www.saharahospitals.

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UPCOMING ACTIVITIES AT SAHARA HOSPITAL

5th September, 2009 - Academic Sessions on Transfusion Medicine and Haematology at Sahara Hospital, Lucknow, U.P.
5th September, 2009 - Free Kidney Disease Screening Test at Sahara Hospital, Lucknow, U.P
.
6th September, 2009 - C.M.E. at Faizabad, U.P.
19th September, 2009 - C.M.E. at Barabanki, U.P.
30th September, 2009 - C.M.E. at Hardoi, U.P.
September-October 2009 I Newsletter
10th October, 2009 - C.M.E. at Basti, U.P.

Note : Dates are subject to change, if required.

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Conceptualised and Published by:
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Sahara India Pariwar
Sahara Shaher, Gomti Nagar,
Lucknow, U.P., India
Tel. : 0522-2304230,
Fax: 0522-2395411

Sahara Hospital,
Gomti Nagar, Lucknow-226010
U.P., India

24X7 Help Desk :

An overview of Sahara Hospital
+91 522 6780001
OPD Enquiries & Reservations : Orthopaedic and Joint
+91 522 6782162, 2159
Master Health Checkup Appointment Replacement Centre
& Enquiry : 0522-6782000
Fax : +91 522 6782110
E-mail : [email protected] Case Studies
Hamstring ACL Reconstruction
Haemophilic Knee Replacement
Elbow Prosthesis Surgery
64 Slice CT Scan
Nutrition Guide
Dear Friends,
It is a matter of immense pleasure that Sahara Hospital is coming out with its
inaugural Newsletter. It is also a privilege to be able to communicate our thoughts
and feelings to the medical fraternity as well as the common man.

Sahara Hospital ranks high among our most ambitious projects. It is a deeply
emotional endeavour of Sahara India Pariwar, in line with its commitment to
socio-economic development and to contribute productively to the nation's
well-being. The vision behind this endeavour is to bridge the gap in quality
healthcare, especially tertiary healthcare in U.P. and the adjoining states and
various other countries.

Since being opened to the public in February, 2009, the Hospital has repeatedly
shown its pre-eminence in the domains of medical science and healthcare. Its
dedicated team of doctors and paramedical staff and the newest generation
medical and diagnostic facilities have helped the patients avail the best of medical
and tertiary care and happily go back to leading healthy lives.

Sahara Hospital is thus surging ahead to establish its credentials in advanced,

hi-tech and multi-disciplinary healthcare services in the whole of Asia, having
reliability and commitment as its hallmark.

I hope this Newsletter will be an informative and educative experience for all
readers. On its maiden publication, I congratulate everyone who has been a part of
the emotional mission named Sahara Hospital.

Sahara Pranam

Subrata Roy Sahara

Managing Worker & Chairman
Sahara India Pariwar
 On 12th February, 2009, Reverend Smt. Chhabi Roy, range of services in a phased manner. The inauguration
mother of Mr. Subrata Roy Sahara, Managing Worker marked the completion of the first phase. It now provides
and Chairman, Sahara India Pariwar, inaugurated Sahara 41 major specialities like emergency & polytrauma care,
Sahara Hospital - A Multi Disciplinary, Super Speciality, Tertiary Care Hospital Hospital at Gomti Nagar in Lucknow, Uttar Pradesh. In neurology, neurosurgery, plastic surgery/microvascular
this short span of six months, commencing from its surgery, cosmetology, paediatric & neonatology,
inauguration till August 2009, Sahara Hospital has orthopaedics, sports medicine, clinical immunology,
achieved many milestones in the field of healthcare. ENT, obstetrics & gynaecology, internal medicine,
general surgery, paediatric surgery, minimal access
There was a time not too long ago, when Lucknow surgery, nephrology, urology, clinical cardiology,
lagged way behind on the national medical care scenario. interventional cardiology, cardiothoracic & vascular
Hi tech surgeries and advanced treatments were not surgery, bariatric surgery, gastro medicine including
available in the city and patients had to go to Delhi or paediatric gastro medicine, gastro surgery, clinical
Mumbai, even abroad, to get the latest treatments. While haematology, rheumatology, anaesthesiology,
the city did boast of a couple of premier medical pulmonology, ophthalmology, paediatric ophthalmology,
institutions, these ranked low on availability of new age dermatology, pathology, radiology, microbiology, critical
treatments, lacked the latest diagnostic machines and had care medicine, psychiatry, surgical oncology, hemato-
almost non-existent facilities for patients' and attendants' oncology, preventive medicine, nutrition & dietetics,
comfort. physiotherapy and ayurveda & panchkarma. In its second
phase, Sahara Hospital also proposes to offer kidney and
Now Sahara Hospital, a 554-bedded super specialty, bone-marrow transplant unit, paediatric cardiology,
multi-disciplinary, tertiary care hospital, spread on an radiation oncology, advance dentistry, homeopathy, unani
area of 27 acres, is here. It proposes to progressively offer and geriatric medicine among others.
services in more than 52 specialties, super specialties and
diagnostic modalities, all under one roof. With its To provide high quality treatments, Sahara Hospital has
advanced and multi-disciplinary medical services, built a team of expert doctors and experienced para-
it is ready to provide qualitative medical care on a medical staff. All our departments are manned by highly
pan-Asia level. qualified doctors with comprehensive experience in their
fields of specialization.
Sahara Hospital shall unfold its wide and comprehensive

