Bengaluru : Dr B H Banarji, Senior Consultant, Department of Orthopedics of Sakra World Hospital has created a milestone in arthroscopy by inventing a new form of effective, simple and durable method of knotting, known as the Banarji Knot. This knotting method is a low profile, non-bulky, more secure, double slide locking knot which can be utilized in arthroscopic surgeries. It has been used in more than 250 surgeries till date and has been found to be very effective. The analytical research study on the Banarji’s Knot is published in the Journal of Arthroscopic Surgery and Sports Medicine in October, 2021.

Banarji Knot, an idea initiated to benefit the patient’s surgical outcome, is specifically used for arthroscopic surgeries – knee or shoulder repair, where tendon repair or ligament repair is needed. This knot was aggressively tested by a bio medical testing lab at the Indian Institute of Science, Bangalore and approved by the authorities for surgical procedures and proves to be better than other existing prevalent knots.

Arthroscopic knot tying is a crucial component for a successful arthroscopic surgery. For an effective knot in the arthroscopic procedures, it is important for a knot to possess the following characteristics such as, ease of application, reproducibility, ability to slide through arthroscopic cannulas, ease of setting the lock, knot profile, and reliable initial security. Banarji knot effectively qualifies all the above characteristics and it is easy to learn, master, and reproduce.

Speaking of the advantages of the Banarji Knot, Dr. B H Banarji said, “It is my pleasure to introduce you to Banarji Knot, an easy, reproducible knot that can be beneficiary for patients undergoing keyhole surgeries of shoulder and knee. This knot was invented and innovated during this pandemic, After a extensive research process, 5-6 knots were brought in form and this knot was finalized. Compared to other knots, Banarji Knot consists of simple procedures that can be learnt and implemented in a very short span. The loop strand passes through two loops once it’s tightened and locked at different points, thus making it stronger and increasing its tensile strength. The knot also is designed with a low profile, thereby it doesn’t create any bulky knot, which leads to impingement.”

Dr Banarji B.H is a renowned Orthopaedic Surgeon specialised in the field of Shoulder and Upperlimb disorders and Arthroscopy & Sports medicine. He is one of the most renowned surgeons in the shoulder & Upper limb sector. He was one of the first surgeons to perform key hole surgeries of Shoulder and Elbow joint in Karnataka and since then, has performed a huge number of keyhole surgeries which includes, Arthroscopic Rotator Cuff Repair, Arthroscopic Bankart repair, Arthroscopic Frozen Shoulder Release, Arthroscopic Shoulder Decompression, Arthroscopic Nerve Release, Arthroscopic Bone-block Reconstruction and Shoulder replacement Surgeries like Total Shoulder Replacement, Reverse Shoulder Replacement and Total Elbow Replacement.

Also Read: Summer and Arthritis: How heat can make the joints inflamed? 

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Bengaluru, April 07, 2022 –To commemorate World Health Day, Sakra World Hospital, a premier healthcare organization in India that uses cutting-edge Japanese technology to provide ground-breaking healthcare, announced the launch of its most advanced healthcare support mobile application today. This event was conducted in the presence of the Chief Guest, Mr Masayuki Toriumi, Managing Director – SONY India Software Centre Pvt. Ltd.

Also Read: World health day – April 7: Making India a pandemic proof nation; what went wrong and what can be done in future? 

