Thursday, December 1, 2011

Eminent Liver Transplantation Surgeons from across the world come together for an International Liver Conclave organized by Global Hospitals


·         First of its kind 3 day scientific session - “Master Class in Liver Diseases”

·         Over 30 eminent doctors from USA & Europe & over 300 nationally renowned liver specialists congregate to demonstrate the current concepts and trends on liver transplantation from across the globe

Chennai, December 1st 2011: Global Hospitals Group is organizing a 3 day international liver conclave, ‘Master Class in Liver Diseases’ in Chennai starting 2nd December to 4th December 2011. This 3 day scientific conference will be spearheaded by the world renowned Liver transplantation surgeon Prof. Mohamed Rela. Over 30 eminent doctors from USA & Europe and over 300 nationally renowned liver specialists will be present to demonstrate the current concepts and trends on liver transplantation across the globe.

MASTER CLASS IN LIVER DISEASES is the first of its kind, a 3 day scientific conference, discussing various Clinical aspects of Liver diseases & Transplantation, which will give the Indian audience a holistic and in depth understanding of liver diseases. International Faculties participating in the conclave include, Prof. Bernard C. Portmann, Dr. Alberto Quaglio, Prof. Elwyn Elias, Prof. Diedre Kelly, Prof. S. Wali, Prof. Ashley D’Cruz, Prof. Abid Suddle, Prof. Jack Lake, Prof. Julia Wendon, Prof. Nigel Heaton and Prof. Anil Dhawan amongst many other national faculties.

Global Hospitals acknowledged as the world’s most comprehensive centre for Liver, Pancreas diseases and transplantation offers the largest Liver Transplant program in the country. The Global Liver Transplant program is currently available in three centers across South India, Hyderabad, Chennai & Bangalore and is soon expected to be operational in Mumbai. With all the facilities and the technical knowhow, Global Hospitals has successfully set new standards in the management of liver diseases.

The incidence of liver diseases in India is on a rise. Cases related to hepatitis, liver cirrhosis, liver tumours are being frequently reported. A liver infection is considered to be a serious medical condition thus it should not be taken lightly.

Commenting on the occasion, Prof Mohamed Rela, Director of The Global Liver Transplant Program said, “At present India has 25 well qualified Liver transplant surgeons and would require 5 times more surgeons than the present number which is not enough. Also he said “Indian doctors need not travel abroad for training in liver transplantation as the facilities in India has improved to a larger extent and the international doctors will travel to India for training in the coming 5 years.” He also said that “Success rate of liver transplantation is 90% when the patient condition is stable, 80% if the patient is sick and 75% when the patient is on dialysis”.

Prof Mohamed Rela, Director of The Global Liver Transplant Program, is an internationally acclaimed liver transplant & Hepatopancreatobiliary surgeon who started the first successful program of living donor liver transplantation in the UK. With the arrival of Prof. Mohamed Rela, many milestones in Liver Transplantations have been achieved in last 2years at Global Hospitals & Health city, Chennai.

  • India’s first Split & Auxiliary Liver transplantation
  • India’s first Adult SWAP Liver transplantation
  • 5 combined liver & kidney transplantations successfully performed in last 6 months
  • 21 Paediatric liver transplantations successfully performed in last 1 year; wherein very few hospitals have the capability of performing Successful Paediatric Liver transplantation and just about 75 Paediatric liver transplantation has been performed in India so far.

