Endoscopic Redo-Mitral Valve Replacement for hemi paralyses patient

New Delhi, February 07, 2022: Mr.Mahinder Singh,56years, living in Mount Abu, was referred to Shalby Hospital Jaipur for Minimally Invasive Mitral Valve Replacement by his Cardiologist.

He was complaining of dyspnea, PND and Palpitation from last 6 months which aggravated from last one month.

He was a known case of RHD,Severe MS,Moderate MR with Atrial Fibrillation and LVEF 40 %. He had undergone Closed Mitral Valvotomy (CMV )18 years back and Balloon Mitral Valvotomy 10 years back (BMV). 3 years back he had CVA and Left sided Paralysis. From which he was recovering and able to walk with support and does his daily activities himself with a little assistance.

His CT chest was showing gross pericardial adhesions. 2D Echo was suggestive of Severe MS,Moderate MR,severely calcified and thickened Mitral leaflets with fused, shortened chordae’s,Sever PAH, LVEF 40%.

Redo-heart Surgery is always clinically challenging due to elevated risk of Peri operative morbidity and mortality. Dense pericardial adhesion and complex valve exposure make the Re-do valve surgery challenging through medial sternotomy and Bleeding and prolonged surgical time increase the post operative risks.

After all necessary preparations, we have performed Totally Endoscopic assisted Minimally Invasive Mitral Valve Replacement for this patient. The heart was accessed through a 2.5-inch right thoracotomy incision and Endoscope was used for better visualization of the surgical field. A 27mm ST. Jude mechanical Mitral valve placed at the mitral position. Posterior Mitral leaflet and total chords were preserved.

The intra-operative and post operative period was uneventful, mobilized the patient on 1^st POD and discharged from the hospital on 4^th post operative day.

The patient and attenders were highly satisfied because he could do all his daily physical activities that he used to do before the surgery more comfortably and confidently at the time of discharge.

In minimally invasive heart surgery, we avoid cracking the chest thus significantly shorten the recovery period. We make an incision of 2 inches or less and reach the heart through the ribs without cutting any bones. And using an endoscope enables better visualization of surgical field, thus the incision can be kept minimum and over stretching of the ribs can be avoided.

Shalby Hospital Jaipur is home for thriving Minimally Invasive Cardiac Surgery (MICS) Programme and one of the very few centers routine perform MICS-Off Pump bypass Surgeries and MICS-Valve surgeries.

Benefits of minimally invasive heart surgery:

• Primarily is the fact that no bones are cut. This has several advantages in reducing pain, retaining function, and having a positive effect on breathing. Unlike traditional heart surgery, return to normal life including driving or other activities is not disrupted and can be started almost immediately.
• Blood loss is almost negligible eliminating blood transfusion in most and eliminating blood borne infection.
• All infections are reduced whether it be wound infections or post-surgical lung infection. This makes the procedure ideal in diabetics and older patients who have poor resistance to infection.
• The incision is so cosmetic and measures just 2 – 3 inches that it’s practically impossible to tell that a heart operation has been done.
• The hospital stay lasts only 3-4 days unlike the conventional heart surgery that takes 6- 7 days.

Minimal invasive Cardiac surgery is developing into the new gold standard. But, Unfortunately, far too many people don’t know about minimally invasive heart surgery. This is partially because these procedures are new, so only a few doctors perform them. In fact, fewer than 1 percent of aortic valve surgeries worldwide are performed this way, as well as fewer than 20 percent of mitral valve surgeries. I hope that changes soon and everyone who wants minimally invasive heart can get it.

About Shalby Hospitals

Shalby Hospitals (Shalby Limited), established by Dr. Vikram I. Shah in 1994 in Ahmedabad, Gujarat, operates a chain of multispecialty hospitals across India, holding an aggregate bed capacity of over 2000 hospital beds.

Currently, the chain has 11 hospitals, four of them in Ahmedabad, and one each in Surat, Vapi, Jaipur, Indore, Jabalpur, Mohali and Mumbai.