The special features of Sakra Patient Support mApp:

The Sakra Patient mobile app is not just any regular application targeted towards a specific healthcare need. The aim of this app is to maintain the continuity of care between the doctors and patients, and address the increasing influx of information, something which the experts are referring as a must-have in the post-pandemic era. The special features of Sakra Patient Support mApp include:

1. Automated appointment process through geofencing – Once appointment taken & paid online, patient can check-in by him/herself with the control of geofencing, his bill will generate automatically after check-in & his/her name will start reflecting in the doctor queue, doctor will call inside for consultation & post consultation ePrescription will go by email & inside the Mobile app without queuing up at the counter

2. General assessment input enabling – sharing inputs about current health condition directly on the app; the doctor, during consultation, can access historical data (Vitals & Symptoms)

3. Self-uploading option – Upload prescriptions on the app along with symptoms for the doctor to check; each symptom will be differently coloured to differentiated for detailed assessment

4. Health check – book appointments and slots directly on the app based on convenience of packages and availability

5. Specialised Trackers: Patients can schedule and track doctor visits, reminders for:

• OBG Tracker throughout the nine months journey of pregnancy
• Paediatric Tracker – vaccination schedules and details from the time of birth till 12 years of age
• Dialysis Tracker – to plan and book dialysis for 2-3 times a week

6. Remote care or Homecare or step-down ICU Care can also be opted by using this app

7. All facility of clinical care like Hospitals & Clinics will be available on single platform

8. All above mentioned services are available with the online payment facility as well to avoid the billing counter rush.

9. Doctors will have 24X7 access to patient data base on their mobile to deliver timely treatment.

Applauding the initiative to support patients better, Mr. Yuichi Nagano, Managing Director Sakra World Hospital, said, “Sakra Patient Support app has been designed with an integrated approach in mind that will ensure that physicians are available for guidance and specialised care is being offered in a simpler, easy to access format.”

Adding further, Mr. Naoya Matsumi, Deputy Managing Director Sakra World Hospital, said, “The Sakra mApp will be a stepping stone in the world of digital healthcare as it will bring a paradigm shift in how healthcare is delivered and the quality of life of a patient is improved without visiting the physicians physically at the hospital. The app will prove to be boon, especially in preventive healthcare.”

Mr. Lovekesh Phasu, COO, Sakra World Hospital shared, “The aim of Sakra patient support mApp is to ensure that patient gets detailed assessment of their condition, albeit virtually. Physicians may now heal and treat patients regardless of time or location thanks to real-time updates and previous patient data.

Mr Bhoopendra Solanki, Head of IT, Sakra World Hospital said, “More than conventional diagnostic tests and treatments, the omnichannel approach to ensuring a patient’s well-being now includes post-consultation follow-up, efficient appointment scheduling, tracking of scheduled testing, and setting reminders. With the implementation of Sakra mApp, we aim to make the lives of our patients easy and stay ahead of the curve”.

The mobile app is available on iOS and Android platforms.

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Bengaluru, 11^th December 2021 – Sakra World Hospital (JV of Secom and Toyota Tsusho, Japan), a leading healthcare organization launched world class Robotic Assisted Neuro-Rehabilitation Center in Bangalore, the first ever in Karnataka, today. The new state-of-the-art center was inaugurated in the presence of Shri. Dr. C N Ashwath Narayan, Minister of Science & Technology Government of Karnataka, Ms. Akiko Sugita, Consul General of Japan in Bengaluru and Shri. Raghavendra Rajkumar, Indian film Actor, Singer & Producer, Best actor award winner in Kannada Film industry. World’s best robotic rehabilitation units – Walkbot Premium, Armeo Spring and Senso – are being imported to offer most efficient solutions for human movement therapy using modern technology.

Sakra Rehabilitation is the most reputable advanced rehabilitation institution, providing Prehab and Rehab as Inpatient, Outpatient, and Home-based Tele-Rehabilitation. The dedicated rehab HDU unit has resident inpatients undergoing early intervention- starting within a few days of stroke or neurosurgery. Unique technological implications facilitate a comprehensive approach emphasizing Japanese safety processes for infection control while ensuring safety from potential patient falls.

Sakra Rehabilitation Center has been recognized for India’s first Gold award-winning Pulmonary Rehabilitation Program by the Quality Council of India, as well as the first centre outside of the United States to receive Quality Accreditation for its unique Cardiopulmonary Rehabilitation. It has been the most preferred Post Covid Rehabilitation facility helping severely affected Covid patients to resume functional life.

