Mumbai,
06 January 2021: MGM Healthcare, Chennai today
showcased a successful and a rare and a complex surgery performing a living liver
donor transplantation and a beating-heart bypass surgery on a 61-year-old male
from Nellore in a single sitting. The dual surgery spanning over 18 hours
witnessed 15 doctors from various disciplines achieving the feat with
precision.
Dr
Thiagarajan Srinivasan and Dr Kailash A Jain who headed the multidisciplinary
team of doctors at MGM Healthcare said, “There were multiple
challenges in pulling of this extraordinary feat in the form of massive blood
loss during and after surgery, high risk for heart attack and arrhythmias
during and after surgery, post-operative management of blood clotting. However,
to save Mr Ashok it would be virtually impossible either to have liver
transplant alone or heart surgery alone as the risk was very high. He
enumerated that multiple meetings of all the team members were held before
surgery so that the coordination was perfect like coordinated action formula 1
car pit stop crew and virtual combined surgical plan was rehearsed before doing
the actual surgery. Now six months after the surgery the patient is doing well.
He further said the facilities and resources required for performing two major
surgeries together are not commonly available even in best of centres and can only
be performed in advanced centres where both liver and heart specialties are
well developed.
61-year-old
Ashok Rao had developed severe multiple heart vessel blocks. He approached the doctors
at MGM Healthcare Chennai and cardiologists advised him heart bypass surgery as
the extensive disease cannot be managed by cardiac stents alone. During the
evaluation by the doctors, he had a pre-existing end stage liver disease, which
prevented him from having major open-heart surgery as risks of severe liver
failure and mortality are very high.
The
multidisciplinary team of Dr Thiagarajan Srinivasan, Director Institute of
Liver Transplant and HPB surgery and Dr Kailash A Jain, Senior Consultant &
Clinical Lead Cardiothoracic Surgery, along with a team of experts comprising
of Dr Vivekan, senior cardiologist, Dr Arul Prakash, Lead hepatologist, Dr
Dinesh Babu, Dr Nivash Chandrasekaran and Dr Shapna Varma Lead Cardiac Anaesthetists
and intensivists, Dr Karthik Mathivanan, Associate director, liver transplant
and 15 other specialists performed the successful dual surgeries.
Dr
Kailash A Jain, Senior Consultant & Clinical Lead Cardiothoracic Surgery,
Cardiac surgery in his address said, the patient’s medical evaluation showed Triple
Vessel Coronary Artery Disease and a Decompensated Liver Disease for which a
coronary artery by-pass and Liver Transplant Surgery was suggested.
“Doing both the
surgeries in the same sitting was decided in discussion with the
multi-disciplinary team, as doing one surgery alone increases the risk and
worsening of function of the other organ,” he added.
Dr
Karthik Mathivanan, Senior Consultant & Associate Director, Institute of
Liver Transplant & HPB Surgery said the prevalence of moderate to severe
coronary artery disease (CAD) in liver cirrhosis is about 26% to 30% and
carries a high mortality. Candidates who are not amenable to medical management
or stenting do not stand a chance to live without this sequential high risk combined
procedure. Due to the complexity and high mortality of such procedures only
very few centres in the world do take up such a high-risk task and are able to
accomplish with success. Non alcoholic fatty liver disease (NAFLD) in diabetic
and obese patients the so called “metabolic syndrome “The prevalence of CAD is
almost 50% . All liver disease patients whether candidates for Liver
transplant or not, should get periodic cardiac assessment as the mortality rate
is very high if cardiac disease co-exists. Early intervention can decrease
mortality and morbidity.
He
also stressed that patients with combined heart and liver ailments can be
successfully managed by combined liver transplant and heart surgery to have a
long life rather than undergoing medical management for individual ailments,
which is often unsuccessful.
Lead
Hepatologist Dr Arul Prakash said “End-stage
liver disease leads to a number of complications and blood loss is often high;
Postoperative decompensation of liver cirrhosis and causes continuous
production and outflow of pleural fluid, which can lead to slow wound recovery
and other immune deficiencies. But the team successfully managed to perform the
combined heart bypass and liver transplant with careful planning and
coordination.”
Lead
Anaesthetists Dr Dinesh and Dr Nivash said, “Anaesthesia risks
are high whether in individual liver or heart surgery or combined heart and
liver surgery. But having a carefully coordinated plan with innovative
solutions for complex problems and optimising the patient well before and
during surgery has helped in the successful outcome.”
Harish
Manian, CEO MGM Healthcare said, “Performing
a complex procedure such as this combined liver transplant and coronary bypass
graft requires great deal of expertise coupled with excellent hospital
infrastructure. These kind of successful
outcomes through multi-disciplinary approach opens the door for many more
critical patients who can get treated successfully and lead a normal life.”
About MGM
Healthcare
Born out of a need for altruism,
MGM Healthcare is dedicated to bettering patient experiences and improving
clinical outcomes through expertise, passion and technology. The manifestation of this dedication is a
state-of-the-art hospital on Nelson Manickam Road having 400 beds, 50
outpatient consultation rooms, over 100 critical care beds, 250+ doctors, 30+
clinical departments, 12 state-of-the-art operating theatres and 24x7
comprehensive Emergency Care. Here, a host of eminent surgeons and physicians
wield a potent combination of skill and cutting-edge technology to elevate care
and outcomes to new levels. MGM Healthcare is currently Asia’s highest-rated USGBC LEED
Platinum-certified Green Hospital.
Over the past year, the team of
clinical experts at MGM Healthcare have performed many innovative and complex
surgeries in the pursuit of establishing trust and clinical excellence. MGM
Healthcare is designed and equipped with the latest in technology and equipment
and is poised to drive patient centricity and clinical excellence of both the
domestic and international patients.
4 comments:
I would like to appreciate the efforts & hard work your team put for the healthcare of the people. I am also trying to contribute with my little Essay help online so that the students can breathe some relief as well.
It was really a rare feat of performing combined procedures of living donor liver that is being transplantation. Also it will be very hard procedure
MGM Healthcare's accomplishment of performing combined Living Donor Liver Transplantation and Coronary Artery Bypass Graft surgery is a remarkable feat. This achievement highlights the hospital's expertise and advanced medical capabilities. As for online Dissertation proposal Service seekers, this serves as a prime example of groundbreaking medical advancements that can be included in their research.
As an english essay writer, I can say that MGM Healthcare's recent achievement of performing a combined Living Donor Liver Transplantation and Coronary Artery Bypass Graft on a patient is a remarkable feat. This demonstrates the hospital's expertise in complex surgical procedures and their commitment to providing the best possible care for patients. It's a significant breakthrough in the field of medical science and could pave the way for further innovations.
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