Inauguration of Sahara Hospital:

(third from left) Reverend
Smt. Chhabi Roy, Mother of
Mr. Subrata Roy Sahara,
Managing Worker & Chairman,
Sahara India Pariwar, inaugurates
the hospital by cutting the ribbon.
Also present, Mr. Subrata Roy
Sahara (third from right),
Mrs. Swapna Roy, Deputy
Managing Worker (P&W), Sahara
India Pariwar (extreme left), Announcement of the inauguration of the multi-speciality, tertiary care Sahara Hospital at Lucknow: Mr. Sushanto Roy,
Mr. O.P. Srivastava, Deputy Head-Infrastructure & Housing, Sahara Prime City Limited (center), Mr. Abhijit Sarkar, Head-Corporate
Managing Worker (C&A) Communications, Sahara India Pariwar (right) and Dr. H.P. Kumar, Director, Sahara Hospital, Lucknow (left)
(extreme right), and
Mr. Sushanto Roy,
Head-Infrastructure & Housing,
Sahara Prime City Limited 4
(fourth from right)
As an integral component of quality medical care, Sahara forwarding a request for the authorization of this unique
Hospital provides a wide spectrum of basic as well as service. Thus a patient's relative can view and speak to
high end investigative services, round-the-clock, under him/her in the counselling room at the hospital through
one roof including biochemistry, clinical chemistry, high resolution IP cameras without compromising the
haematology, hormone study, tumour markers, drug hygiene and sterility of critical care areas. The entire
levels, microbiology, pathology, endoscopy, security and surveillance unit of the hospital is designed
bronchoscopy, PFT, Urodynamic Study Lab, radiology and based on IT patterns whereby warnings and alerts
including latest generation cardiac CT, functional MRI, pertaining to fire break-outs etc. can be sent to each
cardiac cath lab, 2D Echo and holter. corner of the hospital by means of a single mobile phone.
For ensuring the highest level of security in the mother
The hospital offers highly dependable critical care and child ward, 'event based recording cameras' have
services backed by a full fledged trauma care centre, a been installed to track movement of persons in the ward.
network of critical care ambulances and 100 critical care
beds including dedicated Neuro/Stroke ICU, Intensive As a social responsibility measure towards reducing
Cardiac Care Unit, Medical & Surgical ICU, Transplant global warming, the hospital is being developed as a 'soft
ICU, Neonatal and Paediatric ICU & High Dependency document / paperless working place'. Here machines and
Units as per the international norms. These are further equipments are being installed to minimize paperwork.
augmented by 15 'Ultra Clean' operation theatres,
(6 OTs are operational in the first phase while 9 OTs will Sahara Hospital has been designed to achieve an
be added in the second phase), dedicated to different optimum functional flow. Its holistic design includes
specialities. The hospital puts special focus on infection specially designed OPD for the convenience of patients
control via Central Sterilization and Supply Department making available essential investigations in OPD area.
(CSSD) and patient safety including radiation safety The hospital has dedicated waiting lounges and separate
norms. These facets of medical services make it a high- utilities areas in respective departments. A five star hotel
end and first-of-its kind hospital in the region. has also been built within the hospital campus which
shall be available very soon for patients' relatives as well
Sahara Hospital is equipped with new age IT and as those patients who wish to stay nearby for easy
Automation systems, which offer the facility to remotely consultation during convalescence.
monitor patients in the critical care area from anywhere
in the hospital, home or anywhere in the world by simply Welcome to Sahara Hospital.

Entrance Lobby Continuous Renal Replacement Therapy Intensive Care Unit Operation Theatre

Mobile Intensive Card Unit Neo Natal Transport Ventilator Latest Generation Equipments Neo Natal Intensive Care Unit Cardiac Catheterization Laboratory Sahara Hospital-Curing through Care

