Patient, who had renal failure, is fine after surgery
The Kauvery Hospital has successfully performed a complex kidney transplant surgery on a seven-year-old boy. The patient, who was diagnosed with renal failure at birth, is doing fine after the surgery.
Aravindan Selvaraj, executive director, Kauvery Hospitals, said Pritish was born with complications in the kidneys and suffered from frequent urinary infections due to back flow from the urinary bladder. This created a situation where the kidneys had to be removed. While his father Jyothy Prakash came forward to donate a kidney, the transplantation looked complex because the boy was extremely underweight for his age and needed to be put on dialysis.
A team of specialist doctors planned to go for multiple surgeries, including the transplant, at one go and successfully completed them. Dr. Selvaraj said the success of the transplant could be seen in the boy gaining weight and the transplanted kidneys working well.
Being an orthopaedic surgeon, I take infection very very seriously. In this stream, metal implants go inside the human body and they are going to stay there. The chances of infection are very high over here. Having worked and trained in the UK and Ireland for over 15 years, I have seen the best practices for both prevention and cure of infections. The HAI is one of the leading causes of hospital deaths everywhere.
We have a fantastic infection control specialist who was also trained in the UK for 15 years and has joined us. He has inculcated the practice of using the antibacterial scrub among the doctors and the supporting staff. We need to change the culture, including the practice of indiscriminate stocking of antibiotics. Even for mild infection, high dose of antibiotics is taken, preventing the efficacy of even level-1/level-2 antibiotics. Time and again evidence has proved that we need only one dose of antibiotic provided we keep everything else under control and also only first generation antibiotic and not the second and third generation antibiotics. So here we have set up a hospital infection control committee (HICC). They prescribe a procedure to determine where antibiotics should be given and also as the infection seniority grows what sort of antibiotics should be given.
“Influenza can develop respiratory complications with symptoms such as cough, fever, shivering, while Acute Respiratory Distress Syndrome (ARDS) is the major complication. ARDS reduces the supply of oxygen to the lungs and the blood that may also lead to the death of the patient,” said Dr Lakshmi Prashanth, consultant pediatrician, Kauvery Hospital.
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Article published in the Deccan Chronicle dated March 12, 2018
Influenza can develop respiratory complications with symptoms such as a cough, fever, shivering, while acute respiratory distress syndrome (ARDS) is the major complication. ARDS reduces the supply of oxygen to the lungs and the blood that may also lead to the death of the patient,” said Dr Lakshmi Prashanth, Consultant Paediatrician, Kauvery Hospital.
The rise in mortalities due to seasonal influenza-related respiratory diseases has been a primary cause of concern among public health experts and it is worrying to see that the risk is further increased as per updated estimates.
According to a recent study published in the Lancet, seasonal influenza-related respiratory diseases are estimated to kill up to 6.46 lakh patients annually. The study shows that children younger than five years are at a larger risk. The earlier estimates said the numbers can reach from 2.5-lakh -5 lakh, but the recent report shows a spike in the cases.
The Spina and the Spinal Cord play a very important role in our day to day life. From walking, climbing, eating, playing music or even using cell phones, our back is essential. But the back bone is often neglected resulting in frequent back / neck pain and other health issues caused due to premature wear and tear.
October 16 of every year is celebrated as “The World Spine Day”. This serves as a platform to highlight the importance of the spine, and spread awareness about how to take good care of it. “Your Back in Action” is the theme for this year as it motivates the importance of frequent activity to keep our spine strong and flexible.
Proper posture to sit; right way to lift heavy objects; right position to sleep; all make a huge difference in protecting the spine. When this is combined with the right amount of active movements and exercises, a pain free life is very much possible.
Improved awareness about how surgical techniques have improved, including recent advances like “Navigation Guided Surgery” and “Minimally Invasive Spine Surgery” will also go a long way in improving acceptability for spine surgery. Very often surgery facilitates early return to work with better health and improves the quality of life as well.
Understanding the spine and improving your knowledge about it is inevitable. Avoid excessive use of mobile phones, move frequently, tighten the core muscles, maintain right postures and stay healthy. These simple acts will lead to a pain-free and mobile life.
