will give disastrous results. Surgery is to be done by surgeon who is trained in spine surgery. Even though many ways of fixation are used, pedicle screws fixation is scientifically proper way of fixation since it fixes all 3 columns of vertebra and helps in proper correction. However pedicle screw fixation is complex surgery since in thoracic spine size of pedicle is small, anatomy is deformed and any Mal placement of screw can cause injury to neurological structures and lung and vessels. In present case we have passed pedicle screws in all levels on both sides of curve.
Alicina required 1 blood transfusion which was given immediate post operatively. She was allowed mobilisation in bed immediate postoperatively, was allowed to sit with backrest from 2nd post op day. Plastic moulded brace was fitted after dressing and drain removal. By 4th post op day patient was standing and walking with help from physiotherapist and was independent from 6th post-op day. Post operative x-rays showed good correction and residual curve measured 23 degrees. Due to correction of scoliotic curve, patient gained in height of 2 cm. She is very keen to start her dancing lessons as early as possible.
Scoliosis is curvature of spine in coronal plane. There are many causes of scoliosis and type of scoliosis is classified accordingly as, congenital, paralytic, and neurofibromatic. Commonest being adolescent onset idiopathic scoliosis (AIS). Incidence is almost 5 percent. According to Dr. Gupte, most people suffering from acute scoliosis, especially in smaller towns, are not aware about the treatment options now available at specialized centres. Ten years back, some complicated scoliosis treatments would have been impossible. However, today people having curvature in their backbones can be efficiently treated by such minimally invasive surgeries.
Case highlights
• 81 year old gentleman diagnosed of acute urinary tract infection
• Patient was hypertensive, diabetic and had undergone coronary artery stenting
• Was on blood thinners which makes the conventional prostate resection difficult
• Delay of management of prostate could have allowed bacterial colonization of the coronary artery stent
• Brought to Fortis Hospitals with complications
• Laser TURP was performed to manage the enlarged prostate and urine infection
Bangalore, 19th July, 2010: Fortis Hospitals Bangalore performs a complicated Prostate Surgery on an 81 year old man with latest DIODE laser called Laser TURP wherein laser energy is used for vaporization of prostate tissue without any blood loss. This procedure is ideal for high risk patients who are on blood thinning agents and have the difficulty of undergoing resection of enlarged prostate with the conventional method using electrical energy.
Mr. Venkataswamy Reddy an 81 year old gentleman who had developed acute retention of urine following coronary angiography procedure done 2 weeks prior. He was a known diabetic and hypertensive and had undergone coronary artery stenting about two years ago and was on blood thinning agents – aspirin and clopidogrel. He was advised to undergo conventional TURP (Transurethral resection of the prostate) at a city hospital. Since Mr. Reddy was on blood thinning agents the urologist in the hospital wanted the blood thinners to be stopped a week prior to the procedure. “Stopping of the blood thinners increases the risk of getting a myocardial infarction, commonly known as heart attack and the patient’s hospital stay is longer including the need to stay in coronary care unit postoperatively” said Dr. Mohan Keshavamurthy, Consultant Urologist Fortis Hospitals.
The cardiologist was unwilling to stop the blood thinners because of the obvious cardiac risk but at the same time the doctors were not willing to defer his procedure since the ongoing urinary tract infection could colonise the coronary stent. With these complications Mr. Reddy was referred to Fortis Hospitals Bannerghatta road.
“After a complete workup it was diagnosed that Mr. Reddy had benign enlargement of the prostate with acute urinary tract infection. He was also hypertensive & diabetic. Understanding the cardiac risk Mr. Reddy had along with the acute retention of urine which could lead to further complications, we decided to perform the laser TURP procedure. For laser TURP we don’t need to stop the blood thinning agents and the prostate resection can be done without any blood loss. We performed the procedure without any complication and his post operative recovery has been excellent” said Dr. Mohan.