The new Robotic Neuro-Rehabilitation Center is the most advanced Robotic unit in the country. Patients suffering from Stroke, Spinal cord Injury with Paraplegia and Quadriplegia, Traumatic brain injury(TBI), brain tumors, Parkinson’s Disease, Multiple Sclerosis, Guillain Barre Syndrome(GBS) etc. benefit from this advanced robot-assisted therapy.  Early usage of robotics can bring about an incredible transformation in the functional status of a person to increase the strength and stamina, body posture, gait and functional mobility. Also, there is a positive impact on bone density, bowel movements and better sleep as well as decreased pain, spasticity and improved cardiovascular fitness.

The robots established at the new Robotic Neuro-rehabilitation center are:

• Lower Limb Robotics to retrain walking – The Walkbot Premium is the most advanced rehab robotics in the country for faster recovery from the paralyzed legs compared to conventional therapies. It has the unique ankle joint mechanism for synchronized robotic assisted movements, automated limb length adjustments and an advanced forceplate. By generating the most natural walking pattern, the Walkbot provides an accurate and superior therapeutic effect on correcting the pathological walking patterns.
• Upper Limb Robotics to retrain arm function – The ArmeoSpring is the world’s first upper limb robotic concept that covers the whole “Continuum of Rehabilitation” –from early rehabilitation to long-term recovery.
• ArmeoSenso is the most advanced technology on sensor-based solution for arm function recovery. It is useful for patients with mild to moderate functioning impairments.

Commenting on the centre, Dr. Maheswarappa B.M., Senior Consultant & HOD – Sakra Institute of Rehabilitation Sciences said, “Sakra is the Gold standard in India for advanced rehabilitation specialties, offering the best of Indo-Japanese wisdom to enhance the quality of human life. We are known to be innovative in setting global benchmarks through our high quality clinical approaches. Robotic-assisted functional diagnostics are leading the way to make practical and patient centric clinical decisions. There is strong evidence for long lasting outcome in patients with Neurological and neurosurgical conditions for faster recovery with Intense Robotic assisted therapies, along with superior medical rehabilitation. We would make world class rehabilitation affordable and accessible for all. The future is right here”

Speaking about the launch Shri. Dr. C N Ashwath Narayan, Minister of Science & Technology, Government of Karnataka said, “I am very pleased to be a part of the inauguration of this new Robotic Assisted Neuro Rehab Center of Sakra World Hospital. We are exploring the unseen future in healthcare with such advancement in robotics and technology. I wish them best of luck for all their future endeavors.”

Shri. Raghavendra Rajkumar, Film Actor, Singer and Producer said, “Earlier people had to travel outside the country for advanced rehabilitation treatment. Now neurological patients would be able to avail this high-end care in Sakra World Hospital, Bengaluru”.

Sharing management perspective, Mr. Lovekesh Phasu, Chief Operating Officer at Sakra World Hospital said, “This is a revolutionary step in healthcare, the vision of Sakra World Hospital is to enhance quality of life by providing world class medical care which also includes robotics. Now we have transitioned into a smart hospital where robotic assisted surgeries and robotic assisted rehabilitation services are provided to the public”.

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Bengaluru, October 29, 2021: Observing World Stroke Day on October 29, Sakra World Hospital, one of the leading healthcare providers in Bengaluru and India’s first FDI hospital, organised a walkathon to raise awareness on stroke and a free stroke check-up camp for its employees and the public on October 29 and 30, 2021. Sakra World hospital is also geared up to flag off its Comprehensive Stroke Clinic on October 30 at 8:30 AM that would offer complete stroke care services with an aim to effectively diagnose, treat, manage and prevent stroke and other stroke related severities in the presence of Dr Pratima Murthy, Director of National Institute Of Mental Health And Neuro Sciences (NIMHANS), Bengaluru.