6
 MAINTAINING YOUR JOY OF FREE MOVEMENT TRAUMA CARE
Giving Life to Your Bones Our bodies have shapes because they have skeletons to
give them support. Our bodies are mobile because we
At the Orthopaedic and Joint Replacement Center of
Sahara Hospital, modern treatments are available for
The Orthopaedic and Joint Replacement Center at Sahara Hospital have bones (the skeleton), muscles, cartilage, tendons, wide ranging trauma problems. The Center offer latest
ligaments, joints and other connective tissues (the tissue treatments for hip fractures (acetabulum surgery, pelvis
that supports and binds tissues and organs together), in stabilization), MIPPO technique (treating fractures by
short the musculoskeletal system to bring motion to body small incisions), knee injuries (locked plating, ligament
parts. The musculoskeletal system's primary functions reconstructions), calcaneal plating, shoulder fractures
include supporting the body, allowing motion and (three part fixation, HRA), elbow fractures (radial head
protecting vital organs. fixation and replacement, coronoid fixation, TRAP
approach in intercondylar fractures), wrist fractures
Yet the human body is fragile and damage prone. Injury, (scaphoid fixation, carpal dislocations, S-L ligament
disease, congenital conditions, inflammation, age related repairs, arthroscopic assisted distal radius fixation, TFCC
wear and tear or any damage, big or small, to any of these repairs) and hand injuries (ligament, tendon, nerve
parts of musculoskeletal system, can cause it to become repairs, volar plate arthroplasty, EHDS). The Center is
stiff, painful or even immobile. These problems, if and also a destination for treatment of neglected trauma such
when they occur, require expert medical care to put as stiff wrist, elbow and knee, malunited fractures
them right. This is where the Orthopaedics stream of resulting in deformed limbs (do check out real patient
medicine steps in. story titled 'A Dream Comes True', a case study on page
14) and non-union of fractured bones.
SAHARA HOSPITAL'S ORTHOPAEDIC AND
For on-the-spot timely care, the Center has a fleet of
JOINT REPLACEMENT CENTER
ambulances equipped with advanced monitoring
Sahara Hospital's Orthopaedic and Joint replacement
equipment and communication systems. To facilitate
Center is a fully equipped department.
speedy handling of emergencies, our specialists for
It has all the six components that are required for any set
multiple streams are on duty at all hours of day and night.
of medical services to be termed as outstanding. These
For rapid yet superior treatments, modern ICUs, OTs and
are a complete team of super-specialist and experienced
CT scanning facilities too are available 24 hours a day,
doctors and surgeons covering all aspects under the
7 days a week.
department, ultra-clean operation theatres, new
generation diagnostic and clinical equipment and For effective rehabilitation of trauma patients, the Center
facilities, well equipped rehabilitation facilities, world is equipped with a trained and experienced team of
class transplant ICU, expert para-medical staff and last physiotherapists and a well equipped Physiotherapy
but not the least, a firm conviction towards offering Center.
compassionate care and healing. As Dr. Sandeep K. Garg,
Senior Consultant, Orthopaedics and Joint Replacement, MANAGEMENT OF JOINTS PROBLEMS
comments, "In conjunction with the vision of the The Center offers comprehensive management of joint
hospital, the center is providing specialised solutions for problems. Available here for this purpose is an able team
orthopaedics, joint replacement and trauma cases. of orthopaedicians, rheumatologists and physiotherapists.
Though the practices, facilities and services at the Center This team receives full support from a modern pathology
are benchmarked with the world's best yet the charges for lab, latest MRI facilities and arthroscopy instruments to
these ultra modern facilities are kept at the lowest range." carry out their jobs effectively.

JOINT REPLACEMENT SURGERIES

Sahara Hospital's Orthopaedic and Joint Replacement The specialist surgeons at the Center are adept in the
Center offers a full range of world class orthopaedic latest hip, knee, ankle, shoulder, elbow and finger joint
services. These encompass the following sub-fields : replacement facilities. In fact, the Center is one of the
• Trauma care management few in the country to offer total shoulder, elbow, ankle
and finger replacements. These advanced surgeries are
• Joint replacement surgeries
done with minimal incisions, and most of the patients are
• Bone replacement, resurfacing, revision and discharged just five days after their surgery!
reconstruction surgeries
• Bone tumors Assures Dr. Sandeep Kapoor, Senior Consultant,
Orthopaedics and Joint Replacement, "We are bringing in
• Sports medicine and arthroscopy
some of the latest practices and technologies available in
• Pediatric orthopaedics the field of orthopaedics from across the globe. With the
wide experience of our team and modern facilities

