Severe Road Accident Injury in Liver Operated with Laparoscopic Left Lateral Hepatectomy @ Chandan

Accidental injuries can occur at home or outside that too at times it is so grave that you need to go through a series of procedures and medication to reach normalcy. The term “accidental injuries” is itself indicates that it is all kinds of injuries that occur due to an abrupt, unexpected and ill-fated incident. It can be burns, bites, falls, road accidents, drowning, falls and stings etc. For instance, you can fall from stairs injuring your back or slipped and hit a sturdy object causing internal or external bleeding. Such incidents are traumatic and fatal to some. At times incidents such as an accident while enjoying an adventurous activity of sports or drunk driving are also a few examples when accidents occur.

Accidents are an unforeseen incident that can occur at any time and is one of the frightening causes of demise. Any person, who suffers grave physical harm or damage inflicted due to an accident causing an overwhelming outcome affecting his/her life in numerous contexts such as physical pain, emotional trauma and financial crisis.

Road accidents result in slight injuries to gruesome injuries to life-threatening cases are observed. Mostly such accidental cases with injuries are rushed to a closest possible emergency available. Emergency departments in hospitals are equipped to deal with such incidents at hand. Such a case of road accident was rushed to Chandan Hospital Emergency (ER) of a young boy, Sunny a B. Pharma student of Babu Banarsi Das, who was in a state of shock when admitted. He was seriously injured in the road accident, which caused him a blunt trauma in the abdominal region & liver laceration.

His case was transferred to Dr Alankar, Department of Gastro-Liver & Biliary Sciences. Dr Alankar accessed the condition of the boy and advised him to go through “laparoscopic left lateral hepatectomy”.

Laparoscopic surgeries are also known as MIS (minimally invasive surgery) or keyhole surgery. This kind of surgery enables the surgeon to reach inside the abdominal wall without a requirement of a larger incision. An instrument smaller in size used during a laparoscopic procedure is called laparoscope. It is a small tube with a camera and a source of light providing the surgeon images of the inside on a television monitor. It is one of the most opted surgery as through this swift recovery is possible. Hepatectomy is a surgical procedure to remove whole or partial parts of the liver, which is termed as resection.

Dr Alankar performed the laparoscopic left lateral hepatectomy, which was performed under general anaesthesia. The patient was asleep during the entire procedure and did not feel even the slightest pain. Very minute incisions are made in the abdomen wall through which Dr Alankar gained access through laparotomy to the organ. The procedure was successful and the patient was admitted for ten more days to be observed. During his stay in the hospital, his condition recovered and was discharged in a healthy condition, with advice to be on bed rest for at least ten more days. The patient is currently back to his home town Delhi with his parents.

Patient Testimonial:

I met with an accident on Faizabad road and was rushed to the nearby emergency of Chandan Hospital. The accident happened suddenly and I can only recollect the exact incident in bits. It was a horrifying moment as soon as I was hit, I could only remember the bleeding and intense pain in the abdominal region. I passed out due to the intense pain and when I gained consciousness I was under primary care in the ER. As my wounds were very serious, I was transferred to Dr Alankar for consultation and assessment. As my liver was hurt, he suggested for laparoscopic left lateral hepatectomy. I went under the procedure and recovered swiftly. The staff at Chandan hospital was caring and I am grateful to Dr Alankar.

Doctors Assessment:

The patient was in intense trauma and seriously injured when he reached the Emergency at Chandan Hospital Lucknow. I was called to assess the patient’s condition as he had blunt abdominal trauma & liver laceration. To heal him from the internal injury in the liver, I recommended laparoscopic left lateral hepatectomy. It was a minimally invasive surgery and the patient swiftly recovered within the ten days of hospital stay to be observed.

