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.

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.

Renal Cancer Surgery Doesn’t Have To Be Hard. Visit Chandan Hospital

Renal Cancer Surgery in Lucknow - Chandan Hospital
Renal Cancer Surgery in Lucknow – Chandan Hospital

Introduction

Renal Cancer is known to people with various terms such as hypernephroma, renal adenocarcinoma, renal cell carcinoma (RCC) or kidney cancer. It is one of the most commonly found cancer in the kidney in adults. The basic functionality of kidneys in our body is to regulate fluid balance and helps us eliminate the waste from the body. There are small tubes in the kidneys which assist filter the blood, helps in elimination of waste through excretion and urine creation. These small tubes are also known as tubules. Renal Cancer occurs due to rapid and uncontrollable growth of cancer cells in the lining of the tubules of the kidney.

When Renal Cancer is in its early stages, patients may be symptom-free. As the disease progresses, symptoms may include:

  • A lump in the abdomen
  • Blood in the urine
  • Unexplained weight loss
  • Loss of appetite
  • Fatigue
  • Vision problems
  • Persistent pain in the side
  • Excessive hair growth (in women)

Renal Cancer is fast-growing cancer and often spreads to the lungs and surrounding organs.

Management

Here we present a case of renal cancer successfully treated at Chandan Hospital, Lucknow. The patient was admitted to the hospital with a complaint of bleeding while urination. Extensive and invasive studies were performed to identify Hematuria in the patient.

A standard procedure of Laparoscopic radical nephrectomy was performed by Dr Manmeet Singh to treat the condition of Hematuria. There is conclusive evidence showing that the long-term cancer control afforded by this procedure is similar to that of open surgical procedures. Oral feeding was initiated on postoperative day 1, and the drain was removed on postoperative day 2. Immediately after the operation, radiofrequency ablation was performed. No complications were observed at the follow-up examination conducted, and the patient fully recovered & was discharged with a small incision. Best Cancer Treatment in Lucknow.

Testimony

“I am very much thankful to Chandan Hospital and Dr Manmeet Singh for giving me an excellent course of stay. During my hospitalization, all the staff was very much courteous. I received timely care, medication and staff attention, and I am very much thankful to everyone for giving me satisfactory treatment.”

~ Patient

Head Injury Treatment in Lucknow @Chandan Hospital

Introduction
Head injuries are one of the most common causes of disability and death in humans. The injury can be as mild as a bump, bruise (contusion), or cut on the head, or can be moderate to severe in nature due to a concussion, deep cut or open wound, fractured skull bones, or from internal bleeding and damage to the brain.
There are many causes of head injury in children and adults. The most common traumatic injuries are from motor vehicle accidents (automobiles, motorcycles, or struck as a pedestrian), from violence, from falls, or as a result of child abuse. Subdural hematomas and brain hemorrhages (called intraparenchymal hemorrhages) can sometimes happen spontaneously.
When there is a direct blow to the head, the bruising of the brain and the damage to the internal tissue and blood vessels is due to a mechanism called coup-countercoup. A bruise directly related to trauma, at the site of impact, is called a coup (pronounced COO) lesion. As the brain jolts backward, it can hit the skull on the opposite side and cause a bruise called a counter coup lesion. The jarring of the brain against the sides of the skull can cause shearing (tearing) of the internal lining, tissues, and blood vessels that may cause internal bleeding, bruising, or swelling of the brain.

Management
The patient was rushed in Emergency at Chandan Hospital, Lucknow; he was bleeding from his forehead and was in an unconscious state. The emergency staff responded quickly and discovered head injury with exposed RT frontal brain and communicated frontal bone fracture. They also did some further investigation and figured out that the patient’s right pupil dilated & non-reactive and left pupil was pinpoint non-reactive.
Further, test like CT scan was performed on the patient to determine the extent of his head injuries. Following were the findings:

• Comminuted fracture frontoparietal bone with anterior body defect.
• Multiple hyperdense areas with hypodensities are seen in bilateral frontal and right parietal.
• Gangliocapsular region was suggestive of hemorrhagic contusions.
• Multiple air pockets are also seen, sulci and fissures effaced with midline ship of approx 2.5mm.
• Both cerebral hemisphere and brain stem are normal in position and appearance.