8
available at the Center, we are performing complex and reconstructions. Their expertise encompasses
challenging surgeries and foresee ourselves as becoming management of neglected shoulder, elbow, wrist and hand
the destination for tertiary healthcare." disorders. Thus we are able to offer management of
ailments such as stiff elbow, tennis elbow and arthritic
REVISION OF LOOSE JOINTS elbow. Our expertise also covers treatment of difficult
As with joint replacement surgeries, the Center is one of wrist problems like scaphoid non-unions, carpal
the very few destinations in India which are equipped to dislocations and TFCC disorders.
offer help to patients suffering from loose artificial joints.
Our strong rehabilitation team further helps such patients, BONE TUMOURS
post speedy recoveries. Bone tumours can have drastic consequences for the
patients. Often patients have to lose affected limbs in
SPORTS MEDICINE AND ARTHROSCOPY order to save their lives. Sahara Hospital's Orthopaedic
Sports injuries require not just super-specialized and Joint Replacement Center offers a ray of hope to
treatments but also a 360 degree approach to healing. those afflicted with bone tumours. It offer limb salvage
The Orthopaedic and Joint Replacement Center at Sahara surgeries (using megaprosthesis) and pelvic resection
Hospital, offers holistic treatments that can save affected limbs.
treatments that are
Arthroscopy yields tendered by a super- PAEDIATRIC ORTHOPAEDICS
the facility of direct specialist team staffed It is another key super-specialty on offer at the Center.
visualization inside with orthopaedicians, Young patients who come here can gain from corrective
a joint via a keyhole. physiotherapists and and curative treatments that are available with us.
nutritionists. The Center
also offers advanced Children suffering from cerebral palsy and neurological
arthroscopic treatments for knee, shoulder, ankle and disorders often suffer additionally from limb deformities.
wrist joints. Thus soft tissue injuries, especially those of The Center has surgical treatments to help them.
ligaments and cartilages, can be treated in a minimum of
time and fuss and the patient can be discharged on the The Center also provide treatments for children related
same day as surgery. Besides common knee and shoulder orthopaedic disorders such as foot and hand deformities, procedure that's ideal for healing sporting injuries
SPORTS MEDICINE: HAMSTRING ACL RECONSTRUCTION
arthroscopic procedures, the Center also offer advanced congenital dislocation of hip and Erb's palsy. sustained in the joint region.
SURGERY AT SAHARA HOSPITAL
expertise required for complicated wrist and small joint
Polio is a limb deforming disease that's yet to be Nineteen year old Mohammed Zameel is an athletic Zameel underwent this surgery on 17th July, 2009.
arthroscopies. Other super-specialist treatments offered
eradicated fully. For those struck by this crippling teenager who loves to play basketball. A student of Guru Dr. Shamshery conducted the operation with assistance of
include the endoscopic carpal tunnel release (pinhole
menace, Sahara Hospital's Orthopaedic and Joint Gobind Singh Sports College, Barabanki, Zameel one day Dr. Gaurav Kumar and Dr. Amit Sharma (both
release) and percutaneous fixation of scaphoid fractures.
Replacement Center has made special provisions for hurt his knee cap badly. orthopaedic surgeons) and Dr. Arti Agarwal, the
The specialists are also experienced in ligament polio corrective surgeries for growing children. anaesthesiologist. Zameel's injury has healed rapidly post
His injury at this sensitive joint put this advanced surgical procedure.
a break on his playing, running and Right now, he is undergoing
jumping. It was a huge shock for “We discovered the precise extent physiotherapy sessions at the
this sports loving youngster. and location of the patient's injury Hospital. There's no pain in the
Thankfully for him, his grandfather with the hi-tech diagnostic tools
ORTHOPAEDIC AND knee region, it is moving smoothly.
JOINT REPLACEMENT took the matters in his hand and available with us at the hospital and As Zameel tells it with a beaming
CENTER, SAHARA brought him to Sahara Hospital's knew that his knee could be put right
HOSPITAL smile on his face, “I am glad that I
Orthopaedic and Joint Replacement with this advanced arthroscopic came to Sahara Hospital. The care
(seated, from left): Center. procedure.”
and facilities given to me have
Dr. Sandeep Kapoor & Dr.
Sandeep K. Garg, both Thus Zameel came to Sahara - Dr. Prasoon Kant Shamshery been tremendous. It's so much
Senior Consultants, Hospital. After initial investigation more than I or my family could
Orthopaedics and Joint have hoped for. I know for sure
Replacement; Dr. Prasoon of Zameel's injury, Dr. Prasoon Kant
Kant Shamshery, Asstt. Shamshery, Asst. Consultant, Orthopaedics and Joint now that I will soon be at my favourite place, the
Consultant, Orthopaedics Replacement, Sahara Hospital suggested a diagnostic basketball court. And that I will be shooting baskets as
and Joint Replacement arthroscopy for precise measurement of damage to the well as I ever did before hurting my knee.”
(standing, from left - joint. During this hi-tech procedure, it was found that
Orthopaedic Surgeons): Talking of Zameel's case, Dr. Shamshery says, “It is so
Zameel had torn his ACL. The medical and lateral
Dr. Amit Sharma, Dr. A.S. important that sporting injuries receive proper medical
Pandey, and Dr. Gaurav meniscus too were probed but luckily those were found to
care as soon as possible. Many a times, if left untreated,
Kumar. be undamaged.
these injuries can aggravate and cause lifelong damages
Zameel was advised an arthroscopic double bundle to the joints. We are glad that we could help an injured
hamstring ACL reconstruction surgery – an advanced youngster gain full mobility and flexibility.”