Bariatric Surgery for Weightloss successfully done @ Chandnan

Increase the Metabolic Process of Your Body with a Simple Procedure & Rid Yourself of Obesity Related Illness

An ever-growing health issue is being obese. There are a rising number of obese, and overweight Indians, also there are a high number of people who are morbidly or severely obese. Morbid obesity is a grave condition that is many times not taken seriously. It hinders with the primary physical functionalities like walking or breathing. People with morbid obesity have higher chances of getting ailments such as heart disease, sleep apnea, gallstones, diabetes, osteoarthritis, high blood pressure, cancer and GERD (Gastroesophageal Reflux Disease).

To track your obesity BMI (Body Mass Index) is an ideal way to do so as through the ratio of height and weight it assesses. The standard weight consideration is 45 kg for any individual with a height of about 5 feet. In the case of BMI, if it is 35 or more, then an individual can be said as to having obesity condition and has higher chances to have the following health conditions such as diabetes, high blood pressure and many others.

A case of obesity of a fifty-seven-year-old lady was successfully handled by Dr. Alankar Gupta (Department of Gastro-Liver & Billary Sciences, Chandan Hospital). The patient’s name was Neerja Mathur, and she weighed around 95 kg with a BMI of 42. As earlier pointed out that morbid obesity comes along with related illness, also Neerja was suffering from diabetes, HTN (Hypertension), OSA (Obstructive Sleep Apnea), and Hypothyroidism.

OSA (Obstructive Sleep Apnea) is a severe sleep disorder as your sleep is obstructed as the breath stops frequently and disturbs sleep. Various kinds of sleep apnea are there. However, the most prevalent and found is obstructive sleep apnea. It is a sort of apnea happens your airway is blocked during sleep when the muscles of the throat intermittently relax. The most obvious and common symptom of obstructive sleep apnea is snoring. Diabetes mellitus is the most generally known as diabetes. It is a disease related to metabolic causing high blood sugar. In normal healthy condition, the insulin hormone transfers sugar to your cells from the blood to be stored or utilized for energy. In diabetes, the body is unable to produce insulin hormone or incapable to use the produced insulin hormone. Also, if the high blood sugar is not treated on time, it has the potential to impair your many organs such as eyes, nerves, kidneys etc. Hypertension is more commonly known as high blood pressure. If this hypertension persists for a longer period, it can lead to drastic complications in your health conditions and increase the hazard of heart stroke, heart disease, and seldom death.

Dr Alankar suggested a procedure of laparoscopic sleeve gastrectomy to relieve of her increasing health issues and increase the metabolic process of the body. It was a minimally invasive surgery to reduce her pre-treatment weight which was ninety-five kg. This procedure requires making approximately 5 tiny holes in the abdominal wall. It is performed utilizing a video camera along with the long instruments positioned through the small incisions. The procedure involves eighty-five per cent removal of the stomach leaving a “sleeve” or a narrow gastric “tube”. The laparoscopic sleeve gastrectomy takes about 1 to 2 hours for completion.

This procedure completely resolved her three health conditions she was previously suffering with were OSA (Obstructive Sleep Apnea), HTN (Hypertension) and DM (Diabetes). Also, Neerja lost 5 kgs when she came back for her first follow-up. Dr. Alankar expects she will lose around 30 kgs until March next year.

Patient Testimonial:

I had gained weight over time and wasn’t able to lose by conventional methods such as dieting or exercises. As expected, being overweight, I also had health issues such as HTN, OSA, Hypothyroidism and Diabetes. With increasing age and illness, it was getting difficult to lose weight. I was suggested to go to Chandan Hospital by one of my dear friends. When I consulted Dr. Alankar, I was relieved that through his suggested procedure of laparoscopic sleeve gastrectomy. Through this procedure, I will lose weight, the metabolic process of my body will increase, and three of my major illnesses will be resolved. I am grateful to Chandan Hospital’s caring staff and Dr. Alankar for leading me to better health.