The walkathon that begun at the wee hours of morning at 7:00 AM from Sakra World Hospital towards Kadubeesanahalli Bridge and back to the hospital had 150 participating employees followed by screening of the employees and others for stroke risk factors like cardiac problems, hypertension, diabetes and lipid disorders at the free stroke check-up camp in the hospital.

Elaborating on the need to raise awareness about stroke, Dr Shiva Kumar. R, Senior Consultant Neurologist & Epileptologist said,“We organised the walkathon to raise awareness about the need to identify symptoms of stroke, act quickly and arrange medical intervention without any delay. This would help people act faster and save their loved ones from death or a possible disability. On the other hand, at the stroke camp, our focus was on personal habits which increase the risk of stroke like smoking, alcohol and drug abuse. We had a calculator to assess the risk of stroke in an individual for risk stratification. The camp also covered stroke screening health packages like Carotid Doppler, MRI Brain with Angiogram, CT Angiogram, Specific blood tests for identifying the mechanism of stroke and the root cause. On prior appointments, we offered free neurology consultations and discount on stroke screening packages at the two-days-long camp.”

Both the walkathon and the free check-up camp were conducted by strictly adhering to the Covid-19 protocols like prior appointments, compulsory wearing of masks and appropriate seating arrangements and distance maintenance.

Stroke, as we all know, is a very common problem and can be treated and cured efficiently in the early stages. In case of stroke, the time plays a crucial role as the first 4.5 hours following an ischemic stroke is the golden period for administering ‘clot buster’ medication which is life- saving. Beyond the first 4.5 hours, treating options become limited and mechanical clot removal (thrombectomy) can be tried for up to 24 hours in selected cases. Stroke can affect anyone across all age groups and can be almost completely recovered with effective medications and rehabilitation.

Keeping the importance of timely intervention in case of treating stroke, Sakra’s Stroke Clinic comes with a wide range of stroke care services including:

• Adult and pediatric Stroke OPD
• Stroke Screening – Primary prevention and secondary prevention
• Lifestyle modifications and diet counselling for stroke risk reduction
• Intervention Neurology – Angiogram, Thrombectomy, Endarterectomy
• Stroke rehabilitation

Mr. Yuichi Nagano, Managing Director, Sakra World Hospital, said,“While stroke could lead to severe consequences on the brain, it is both curable and preventable. Knowing the importance of time and the signs of the stroke, it could be kept at bay. The Stroke Clinic at Sakra World Hospital comes with high end technology and aims at providing seamless and timely intervention to those with stroke and prevent further adverse impact on one’s brain and body.”

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Bengaluru, December 13, 2020: Sakra World Hospital, one of the leading healthcare providers in Bengaluru and India’s first FDI hospital now boasts of the country’s one of its kind healthcare breakthrough ̶ advanced robotic knee replacement technology that is set to empower the orthopaedic surgeons to plan the knee replacement days before they enter the operation theatre to actually conduct the procedure.

CUVIS Joint, the world’s first fully active robotic knee replacement system which is now making knee replacement surgeries more accurate, transparent and hassle-free in Sakra World Hospital and comes as a bliss for those suffering from severe arthritis. Manufactured by Curexo, a South Korean firm and marketed and sold by Meril Healthcare in India and known for its unique and autonomous nature of functioning, CUVIS Joint was launched by BS Yediyurappa, Hon’ble Chief Minister of Karnataka and Dr Shivaraj Kumar, popular Kannada film actor.

Expressing his delight on the launch of CUVIS Joint, BS Yediyurappa, Hon’ble Chief Minister of Karnataka, said, “I am happy to see that this new advanced robotic technology has been brought first time to India to help in treatment of people suffering from severe arthritis. I congratulate Sakra World Hospital and Dr Chandrashekar P on acquiring this technology and wish them good luck. I am sure that this will help the people in India and abroad, especially during the pandemic and social distancing. The minimal human intervention will make it a win-win situation for both the patients and healthcare providers.”