10
Knee Replacement in Haemophilic Arthropathy
Mr. Muzammil Hasnain, 52, suffers from a medical Replacement Center carried out knee replacements on
disorder called haemophilia. The root cause of several both knee joints, the department of Clinical Haematology
severe problems - it leads to a complication that causes and Transfusion Medicine ensured effective management Post-surgery X-rays
bleeding inside his joints, destruction of joint cartilage of haemophilia. of haemophilic
and tremendous pain in knees. This complication is called arthritis showing
On 3rd August, 2009, the procedure was performed by a special artificial joints
haemophilic arthropathy.
team of skilled orthopaedic surgeons of Sahara Hospital - in place. The implant
Haemophilia is a group of genetic disorders that impair Dr. Sandeep Kapoor and Dr. Sandeep Garg (both Senior is designed for
severely damaged
the body's ability to control blood clotting or coagulation. Consultants) with assistance of the Orthopaedic
knees
Normally in events of bleeding, the blood coagulates, Surgeons - Dr. Gaurav Kumar, Dr. A. S. Pandey and
bleeding stops and wounds heal. But if the body has Dr. Amit Sharma
limited ability for congealing its blood, healing of even
small cuts and incisions can become a huge task. The haemophilia management procedure was conducted
Haemophilic patients often suffer from frequent bleeding by Dr. Sunil Dabadghao, Clinical Haematologist, Sahara
inside the joints, a condition called haemarthosis which Hospital (recipient of Fellowship from Australia and
has been the bane of Mr. Hasnain's life as well. special training from CMC, Vellore) and Dr. Ashish
Tewari, Consultant, Transfusion Medicine (with MD in
cartilage, the normal anatomy of his joints was grossly such surgeries conducted in India till date. We at Sahara
In advanced stages of any type of arthritis, the advocated Transfusion Medicine from SGPGI, Lucknow).
distorted. The complexity called for implanting Hospital are glad to be able to provide cure to such
treatment is joint replacement surgery. But in The anesthetists on the case were Dr. Meena Murti and
specialized 'S-ROM NOILES' prosthesis. complex ailments".
haemophiliac patients, any sort of surgical procedure is Dr. Adesh Srivastava.
deemed risky as the control of bleeding is very difficult. Commenting on the surgery, Dr, Sandeep Garg said, Today Mr. Muzammil Hasnain is recuperating nicely. He
Mr. Hasnain approached many hospitals, all in vain, as Dr. Sunil Dabadghao says, "The case was quite critical.
"Besides being the first haemophilic knee replacement in is progressing towards a full recovery and looks forward
none of these places had the expertise and infrastructure In Haemophilic patients, even a small cut can become
the state of Uttar Pradesh, it is also one of the very few to leading a pain-free life.
needed for it. In the meanwhile his arthritis went from quite fatal and management of a replacement procedure
bad to worse, making it difficult for him to manage even of this magnitude, at our end too requires meticulous
his daily routine's activities. planning and a range of preparations for handling all
possible complications, both during surgery and post
Mr. Hasnain came to Sahara Hospital which incidentally surgery. The Haemetology Department and the blood Dr. Sandeep K. Garg
is the only hospital in this part of the country that has the bank of the hospital are equipped to extend support to Senior Consultant, Orthopaedics and Joint Replacement, Sahara Hospital
capability of administering this advanced treatment. The these types of critical procedures." Dr. Sandeep K. Garg ranks among the pioneers of joint replacement surgeries in the state. An MBBS and MS (Ortho.) from
bilateral surgery was planned jointly by the department of KGMU, Lucknow, he received his AO Fellowship from the Johannes Gutenberg University, Germany. Dr. Garg undertook
Though a bilateral simultaneous total knee replacement is specialized training in trauma and joint replacement surgeries at Sir Ganga Ram Hospital, New Delhi; Prince Elizabeth
Clinical Haematology and Transfusion Medicine along Orthopaedic Centre, UK; Nuffield Hospital, UK; Knappschafts-Krakenhaus. Germany; Mannheim University, Germany; John
with the Orthopaedic and Joint Replacement Center of a routine procedure for Dr. Sandeep Garg and Dr. Flynn Hospital, Australia and the Royal Australian College of Surgeons, Australia. Formerly a Senior Consultant Orthopedic
Sahara Hospital. While Orthopaedic and Joint Sandeep Kapoor, due to severe destruction of joint Surgeon with Vivekanand Polyclinic and Institute of Medical Sciences, Lucknow, Dr. Garg has performed nearly 300 hip
replacement and close to 150 knee replacement surgeries till date.

Dr. Sandeep Kapoor

Senior Consultant, Orthopaedics and Joint Replacement, Sahara Hospital
Dr. Sandeep Kapoor is a trauma and joint replacement surgeon with MBBS and MS from KGMU, Lucknow and AO Fellowship
from the Johannes Gutenberg University, Mainz, Germany. A member of AOAA, Davos, Switzerland, he has been trained under
leading global orthopaedic surgeons at the Royal Australian College of Surgeons, Melbourne, Australia and John Flynn Hospital,
Gold Coast, Australia. Formerly, the Head of Department for Orthopaedics and Joint Replacement Surgery at Vivekananda
Pre-surgery X-rays of Polyclinic and Institute of Medical Sciences, Lucknow, Dr. Kapoor has over 20 years' professional experience that spans hospitals
in Lucknow, Delhi, Dubai and Australia.
haemophilic arthritis
showing severely
damaged knees - gross
destruction of lower Dr. Sunil Dabadghao
and upper tissues. Senior Consultant, Department of Pathology, Sahara Hospital
Dr. Sunil Dabadghao is a leading haematologist who did his doctoral programme- Licentiate in Haematology- from the
renowned Karolinska Hospital, Sweden. A DM in clinical immunology from SGPGI, Lucknow, he served as a Senior Resident in
the Department of Immunology there. Dr. Dabadghao has also served as a Registrar at CMC, Vellore where he acquired expertise
in bone marrow transplantation. He has also received advanced training at the Queen Elizabeth Hospital, Australia, where he was
a Registrar in the Department of Haematology-Oncology between 2002-2005. Dr. Dabaghao's areas of specialist expertise
include management of haematological malignancies, bone marrow transplants, non-malignant haematological disorders,
systemic autoimmune and rheumatological disorders and immunodeficiencies among others. Before joining Sahara Hospital,
Dr. Dabadghao was attached with the Bhopal Memorial Hospital and Research Centre as an Associate Professor.