About Prof. Mohamed Rela

Prof Mohamed Rela, an internationally acclaimed liver transplant & Hepatopancreatobiliary surgeon, is the Dirctor of the Global Liver Transplant Program. He had pioneered the first successful program of living donor liver transplantation in the UK and had performed the first successful living donor liver transplantation in Mumbai about 12 yrs back. He has an international reputation as one of the most innovative surgeons in the field of HPB surgery and Liver Transplantation and has pioneered some of the major technical advances such as split liver transplantation and auxiliary liver transplantation. He started the first successful program of split liver transplantation at King’s College Hospital and now has the highest experience in the world with the best results. He performed India’s First Split and Auxiliary Liver Transplant at Global Hospitals & Health city, Chennai in Sep’09. He has described techniques for safe transplantation of neonates born with liver failure and has performed a successful liver transplantation in the youngest child ever to have transplant (5 days of age) which has earned him a place in the Guinness Book of World Record 2000 Edition. He was recently awarded a Chair (Professorship) in Liver Surgery and Transplantation by the prestigious University of London, in honor of his excellent academic accomplishments.

The liver transplant program of the Global Hospitals Group is the largest in the country and has successfully completed 100 liver transplants cases most of which were refused by other healthcare establishments. Liver transplantation is now available in three centers across South India - Hyderabad, Chennai, and Bangalore and will be available in Mumbai in the near future.


The Global Hospitals Group started a decade ago in Hyderabad, today has hospitals spread strategically across the country in Bangalore and Chennai and many more in advanced stages of planning and implementation. One such is the Mumbai branch, which will be operational by the end of this year. Each one of them are a tertiary care multi specialty hospital with facilities matching the best in the world and offering advanced patient care of international standards. The medical infrastructure and technology at Global Hospitals & Health city is among the best in the world. To the patient it directly translates as the highest standards in safety. Zero infection zones, certified zero infection blood and blood components are just a few examples of the enormous care that Global Hospitals take and the stringent quality control norms that are strictly followed in every aspect impacts the patient safety and comfort. Thus with all the facilities and the technical know how, Global has successfully set new standards in healthcare management. Global Hospitals group currently has hospitals located in the cities of Hyderabad, Bangalore and Chennai. Global hospital currently awaits the launch of its Mumbai facility and has announced its entry in Kolkata too. 

Friday, November 11, 2011

Invitation for International Scientific Programme on Liver Diseases

Dear All,

It is my great pleasure and honor to invite you for the "Clinicopathological Meet" which will be held in Chennai, South India from December 2nd to 4th 2011.  This meeting in unique and first of its kind, incorporating Histopathology along with Clinical Hepatology, which will give the audience a holistic and in-depth understanding of liver diseases.  The organizing Committee has made every effort to put together an attractive programme, which consists of lectures by eminent National & International speakers followed by relevant Histopathological and Clinical discussions.

I sincerely look forward to welcome you all for this meeting.

Warm Regards,

For more information, kindly visit:

Thursday, November 10, 2011

Invitation for TRAICA 2011 – CME on Fundamentals of Transplant Anaesthesia and Intensive Care

TRAICA 2011 – CME on Fundamentals of Transplant Anaesthesia and Intensive Care
Sunday, 13th November, 2011, 08:30 am – 04:30 pm
at the Auditorium, Global Hospitals & Health City, Chennai, Tamil Nadu, India


Dear Colleagues,
It is our privilege to invite you to participate in the CME on transplant Anesthesia and Intensive Care (TRAICA 2011). The first of its kind in India, being organized by the Global Hospitals and Health City and the Indian Society of Anesthesiologist, Chennai city branch to be held on the Sunday, 13th November 2011.

The scientific program has been designed carefully keeping in view the latest developments in Anesthesia and Intensive care aspects of Liver, Heart, lung, Kidney and Pancreas transplantation that includes topics of interest and practical relevance.
This program continues our commitment to examine the most current challenges in transplant anesthesia. The faculties invited are pioneers in the field of transplantation and this CME is suitable for post graduates, anesthetists, intensivists, surgeons and physicians.

We look forward to welcoming you to the CME and hope to make this a memorable experience for you.

