Park Hospital Palam Vihar, Gurugram Successfully Performs Complex ABO-Incompatible Kidney Transplant, Providing a New Lease of Life to a 53-Year-Old Patient

Palam Vihar, Gurugram, Haryana: Demonstrating its commitment to advanced healthcare, Park Hospital Palam Vihar, Gurugram has successfully performed a complex ABO-incompatible kidney transplant, giving 53-year-old Md. Shamshad Khan a second chance at life. Mr. Khan, suffering from end-stage renal disease due to renal stone complications, had been dependent on hemodialysis three times a week for six months. His brother, Md. Parvej Khan, courageously stepped forward as the donor despite having an AB-positive blood group, while the recipient had an A-negative blood group, presenting a significant medical challenge. 

The transplant, conducted on October 25, 2024, was spearheaded by a team of highly experienced surgeons led by Dr. Surjit Kumar, Director - Kidney Transplant, alongside Dr. Uday Kumar and Dr. Vaseem Shaikh, with preoperative protocols and post-transplant care meticulously managed by Dr. Neha Singh, Consultant - Nephrology. 

Key Highlights of the Procedure

Preoperative Preparation:

The patient underwent an advanced desensitization protocol to reduce the high levels of anti-A and anti-B antibodies. This included the administration of Rituximab, plasmapheresis, and ATG under the guidance of nephrologist Dr. Neha Singh. A specialized dialysis filter called Vitrosorb was utilized to further lower the antibody levels, minimizing the risk of organ rejection. 

Surgical Excellence:

The transplant surgery was executed with precision, overcoming the inherent complexities of ABO-incompatible transplants. Post-surgery, the patient demonstrated excellent urine output and a marked improvement in creatinine levels, which normalized by the fifth postoperative day. 

Postoperative Recovery:

Both the donor and recipient recovered without complications. The donor, Md. Parvej Khan, was discharged on the fifth postoperative day, while the patient was discharged on the eighth day in stable condition, with instructions for regular follow-ups in the Nephrology and Urology OPD. 

Expert Testimonials

Dr. Surjit Kumar, Director - Kidney Transplant, said:

"This was a challenging case due to blood group incompatibility. However, with cutting-edge technology, rigorous preparation, and our team’s expertise, we successfully overcame the barriers to perform a life-saving transplant. We are thrilled with the outcome and proud to have given Mr. Shamshad Khan a chance at a healthier life." 

Dr. Neha Singh, Consultant - Renal Transplant, added:

"ABO-incompatible kidney transplants are among the most complex procedures in renal transplantation. The success of this case showcases the synergy of advanced medical science, precise planning, and compassionate care. We are deeply grateful for the trust the Khan family placed in us." 

Patient’s Perspective

For Md. Shamshad Khan, the surgery has been transformative. Reflecting on his experience, he said:

"I had lost hope of ever leading a normal life again. The doctors at Park Hospital not only saved my life but gave me hope for the future. Their care and expertise have been nothing short of miraculous." 

A Landmark Achievement in Renal Care

This success underscores Park Hospital Palam Vihar, Gurugram’s position as a leader in renal transplantation, especially in the realm of ABO-incompatible procedures that were once deemed experimental. These surgeries require a multidisciplinary approach, involving nephrologists, transplant surgeons, immunologists, and specialized nursing teams to ensure positive outcomes. 

The successful surgery reaffirms Park Hospital’s dedication to pushing the boundaries of medical science and delivering innovative treatments to patients who face seemingly insurmountable challenges.

Read More

यथार्थ सुपर स्पेशलिटी हॉस्पिटल ओमेगा 1, ग्रेटर नोएडा और आईएमए, हापुड़ द्वारा जागरूकता सत्र का आयोजन

हापुड़: यथार्थ सुपर स्पेशलिटी हॉस्पिटल, ओमेगा 1, ग्रेटर नोएडा ने इंडियन मेडिकल एसोसिएशन (आईएमए), हापुड़ के सहयोग से एक जागरूकता सत्र का आयोजन किया। इस कार्यक्रम का उद्देश्य चिकित्सा क्षेत्र में नवीनतम तकनीकों और नवाचारों के बारे में जानकारी साझा करना था। यह सत्र हापुड़ के जिमखाना रेलवे रोड पर आयोजित किया गया, जिसमें कई प्रतिष्ठित डॉक्टरों और आईएमए के वरिष्ठ सदस्यों ने भाग लिया। 

