Posts by shalby hospital

hi we are shalby hospital. we provide knee replacement, dental hospital, knee replacement surgery, joint replacement surgery in Ahmedabad, Gujarat, India

Dr. Darshini Shah has Done Wonders to My Teeth!

Mrs. Kamini Kinariwala has been in the grip of tooth pain and oral discomfort for a long time. However, she was reluctant to undergo oral procedures due to fear of pain. Her husband Mr. Pradip Kinariwala who got his “bridges” done 17 years ago at the hands of Dr. Darshini Shah of Shalby Hospitals could convince her, citing his own pleasant experience that the procedure would be painless and smooth. Thus, Mrs. Kamini Kinariwala underwent a total oral rehabilitation procedure at Shalby at the hands of Dr. Darshini Shah, the best dental surgeon in Ahmedabad.

On successful completion of the oral rehabilitation process, she opined” All my fears so far have been meaningless. I would have undergone this treatment much earlier. Dr. Darshini and team have done a wonderful work on my teeth and perfected it as original! Now I am empowered with my teeth and can eat and relish all my favorite delicacies. All the words of appreciation will fall short to thank the Shalby Dental Cosmetics & Implantology team for the good work which is at par with the world”

Dr. Darshini Shah

Director, Dental Cosmetics & Implantology
Shalby Hospitals, Ahmedabad
For More Details +91 99240 69400 +91 98244 66884

Limb Salvage Surgery for Osteosarcoma: A Fight Against Bone Cancer

lim salvage bone cancerA 16 year old boy with Osteosarcoma of Tibia Neoadjuvant chemotherapy Surgery: Wide Resection and Megaprosthesis Joint Replacement Surgery Adjuvant chemotherapy

Introduction

Osteosarcoma is the malignant bone tumor that arises from primitive mesenchymal bone-forming cells, and its histologic hallmark is the production of malignant osteoid. Each year in the United States, about 400 children and teens younger than age 20 are diagnosed with osteosarcoma. Osteosarcoma is the third most common cancer in children, after lymphomas and brain tumors. It often starts in the ends of the bones where new bone tissue forms as a young person grows. Bones in the thigh, upper arm, and leg are the most common sites. The cause of osteosarcoma is unknown and only rarely does osteosarcoma run in families. Children with retinoblastoma have a high risk for osteosarcoma in adolescence.

Xray and MRI

Skin incision and neurovascular bundle

 

 

 

 

Osteosarcoma Tibia

Megaprosthesis

 

 

 

 

knee function after megaprosthesis

Clinical Presentation

Pain and swelling in the affected bone is the most common symptom. Pain is severe in nature and associated with limitation of movement of affected joint. Initially there is small swelling and increases rapidly to bigger size. On clinical examination of swelling, local warmth with dilation of veins in the over lying area can be observed. Occasionally patients present with pathological fracture due to trivial trauma.

Investigations

Plain radiograph of the affected bone with adjacent joint is obtained with chest radiograph. The radiological findings of osteosarcoma shows a lytic/sclerotic /mixed lesion with wide zone of transition, sun ray type of periosteal reaction and soft tissue swelling. Magnetic resonance imaging (M.R.I.) is performed to visualize the extent of tumor and relationship with neurovascular structures, followed by J needle biopsy to obtain histopathological diagnosis. Staging investigations consist of Computed Tomography of chest and Bone scan or PET-CT scan.

knee joint replacement surgery

Recent Advances

Limb salvage surgery for bone tumors in the immature skeleton creates unique problems. When the estimated leg-length discrepancy at skeletal maturity is more than 3 cm or when the arm-length discrepancy is more than 5 cm expandable, Megaprosthesis is performed. The minimally invasive and noninvasive types of expandable prosthesis are used. Every six monthly the limb is expanded as compared with opposite limb until skeletal maturity is achieved.

If you are going for knee replacement surgery, make sure that you only approach a reputed institution like Shalby Hospital, Ahmedabad – one of the best centres for knee replacement surgery in India.

Author

Dr. Abhijeet Ashok Salunke
Consultant – Orthopedic Oncosurgeon
Shalby Hospitals, Ahmedabad
For More Details +91 98240 99953

5 Most Common Knee Injuries

knee injuries

Image: orthoinfo

The knee is the most complex structure and one of the most stressed joints in the body. Knee injuries occur during the sports activities, exercising, or as a result of a fall. The symptoms people may experience are difficulty with weight bearing, pain and swelling and instability are the most common with a knee injury.