CUVIS Joint, the world’s first fully active robotic knee replacement system

Explaining how CUVIS Joint can transform knee replacement surgeries, Dr Chandrasekhar P, Senior Consultant & Head – Department of Orthopaedics, Sakra World Hospital with an experience of conducting 5,000 successful knee replacement surgeries and one of the key global opinion leaders behind the development of CUVIS fully active robotic system said,”While using this robotic knee replacement technology, we first conduct a CT scan before the surgery. The images from the CT scan are loaded in the robotic software. The surgeon sits with the software and prepares the 3D anatomy of the patient’s knee joint and prepares the surgical plan that shows how the implantable knee would look like side to side, front to front and oblique direction. Even before the surgery starts, the planning is done. Once the surgeon enters the operation theatre, the CT landmarks are already loaded in this software and the surgery can be conducted smoothly. This robotic software allows three stage planning: pre-operative plan, plan during the procedure and post-operative plan which shows if the surgery has been done as per the plan and whether the same anatomy has been depicted and perfectly performed.”

Echoing Dr Chandrashekhar’s words, Mr Takashi Maki, Managing Director – Sakra World Hospital shared, “The impeccable precision of CUVIS Joint walks hand in hand with uncompromising dedication and flawless care and service offered by Sakra World Hospital. Inspired by the Japanese values and cutting-edge Japanese technology, Sakra has always lived up to spearheading technological advancements in global and Indian healthcare. With CUVIS Joint, we hope to offer optimum clinical outcome and garner maximum patient satisfaction.”

The fully active nature of CUVIS Joint helps in conducting joint replacement surgeries in an exceptional manner requiring least human intervention. In addition to the maximum precision, accuracy and flexibility on offer, it has features for maximum safety as well. It takes help of CT-Scan images to develop patient-specific 3D bone models and does the virtual simulation of joint replacement surgeries personalized for each patient. With sub-millimeter dimensional accuracy, it helps to get the optimal post-surgery outcomes for joint replacement.The benefits that this avant-garde robotic technology brings in include lesser tissue trauma and associated blood loss, faster recovery, early hospital discharge and best possible implant positioning with maximum cutting accuracy. Alongside, it promises to redefine the lives of those suffering from acute arthritis and give them an active life like never before.

Manish Deshmukh, Head of Marketing and Technical at Meril Healthcare Pvt Ltd says,”I have always loved superhero med- tech stuff. From saw cutting to automatic milling,we have always upgraded by giving more to life. We, at Meril, are really looking forward to adding this new dimension of technological advancement in the field of joint replacement and achieving newer heights with our impeccable association with Sakra World Hospital and Dr. Chandrashekar P.”

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Lakshmi (name changed), a 45-years-old who suffered from uncontrolled seizures for the past 7 years visited Sakra World Hospital for consultation. The seizures were characterized by abnormal behavior lasting for a minute followed by jerky movements involving the right hand along with a brief period of loss of consciousness also lasting for a few minutes. These episodes were very few initially, but for the past 2 years, she started getting a minimum of 3 to 4 seizures per day in spite of 3 antiepileptic medications.  Due to the recurrent seizures and chronic medications, her quality of life was deteriorating day by day.

At Sakra World Hospital, Lakshmi consulted Dr Satish Rudrappa, Director – Neurosciences and Dr Shiva Kumar R – Epileptologist.  Upon investigation, she was diagnosed with right Mesial Temporal Sclerosis (MTS) and a small Right Frontal benign brain tumor.  To decipher the exact cause of her recurrent seizure, series of Video EEG, MRI and PET scans were taken to localize the origin of seizures as the right temporal lobe (Temporal Lobe Epilepsy).

Also Read: SIGNS OF BRAIN TUMOR YOU SHOULD KNOW

What is Mesial Temporal Sclerosis (MTS) ?