 

कार्यक्रम का उद्घाटन आईएमए हापुड़ के अध्यक्ष डॉ. मनोज जैन, सचिव डॉ. गौरव मित्तल, वैज्ञानिक सचिव – डॉ. पालकी नारंग और कोषाध्यक्ष – डॉ. रेनू बंसल की उपस्थिति में किया गया। इस मौके पर यथार्थ सुपर स्पेशलिटी हॉस्पिटल, ओमेगा 1, ग्रेटर नोएडा के, जीआई ऑन्कोलॉजी रोबोटिक एवं लैप्रोस्कोपिक जीआई सर्जरी विभाग के निदेशक एवं एचओडी, डॉ. नीरज चौधरी, न्यूरोइंटरवेंशन विभाग के ग्रुप निदेशक और न्यूरोसर्जरी विभाग के निदेशक एवं एचओडी डॉ. सुमित गोयल और किडनी प्रत्यारोपण एवं रोबोटिक सर्जरी विभाग केवरिष्ठ सलाहकार डॉ. विपिन सिसोदिया भी मौजूद रहे। इस कार्यक्रम में विभिन्न विषयों पर यथार्थ सुपर स्पेशलिटी हॉस्पिटल, ओमेगा 1, ग्रेटर नोएडा के विशेषज्ञ डॉक्टरों ने अपने विचार साझा किए। 

 

यथार्थ सुपर स्पेशलिटी हॉस्पिटल, ओमेगा 1, ग्रेटर नोएडा के, जीआई ऑन्कोलॉजी रोबोटिक एवं लैप्रोस्कोपिक जीआई सर्जरी विभाग के निदेशक एवं एचओडी, डॉ. नीरज चौधरी, ने जीआई कैंसर और इसके उपचार में रोबोटिक तकनीकों के बढ़ते महत्व पर प्रकाश डाला। उन्होंने कहा, “जीआई कैंसर का शुरुआती चरण में पता लगाकर और रोबोटिक सर्जरी का उपयोग करके मरीजों को बेहतर परिणाम दिए जा सकते हैं। यह तकनीक न केवल सर्जरी को अधिक सटीक बनाती है, बल्कि मरीजों की रिकवरी को भी तेज करती है। 

 

नए शोध और तकनीकों पर चर्चा 

यथार्थ सुपर स्पेशलिटी हॉस्पिटल, ओमेगा 1, ग्रेटर नोएडा के, न्यूरोइंटरवेंशन विभाग के ग्रुप निदेशक और न्यूरोसर्जरी विभाग के निदेशक एवं एचओडी डॉ. सुमित गोयल, ने न्यूरोसर्जरी के क्षेत्र में हो रहे नए शोध और तकनीकों पर चर्चा की। उन्होंने कहा, “एडवांस न्यूरोसर्जरी तकनीक जैसे न्यूरोइंटरवेंशन ने जटिल मामलों में सर्जरी की आवश्यकता को कम कर दिया है। यह मरीजों को कम जोखिम और तेजी से ठीक होने का अवसर प्रदान करता है।      

रोबोटिक्स के उपयोग की जानकारी दी 
यथार्थ सुपर स्पेशलिटी हॉस्पिटल, ओमेगा 1, ग्रेटर नोएडा के किडनी प्रत्यारोपण एवं रोबोटिक सर्जरी विभाग के वरिष्ठ सलाहकार डॉ. विपिन सिसोदियाने यूरोलॉजी में रोबोटिक्स के उपयोग की जानकारी दी। उन्होंने कहा, “यूरोलॉजी में रोबोटिक्स ने पारंपरिक प्रक्रियाओं को अत्यधिक सटीक और कम जटिल बना दिया है। यह तकनीक कैंसर और किडनी ट्रांसप्लांट जैसे मामलों में क्रांतिकारी बदलाव ला रही है।    

आईएमए हापुड़ के अध्यक्ष डॉ. मनोज जैन ने कहा, “इस प्रकार के जागरूकता कार्यक्रम चिकित्सा समुदाय को एक साथ लाने और स्वास्थ्य सेवा में हो रहे विकास को समझने का अवसर प्रदान करते हैं। रोबोटिक सर्जरी और न्यूरोइंटरवेंशन जैसी तकनीकें ग्रामीण और शहरी क्षेत्रों के बीच चिकित्सा सेवाओं की खाई को पाटने में मदद कर सकती हैं।  