Benefits of Laser TURP
• No Blood Loss
• Shorter Hospital Stay
• Cardiac patients who are on blood thinning agents
• Patients with renal dysfunction who have a tendency to bleed profusely
• Prostate gland size of more than 60 gm
• Patients with Diabetes, Hypertension & high risk for anesthesia
• Patients who have undergone joint replacement surgery
How Laser TURP is superior to conventional TURP:
In conventional TURP, blood thinning agents have to be stopped a week to 10 days before the procedure. This puts the heart at risk for a second attack. The patient’s hospital stay is longer including the need to stay in coronary care unit postoperatively. In Laser TURP, procedure is done with the blood thinning agents on board which is a revolutionary change in clinical practice guidelines. Conventional TURP surgery is not traditionally performed beyond 60 min because of the risk of irrigant fluid (GLYCINE or DISTILLED WATER) absorption…TURP Syndrome with significant morbidity & mortality. Conventional TURP allows tissue removal at 1gram/min. Hence gland size more than 60 gm is converted from an endoscopic to open procedure. DIODE laser (which Fortis Hospital uses) can vaporize 3-4 grams/min. Here normal saline is used as an irrigant which on absorption does not cause TURP syndrome. Hence prostate gland beyond 100 grams can also be managed endoscopically using laser energy.
Advantages of Laser TURP:
Laser TURP in general is safer and faster than conventional TURP which utilizes electrical energy. Laser TURP is specifically indicated in patients who are on blood thinning agents such as heparin, aspirin, clopidogrel, patients with renal dysfunction, patients whose prostate gland size is more than 60 gm, patients who are at poor risk for anesthesia, are diabetic, have cardiac complications and those who have undergone joint replacement surgery. The benefits of this procedure are that there is no blood loss, involves shorter hospital stay and is ideal for large protate glands.
Laser TURP procedure is ideal for:
Patients with renal dysfunction have increased tendency to bleed because of platelet dysfunction making conventional TURP risky. This problem is obviated using laser energy. Conventional TURP can only be done through large caliber rigid scopes. Laser TURP can be done through small caliber flexible scopes. Hence standard lithotomy position which is not possible after joint replacement is not mandatory for laser TURP. Laser TURP can be done under short lasting general anesthesia which is ideal in patients who are high risk for anesthesia. Most patients can expect a rapid improvement in their urinary flow rate, and a quick return to normal activities following the procedure.
Fortis Hospitals’ expertise on Laser TURP:
Fortis Hospitals uses DIODE laser which is the fastest & safest laser available in the world. The hospital has the complete laser urology armamentarium under one roof and the Urology team has the largest & most comprehensive experience in performing laser urology procedures.
M
~ Radio-frequency Ablation Device (RFAD) is used for resection of complex liver tumor in a patient with multiple diseases ~
Mumbai, July 19: Team of experts at Fortis Hospitals Mulund has successfully removed a liver tumor from a 57 year old Mr Rajesh Nair. Dr. S K Mathur, Senior Consultant Surgeon, HPB Surgery & Liver Transplantation, Fortis Hospitals Mulund & Dr. Nagy Habib, professor & HOD HPB Surgery Imperial College London has performed this complicated surgery with unique Radio-frequency Ablation Device (RFAD).
The surgery involved resection of liver, where the tumor part from the liver had to be cut and separated from the healthy one. In order to minimize blood loss during the surgery, doctors at the hospital decided to employ the unique Radio-frequency Ablation Device (RFAD), known as the Habib Sealer device developed by world renowned liver cancer surgeon Dr. Nagy Habib, professor & HOD HPB Surgery Imperial College London.
“Normally a liver resection involves a lot of blood loss. But in this case patient was having a history of coronary Angioplasty for Heart Attack also one year ago he had a renal failure for which he was dialysis. The condition of the patient was so critical that we could not afford loss of blood. Hence we employed RFAD in the surgery, which ensured there was no loss of blood. Its developer Dr. Nagy Habib was also present during the surgery, which was successful and the condition of the patient is improving,” said Dr. S K Mathur, Liver transplantation surgeon, Fortis Hospital, Mulund.
“The Habib Sealer device is designed to be used in open and laparoscopic surgical procedures for the resection of tissue. The product is designed to coagulate a “surgical resection plane” to facilitate dissection with very limited blood loss “ Says Prof Nagy Habib
“The RFAD device has been designed to reduce surgical complications. I believe this device could in the future become a standard instrument for elective cancer surgery in the liver, spleen, pancreas, kidney, uterus, and lung. I also feel strongly that the tool could greatly benefit trauma surgeons to help control bleeding during emergency surgery,” said Dr. Nagy Habib.
for appointments at Fortis Hospitals, Mulund,Mumbai, Email us at enquiries@fortishospitals.in
Posted in Emerging Surgery Trends, Fortis hospitals mulund, Industry News, Orthopedic Doctors |