1. Fractures

The most common and often caused by high-energy trauma, such as falls from the significant heights, accidents, and during the sports activities. The most common bone broken around the knee is the patella.

2. Dislocation

It happens when the bones of the knee are forced out of normal position, either fully or partially. Dislocations can be caused by an abnormality in the structure of a person’s knee. This usually occurs from a fall, a car accident or participation in sports. sports-related contact. Examples of affected areas include shoulders, elbows, fingers, ankles, knees, hips and jaw.

3. Sprains and Strains

A sprain is a stretching or tearing of ligaments and sprain is a stretching or tearing of muscle or tendon. Sprains and strains are injuries to the ligaments. The ACL and MCL are the ligaments most often injured. These kinds of injuries usually happen during sports such as football, soccer, and the basketball. The symptoms include tenderness along the joint line and pain with walking.

4. Meniscus Tear

A most common injury happens during sports where the forceful twisting causes certain tissue in the knee to tear. The symptoms include a pain, swelling, locking, stiffness, and difficulty extending the knee.

5. Tendon Tears

The quadriceps and patellar tendons can be stretched and torn. The middle-aged people who play running or jumping sports have faced this kind of injury more often, although anyone can injure these tendons. The common causes of knee tendon injuries include a falls, direct force to the front of the knee, and landing awkwardly from a jump.

Diet Plan You Should Follow After a Spine Surgery

diet plan after spine surgery

Image: health.usnews.com

Let us look at the diet plan you should expect to follow after a spine surgery.

Calories:

With the need to heal, your metabolism will also increase, requiring you to take almost double the amount of calories that your body usually needs. That does not mean that you start consuming junk food – the extra calories should be consumed through healthy foods like fresh fruits and vegetables, wholegrain etc. Such foods will provide you with the nutrients necessary for fast and proper healing.

Protein:

One of the most important nutrients required for post-surgery healing is protein. Therefore, a good chunk of what you eat must
comprise of eggs, fish, lean meat and poultry, tofu etc. Low-fat dairy products like skim milk will provide your body with not only protein, but also Calcium and Vitamin D required for bone restoration. Zinc, which is found in high-protein foods, is important for fighting infection.

Shakes/Smoothies:

Another healthy but yummy way to get your required calories and nutrients is supplemental shakes. This will let your body get the protein and other nutrients it requires, and it’s quite easy to make! You can make shakes/”smoothies” using milk, yoghurt, soymilk or any other high-protein beverage. You may also be advised to take certain vitamin and mineral supplements – however, do not take any vitamin or mineral supplement without your doctor’s approval. Constipation may result from the intake of pain medication – this can be avoided by staying hydrated throughout the day with good water intake. This will also be very beneficial for the healing process. Fibre intake can also prevent constipation – so have high-fibre foods like fruits, wholegrain etc.

A good spine clinic will ensure that you are provided with the correct diet plan for quick and complete healing. For example, reputed spine clinics like Shalby Hospitals – one of the best spine hospitals in Ahmedabad with a team comprising of the best spine surgeons in Ahmedabad – see to it that all measures are taken for quick and complete post-operation healing. You should only trust hospitals with a highly experienced and skilled team so as to get the best results.

For inquiries on Spine, Please contact: +91 9824099953

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Importance of Balanced Diet for Sportsperson

sportspersons

For going an extra-mile, sportsperson needs extra performance, which comes from well balanced diet and exercise. You are what you eat. The food provides all the essential vitamins, minerals, proteins and other nutrients. Good nutrition enhances a sporting performance. Hence, a careful consideration is must when selecting what to eat.

A combination of different food items gives a balanced diet. This would include:

1. Protein rich foods – A protein rich diet helps you in many ways such as, increases your metabolism, stabilises your blood sugar levels, aids in healing of bones and slow ageing. Eggs are considered as the healthiest and great source of protein.

2. Carbohydrates – Carbohydrates break down into sugar (glucose), body’s primary energy source. This happens during digestion and later this glucose is converted into glycogen which can later be used as an energy source.

3. Vegetables and Fruits – Consuming the right balance of food and drink is important for everyone, be it a common man with sedentary lifestyle or anyone involved in sports and works strenuously. Eating a wide variety of fruits and vegetables helps maintain health and improves performance. Dark green vegetables should be eaten regularly.

