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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
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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
Endometriosis- Updates
Endometriosis is a chronic gynecological condition where endometrial-like tissue grows outside the uterus, causing pelvic pain, dysmenorrhea, dyspareunia, and infertility. The ectopic tissue responds to hormonal changes, leading to inflammation, adhesions, and scarring. Diagnosis is based on clinical symptoms, imaging (ultrasound, MRI), and confirmed by laparoscopy with biopsy. Treatment includes NSAIDs, hormonal therapy (OCPs, progestins, GnRH analogs), and surgical excision for severe cases. Fertility treatments like IVF may be needed. While not curable, early diagnosis and management can relieve symptoms and improve quality of life.
Case-Based Approach to Managing GI Malignancies
A Case-Based Approach to managing gastrointestinal (GI) malignancies involves applying a personalized, patient-centered strategy using specific case details to guide treatment decisions. It emphasizes a multidisciplinary team approach, where oncologists, surgeons, pathologists, and radiologists collaborate to determine the best course of action based on tumor type, stage, and patient factors. This method allows for tailored treatment plans, integrating surgery, chemotherapy, radiotherapy, and targeted therapies to optimize outcomes. By discussing individual cases, this approach also aids in identifying potential challenges and refining management protocols to improve patient care.
Acne: Disorders and Treatment Approaches
Acne is a common dermatological condition caused by clogged pores, excess sebum production, bacterial growth, and inflammation. It can manifest as blackheads, whiteheads, papules, pustules, or cysts, often leading to scarring if untreated. Various factors, including hormonal changes, diet, stress, and genetics, influence its severity. Treatment approaches range from topical and oral medications, such as retinoids, antibiotics, and hormonal therapy, to advanced procedures like chemical peels and laser therapy. A personalized skincare regimen, along with lifestyle modifications, plays a crucial role in managing and preventing acne.
Cardiac Rehabilitation
Cardiac rehabilitation is a structured program designed to improve cardiovascular health after heart-related conditions such as heart attacks, heart failure, or surgeries like bypass or stenting. It includes supervised exercise, heart-healthy lifestyle education, nutrition counseling, stress management, and medication guidance. The goal is to enhance heart function, reduce the risk of future heart problems, and improve overall well-being. A multidisciplinary team, including doctors, physiotherapists, and dietitians, tailors the program to each patient’s needs. Regular participation in cardiac rehab lowers mortality rates, prevents hospital readmissions, and promotes long-term cardiovascular health, making it an essential part of heart disease recovery.
Role of Telemedicine in Modern Healthcare
Telemedicine plays a crucial role in modern healthcare by enabling remote consultations, reducing the need for in-person visits, and improving access to medical expertise. It enhances patient care through real-time diagnosis, chronic disease management, and mental health support. By integrating AI and digital health technologies, telemedicine streamlines workflows and optimizes healthcare delivery. It is especially beneficial in rural and underserved areas, bridging gaps in specialist care. As technology advances, telemedicine continues to revolutionize healthcare, making it more efficient, accessible, and patient-centered.