Shalby’s recognition as a multispecialty tertiary hospital chain in the Indian healthcare industry was envisioned by its founder Dr. Vikram Shah – CMD, who has been felicitated by Ethicon India for the development of the ‘OS Needle’.

Mission & Vision

Mission

“Leveraging global leadership in Joint replacement to establish multi-specialty care across geographies.”

Vision

“Exceeding expectation from health.”

Values

We value every human life placed in our hands and constantly work towards meeting the expectations of our customers and stakeholders by raising the standards of our service deliveries, every time.

Special Inventions

Zero Technique

• As the most renowned and celebrated Joint Replacement Centre, not just in India, but all over the world, Shalby Hospitals has truly proved to be the global leader in Knee joint replacement.
• During the period 1994–2009, the joint replacement team performed more than 20,000 Total Knee Replacement procedures.
• Using the ‘Zero Technique’, invented by Vikram Shah – the founder of Shalby Hospitals; the team of orthopedic doctors and surgeons at Shalby has helped thousands of people regain their lost mobility.
• The length of surgical time in the hospital had been dramatically reduced from 1 hour, 20 mins per TKR to around 10–12 minutes, using the “Zero Technique”.
• Zero Technique has completely revolutionized the way Knee Joint and Hip replacement is done. The technique reduces the surgical time, ensures minimal incision (cut) during the process, lessens blood loss and minimizes the chances of infections.
• Over the years, Shalby has performed over 1,00,000 Joint Replacement Surgeries.

OS Needle

• Vikram Shah Invented “OS Needle” (Orthopaedic Surgeons’ Needle) which passes though the bone, now used by Orthopaedic doctors, all over.
• The OS Needle’ can pass through both bone and soft tissue easily so that an orthopaedic surgeon can finish repairing bone and soft tissues quickly.
• It is claimed that this invention has greatly reduced the surgical time in Orthopaedic surgeries.
• Shah had been felicitated by Ethicon India for the development of the ‘OS Needle’.

Patient Centric Approach

Shalby Hospitals is dedicated towards providing quality services and treatments to patients, timely and at a reasonable cost. At Shalby, feedbacks and suggestions are considered as the steppingstones of continual improvement in their quality healthcare delivery system.

We always focus to improve the quality of patient care by:

• Monitoring and evaluating the treatment constantly.
• Evaluating our performances against industry standards.
• Putting emphasis on disease prevention as early detection saves lives and money.

NABH

Shalby Hospitals is one among the only few hospitals in India, who has received the prestigious NABH (National Accreditation Board of Hospitals & Healthcare Providers) certification.

NABH is a constituent board of Quality Council of India, established to set up benchmark of progress for healthcare industry of India. NABH carries out activities like accreditation of healthcare facilities, quality promotion, IEC activities, education and training for quality & patient safety, and endorsement of various healthcare quality courses/ workshops.

NABL

Shalby is an NABL recognized hospital providing extensive laboratory testing for a wide range of disease conditions. The state-of-the-art laboratory technology and equipment at Shalby Hospital gives the highest quality standard and precision.

National Accreditation Board for Testing and Calibration Laboratories (NABL) is an autonomous body operating under the aegis of Department of Science and Technology, Government of India. NABL has also gained an authorization for being the sole body for Testing and Calibration laboratories by Government of India. NABL provides laboratory accreditation services to laboratories that carry out tests/ calibrations in accordance with ISO/ IEC 17025:2005 and ISO 15189:2007 standards for medical laboratories.

CQI

Shalby has the CQI certified professionals working round the clock, providing quality services to patients, corporates, and medical insurance companies. The Chartered Quality Institute (CQI) is a global professional body advancing the practice of quality management. Shalby is fully committed towards delivering highest quality health care through innovative use of technology across all the medical specialties. We strongly believe that maintenance of quality standards minimizes infection rate in the hospital; and reduces patient’s recovery time and money.

 

Shalby’s multi-specialty corporate hospital concept has been constantly getting appreciation from patients who get holistic expert healthcare solutions under one roof. With the use of high-end technology, highly skilled surgical team, and the best pain management practices; Shalby Hospitals offers excellent and incomparable results.

Corporate Comm India (CCI Newswire)