With Warm Regards,
Organizing Secretary
Consultant in Anaesthesia and Intensive Care
Mobile: +91 9566111566
Global Hospitals and Health City, Chennai

·         First of its kind in India
·         Brief surgeon’s perspective of transplantation
·         Eminent faculty from all over India
·         Faculties with vast experience from world’s leading transplant Centres
·         Includes Liver, Heart, Lung, Kidney and Pancreas transplantation
·         Brief coverage on organ transplantation intensive care
·         Interactive discussion with Anaesthetists, Intensivists, Surgeons and Physicians
·         Departmental tour (pre-registration required)

20 years in the field of Liver Transplantation” – Prof. Mohamed Rela, MS, FRCS, Head & Chief Surgeon – HPB & Liver Transplant Surgery, Institute of Liver, Pancreas Diseases & Transplantation, Global Hospitals Group

·         Basics of organ donation and management if brain dead donor – Dr. T. Venkatachalam, MD, DA, MMC
·         Overview of Anaesthesia for Liver transplantation – Dr. Akila Rakakumar, MD, FRCA, Chennai
·         Liver transplant receipients: Intraoperative management – Dr. Vijay Vohra, MD, FRCA, Medanta, Delhi
·         Case Report: 1. Paediatric combined Liver and Kidney transplantation. 2. Transfusion free Liver transplantation – Dr. K. Ilankumaran, DA, FRCA, Chennai
·         Current Scenario of Heart and Lung Transplantation in India – Dr. N. Madhu Sankar, M.S, Ph.D, Dip. N.B, Chennai
·         Orthotopic heart transplant – Anaesthetic considerations – Dr. V. Soundararajan, MD, Chennai
·         Anaesthetic implications for donor and recipient during lung transplant – Dr. N. Kanagarajan, MD MMM, Chennai
·         Aneasthetic conditions for transplant receipients coming from non-transplant surgeries – Dr. Lakshmi Kumar, MD, Amrita
·         An update: Anaethesia for renal transplantation _ dr. Ganapathy Asokan, MD, DA, Chennai
·         Pancraeas Tranplantation – the final frontier – Dr.N.Sezhian, FRCS, ASTS, Chennai
·         ABC of anaesthesia for pancreas transplantation – Dr.V.G.Venkatesan, DA, FRCA, Chennai
·         Common post-operative problems in transplant recipients – Dr. Srinivas Rajagopalan, MD, DM, Chennai
·         Gadgets and their role in a transplant scenario
·         Transesophageal echocardiogram – Dr. Ganesh, MD, DM, Chennai
·         Thromboelastogram – Dr.Selvakumar, MD, Chennai
·         Organ transplant Anaesthesia – the future – Prof. M.V.Bhimeswar, MD, Hyderabad


Chief Patron:
Dr. Ravindranath, Chairman & Managing Director, Global Hospitals Group

Dr. Kirthivasan, DA, DNB, HOD, Cardiac Anaesthesia
Dr.R.Silamban (ISA)

Committee Members:
Dr. V.G.Venkatesan, DA, FRSA
Dr. Akila Rajakumar, MD, FRSA
Dr. Priti Narayanan, MD
Dr. Srinivas Rajagopalan, MD, DM
Dr. Rajasaravanan, MD
Dr. Madhan Kumar, MD

Prof. Madhan Kumar, Stanley
Prof. Shanmugan, KMCH
Prof. Mahesh Vakamudi, SRMA
Dr. M.S.Ravi, MD, DM
Dr. Thillai Valla, MD, DM
Dr. Ramesh, MD, Child Trust