Thus, a well-planned wholesome diet would meet a sportsperson’s daily requirements and provide sufficient protein and nutrients to promote and repair physical fitness. They also need to stay hydrated throughout and consume the necessary amount of water.

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Things You Need to Know Before & After Undergoing a Kidney Transplant

kidney transplantation

Image: persianhealthint

 

A kidney transplant is a surgical procedure that puts a healthy kidney within the body of a patient. The kidney can come from both living and expired donors.  While a new kidney will usually begin functioning immediately after the transplant, it is important to remember that it is a” foreign body” till it finds total acceptance by your immune system and therefore, will have to be careful about  its health.

Soon after the transplant, one will need to take certain medicines to prevent the rejection of the new kidney by the body. If rejection does happen you will have to undergo anti rejection therapy.. To prevent rejection, you will need to take immunosuppressant medication. Your doctor will prescribe you regarding what and how much to take so as to prevent rejection while keeping side effects at a minimum level.

As a transplant recipient you will be more susceptible to infections due to the intake of immunosuppressant medication, so you will need to see to it that your body is minimally exposed to germs. You don’t need to go overboard and subject yourself to solitary confinement – simple hygiene practices like hand washing with antibacterial soap or hand sanitizer should suffice. By this way most of the infections can be prevented and patient can live a  healthy life.

After transplantation,  as the patient is free from dialysis , he or she is going to have improved appetite that can lead to obesity, if not taken care well in form of exercise and diet planning.

The most important thing that you need to know if you are thinking of undergoing kidney transplantation is that you should only approach a reputed kidney transplant hospital. As kidney transplant is a serious procedure, you should only get it done at leading kidney transplant hospitals like Shalby Hospital in India.

For More information, please contact:  +91 98240 99953

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10 Frequently Asked Questions On Total Knee Replacement (TKR)

FAQs on TKR

1. What is Total Knee Replacement (TKR)?

  • Total knee replacement is a surgical procedure which consists of removing, reshaping and resurfacing of the roughened bones and implantation of new joint.

2. What is the ideal average age for a knee replacement?

  • The ideal average age for knee replacement is 45 + years except for Trauma.

3. Is it possible to have Bilateral Knee Surgery (both knees at the same time)?

  • Yes. It is possible to have Bilateral knee surgery, it will done depending on the situation, the doctors will recommend, if both the knees require replacement, then it is most ideal to undergo Bilateral TKR.

4. What is Zero Technique in TKR?

Total Knee Replacement (TKR) surgery with minimum of every invasive step is called “O” Zero Technique. This process innovation is invented by Dr. Vikram I. Shah, the world renowned knee replacement surgeon of Shalby Hospital, Ahmedabad which revolutionized the Knee Replacement surgery with advantages like:

  • Reduced surgical time of 8 to 10 minutes!
  • Minimal incision( cut) which results in less blood loss, reduced intake of medicines and faster recovery
  • Reduced stay at hospital
  • Assisted Walk after 2 hours of the surgery
  • Less burden and anxiety to patients and relatives a like

5. Is this operation painful? How long will the pain last?

  • This operation is as painful as any other operation. Your pain will be kept under control by a team of pain management consultants (Anesthetists) with the help of oral or intravenous medicines. On special occasions nerve blocks will be used to reduce pain.

6. When can I resume my day to day activities?

Your progress after going home will be roughly as follows:

  • After going home on the 4th day after surgery you will be asked to walk in the house for 4 to 5 times a day
  • The stitches on the operative wound will be removed on the 14th to 16th day after surgery
  • Other activities like swimming, driving a car or riding a two wheeler and kitchen work are permitted after 4 to 6 weeks
  • If your office work is of sedentary nature, you may start working for weeks after your ooperation

7. When can I Travel?

  • You can take short flight, 4 days post surgery, long flight can be taken post 15 days

8. What games or sports can I play?

  • You may play golf, walk briskly or swim. Light weight lifting is allowed.

9. What should I avoid to protect my new artificial joint?

  • You should not sit on the floor. You may sit cross legged but on a bed or a surface which is at a higher level than the floor

10. Do I need to replace the Implant after 15 to 20 years?

  • An Implant will last normally for 15 to 20 years. There are choices available as well, to select an implant. At Shalby, the surgeon will recommend the most appropriate one for your conditions during the consultation.

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