12
 A DREAM THAT BECAME A REALITY deformed and the joint got fused leading to complete
Vinod (name changed on request) came to Sahara Hospital restriction of movement of the elbow. His deformity was
with a debilitating left elbow. He left the hospital with a actually increasing progressively with age". Considering
fully working arm and a wide smile on his face. the magnitude of deformity and its impending effects,
Vinod was advised an elbow prosthesis surgery - total
Vinod had always thought that it was destiny's cruel elbow replacement. "Elbow prosthesis surgery restores
diktat that his left arm had become badly deformed. He full hand movement back to normal. The joint
says, "I was born with two good arms but the destiny replacement surgery is an ideal remedy for patients
willed otherwise. While an infant, I received an injury suffering from restricted joint movement due to
that hurt my left elbow badly. As a result of which, with childhood injuries or trauma. It is also a boon for
time, the bones of my elbow joint fused together, became rheumatoid arthritis patients who are crippled with
bent and deformed, restricting the movement of the arm." degenerated joints. This surgery makes them move
towards a normal life." For Vinod these words were a
His disability brought long term repercussions. glimmer of hope.
Seemingly trivial day-to-day jobs such as eating and
dressing himself too became tall orders. Vinod, a He went for the surgery on 16th June, 2009. This intricate
qualified computer engineer, due to his restrictive left surgery was conducted using 'Conrad - Morrey's semi
arm, even found it difficult to work on his computer. The constrained elbow prosthesis' method. Dr. Shamshery
worse was yet to come. His deformity was increasing adds, "The Conrad - Morrey's semi-constrained elbow
gradually with age. prosthesis' was invented by Mayo Clinic of U.S.A. and is
today known to be 'Gold Standards' worldwide."
In spite of all this, Vinod cherished a seemingly
impossible dream. He dreamed of being a happily Using this method, initially, the patient's fused bones
married man and a proud father. He cherished the thought were carefully separated while protecting the nerves and
of someday holding and carrying his child in his own arteries around the elbow. The medullary cavity of bones
arms. A far fetched dream, many would have said. Yet was reamed and washed with pulsatile lavage. Thereafter,
Vinod did not lose hope. He recalls, "I consulted the specially designed elbow prosthesis was fixed in
numerous doctors, visited many hospitals, all in vain." place of the joint. The patient was given a PCA pump to
Then he heard of Sahara Hospital and the successful eliminate pain because it allows him to get pain relief all
treatments of many chronic and critical ailments that by himself. This also allowed immediate movement of
were being done there. the operated elbow. The surgery was successfully
"Just when my hopes were dimming, Sahara Hospital performed by Dr. Shamshery with assistance of Dr. A. S.
came as a ray of hope in my life. I also heard of its Pandey, Dr. Gaurav Kumar (both Orthopaedic Surgeons)
Orthopaedic and Joint Replacement Centre where world and Dr. Sandeep Pawar, Anaesthetist.
class surgeries were being performed." adds Vinod. He
The surgery came as nothing less than a miracle for
came to the hospital and consulted Dr. Prasoon Kant
Vinod. He says, "Within a few hours of the surgery, I was
Shamshery, Asst. Consultant, Orthopaedics and Joint
in a position to move my elbow without any difficulty".
Replacement, Sahara Hospital and an ex-AIIMS
Vinod's rehabilitation process involved strengthening up
Consultant.
of his muscles which had been weakened by his
Dr. Shamshery and his team evaluated Vinod's case in prolonged deformity. Hence, after the surgery, his
detail. As Dr. Shamshery says, "Vinod's case illustrates muscles were electrically stimulated and thereafter, he
the importance of giving proper treatment to childhood was put on physiotherapy.
injuries which otherwise could become severe as the
Today Vinod leads a fully normal life with two optimally
child grows to adulthood. These then might require
working arms. And the dream of carrying his child in his
corrective surgery. Had Vinod's injury been given proper
own arms now does not appear to be far fetched. And we,
attention and right treatment during his childhood only, it
at Sahara Hospital are feeling blessed to be able to help
would have not aggravated to such debilitating

Elbow
hitherto disabled patients lead normal lives.
proportions. As he grew up, his bones progressively

Dr. Prasoon Kant Shamshery

Asst. Consultant, Orthopaedics and Joint Replacement, Sahara Hospital

Prosthesis Surgery Dr. P.K. Shamshery is a distinguished orthopaedic surgeon who specializes in advanced treatments and surgeries such as primary
and revision joint replacements, upper extremity surgeries, microsurgeries, musculoskeletal tumours and handling of complex
trauma cases. An ex-Asst. Professor with AIIMS before joining Sahara Hospital, Dr. Shamshery acquired MBBS, MS and
Fellowship in Arthroplasty from there. He also served his senior residency at AIIMS and was actively involved with the Hand
Clinic, the Rheumatology Clinic, the Bone Bank and the Replantation Team there. Also an MRCS from Glasgow,
UK, Dr. Shamshery has published and presented more than 34 papers and 27 abstracts till date.