Wednesday, October 19, 2011

Know About Osteoporosis

Osteoporosis or “porous bone” - a common metabolic bone disorder affecting 200 million people worldwide –is a slow progressing and silent disease that becomes symptomatic with a fracture.  Osteoporosis affects both men and women, usually as they grow older. Adequate steps taken can reduce the risk of developing osteoporosis and avoid the debilitating bone fracture, which occurs because of the disease.
About Osteoporosis             
Osteoporosis is a metabolic bone disorder characterised by low bone density and deterioration of bone micro architecture that reduces bone strength and increases the risk of fracture especially of the hip, spine and wrist.
Human bone is involved in the process of continuous remodelling, comprising of bone resorption and new bone formation. Osteoporosis is the result of imbalance in bone remodelling. In osteoporosis, there is too much bone loss and too little repair or vice-a-versa, resulting in low bone mass. This causes the bones to become thinner and structurally weaker. This imbalance gets more pronounced with advancing age and hence elderly people are more susceptible to osteoporosis.
Causes/Risk Factors for Osteoporosis
The causes and risk factors for osteoporosis are many. A few of them are listed below:
  • Previous fracture at <50 yrs
  • Parent or sibling with previous fractures
  • Cigarette smoking
  • Senility
  • Malnutrition
  • Low calcium intake
  • Hormonal disturbance
  • Excessive alcohol intake
  • Physical inactivity
  • Excessive intake of certain medications like steroids
Osteoporosis is a disorder with many obvious symptoms. Some of these symptoms are:
  • Pain in the bones
  • Fractures with little or no trauma
  • Loss of height (as much as 6 inches over time)
  • Low back pain due to fracture of bones of the spine (lower)
  • Neck pain (fracture of bones of spine in the neck)
  • Stooped posture
Diagnosis of Osteoporosis
Diagnosis of osteoporosis is basically done with DEXA (Dual energy X-ray (absorptiometry), which is a simple test that measures the bone mineral density (BMD) in different parts of the body such as spine and hips. It is a quick and painless test similar to having an X-ray taken bit uses much less radiation. The results of the DEXA test are scored in comparison to the BMD of young healthy individuals resulting in a measurement called T score. Bone density is considered normal if the T score is between 1.0 and -1.0
 The World Health Organisation (WHO) has defined bone disease based on BMD T scores:
  • Osteopenia (low bone mass): Tscore between -1 and -2.5
  • Osteoporosis: T score greater than or equal to -2.5
  • Established osteoporosis: T score less than -2.5 and the presence of fracture
Treatment for Osteoporosis
Treatment of osteoporosis is a two-step process, which are:
 Goals of Treatment:
A part of the treatment includes setting up the goals, which include:
  • Maintain bone mass and integrity
  • Slow down the bone loss
  • Treat the symptomatic problems and its sequel
Maintain Bone Health:
The next part is to maintain the deteriorating bone density:
  • Life style adjustments
  • Minimise use of alcohol
  • Stop smoking
  • Reduce the intake of coffee
  • Avoid carbonated beverages
  • Supplemental calcium and vitamin D
  • Enough calcium in the diet (1000mg per day of calcium for adults under the age of 50 and 1200mg  per day of calcium for those 50 and older)
  • Taking adequate vitamin D, which is important for calcium absorption and for maintaining muscle strength. The recommended dosage is 400-800IU per day for adults lesser than 50 and 800- 1000IU for those age 50 and older)
  • Physical exercise programmes tailored to the needs of the individual patient. This includes balance training, postural training, resistance training, stretching and weight bearing aerobic exercise. In patients with severe osteoporosis, activities that require vigorous flexing or rotation of the spine should be avoided.
Medications used in the prevention and treatment of osteoporosis are those which either reduce the bone loss (antiresorptive) or increase the bone growth (anabolic). These include:
  • Bisphosphonates (alendronate, risedronate, ibandronate and zolendronic acid): These have been approved for the prevention and treatment of postmenopausal osteoporosis in women and osteoporosis in men.
  • Calcitonin: This medication is given usually as a nasal spray or as an injection under the skin. This is helpful in controlling the pain after an osteoporotic vertebral fracture.
  • Estrogen or Hormone Replacement Therapy: This medication reduces the risk of osteoporosis and osteoporotic fracture. This increases the risk for breast cancer, stroke, and heart attack.
  • Selective Oestrogen Receptor Modulators (SERMs): This medication mimics the good effects of oestrogen in bone without the serious side effects (breast cancer).
  • Teripartide (forteo): This medication is a form of parathyroid hormone that helps to stimulate the bone formation.
Few Points to Remember…
  • In Osteoporosis, the bones are weak and break easily, resulting in severe limitation of activities and bring down the quality of life as well increase the risk of death, especially after 65 years.
  • Osteoporosis occurs in both sexes but is more common in women.
  • Osteoporosis may not be outwardly apparent until a fracture occurs. It can be detected before the first fracture, if the risk factors are identified and BMD test are done in time.
  • It is never too early to adopt preventive measures or too late to begin treatment to prevent further fracture.
  • Leading a healthy lifestyle, having a balanced & regular check up with your Physician or Rheumatologist are the key points to prevent Osteoporosis
  • The more you know about the prevention and treatment of osteoporosis the better are your chances of staying active and independent. 