Placenta Previa condition successfully treated by Team Chandan

Placenta Previa is a condition occurring to many women during their pregnancies. Let’s understand the placenta previa condition, its causes, symptoms, and dos & don’ts. The structure of placenta creates inside your uterus during pregnancy, giving oxygen also the nutrition and expelling waste from your baby. The placenta attaches with your baby through the umbilical cord. In many pregnancies, the placenta connects at the top or side of the uterus. Placenta previa occurs when a baby’s placenta partially or covers the mother’s cervix, which is the outlet for the uterus. Placenta previa condition causes severe bleeding during pregnancy and delivery.

Your doctor will suggest keeping away from exercises that may cause contractions, including having intercourse, douching, utilizing tampons, or participating in exercises that can build your danger of dying, for example, running, jumping, and squatting. You’ll require a C-section to deliver your baby if the placenta previa doesn’t resolve. The vaginal red bleeding without agony during the second half of pregnancy is the major indication of placenta previa. A few ladies likewise have contractions. In numerous cases, women diagnosed with placenta previa from the very starting of their pregnancies, it could be resolved. In case, the bleeding is becoming severe, look for medical emergency care. The accurate reason for placenta previa is still unclear.

The factors responsible for placenta previa is common among the ladies who have had a baby, have scars on the uterus, (for example, the past medical procedure, including cesarean delivery, removal of uterine fibroid, and dilation and curettage), had placenta previa with a past pregnancy, are carrying more than one embryo, are at age of 35 or more, are of a race other than white, smoke and use cocaine.

Most doctors suggest women with Placenta Previa not to travel and keep away from pelvic tests. Be that as it may, the accompanying can increase your risk factor, in case, you are 35 years old with multiple pregnancies and have undergone any surgical procedure of uterine specifically in any case of incision type.

Now with a full understanding of the condition, you might be able to comprehend the complications in pregnant women with placenta previa occurs. At Chandan hospital, we encountered a similar case of placenta previa. However, it was more complicated as the woman (name cannot be revealed due to privacy issues) came in with full-term pregnancy referred by another hospital and with a history of bleeding in pregnancy. Normal delivery was out of the question considering her condition. Even caesarian was of high risk due to the heavy bleeding. Assessing her condition, if the bleeding went out of control could lead to multiple blood transfusions or removal of the uterus altogether as there was a possible life threat due to bleeding.

This was for the first time in Uttar Pradesh that this procedure was executed by Dr Saba-e-Firdaus (gynaecologist) & Dr Rohit Agarwal (interventional radiologist) of Team Chandan. They planned the operation cautiously as Dr Rohit performed uterine artery balloon catheterization which was inflated after the deliverance of the baby. Though this way blood supply to the uterus was temporarily blocked and time was provided to control the bleeding. The balloon was deflated and removed after the same. This way the case was successfully handled with normal blood as there was no requirement to transfuse blood. The case was successfully managed by both doctors. The patient left the Chandan hospital on the third day in a healthy condition and a healthy baby. To overcome such a challenge was a humongous task in itself as the life of both the baby and the mother was at high risk if at any time to bleeding could not be controlled. The doctors righteously managed the whole case exercising every precaution they could have been possible.

Even Minor Breathing Issues Should Never Be Ignored

A case of critical Dyspnea of Mrs Mithelesh Pal, a 50-year-old woman who was operated to relieve from the excruciating struggle to breathe was successfully handled by Chandan Hospital team. Her breathing issue began about a month ago and with time it was becoming very unbearable for her. When she consulted Dr Vishal Srivastava, Chief Consultant and Dr Shraddha, Sr. Consultant,Department of Cardiothoracic and Vascular Surgery, Chandan Hospital, she got to know about her condition of Dyspnea. In this condition shortness of breath can vary from mild and brief to severe and long-lasting. Dyspnea patients, in general, suffer from difficulty in breathing, also it is at times termed as air hunger.

