Tuesday, December 11, 2012

  • Only Hospital in Hyderabad to perform the highest number of liver transplants in Andhra Pradesh and one of the highest in the Country.
  • Under the leadership of World’s foremost Liver Transplant Surgeon, Prof. Mohamed Rela, who performed over 2,000 liver transplants, Global Hospitals brings the most comprehensive variety of liver transplant procedures
  • 200th liver transplant performed on a 36 year old lady in coma with acute liver failure. Sister donates a part of her liver.

Hyderabad, 11th December’12: Global Hospitals in Hyderabad announced that it has set a new record by completing 200 Liver transplant surgeries at its Lakdi-ka-pul facility. Pioneers of the Liver Transplant  programme in the country since 2003, Global Hospitals Group, is acknowledged as the world’s most comprehensive centre for Liver & Pancreas diseases and Transplantation. Global Hospitals at Hyderabad started it’s Liver Transplant programme in 2003 and within a short period gained immense reputation as the foremost centre for liver transplants not only in the country but worldwide.
The 200th liver transplant surgery was performed on a 36 year old lady from Hyderabad, with acute liver failure, brought on a morning to Global Hospitals at Lakdi-ka-pul in a comatose condition.
The Doctors upon reviewing her condition recommended a liver transplant as the only option to increase her chances of survival. Fortunately, the patient’s 40 year old sister’s liver was found suitable and she immediately agreed to donate a part of it. Quickly completing the mandatory pre-transplant work-up procedure on the patient and donor, the urgent transplantation procedure was by evening. The LIVE-RELATED DONOR LIVER TRANSPLANT on the patient was performed, while she continued to be in a coma condition. Liver disease patients are primarily assessed by the team of Hepatologists led by Dr. Dharmesh Kapoor, to be treated through medical management and if the condition of the liver is serious they are advised for a transplant. The large team of Liver transplant surgeons, Hepatologists, Critical Care Specialists, Anesthetists and trained Nursing care in the dedicated Liver ICUs, deliver exceptional patient before and after the transplant. 

Addressing the media, world renowned liver transplant surgeon, Prof. Mohamed Rela said, “Typically worldwide if a liver transplant programme performs over 100 transplants, we can say that it has evolved into a very mature programe. Hence, Global Hospitals in Hyderabad completing 200 liver transplants is an important milestone. The experience gained shows that we have been able to enhance our capabilities to perform a much wider variety of procedures than earlier. It gives us the confidence to successfully perform liver transplants on extremely sick patients too and also perform not only cadaver transplants but also a large number of live related donor transplants.
In our country, as we see an increased awareness on organ donation, we should be able to also see an increase in cadaver transplants, as this will reduce the dependency on a donor within the family.
In India, about 15 or 20 people per million require a liver transplant per year, which means approximately 20,000 patients require a liver transplant a year but only about 700 are undergoing the procedure due to shortage of organs. Therefore, awareness about organ donation is of immense importance.” 
Dr. Dharmesh Kapoor, accomplished Hepatologist while speaking said, Global Hospitals’ Liver transplant programme is unique in many ways as our responsibility in taking care of the patient doesn’t end at performing the transplant. We ensure to follow-up each patient even post transplant, monitor their health and guide them to experience the best quality of health. Our experience of performing a high number of transplants is because of a strong team work and this has given us immense learning which is helping us in treating patients even in extremely critical conditions successfully.”
Dr. K. Ravindranath, renowned Surgical Gastroenterologist and CMD of Global Hospitals Group said,
“Global Hospitals is a multi-super specialty, tertiary care hospital chain. It is India’s largest multi-locational, multi-organ transplant centre, which performs LIVER, HEART, LUNG, KIDNEY ORGAN TRANSPLANTS.
At Hyderabad, we have been consistently performing successfully, a large number complex liver surgeries and transplants. We have the largest team of Specialists, comprised of Hepatologists, Liver transplant surgeons, Critical Care Specialists and Anesthetists, who are supported by world class infrastructure & technology and a strong commitment to deliver exceptional patient care. Our Surgeons perform the widest variety transplants procedures on both adult and paediatric patients such as split liver, auxiliary liver, swap liver. These are performed through both cadaveric organ and live related donor programmes. I am grateful to patients and their family for the confidence & trust reposed in us. I am also grateful to the Media in enhancing awareness amongst people about liver diseases, causes & prevention and transplantation as a unique solution to save patients with end-stage liver diseases.”

Monday, November 19, 2012

INTERVIEW of Dr. Mohamed Rela - one of the World's top liver transplant surgeons from the Global Hospitals Group, INDIA. Made his name in the Guinness Book of Records in 2000 for a successful liver transplantation on a five-day-old girl, in London.

Thursday, October 25, 2012

India's Most Advanced Centre for Gastroenterology and GI Endoscopy launched at Global Hospitals, Mumbai, INDIA.

Wednesday, October 3, 2012

28 Sept’12, Mumbai: In an unprecedented development, Dr. Amit Maydeo, Gastroenterologist at Global Hospitals, Mumbai performed India’s first incision-free surgery called POEM to treat achalasia,
a distressing disorder which causes severe difficulty in swallowing, reflux, chest pain and eventually esophageal cancer.This innovative surgery was performed through the mouth.