स्वास्थ्य सेवाओं को अधिक उन्नत और प्रभावी बनाया जा सके

यथार्थ हॉस्पिटल और आईएमए हापुड़ के इस सहयोगात्मक प्रयास को स्थानीय चिकित्सा समुदाय से अत्यधिक सराहना मिली। इस तरह के कार्यक्रम भविष्य में भी आयोजित किए जाएंगे ताकि स्वास्थ्य सेवाओं को अधिक उन्नत और प्रभावी बनाया जा सके।

Read More

कोलोरेक्टल कैंसर: पुरुषों और महिलाओं के बीच 8 प्रमुख अंतर

 

रोहतक: कोलोरेक्टल कैंसर दुनियाभर में एक सामान्य कैंसर है, जो हर साल लाखों लोगों को प्रभावित करता है। हालांकि, हालिया अध्ययन यह दर्शाते हैं कि यह पुरुषों और महिलाओं को अलग-अलग तरीकों से प्रभावित करता है। लिंग आधारित अंतर इसमें शामिल हैं जैसे घटनाओं की दर, आनुवांशिक कारक, लक्षण, स्क्रीनिंग प्रथाएं और उपचार परिणाम। इन भिन्नताओं को समझना कोलोरेक्टल कैंसर की देखभाल, प्रारंभिक पहचान से लेकर व्यक्तिगत उपचार तक, को बेहतर बनाने के लिए महत्वपूर्ण है।

पुरुषों में कोलोरेक्टल कैंसर की घटनाएं महिलाओं की तुलना में थोड़ी अधिक होती हैं। इसका कारण पुरुषों में धूम्रपान, शराब और लाल मांस के सेवन जैसे जीवनशैली कारक हो सकते हैं। इसके अलावा, पुरुष अक्सर महिलाओं की तुलना में कम उम्र में इस बीमारी का शिकार होते हैं। वहीं, महिलाओं में जीवनभर कैंसरजनकों के कम संपर्क में आने के कारण जोखिम कम रहता है। अनुसंधान यह भी दिखाते हैं कि पुरुषों में कैंसर का स्थान अक्सर डिस्टल कोलन और रेक्टम में होता है, जबकि महिलाओं में यह प्रॉक्सिमल कोलन में अधिक होता है।

बीएलके-मैक्स अस्पताल के रोबोटिक सर्जरी विभाग के चीफ और ऑन्कोलॉजी विभाग के वाइस चेयरमैन, डॉ. सुरेंद्र कुमार डबास ने बताया कि ”लक्षणों और क्लिनिकल प्रस्तुति में भी अंतर देखा गया है। पुरुषों में अधिक स्पष्ट लक्षण जैसे मल में खून और आंतों की आदतों में बदलाव दिखते हैं, जिससे जल्दी चिकित्सा परामर्श लिया जाता है। वहीं, महिलाओं में कम विशिष्ट लक्षण जैसे थकान और पेट में असुविधा दिखते हैं, जिससे कभी-कभी निदान में देरी हो सकती है। स्क्रीनिंग के मामले में, पुरुषों में अधिक बार कोलोनोस्कोपी कराई जाती है, जबकि महिलाओं, खासकर युवा महिलाओं, में स्क्रीनिंग में देरी होती है।“

आनुवांशिक और आणविक स्तर पर भी लिंग आधारित भिन्नताएं मौजूद हैं। पुरुषों में केआरएएस जैसे जीन में म्यूटेशन अधिक देखे जाते हैं, जबकि महिलाओं में माइक्रोसैटेलाइट अस्थिरता (MSI) का स्तर अधिक होता है, जो बेहतर इम्यूनोथेरेपी प्रतिक्रिया से जुड़ा होता है। इसके अलावा, महिलाओं की उत्तरजीविता दर पुरुषों की तुलना में थोड़ी अधिक होती है, लेकिन देर से निदान के कारण यह लाभ सीमित हो सकता है।