Dr. R. Kirthi
MD DM (Rheumatology)
Consultant Rheumatologist
Global Hospitals & Health City

Sunday, October 16, 2011


With World Trauma Day being celebrated every year on October 17th, Global Hospitals is issuing a few important points essential to trauma care. These are:

Critical Period: It is defined as the period during which all efforts are made to save a life before irreversible pathological changes can occur. This period may range from the time of injury to definitive treatment in a hospital. The first platinum 10 minutes becomes important to make Critical Period effective. If appropriate action is taken during the Critical Period to restore airway, breathing and circulation, life-saving attempt would turn out to be productive and rewarding. 

Cardiopulmonary Resuscitation or CPR: It has been found to be very effective when initiated as soon as possible after the trauma (within minutes).CPR includes Chest Compressions and Mouth-to-Mouth rescue. Chest compressions are performed by applying downward pressure to the chest wall with the hands positioned in a specific way over the breast bone. These compressions cause blood to be pumped from the heart to other vital organs. Mouth-to-mouth rescue breathing is the quickest way to get oxygen into a person's lungs when a patient is not breathing. It is important to alternate chest compressions with rescue breathing while performing CPR.

Preventing Blood Loss: Severe bleeding can be life threatening. Applying direct pressure to the external bleeding can stop almost any form of bleeding. This is the most important first aid to be given. Always wash hands before and after giving first aid to avoid infections. Try to use latex gloves when treating a bleeding victim.

Broken Bones: If the injury includes fracture or broken bones, then try to keep the person still and calm. Reassure the victim and evaluate for the presence of other injuries. Call for medical help and allow the medical personnel to take over if there is an immediate response. 

Wednesday, October 12, 2011

On the Arthritis Day: Art of Living with Arthritis

Every morning your joints scream pain. You are no longer able to take those long walk you have always loved. You dread when winter sets in. Your days seem to open with pain and close with aches. Life is no longer the bed of roses it used to be, but has turned into a tryst with 

Living with Arthritis can be difficult but not it is impossible. With the right medication, help and support, there is hope for every Arthritis patient.

Common belief seems to be that nothing can be done about arthritis. This is a myth. There are a variety of medications that have been introduced to the market within the last year to treat various types of arthritis. It is critical that one gets an early and accurate diagnosis to minimize the effects of arthritis.

One may not be able to prevent arthritis but those who have arthritis can take part in a treatment plan tailored to meet their individual needs. The first step is to make sure you have a proper and correct diagnosis.  Your doctor can diagnose arthritis based on the overall pattern of symptoms, medical history, physical exam, x-rays and lab tests.
Arthritis can cause anxiety and weakness. To combat anxiety and weakness, relaxation exercises can be done on a regular basis. However, one must not exert and must be able to find a balance between work and activity.

There are other techniques used to manage arthritis. These include planning ahead to make work easier, maintaining proper body posture and practicing joint protection techniques with the help and support of your doctor.

You must also ensure that you take a balanced diet with emphasis on having foods that help keep bones healthy such as nuts, fish, milk, and other calcium-rich foods.
Proper medication, healthy diet and balanced physical activity can help your bones reach optimum performance.