Her symptoms were of a typical Dyspnea patient such as coughing, wheezing, tightness in the chest, laboured breathing, shortness of breath after exertion or due to a medical condition, heart palpitations, feeling smothered or suffocated as a result of breathing difficulties and rapid and shallow breathing. After a few tests it was diagnosed that she had Pyopneumothorax with bronchopleural fistula (BPF) in her left lung making her situation grave. Bronchopleural fistula is an unusual passageway or a sinus tract that emerges between the huge airways in the lungs. It is a grave complexity usually caused through lung cancer surgery but most times it can also occur due to radiation, infection or after chemotherapy.Doctor Vishal & doctor Shraddha without a delay advised for the patients to get admitted on the same day and suggested to go for decortication of the left lung with the closure of BPF (bronchopleural fistula) for instant relief.

Decortication is a procedure through which a restrictive layer (of fibrous tissue) is removed surgically overlying chest wall, lung, and diaphragm. Its basic purpose is to eliminate the layer permitting the lung reexpansion. After the removal of the peel, the compliance returns to the chest wall. The symptoms of patients will rapidly improve after the removal. The lung functions normally by a subsequent deflation and expansion.

Mrs Mithelesh was operated the next day after the consultation to relieve her of the ordeal she was suffering from. The operation was successful, and she was relieved within three days after the surgery with visible improvements in her health.

Patient Testimonial:

I was in a lot of distress as I had to fight for my every breath. It was very disturbing as I didn’t know what was causing it. We consulted with a few doctors but there was no improvement in the long term. Then one of the friends of my son advised us to visit Chandan Hospital for better treatment. I was relieved when the doctors were able to diagnose the right reason for the distress caused. I went through the surgery as per the medical advice. It turned out to be the right decision as after a day of the surgery I started feeling fine as there was not so much issue in breathing. Everybody at Chandan Hospital was very helpful and caring.

Large ASD Closure with PAH Performed Successfully at Chandan Hospital

First, let’s understand the ASD condition as it is one of the commonly found congenital heart diseases in adults. ASD is short for Atrial Septal Defect and the most widespread form of treatment accepted throughout the world is transcatheter closure. However, patients with Atrial Septal Defect with Pulmonary Arterial Hypertension (PAH) have a critical condition. To treat them, you need to analyze closely the exact condition of the patient. In recent time, Doctor Vishal Srivastava of Chandan Hospital looked into the similar heart condition of a patient Noor Jahan.  

She was suffering from large OS-ASD since her birth with PAH. This heart condition was taking a high toll on her health as she has a lean body structure with a growing condition of Dyspnea. Dyspnea is a condition in which a person has to fight for breath or has shortness of breath. It is also said to be a condition of air hunger. She was lucky to have it got diagnosed at an optimum time to get it treated as this condition is not easily detected in most times. You can understand given her heart condition of large ASD with PAH and Dyspnea it was becoming serious. Her body was going through a great ordeal to survive it. 

When Dr Vishal Srivastava first checked her condition and after a series of tests diagnosed her heart condition of large ASD with PAH also Dyspnea on exertion associated with orthopnea and palpitation. He briefed her so she understands her exact condition that usually these defects are there from birth and its symptoms increases over time also that he can successfully treat it. He gave her the answer she was looking for as her condition was deteriorating at a faster rate. It was a challenge that he took along with team Chandan to treat her successfully and lead her down a path of a healthy life. The patient was soon operated by the popular treatment of bypass (CABG) surgery. After a day of the surgery, she was extubated and sent to ICU for extensive care. Afterwards, after proper care, she was discharged in a healthy state on the seventh day of the surgery.

It might be her journey she completed with the expert help of Team Chandan. As earlier mentioned, it is one of the most commonly found conditions of the heart and many people are still suffering trying to find the right healthcare facility to get it treated. We are proud to be a super-specialist hospital in Lucknow providing you with almost every facility, technology and medical expertise available at your disposal.