MTS is sclerosis of the deepest portion of the temporal lobe similar to the scarring of any tissue in the body which gives rise to seizures. It requires experience and expertise to identify such types of unique seizures called Temporal Lobe Epilepsy. In Lakshmi’s case otherwise, the illness would have been easily attributed to a small meningioma growing in her brain which is very benign and not the cause for the seizures.

“At Sakra, we receive more than 600 epilepsy patients every year. Out of which 150 of them are termed as “refractory epilepsy”.  About 50 patients of these refractory Epilepsies’ turned out to be surgically remediable epilepsies.  In Lakshmi’s case, the development of MTS could be due to the early seizures she suffered during her childhood which were not addressed or monitored during the early phase leading to scarring,” said Epilepsy specialist Dr Shiva Kumar.

Most cases of Epilepsy can be treated:

Most cases of Epilepsy can be treated with anti-epileptic drugs, however, Mesial Temporal Sclerosis (MTS) also known as surgically remediable Epilepsy is amenable for surgery to achieve the cure. Speaking about the surgery, Dr Satish said, “Lakshmi underwent Amygdalohippocampectomy and Anterior temporal lobectomy.  Surgery, if not performed with precision carry significant risk and is only considered for patients when other treatment methods fail. Surgery requires expertise & impeccable surgical precision to correctly resect only the affected region. Intraoperative monitoring of surgical borders to be free of seizure activities is very essential to carefully resect out the sclerosed region and its connections.”

“Surgeries for MTS has a 95 to 98 percent success rate  especially when there is good coordination between patient, Epileptoligist & Epilepsy surgeon” added Dr Satish Rudrappa. Dr Shiva Kumar further says that, “Post the surgery within a day, Lakshmi was back on her feet and in a years’ follow up, all her medications were stopped and leading a seizure-free life. In addition to surgery, regular follow up and slow, monitored tapering of medication (depending on EEG results) before stopping altogether is essential.”

Also Read: WHY THERE IS AN INCREASE IN EPILEPSY IN BENGALURU?

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Bengaluru : Calcification of coronary artery plaques poses unique challenges in treatment with angioplasty and stent. Hard calcified blockages do not yield easily to balloon and therefore the stent doesn’t expand well. This effect long term outcomes of angioplasty. Various methods have been hitherto available to deal with this situation, such as rotablation , very high pressure balloons , atherectomy devices etc. A very recent addition to the armamentarium is Shockwave lithotripsy also called intravascular lithotripsy, which uses a special balloon to deliver high pressure waves at the blockage and breaks the calcium. This softens the blockage and facilitates successful angioplasty and stenting.

Sakra World Hospital, one of the city’s leading multispecialty hospital, performed Karnataka’s first Coronary Shockwave Lithotripsy surgery recently. This surgery was carried out by Dr Sreekanth B Shetty, Senior Consultant and Head of Interventional Cardiology, Sakra World Hospital on  a 75-year-old patient suffering from an advanced form of Coronary Artery Disease (CAD) with multiple blockages which turn hard due to calcification.

The patient came with a resistant heart failure and had multiple artery blockages with calcium deposits along with other underlying health conditions because of which he could not undergo bypass surgery. He was treated with a combination of Rotablation and Shockwave lithotripsy. This innovative technology was launched by Shockwave Medical, USA, and was introduced in India very recently after being approved by the Drug Controller General of India (DCGI).

Commenting on the procedure and the technology, Dr Sreekanth B Shetty says,“Sakra World Hospital has always been the forefront of adopting new technology and provide world-class clinical medical services to its patients. We are glad to be the first hospital in Karnataka to conduct Shockwave Intravascular Lithotripsy. This innovation will benefit numerous patients undergoing angioplasties. Over time, coronary blockage becomes hard which leads to deposition of calcium. Often these blockages do not let the conventional balloons to dilate the lesion leading to unsatisfactory results in angioplasties performed. Also, under expanded stents carry high risks such as stent clot formation which causes a 30-40% mortality rate and also of restenosis. However, with this novel technology, we can easily open up calcified plaques safely in carefully selected cases.”