The patient underwent surgery, under general anesthesia with bicoronal incision, removal of all contused and exposed RT frontal lobe was done with the elevation of depressed fracture and removal of exposed bone chips. Dr. Mohd Iqbal did fixation of multiple fractured segments of skull bone with miniplate and screws. Alignment of the right upper orbital rim was also performed. Fractures involving frontal bone are rather uncommon. Injuries to this bone are rather critical because of its proximity to the brain. Due to excellent treatment, timely visits, and regular monitoring, the patient recovered successfully without any further complications.

Testimonial
“He was unconscious and his forehead was bleeding very badly. We were dismantled by this situation and got worried, so we rushed immediately to Chandan Hospital where emergency staff quickly responded and made his condition stable. He has undergone surgery and by God’s grace, he has recovered back. It is not less than a miracle. We thank Dr. Mohd Iqbal for his excellent treatment. His timely visits and regular monitoring really helped us to take him back home. We wish Chandan Hospital continues rendering such good quality of treatment.” Best Hospital in Lucknow
~ Patient’s Family Member

Oral Cancer Treatment in Lucknow – Chandan Hospital

Best Cancer Treatment in Lucknow
Oral Cancer Treatment in Lucknow

Introduction

Cancer is defined as the uncontrollable growth of cells that invade and cause damage to the surrounding tissue. Oral cancer is a type of cancer that appears as a growth or sore in the mouth that does not go away. Oral cancer can develop in any part of the oral cavity or oropharynx such as on the lips, tongue, cheeks, the floor of the mouth, pharynx (throat), etc and if not diagnosed with treatment earlier it can be life-threatening. If oral cancer metastasizes or spreads it generally progresses through the lymphatic system. Further, these cancer cells travel with the help lymph (a clear & watery fluid) when they enter the lymphatic system. The appearance of cancer cells can be first noticed in nearby lymph nodes in the neck. However, the progression of cancer cells can also be detected in the lungs and other parts of the neck and body. When this happens, the new tumour has the same kind of abnormal cells has developed. The new tumour is also referred by doctors as “distant” or “metastatic” disease. Below are mentioned a few common symptoms that can occur on the gums, lips or any other areas of the mouth in case of oral cancer:

  • Thickening/ Swelling
  • Lumps/ Bumps
  • Rough spots/ Crusts/ Eroded Areas

Here we report a case of Oral Cancer at Chandan Hospital, Lucknow. A patient came in complaining ulcerative growth on the right lateral border of the tongue from the past 2 months. The patient not only had burning sensations in his tongue, but the pain radiated to the ear as well. Treatment for the diagnosis and post-treatment were successfully done under the supervision of Dr Priyanjal Gautam and Dr Vivekananda Singh, at Chandan Hospital, Lucknow. 

Management

A Patient was admitted in Chandan Hospital, Lucknow with a complaint of ulcerative growth RT lateral border of the tongue which was present for the last 2 months. Intake of any food caused a burning sensation in the tongue as well as the pain radiated to the ears of the patient. Under the supervision of Dr Priyanjal Gautam and Dr Vivekananda Singh, patient’s diagnosis (growth on the right lateral border of tongue; T2NOMO), was done successfully. The doctors performed ‘Ulcerative Growth at Lateral Border of Tongue’ procedures at the pre-treatment stage. In the post-treatment, the doctors performed a procedure named ‘wide excision RT tongue with MRND’ under general anesthesia. The patient is now fully recovered from the treatment and doing well in his daily life without any complaint.

Testimonial

“I had severe irritation in my mouth, it was almost impossible for me to swallow food with a painful tongue. I felt that there is something lodged over my tongue and spicy foods were causing burning sensations all over my tongue and pain radiated to my ear too. When I visited Chandan Hospital, I was very comfortably accommodated by the hospital staff and I was provided timely care and medication. Dr Vivekananda Singh and Dr Priyanjal Gautam provided me with excellent treatment and today I can carry out my oral functions normally. I will surely recommend Chandan Hospital to my near and dear ones.” 

~ Patient