Doctors Comments: The patient was very thin built and low weight. She has also had Dyspnea on exertion associated with orthopnea and palpitation. Normally these types of defects are present from birth and symptoms slowly increasing, but this can be treated in later stages as well. The patient came to us in OPD for consultation. Seeing her reports and condition team Chandan Hospital took this challenge. Because of our efficient and dedicated team which was committed to serve our social responsibility. We performed the surgery and were delighted with the patient’s fast recovery.

Patient Testimonial: I was a low weight, thin built and had gradually developed Dyspnea. On further diagnosis, I came to know that I had a large PHT. Then one of my relatives suggested me to visit Chandan Hospital. When I visited the hospital, everybody was very cooperative which raised my confidence and the doctor in this organization is considerate. I have been in the institution where the entire staff team members are great and I have been operated and discharged in eight days of stay.

CAD Heart Patient with Serious Complications Successfully Treated at Chandan Hospital

In the past twenty-five years, you can observe the rapid rise of heart diseases cases in India which has increased by fifty per cent. Moreover, heart disease in India has also become one of the chief causes of death.  The above statements can be rectified through numerous studies conducted throughout the nation over the years which are Registrar General of India (RGI), the World Health Organization (WHO) report on noncommunicable diseases (NCDs), the Global Burden of Diseases, Injuries, and Risk Factors (GBD) study, Andhra Pradesh Rural Health Initiative (APRHI), Kerala-based Population Registry of Lifestyle Diseases (PROLIFE) study, the Mumbai Cohort Study (MCS), and the Prospective Urban and Rural Epidemiological (PURE) study reports.

CAD is among the commonly found heart conditions in India among adults. It can be understood as coronary artery disease and is caused due to the coronary arteries getting narrow restricting the flow of oxygen and blood to the heart. The process involved in the narrowing of the coronary arteries is known as atherosclerosis. The process happens when there is a build-up of cholesterol, fat, and other substances in the coronary arteries. The build-up is referred to as plaque which causes irritation and scarring in the arteries also making them thick and hard. This is a basic understanding of CAD condition now let’s explore what distress a patient goes through. Atherosclerosis restricts the passage of blood limiting its reach to heart muscles. Sadly, it is often detected in people when it is advanced and one of the symptoms would be angina (chest pain) or a heart attack. The reasons that can trigger this condition can due to family medical history, smoking, your age, unhealthy diet, a low level of physical activity and many other reasons. Your lifestyle choice of unhealthy living can also trigger this condition.

Chandan Hospital makes a point to serve the patients of CAD with extensive care and efficiency. By the above illustration of facts regarding CAD heart condition, you might be able to perceive a typical case of any patient. Dr Vishal Srivastava successfully treated a patient who was diagnosed with CAD with severe TVD (triple vessel disease) with LV (left ventricular) dysfunction (EF-45%) with type–II DM (diabetes mellitus) with CKD (chronic kidney disease) after his suggested tests. The patient’s name was Ram Ji who had a medium built of the body. He started to experience severe pains eight months back from his left shoulder and jaw along with sweating palpitation and anxiety. His primary diagnosis was exercised by a doctor in Allahabad confirming his condition with the recommendation of dialysis, Bypass surgery and intensive care. When he came to Chandan hospital and consulted with Dr Vishal Srivastava was relieved as he was provided with the best facility available with the best medical advice to alter his life for better. After assessing his physical condition with related reports he made an informed choice to go with beating heart Bypass (CABG) surgery. Moreover, the patient was spared an ordeal to go through dialysis also his extreme condition of such interrelated health condition was dealt gracefully and carefully.

The procedure was completed successfully and the patient was discharged on the eighth day. Team Chandan celebrated another brilliant win to see another patient recover from his critical condition and heading towards his healthy life. His condition was severe as he was suffering from CAD but also a triple vessel disease, left ventricular dysfunction, chronic kidney disease and type II diabetes. Our medical team had kept a lot of parameters in mind while operating him as with so many complications it was a difficult case to pursue. However, our undying spirit to serve our society in any medical distress provides us with the required brave attempts.

