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India’s First Single-hole Robotic Cholecystectomy
A complex procedure was successfully performed to treat severe lumbar canal stenosis in a 40-year-old male patient weighing 185kg. Given the urgency of the situation and the patient's extreme weight, an intricate spinal decompression and stabilisation surgery was performed. Thereafter the patient regained his ability to walk and control his body functions. India's first-ever single-hole robotic cholecystectomy using conventional robotic instruments was successfully performed for a 60-year old male patient diagnosed with cholelithiasis, thickened gallbladder containing multiple large calculi each over 3 cm in size. This procedure, typically available in western countries with expensive specialized equipment, marks a significant milestone in Indian healthcare. The surgery was successfully completed within one hour without any major complications.
About the Speaker
Dr. Arun Prasad
Surgical Gastroenterologist, Bariatrics Surgeon, Indraprastha Apollo Hospitals, New Delhi
Dr. Arun Prasad is currently working as Surgical Gastroenterologist & Bariatric Surgeon at Indraprastha Apollo Hospitals, New Delhi. With 35 years of surgical experience, this surgeon is among the most seasoned in India and globally, pioneering various advanced techniques, including laparoscopy since 1990, advanced laparoscopy in 1997, single incision laparoscopy in 2010, bariatric surgery in 2004, robotic surgery in 2012, and bariatric endoscopy in 2018. A graduate of the Armed Forces Medical College, Pune, he completed his master's in surgery at Maulana Azad Medical College, New Delhi, in 1988, and received higher surgical training in GI surgery in the UK, where his team initiated laparoscopic surgery. After earning his FRCS in 1990 and working at Charing Cross Medical School, London, he returned to India in 1996, joining Apollo Hospitals as one of the youngest senior consultants. Recognized as a pioneer in laparoscopy in both the UK and India, he was awarded the prestigious FACS (USA) in 2019. His achievements include performing over 6000 laparoscopic cholecystectomies, 2000 laparoscopic hernia surgeries, and pioneering bariatric surgery in India with over 1000 procedures. He also led the way in bariatric endoscopy, robotic bariatric surgery, and GI surgery, holding several records in these fields.
Upcoming Case Discussions
Treatment of Renal Disease in ANCA Vasculitis
The treatment of renal disease in ANCA-associated vasculitis (AAV) typically involves a combination of immunosuppressive therapies to control inflammation and prevent further kidney damage. First-line treatment often includes high-dose corticosteroids and cyclophosphamide or rituximab, both of which help to induce remission by targeting the underlying immune system dysfunction. In cases of kidney failure or rapidly progressive glomerulonephritis, plasmapheresis may be used to remove circulating autoantibodies. Once remission is achieved, maintenance therapy with lower doses of immunosuppressants, such as azathioprine or mycophenolate mofetil, is used to prevent relapses and preserve kidney function.
Management of Pediatric Type 1 Diabetes
Pediatric type 1 diabetes management focuses on maintaining glycemic control while supporting normal growth. Insulin therapy, via multiple daily injections or pumps, is essential, with doses adjusted based on blood glucose monitoring or continuous glucose monitoring (CGM). Nutrition plans emphasizing carbohydrate counting and balanced meals are crucial, alongside adjustments for physical activity to prevent glucose fluctuations. Education for families on recognizing hypo- and hyperglycemia symptoms and managing sick days is vital. Regular follow-ups with a pediatric endocrinologist help monitor HbA1c levels, growth, and complications. Psychosocial support is key for ensuring adherence and addressing emotional challenges.
Rising Cardiac Arrests in Young Entrepreneurs
The increasing cases of cardiac arrests among young entrepreneurs are becoming a serious health concern. Intense stress, long working hours, unhealthy eating habits, and lack of physical activity are major contributors to heart-related issues in this group. This often leads to neglecting personal health, resulting in irregular sleep patterns and chronic fatigue. Additionally, skipping regular medical check-ups can leave underlying heart conditions undetected. Emphasizing stress management, healthy lifestyle choices, and routine health screenings is crucial to reducing this growing risk
Analytical Skills in Problem Solving
Today’s session on analytical tools and techniques in healthcare can provide valuable insights into how data-driven approaches enhance decision-making and problem-solving. Sharing personal or professional experiences where analytical skills were effectively used to address challenges can offer practical understanding and inspire learners. These skills are crucial in healthcare for accurate patient diagnosis, effective treatment planning, and efficient resource allocation. By applying analytical methods, healthcare professionals can improve patient outcomes, streamline operations, and make informed, evidence-based decisions that contribute to overall healthcare efficiency and quality.
Building Strong Interpersonal Relationships
A case discussion can highlight real-life situations where strong interpersonal relationships are essential, such as handling challenging patients or working effectively with colleagues. Sharing personal or professional experiences, or observations of successful interactions, can provide valuable insights. Emphasizing the key factors that contributed to building trust, mutual respect, and effective communication can help illustrate how strong relationships improve collaboration and patient care. This approach encourages participants to reflect on their own interactions and apply these strategies in their professional environments.