14
 HEART WARMING ADDITION AT SAHARA HOSPITAL cardiac ailments should take extra precautions. Patients
Superior Technology at Work A recently published study predicts that by 2020, more
than 10 crore Indians will suffer from heart ailments. In
who receive early diagnosis and take treatment
accordingly, substantially reduce their risk of long-term
64 Slice CT Scan at Sahara Hospital two years' time, 60% of world's heart patients will be in
side effects and a potentially life threatening heart attack.
India and these potentially fatal maladies will strike more
and more younger people! DETECTION OF CARDIAC BLOCKAGE
Physical symptoms of cardiac ailments appear only after
The instances of coronary artery disease are indeed on a the problem has taken root in the heart. So it is always
sharp rise in India. And therefore the number of cardiac preferable to get checked regularly to rule it out.
patients seeking superior medical care too is rising
rapidly. As prevention is always better than cure, the first There are two methods of detection of coronary blockage
requirement for staying safe from cardiac ailments is to and other structural abnormalities. One is the invasive
ensure at regular intervals that your heart is healthy. After coronary angiography which is a catheter (a tubular,
all, it's best to nip trouble at its budding stage. And if all flexible surgical instrument) based diagnostic method in
is not what it should be, the next best step is to seek which a thin catheter is inserted into an artery or vein
effective medical treatments as soon as possible in order through a puncture with a needle or a tiny incision. The
to reduce the possibility of a heart attack occurring which catheter is then threaded through the major blood vessels
might cause irreparable damage to heart muscles leading and into the heart chambers. The catheter injects a dye
to weakening of heart. that can be seen on x-rays. The procedure takes 40 to 60
minutes and requires hospitalization.
THE ROOT CAUSES OF CARDIAC PROBLEMS
The other method is detection through new generation
"Most of the heart ailments originate from the diseases Computed Tomography (CT). This method is non-
related to the arteries which supply blood to the heart and invasive and very convenient for people.
nourish the heart muscles." says Dr. Shekhar Tandon,
Cardio-thoracic & Vascular Surgeon, Sahara Hospital. In regular CT scans, numerous X-ray beams and a set of
When coronary arteries (i.e. heart's arteries) become X-ray detectors rotate around the patient. At the same
narrowed due to build up of fatty substances, cholesterol time, the examination table too moves around the
and other substances in their inner lining, the supply of scanner, so the X-ray beam follows a spiral path. A
sufficient oxygen and nutrients to the heart and flushing special computer program processes this series of
out of carbon dioxide and waste products gets reduced. pictures to create cross-sectional images that doctors can
When this narrowing is significant, it is referred to as use for making diagnosis.
coronary artery disease. If blood flow is decreased, it
leads to what is commonly called as angina. Further if the 64 SLICE CT SCAN - SUPERIOR TECHNOLOGY AT WORK
cardiac arteries get blocked completely, it causes a heart
The 64 slice CT scan goes many steps ahead, and uses as
attack. An heart attack, even if not fatal, causes
many as 64 detectors to create extremely detailed, high
permanent damage to the heart muscles which further
resolution 3-D images that cardiologists and radiologists
increases the vulnerability of the heart.
can use to spot even the smallest of blockages in the
"Prevention is better than cure. This is true for heart coronary arteries at a very early stage. As the images are
diseases as well" suggests Dr. Tandon, "This requires three-dimensional, the doctors can look at the arteries and
regular check ups, diet management and a fitness organs from any essential direction. An extremely
regime." While this is essential to every human being, it valuable tool while diagnosing something as serious as
is very important for people who come under the major cardiac complications!
risk categories making them prime candidate for coronary
The 64 slice cardiac scan checks the heart thoroughly
heart disease. The major risk categories are as follows:
via non-invasive screening and for which no
• Males aged more than 45 and females of more hospitalization is required. The 64 slice CT scan usually
than 55 takes just 5 seconds of scanning time for a CT coronary
• Persons with abnormally high cholesterol levels angiogram. The entire procedure takes close to 20
• People who have family history of heart disease minutes after which the patient can go back to his regular
• People with diabetes life and work.
• Those suffering from hypertension
• Cigarette smokers The 64 slice CT scan can evaluate coronary artery disease
and other cardiac abnormalities such as congestive heart
• Obese people
failure and congenital heart disease with an
• People with less physical activity unprecedented accuracy. The scan is also used to detect
narrowing of the arteries supplying organs, aneurysms
People belonging to any of these high risk categories for and tears in major arteries, and pulmonary emboli (clots