Because of dramatic advances in technology, we can now perform complex surgeries through the mouth with no external cut. What we are seeing is the evolution of surgery into special procedures of endoscopic surgery which need no incisions at all. This technique was invented by Prof. Inoue from Japan and later popularized by Prof. Zhou from Shanghai, China. After taking training from Prof. Zhou recently, I was motivated to do this procedure in India for the first time”, said Dr Amit Maydeo, Director of the Baldota Institute of Digestive Sciences at Global Hospitals, Mumbai.
Elaborating further on this innovative surgical technique, Dr Maydeo said “That we see around 200 to 300 new patients of Achalasia Cardia in the city of Mumbai alone every year.  Achalasia cardia was a condition where the muscles of the food pipe are too thick and do not relax after swallowing. Therefore these patients cannot swallow their food, sometimes water or even their own saliva. It is a very distressing disorder and due stasis of the food in the esophagus, around 10% patients develop cancer of the food pipe eventually.
This condition has been traditionally treated by a Laparoscopic myotomy surgery which usually requires around 2 hours and around 6 small incisions in the stomach. Balloon dilatation has been another method to treat these patients but the procedure is associated with an uncontrolled rupture of the muscle fibres and is therefore considered dangerous. The new technique called ‘POEM’ which was performed for the first time in India by Dr Maydeo is a type of Natural orifice surgery performed through the mouth and can be completed in less than 90 minutes and the patient starts swallowing food from the next day itself thereby preventing the development of cancer.
Pooja, (Name changed), a 54 year lady from the Udgir taluka of Latur District of Maharashtra suffered from chronic achalasia for twelve years resulting in a 10 Kgs weight loss. She said, “When I tried to eat, the food would get stuck in my throat. Since the past few months, I could not even swallow water properly. All the water used to come out forcefully. I was completely depressed over the past two years and could not lead a normal life.  I had undergone a balloon dilatation few months back but I did not get any relief at all. I was advised surgery but was too scared to undergo such a major procedure”.  

She further added, “Since this scar-less surgery has been done, I do not even feel that I have had a procedure. I knew that this was the first time this procedure was being done in India but I wanted my doctors to find a potential new treatment for this distressing disease”.

Saturday, September 22, 2012

GLOBAL HOSPITALS GROUP - Conferred with Highly Prestigious Healthcare Award "India’s Most Admired Promising Hospital Chain 2012 Award" at 5th Annual Pharmaceutical Leadership & Business Leadership Awards 2012 Summit.

Dr. K Ravindranath, Chairman & Managing Director, Global Hospitals Group received the Award from His Excellency Sri. Shankaranarayanan, Honorable Governor of Maharashtra on Friday, the 21st of September 2012 in Mumbai.
GLOBAL HOSPITALS GROUP - Conferred with Highly Prestigious Healthcare Award "Frost & Sullivan 4th Annual India Healthcare Excellence Award 2012" - Healthcare Service Provider Company in the up to Rs. 500 Cr category.

Dr. K Ravindranath, Chairman & Managing Director, Global Hospitals Group received this Award on Friday, the 21st of September 2012 in Mumbai.

Sunday, July 8, 2012

Renal Denervation Therapy - A new Treatment for Resistant Hypertension

64 year old farmer from Nellore with a history of blood pressure and diabetes had a sudden episode of inability to use his left upper and lower limbs and was found to have very high blood pressure – 220/130mmHg. CT scan confirmed that he had a damage in a small region of the brain – an infarct. The neurologist had recommended that his blood pressure had to be controlled as failure to do that could increase the damaged area. Anti hypertensive medications were started orally as well as by intravenous route but to no avail. Despite the use of five different  types of drugs the blood pressure could not be controlled satisfactorily all the time. Investigations were done to find out if there were other treatable causes of high BP. In the face of such a problem a new treatment has been available for the past two years as an investigational method but has gradually attained widespread acceptance in Europe. 

One of the mechanism by which BP is maintained is by the regulation of the diameter of the blood vessels, particularly of the arteries to important organs such as brain, liver, intestines and most importantly the kidneys. The kidneys are able to regulate the formation of urine and the amount of sodium and potassium in the urine by the feedback mechanism provided by the nerves that populate the surface of the renal arteries. Finally the BP is maintained at a normal rate.

 Renal artery sympatheic innervations and Radiofrequency ablation (In pic)

In patients with high BP where despite numerous drugs the BP is difficult to control it was hypothesized that by removing the effects of these nerves the predominant effect of trying to maintain a high BP is effectively neutralized . This can result in fall of BP. We can utilize this response to control BP in our patients by destroying these nerves. This can be done by radiofrequency energy which by resistive heating will functionally neutralize the nerves.  This was done in our patient by using conventional radiofrequency energy using very low power at low temperatures and small duration. The remarkable advantage of this treatment is the absolute lack of side effects of the treating source the radiofrequency energy which is the same electromagnetic radiation that is used in communication between our mobiles and the tower. The procedure has to be done with great care taking to see that the correct amount of power is used at the correct locations and for the correct time. With such care complications that can  potentially occur with this procedure can be nullified and good longterm benefits obtained.

For the patient in question the BP dropped from 164/102 to 146/86 at the end of the procedure and has since been well controlled with the blood pressure being normal at 135/80 on 30th June 2012.

Catheter being withdrawn from distal to proximal at different sites of ablation (In Pic)


Dr. Joy Thomas
Chief Consultant Cardiologist & Electrophysiologist,
Head and Director, Department of Cardiology,
Global Health City. Chennai