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Keyhole Passage for Outside Ligament Pathologies of the Knee. Indian Doctor finds World’s First Keyhole Passage to Address the Outside Ligament Pathologies of the Knee. Dr Chandrashekar P, Sr. Consultant & HOD – Orthopaedics at Sakra World Hospital, Bengaluru has

This newly devised portal serves multiple purposes – it can be used to address the pathologies of all types of injuries or broken LCL, Avulsion Fractures, Calcium Apatite Deposition Disease (CADD), Popliteus and Anterolateral Ligament (ALL) Reconstruction.

Despite medical and surgical advances in the field of knee surgery, the normal practice has been through open surgery. No defined portal or entry technique was developed till date to reach the area in the LCL of the knee. There is a need to create a passage to address the different pathologies. But, narrow ligaments and multiple blood vessels in the knee pose a significant challenge for surgeons to operate. Using keyhole surgery continues to be difficult while trying to reach the upper part of the pathology and calcific deposit in the LCL. After years of research, Dr Chandrashekhar P and his team at Sakra World Hospital discovered a new passage to reach the point in the LCL without any struggle using keyhole surgery technique.

This technique was conceptualized to prevent tearing of the ligaments during open surgery and was conducted on a cadaver study on both the knees at a cadaver lab and further dissected to know the safety of the portal. The process involves incision to reach the part in the outer ligaments of the knee without damaging the LCL fibres and peroneal nerve (a branch of sciatic nerve that originates from the lower spine required for movement) while making the portal. Cases of pathologies in the LCL are rare and occur in about 1 in 1,000 cases.

Speaking about his discovery of the technique, Dr Chandrashekar P., Sr. Consultant & HOD – Orthopaedics, Sakra World Hospital says, “Almost 70% of the knee and joint surgeries are conducted through keyhole surgery since they are less painful, involves less incision and scar, ensures speedy recovery and reduced hospital stay. For the past three years, we have been constantly researching to find out a new portal to address the pathologies in the LCL. Without the knowledge about the portals, it becomes difficult to reach to this particular area of the knee and joint. With this new technique, the aim is to create an entry to the LCL region of the knee without any hassle. This new discovery is dedicated to the people of Karnataka and has been named as ‘Direct Lateral Portal/Bengaluru Chandrashekhar Poral’.”

“My health condition had started to worsen over the time despite undergoing various treatments. My movement had become restricted, due to which I become highly dependent on my family members to carry out my daily routines. I met Dr Chandrashekhar at Sakra World Hospital who explained the health condition I was suffering from in a simpler way and cleared my doubts about the new type of surgery that he suggested to conduct. Not only the surgery improved my health significantly, it helped me regain my strength to move without any support. I would like to thank Dr Chandrashekhar for giving me a new lease of life,” said, the patient.

The new technique has been accepted and published in the Global Journal of Medical Research that serves as a knowledge-sharing purpose for the medical fraternities globally.

Case Scenarios:

Case 1: A 50-year-old lady presented with pain in the left knee of one-year duration. There was no improvement with conservative treatment in the form of anti-inflammatory medication and physiotherapy. X-ray of the knee showed calcification in the LCL region. MRI scan showed intra-substance calcification in the LCL near the femoral attachment and associated medial meniscus root tear. With no improvements with medications and conservative methods of treatment for one year, the patient opted for our treatment plan of arthroscopic meniscal root repair with concomitant arthroscopic excision of LCL calcification.

Case 2:  A 54-year-old lady presented with left knee pain of 6 months duration. She was treated with anti-inflammatory medications and physiotherapy. But the symptoms showed no improvement. X-ray showed calcific deposits in the lateral side of the knee. MRI showed calcific deposits at the femoral attachment of LCL. Since her pain interfered with daily activities, arthroscopic excision of calcific deposits was considered.