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that have broken off within an artery) which has travelled scanning, the patient is required to lie still and hold
through the bloodstream and got lodged in the small his/her breath.
arteries of the lungs.
After the scan is complete, which usually takes 5 seconds
64 SLICE CT SCAN: NOW AVAILABLE AT SAHARA to the satisfaction of the attending medical team, the
patient can resume normal activities. The patient is
HOSPITAL
advised to drink lots of fluids to help eliminate the
The Radiology Department at Sahara Hospital offers new contrast medium from the body via natural routes.
generation 64 slice computed tomography (CT) for heart Patients coming for the CT scan have to take few
patients. This advanced diagnostic machine offers sharp, precautions before the scan which are as follows:
crystal clear and detailed 3-D images of the heart, and
that too without any invasive procedure. • No caffeine and smoking for four hours before
the scan
"Our Radiology Department provides these CT scans that • Inform the doctor in advance if pregnant or on diabetic
are not just technically superior but are also time saving. medication
The patient requires no hospitalization, it delivers 70% • If required, the doctor will advise 6-hrs. fasting before
less radiation than other CT scanners, there's no invasion the test
of the body unlike what's required in conventional • If required, the doctor will prescribe a medicine
catheter angiography, the entire procedure takes just 20 (a beta blocker) to be taken a day before the scan to
minutes and the patient can resume his or her normal slow down the heart rate in order to obtain accurate
routine immediately afterwards." explains Dr. Devendra CT images
Sonkar, the Associate Consultant of Department of
Radiology and Imaging at Sahara Hospital. A process called calcium scoring is also usually
performed on 64 slice CT scans to ascertain the amount
Adds Dr. Shekhar Tandon, “Many patients came to us of calcium build-up in arteries of heart. It is an important
saying that they feel mild pain on exertion that goes away step as higher the level of calcium, higher are the odds of Today it has become a general opinion to say a big NO to 2. Deep fat frying : It is used in preparing pooris,
in a short while with or without medication. They had developing heart disease. fatty foods, as they are held responsible for obesity, kachauris, vadas, and pakodas. In deep frying, there is
been advised coronary angiography by their treating cardiac disorders, etc. One cannot deny this fact that fats direct transfer of heat from hot food to cold food
physicians but these patients were reluctant to undergo an If coronary artery disease is detected in a heart scan, the are one of the essential nutrients required for body
invasive procedure. These patients were then advised a patient can consult a cardiologist well in time for growth. If people become obese or suffer from any of the From the point of view of health conscious people, it is
CT Coronary Angiogram (64 slice) which they readily prevention by medical treatment or he/she may be cardiac disorder such as chilestremia, lipidemia, etc. the desirable to hold fat absorption by fried foods to
underwent and it clearly showed their coronary anatomy advised an interventional procedure or surgery before a reason is that they consume too much of fat or they minimum. The factors that affect the amount of fat
and pathology. Most of these are now being managed heart attack occurs. choose wrong types of fats. Different types of fats have absorbed are:
with drugs and lifestyle changes.” following advantages.
THE SUITABILTY FACTORS FOR CT SCANNING • Foods having higher amount of sugar and fat absorb
THE PROCEDURE OF SCANNING Cardiologists advise these scans for the following: • They are the concentrated sources of energy more fat
After patient's arrival for the test, his/her medical history • They reduce bulk in the diet • Addition of egg in batter increases fat absorption
• High-risk individuals e.g. those with high BP,
is reviewed. He/she is given a hospital gown to wear diabetes, high cholesterol, smoking habit or a family • They are excellent sources of fat-soluble vitamins significantly
during the scan. An intravenous line is started and a beta history of early coronary disease A, D, E and K • Porous foods like bread and fermented foods absorb
blocker drug may be administered at this stage. The • Those getting chest pains • They provide essential fatty acids, which are more fat
radiology technician guides the patient in positioning • Equivocal nuclear/ stress test components of membranes of living cells • Addition of soda bi-carb increases rate of fat
himself/herself better on the screening table. The usual • Evaluation for by-pass graft patency in patients with • They are also used by the body to make prostaglandins absorption
position is lying flat on the back, or possibly on one's side prior coronary by-pass surgery involved in large variety of physiological functions • Greater the surface area, greater the fat absorption.
or stomach. Straps and pillows may be given here for • Evaluation of coronary arteries prior to major non- • Foods cooked at lower temperature absorb more fat.
better maintenance of required body position. Patients are cardiac surgery Food cooked in fats and oils is basically of two types
• If same oil is used again, fat absorption increases
also asked to raise their arms over their heads during the • Evaluation of congenital abnormalities of the coronary 1. Pan frying : It is used to cook dosas, paranthas,
scan. A contrast medium is administered in a peripheral arteries omlette, cutlets and tikkis. In pan frying, the amount of If above stated facts are kept in mind, one can surely
arm vein with a painless prick. During the actual • Characterization of plaque fat used can be limited enjoy even fried foods occasionally

Dr. Shekhar Tandon

Cardio-thoracic & Vascular Surgeon, Sahara Hospital Poonam Tiwari
Dietician, Sahara Hospital
Dr. Shekhar Tandon is a leading Cardio-thoracic & Vascular Surgeon who ranks among those who pioneered low cost 'Beating
Heart CABG Surgery Programme' at King George Medical University (KGMC), Lucknow. Dr. Tandon acquired his MBBS and Poonam Tiwari has studied dietetics and nutrition at Lucknow University and S.N.D.T. Women's University, Mumbai.
MS from Aligarh Muslim University (AMU) and his M Ch in Cardio-thoracic Surgery from Post Graduate Institute of Medical Post M.Sc., Ms. Tiwari did her PG internship at P.D. Hinduja Medical Research Centre and Christian Medical College, Vellore.
Education & Research (PGIMER), Chandigarh. Till recently, Dr. Tandon was the HoD of the Department of Cardio-thoracic She has worked as a dietician at Rama Hospital and Research Centre, Kanpur and at Vivekanand Polyclinic, Lucknow. She has also
Surgery at KGMC. Also an ex- Professor at that prestigious institution, he has been a thesis guide for MS and M Ch students taught clinical nutrition and dietetics at I. T. college , Lucknow to B. Sc./ M.Sc. students.
as well. In a distinguished career spanning over 33 years, Dr. Tandon has conducted scores of successful lung, vascular and
cardiac surgeries.

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