A complex spinal cord surgery was performed on a road accident survivor at Kauvery Hospital recently. According to a press release, the patient, a 33-year-old from Coimbatore, sustained an injury on his left arm in 2013. He was diagnosed with a complete avulsion injury (tear injury) of his brachial plexus - the network of nerves that provides supply to the entire arm.
G. Balamurali, consultant neuro-spone surgeon, performed the DREZ (dorsal root entry zone) lesioning procedure, in which the damaged areas of the pain-signalling nerve cells are blocked.
The hospital has now formed a support group for patients with brachial plexus injuries, as a corporate social responsibility initiative for patients, with specialists as advisers.www.bpisupportgroup.com has been set up as a resource site.
CHENNAI: Two young boys, who were diagnosed with congenital kidney diseases, underwent kidney transplantation successfully, using the organs donated by their mothers.
R Arul Kumaran (11) was diagnosed with posterior urethral valve, a condition of obstructive developmental anomaly in the urethra. R Mithun (9) was diagnosed with congenitally mal-developed kidneys with high pressure that required multiple blood pressure medications.
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Article published in the New Indian Express dated April 27, 2017
Chennai: Talking to reporters here on Monday, Hospital Executive Director Dr Aravindan said Glossopharyngeal Neuralgia was an uncommon facial pain syndrome often misdiagnosed as Trigeminal Neuralgia and it constitutes 0.2 to 1.3 per cent of facial pain syndromes affecting 0.2 to 0.7 per 100,000 per year.
“Swallowing, chewing, talking, coughing or yawning aggravates this pain episode. Bradycardia/syncopal episodes can occur in extreme cases,” he added.
Micro Vascular Decompression Surgery was the treatment option for this under which the offending tortuous vascular loop, which was compressing the nerve, would be dissected and separated from that cranial nerve Dr Aravindan said, “the complications of this MVD procedure are bleeding, stroke, Dysphagia (difficulty in swallowing), Hoarseness of voice, and Cardiac Arrythmias.
Kauvery Hospital is renowned for its excellent care and the commitment towards swift healing, bringing unmatched experience which are on par with the global standards. Their main attribute is to soar success and elevated growth which extended in more than four cities and six units within the time span of 15 years. ABK-AOTS DOSOKAI, a registered society to liaison between Japan and India across diverse spheres, has conferred two awards for Kauvery hospital, on January 23rd at Chennai for 5S Platinum Award, and another award at Delhi on February 26 for Quality Control. Platinum Medal and Certification for the Best Practices in 5S, in Large and Medium Scale Industries is yet another feather in its cap, as Kauvery Hospital is the only hospital to win this award this year, out of 50 companies from the manufacturing and service sector.
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Article published in The Hindu dated April 14, 2017
A team of doctors at the Kauvery Hospital performed a very rare and complicated surgery, successfully saving the life of a newborn baby. The baby was born with a huge tumor that was prenatally detected during pregnancy, and was operated on the 12th day of her life.
Dr Aravindan, Executive Director at Kauvery said, “This case was referred to Kauvery from a private Medical College hospital , because of the fact that Chennai Kauvery has an expert team of Spine and Neurosurgeons ,Paediatric Surgeons , Paediatric Anaesthesiologist and a state-of-the-art Paediatric ICU .We are keen on doing such complex surgeries, as we are equipped with internationally trained doctors and world-class infrastructure .”
Addressing the media, Dr G Balamurali, Spine and Neurosurgeon said, “She was detected with a very large tumor during the 20th week of pregnancy. The tumor was almost the size of the child’s head and increased in size within 5 days after birth. She was taken up for a major surgery on the 3rd of April 2017. The baby could not lie on her back as the tumor was located on the back of the spine. It was very aggressive-looking and vascular. Pre-operative workup with MRI, blood tests including tumor markers were done to study the case thoroughly.”
A team of doctors led by Dr G Balamurali, Spine and Neurosurgeon, along with Dr Sivasankar Jayakumar, Paediatric Surgeon, Dr Sathish Manivel, Plastic surgeon and a team of Pediatric Anaesthetists at Kauvery hospital, Chennai performed the surgery for seven hours and successfully removed the entire tumor, with very minimal blood loss.