डॉ. डबास ने आगे बताया कि “उपचार की प्रतिक्रिया और दुष्प्रभावों में भी अंतर देखा गया है। कुछ अध्ययन सुझाव देते हैं कि पुरुषों और महिलाओं में कैंसर की उत्पत्ति में शामिल विभिन्न उत्परिवर्तनों और हार्मोनल कारकों के कारण कीमोथेरेपी और अन्य उपचारों की प्रतिक्रिया अलग हो सकती है। जागरूकता और जोखिम की धारणा के मामले में, पुरुषों में अधिक स्पष्ट लक्षणों के कारण अक्सर जल्दी कार्रवाई की जाती है। दूसरी ओर, महिलाओं में गैर-विशिष्ट लक्षणों के कारण अपने जोखिम को कम आंकने की प्रवृत्ति हो सकती है, जिससे महिलाओं में प्रारंभिक पहचान को बढ़ावा देने के लिए लिंग-विशिष्ट जागरूकता अभियान की आवश्यकता होती है।“

इन लिंग आधारित अंतर को समझकर कोलोरेक्टल कैंसर की रोकथाम, स्क्रीनिंग और उपचार को बेहतर बनाया जा सकता है। इन भिन्नताओं को ध्यान में रखते हुए रणनीतियों को अपनाना दोनों लिंगों में प्रारंभिक पहचान और उपचार परिणामों को बेहतर कर सकता है।

Read More

Pollution and Its Deadly Impact on Heart Health

 

Dr. Pankaj Ranjan, Head of Department & Senior Consultant, Cardiology, Yatharth Hospital. Greater Noida  

Air pollution is a pressing global issue that poses a significant threat to cardiovascular health. Beyond its well-documented effects on the lungs, pollution is now recognized as a major contributor to heart disease. The link between air quality and heart health is especially concerning in North India, where pollution levels have dramatically exceeded safe limits. 

How Pollution Affects the Heart
Airborne pollutants, such as particulate matter, nitrogen dioxide, and carbon monoxide, enter the bloodstream through the lungs. Once in the bloodstream, these particles can cause inflammation in blood vessels, increase oxidative stress, and lead to the formation of plaques in arteries. Over time, these changes heighten the risk of heart attacks, arrhythmias, and heart failure. Pollution also affects the heart indirectly by increasing blood pressure, a key risk factor for heart disease. 

Growing Threat of Pollution to Heart Health
Across North India, pollution levels often spike during winter, due to stubble burning, vehicular emissions, industrial activities, and weather patterns. Cities such as Delhi frequently record Air Quality Index (AQI) levels in the “severe” category, where extended exposure poses serious health risks.
Hospitals nationwide have observed a significant rise in cardiovascular emergencies during high-pollution periods. Vulnerable populations, including the elderly and those with heart disease, face heightened risks as pollution continues to exacerbate cardiovascular strain. 

Global Research and Implications
Studies worldwide have underscored the connection between long-term exposure to pollution and cardiovascular mortality. The World Health Organization (WHO) attributes approximately 20% of heart disease deaths to poor air quality. In India, this impact is magnified due to the high population density and widespread exposure to pollution. 

The risks extend beyond long-term exposure; even short-term spikes in pollution levels have been shown to trigger acute cardiovascular events. For instance, studies indicate a rise in heart attack cases following days of elevated pollution, highlighting the urgent need for protective measures. 

Safeguarding Your Heart Against Pollution
To protect heart health amidst rising pollution, individuals can monitor air quality, use air purifiers, maintain a heart-healthy lifestyle with a balanced diet and regular exercise, and consult healthcare providers for tailored advice, especially if managing pre-existing heart conditions. 

The connection between pollution and heart disease underscores the urgent need for policy changes and public awareness. Addressing air quality issues is not just an environmental necessity but a critical step in safeguarding public health. By reducing pollution levels and adopting protective measures, we can mitigate its impact on heart health and improve the quality of life for millions.

Read More

Park Grecian Hospital, Mohali Announces Launch of IMARS with Prof. (Dr.) Pawanindra Lal at the Helm.

Mohali :  Park Grecian Hospital is proud to announce the launch of its new Institute of Minimal Access, Advanced Surgical Sciences, and Robotic Surgery (IMARS), a cutting-edge facility designed to redefine surgical care. At the forefront of this new venture is  Prof. (Dr.) Pawanindra Lal, a globally renowned surgeon and a pioneer in robotic surgery, who joins the hospital as Chairman of the IMARS Institute.