Both cases were operated after institutional ethical committee clearance. The two cases reported here were operated using the new “Direct Lateral Portal/Bengaluru Chandrashekar Portal” after obtaining written informed consent with a prior explanation of the procedure. Dr Chandrashekar P is one of the most revered doctor of the country and is a mentor for many across the globe. He is the first Orthopedic surgeon to start knee resurfacing in South India and has completed over 10,000 knee surgeries. Also, he is the first Orthopedic surgeon to start Minimally Invasive Computer Assisted Knee Replacement Surgery in Karnataka.

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Cardiovascular disease is one of the leading causes of death globally, thus it has become imperative to educate individuals about healthier lifestyle. Heart diseases and stroke are major public health problems killing several million people worldwide. It is a bigger problem for India because of the fact that younger individuals are getting affected.India is home to the largest youth population, and we must ensure that we pass down healthy lifestyle habits to the next generations.

The increasing burden of cardiac disease in India is worrisome and must be brought under control. Higher rates of indoor and outdoor pollution, combined with a shift towards a sedentary lifestyle and an increase in life threatening habits such as smoking, vaping and other drug abuse, particularly in the urban youth, poses a threat to the heart health of the nation. Unfortunately, incidences of heart attacks have been occurring in very young age groups, even between the ages of 20-30.

Commenting on the importance of the yoga session and ways to maintain a healthy heart, Dr Sreekanth B Shetty, Senior Consultant and Head of Interventional Cardiology, Sakra World Hospital says, “Adopting a proper lifestyle is the good and easiest method to arrest cardiac problems. One must perform regular exercise including yoga for a long way in controlling body weight, sugar, blood pressure, cholesterol. Yoga is very helpful for a heart patient thereby reducing heart disease significantly. Yoga is also proven to be effective in improving a life after a heart attack or a bypass surgery.”

Speaking on the importance of the need of creating awareness on cardiovascular disease, Dr. Deepak Krishnamurthy, Senior Consultant – Interventional Cardiology, Sakra World Hospital said, “According to various corporate wellness surveys, 72% of corporate employees are prone to heart disease due to factors such as high stress levels, lack of physical activity and poor eating habits. Adopting a healthy lifestyle is the key to prevent premature mortality and different heart ailments for working professionals who lead a sedentary lifestyle and work under stressful situations almost on a daily basis”.

To address this alarming issue, awareness program to propagate the message of good health within the professional community is very essential and various studies have proved that yoga sessions on regular basis will be very helpful. But yoga sessions or ‘asanas’ should be performed under the guidance of yoga experts. The experts not only demonstrated series of asanas but they also explained the benefits of yoga to the participants in preventing various cardiovascular problems. It is  important to keep heart health in check with regular screenings, to catch early signs of a deteriorating heart so that the damage can be managed or reversed. No matter the age, a healthier diet and active lifestyle can bring incredible health benefits to the body, including the heart.

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1. Diabetes
2. Smoking or chewing tobacco
3. Hypertension, High cholesterol or a family history
4. Lack of excercise
5. Unhealthy eating
6. Under stress/Lack of sleep
7. And the biggest risk factor is ignorance

Heart failure can be the results of the following factors:

• Coronary artery disease, wherein there is blocking in the arteries of the heart leading to heart attacks and death of part of the heart muscle
• Prolonged valvular heart disease leading to right and left heart failures
• Weakness of the muscle of the heart itself in the absence of any coronary artery disease

Case Study: 

56-year-old smoker suffered a heart attack and was advised surgery, 3 years earlier.  But he was afraid of heart surgery and continued to be on medication, till he developed symptoms of heart failure. He was advised surgery for the blocks in the arteries of his heart along with repair of one of his heart valves. Gradually over a period of a month post-surgery, he was able to regain his normal activities and resume a normal life.

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