Doctors Statement:

The patient was thin with medium bone structure and low weight. His symptoms were recurring chest pains. He went to numerous healthcare institutes or facilities for Bypass (CABG) surgery. However, his case was very sensitive due to several other health conditions of LV Dysfunction, TVD, CKG and Type II DM became the reason that he was denied of the medical care that he required so much.  Moreover, his financial condition was not so great, restricting his options. When he came to us for consultation in OPD and after thoroughly reviewing his reports we decided to step in. Dr Vishal with his team resolved to provide him with the best medical care as per his condition and took the challenge head-on. Team Chandan is proud to be able to help him and lead him to the path of healthy living.

Patients Testimonial:

My troubles began when I started experiencing severe chest pains eight months back. The pain radiated from left shoulder and jaws along with anxiety, sweating, and palpitation. My initial consultation was performed at a local hospital in Allahabad. After a few tests, I was diagnosed with CAD with severe TVD with LV dysfunction (EF-45%) with type–II DM with CKD. I was recommended for Bypass surgery and dialysis. I was very troubled after this and in a discussion with a friend it came up. He suggested me to visit Chandan Hospital for the surgery as I was denied at many healthcare facilities due to numerous health issues. I am so glad I listened to my friend as this hospital was the answer to my ordeal.  They not only performed the surgery successfully but I also recovered in eight-day to resume my mundane life. They also made sure that I escaped dialysis without any complication. They provided extreme care and with their help, I can continue my life.

Is there a way to treat Seborrheic Keratosis? Visit Chandan Hospital Today

Introduction
Seborrheic keratosis is one of the most common noncancerous skin growths mostly in adults. A seborrheic keratosis usually appears as a brown, black or light tan growth on the face, chest, shoulders or back. The growth has a waxy, scaly, slightly elevated appearance. Seborrheic keratoses don’t become cancerous and aren’t thought to be related to sun exposure, but they can look like skin cancer.

It’s Symptoms A seborrheic keratosis:
• Varies in color, usually from light tan to brown or black
• Is round or oval-shaped
• Has a characteristic “pasted on” look
• Is flat or slightly elevated with a scaly surface
• Ranges in size from very small to more than 1 inch (2.5 centimeters) across
• May itch
Seborrheic keratoses are normally painless and require no treatment. You may decide to have them removed if they become irritated by clothing or for cosmetic reasons. Be careful not to rub, scratch or pick at them. This can lead to bleeding, swelling and, in rare cases, infection.

Management
A male patient came to Chandan Hospital with multiple black sores over the entire face. The patient initially had local discomfort, occasional pain, and irritation over the affected sites. He had also sought medical consultation previously but it failed to cure him. At Chandan, he was followed-up by Dr. Amrita Srivastava and sent for clinical examinations. Clinical Examinations revealed the verrucous growth of benign tumor predominantly over the entire face. After further investigations, Seborrheic Keratosis was confirmed. Based on the clinical findings, a diagnosis of Seborrheic Keratosis was done by using the most-advanced Carbon Dioxide Laser technology. After the diagnosis, the patient was successfully treated with good outcome and was instructed to keep good hygiene to prevent post-operative infections.

Testimonial
I was under-treatment of Dr. Amrita Srivastava, MD (Dermatology) for my treatment. She is a proficient doctor. She makes full use of diagnostic processes to arrive at her diagnosis. Therefore, her diagnosis is excellent. This gave me comfort as a patient that I am getting treated properly. She has been taking care of me so that I completely cured. Dr. Amrita, I am privileged to have you as my Doctor. You were very helpful and polite in all respects, and I am totally satisfied with the treatment I received at Chandan Hospital Lucknow. Thank you Chandan team for all the efforts and co-operation.