Prof. Lal, a distinguished medical professional, brings with him a wealth of experience and expertise in surgical oncology, laparoscopic surgery, and gastrointestinal procedures. He is the recipient of the Dr. BC Roy National Award (2016) and the Sardar Vallabh Bhai Patel Award (2021), and has had a distinguished career as the former Head of Surgery and Chairman of the Division of Minimal Access Surgery at Maulana Azad Medical College & Lok Nayak Hospital, New Delhi. With credentials including MS, DNB, FRCS (Edinburgh, Glasgow, Ireland), FMAS, FIMSA, FCLS, FACS, and FRCSEd, Dr. Lal is considered one of the leading figures in the advancement of Minimal Access and Robotic Surgery in India.

The launch of IMARS at Park Grecian Hospital marks a significant step towards elevating surgical care with the introduction of advanced robotic technology. iMARS would provide the new Robotic Surgical procedures equipped with the latest robotic systems that offer unparalleled precision, control, and flexibility in complex and advanced surgical procedures. These technologies allow for minimally invasive procedures, ensuring smaller incisions, reduced recovery times, minimal scarring, shorter hospital stay and improved patient outcomes.

Prof. (Dr.) Pawanindra Lal expressed his excitement about leading this transformative initiative:

“I am thrilled to join Park Grecian Hospital and take the helm of the IMARS Institute. Our mission is clear – to offer patients access to the most advanced and precise surgical care available. With the power of robotic technology, we can significantly improve patient recovery and outcomes. I am committed to ensuring that IMARS sets new standards in minimally invasive and robotic surgery.”

The IMARS Institute will focus on a wide range of procedures, from minimally invasive surgeries to advanced robotic interventions, ensuring that patients receive the highest standard of care. This initiative represents Park Grecian Hospital's commitment to embracing the latest advancements in medical technology to deliver world-class healthcare.

The hospital's comprehensive post-operative care programs further reinforce its commitment to patients' recovery, ensuring that they receive the necessary support for a quick and effective recovery after surgery.

With Prof. (Dr.) Pawanindra Lal leading the way, IMARS at Park Grecian Hospital is set to become a leader in robotic surgery and minimal access surgical techniques in the region, offering patients cutting-edge solutions for a wide range of medical conditions.

Read More

Cold temperature elevates risk for cardiac ailments

Dr Bimal Chhajer, Director, SAAOL Heart Centre 

Heart attack is a cause of blockage of blood flow through the blood vessels due to plaque buildup that breaks down into clots. While the heart has to work harder to pump the blood throughout, excessive work on the heart muscle causes a heart attack or in severe cases can lead to heart failure as well.  

Cardiac Ailments is one of the leading causes of death in India and worldwide killing about 1 in 5 men and 1 in 8 women, According to WHO reports. Heart attacks that were once reckoned to be an elderly problem have now been reflected in the middle-aged population as well. The increasing stress of modern life has exposed even younger people to the risk of heart disease.  

While a person’s genetic disposition and family history remain the most common and uncontrollable risk factors, the majority of heart diseases in the younger generation are due to excessive stress and long working hours coupled with erratic sleep patterns, which cause inflammation and increase the risk of heart disease. Smoking and a sedentary lifestyle further accelerate the risk symptoms in people in the age group of 20 to 30 years and ultimately heart failure. 

Cold weather causes blood vessels to tighten to preserve core body temperature, which forces blood pressure to rise and puts additional strain on the heart. To stay warm, people often consume more food, including high-calorie options, which can lead to weight gain, increased blood sugar levels, and higher cholesterol, further burdening the heart. Additionally, increased drinking and smoking during winter months can exacerbate these health issues, compounding the strain on the cardiovascular system. 

Risk factors such as smoking and diabetes, in particular, provoke inflammatory changes and promote the formation of blood clots, thus obstructing the blood flow. The one factor that strongly predicts both heart and brain health is high blood pressure. Many people are not even aware that they have high blood pressure because it has no visible symptoms, which is why it is called ‘the silent killer’. 

Symptoms of a heart attack

Though the symptoms of a heart attack may vary from person to person, angina, commonly known as chest pain may be the most common symptom, accompanied by unusual breathlessness, palpitation, heaviness or tightness in the chest excruciating to shoulder, jaws and arms. The symptoms may vary from being mild to moderate to severe, depending upon individual and their genetics. 

