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Jubilee Hills, India

Prasad A.,Apollo Hospital
Journal of Robotic Surgery | Year: 2014

Robotic surgery for bariatric surgery is a promising alternative to laparoscopic surgery, but the data are limited. Use of the surgical robot may offer special advantages for bariatric surgery. This study evaluated how robotic approach could improve surgical outcomes in the treatment of morbid obesity. Robotic roux-en-Y gastric bypass has been done for some time but is technically difficult, requiring operation in both the sub diaphragmatic and infracolic compartments of the abdomen. This can mean a dual docking of the robot or a hybrid partial laparoscopic and partial robotic surgery. The one anastomosis (omega loop/mini) gastric bypass (OAGB) has the advantage of having all dissection and anastomosis in the supracolic compartment and is therefore suitable technically for robotic surgery. OAGB/MGB is gaining worldwide interest as a short simple procedure that has been shown to be very effective and safe bariatric surgery. The purpose of this study was to report on the safety and efficacy of robotic surgery for this procedure. This is the first reported series of Totally Robotic OAGB/ MGB. We report our initial technique of this robotic procedure that has been performed successfully in 50 patients. Patients are being followed up for long-term results. © 2014, Springer-Verlag London.

Krishnamurthy V.T.,Apollo Hospital
Journal of Cardiovascular Disease Research | Year: 2016

Coronary perforations are classified as type 1-extra luminal crater, type 2-myocardial or pericardial blushing, and type 3-contrast streaming or cavity spilling. Type 3 coronary perforations are associated with high mortality. Treatment modalities of Type 3 coronary perforations include prolonged balloon inflation, pericardiocentesis for cardiac tamponade, coronary artery bypass surgery, and micro coil embolization. A new technique, widely practised, consists of deploying one or more ready to use covered coronary stents to seal the perforation. This has reduced the need for emergency Coronary artery bypass surgery. The author describes here a case of coronary perforation Type 3 occurring unexpectedly after deploying a drug eluting stent across a simple mid left anterior descending artery lesion combined with a situation of non-availability of ready-to-use covered coronary stent in the catheterisation laboratory. A innovative technique of making by hand a covered coronary stent using readily available coronary balloon to cover an appropriately sized coronary stent is described. This handmade covered stent was deployed to seal the coronary perforation successfully and was life saving.

Prasad A.,Apollo Hospital
World Journal of Gastroenterology | Year: 2010

As a complement to standard laparoscopic surgery and a safe alternative to natural orifice transluminal endoscopic surgery, single incision laparoscopic surgery is gaining popularity. There are expensive ports, disposable hand instruments and flexible endoscopes that have been suggested to do this surgery and would increase the cost of operation. For a simple surgery like laparoscopic cholecystectomy, these extras are not needed and the surgery can be performed using standard ports, instruments and telescopes. Triangular port insertion and use of instruments by the "chop stick method" are recommended to successfully do the procedure as we have done in our so far small series of 40 cases. © 2010 Baishideng. All rights reserved.

Patel S.P.,Wayne State University | Patel P.B.,Apollo Hospital | Parekh B.B.,Gujarat Cancer and Research Institute
Journal of Cancer Research and Therapeutics | Year: 2014

Use of nanotechnology in medical science is a rapidly developing area. New opportunities of diagnosis, imaging and therapy have developed due to recent rapid advancement by nanotechnology. The most common areas to be affected are diagnostic, imaging and targeted drug delivery in gastroenterology, oncology, cardiovascular medicine, obstetrics and gynecology. Mass screening with inexpensive imaging might be possible in the near future with the help of nanotechnology. This review paper provides an overview of causes of cancer and the application of nanotechnology in cancer prevention, detection and treatment.

Krishnamurthy V.T.,Apollo Hospital
Journal of Cardiovascular Disease Research | Year: 2016

Hemophilia B with acute myocardial infarction is rare and presents a management challenge. Acute myocardial infarction demands restoration of blood flow to the jeopardised myocardium at the earliest. With a background of easy tendency to a major bleed in Hemophilia B, use of fibrinolytic therapy, antiplatelets, or anticoagulants are fraught with danger. A 52 year male with Hemophilia B, on regular maintainance doses of factor IX replacement, presented with acute anterior wall myocardial infarction. Patient had a history of oral bleed the previous day. His further management presented a challenge as fibrinolytic therapy or primary percutaneous intervention with stenting and subsequent use of antiplatelets and anticoagulants would invite the danger of life threatening major bleed. Patient had primary percutaneous coronary intervention under cover of one antiplatelet therapy and plain balloon angioplasty to culprit vessel was carried out with good outcomes.

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