While the condition may happen to anybody irrespective of age and gender, certain signs and symptoms should never be ignored –

•  Sudden pressure, tightness, or painful sensation in the chest that seems to spread to the jaw, neck and back upto the arms.

•  Sudden or unusual shortness of breath

•  Cold sweats even at normal room temperatures

•  Sudden dizziness or light headedness.

•  Sudden feeling of nausea and coughing  

When it comes to heart attack, timing is everything and the chances of survival doubles with timely intervention. It is advised to everyone specially those at risk of a heart attack such as diabetics, high blood pressure, smokers, overweight, elderly and those with a family history of heart attack to always keep Sorbitrate and Aspirin tablets ready in car, home and office as heart’s First Aid. Self help may not always be good enough but is the simplest way to prevent damage to the heart in an impending heart attack hence you must seek medical help – call for help and try and reach a hospital. 

From the heart point of view they should keep the risk factors like Blood Pressure, Sugar at the best. They should avoid all kinds of non vegetarian food and cut down oil to cut down the lipids. Walking can be restricted at home and they should do Yoga and meditation for half an hour on daily basis. To boost up the immunity they should take extra dose of Anti Oxidants, Vitamin C , Haldi, Amla, Tulsi, eat plenty of vegetables, salads and fruits.

Read More

Lethal Smog: How Pollution Surge Fuels Stroke Cases

 

Dr. Amit Shrivastav, Director and Head of Department, Neurology, Yatharth Hospital, Greater Noida 

Air pollution has long been recognized as a significant contributor to respiratory and cardiovascular diseases. However, growing evidence now highlights its alarming connection to stroke, one of the leading causes of death and disability worldwide. The recent surge in pollution levels across North India has underscored this link, with deteriorating air quality posing severe risks to public health, including an increased incidence of strokes. 

How Pollution Contributes to Stroke
A stroke occurs when blood flow to the brain is interrupted due to a clot or bleeding, leading to brain cell damage. While lifestyle factors like poor diet and sedentary habits are well-established stroke risk factors, air pollution has emerged as a silent yet potent contributor. 

Fine particulate matter, nitrogen dioxide, and other pollutants can infiltrate the bloodstream, causing inflammation and oxidative stress. These processes damage blood vessels, accelerate atherosclerosis (narrowing of arteries), and raise blood pressure, all of which heighten the risk of ischemic and hemorrhagic strokes. Studies suggest that even short-term exposure to high pollution levels can trigger strokes in vulnerable individuals, while prolonged exposure significantly increases the lifetime risk. 

The Situation in North India
North India, particularly during the winter months, experiences hazardous pollution levels due to a combination of factors such as stubble burning, vehicular emissions, and industrial discharge. Cities like New Delhi and its surrounding regions frequently record air quality indices (AQIs) in the “severe” category.
This toxic air is not only affecting the lungs but is also contributing to a marked rise in stroke cases. Neurology departments across hospitals in North India report a surge in stroke-related admissions during high pollution periods. Patients with pre-existing conditions, such as hypertension or diabetes, are particularly susceptible to pollution-induced strokes. 

Vulnerable Groups and Immediate Impact
Children, the elderly, and individuals with pre-existing cardiovascular conditions are most vulnerable to the effects of pollution. Pregnant women exposed to high pollution levels may also face increased risks of complications that could affect both maternal and foetal health, including the likelihood of strokes. 

In urban areas with poor air quality, people are often unknowingly inhaling pollutants that compromise their cardiovascular systems over time. Short-term spikes in pollution levels, such as during festive seasons or crop residue burning, can act as immediate triggers for strokes, leading to emergency situations in hospitals. 

Mitigating the Risks
Tackling the pollution-stroke connection requires both individual and collective action. At a policy level, stricter regulations on emissions, better public transport systems, and promoting cleaner energy sources are critical. On an individual level, people can minimize exposure by wearing masks, using air purifiers, and avoiding outdoor activities during high-pollution days.  

Healthcare professionals emphasize the importance of regular health check-ups, especially for those in high-risk groups, to monitor blood pressure, cholesterol, and other stroke risk factors. Raising public awareness about the link between air pollution and strokes is equally vital to encourage proactive measures.

Read More