Page 25 - Apollo Book complete

Success Stories and confirmed. The patient was counselled
accordingly. The option of routine hospital stay was
• Deep Brain Stimulation (DBS) for treating kept open and conveyed to the patient.
Parkinson's Disease
• Pre-operative planning and preparation – Two
Source: Indraprastha Apollo Hospitals, Delhi days before surgery, two team members went to
the patient house assessed the facilities. The
Mrs XY was suffering from very advanced Parkinson's
necessary height adjustments of her bed and
Disease for the last 8 years. She had worsening of all
commode were made with extensions. The patient
the debilitating symptoms of Parkinson's disease (PD), room and attached washroom was fumigated one
such as tremor, rigidity, stiffness, slowed movement, day prior to surgery and the patient along with her
and gait difficulties. Patient was almost bedridden for
relative were taught about strict hand hygiene that
last few months. After thorough evaluation she
they would have to follow post-surgery.
underwent DBS procedure. DBS is a surgical
procedure used to treat a variety of disabling • The day of surgery – Patient was admitted in the
neurological symptoms for patients whose symptoms morning at 7 am was taken to O.T. at 8.30 am. The
cannot be adequately controlled with medications. It
anaesthesiologist, gave lumbosacral (LS) plexus
uses a surgically implanted, battery-operated medical
block and the surgery was performed.
device called a neurostimulator—similar to a heart
pacemaker and approximately the size of a • Pain management – This included pre-emptive,
stopwatch—to deliver electrical stimulation to intraoperative cocktail and adequate post-
targeted areas in the brain that control movement,
operative analgesia.
blocking the abnormal nerve signals that cause tremor
and PD symptoms. • Immediate post-operative period- The patient had
tea and biscuits in this period and came out of
Patient recovered significantly with DBS. She was able
recovery walking with the help of walker due to a
to walk around without support and all her symptoms good LS block given.
improved. Later in the follow up underwent successful
'Remotely Programmed Deep Brain Stimulation'
• Discharge – The patient was discharged on same
performed by her treating Neurologist at Indraprastha
day with a home nurse and housekeeping staff
Apollo Hospitals.
support for the next 48 hours. Physiotherapy was
done as per the routine protocol by physiotherapist
• Day Care Total Knee Replacement
visiting the patient at home. The patient was
Source: Apollo Hospitals, Indore trained to perform her activities of daily living.

A 52-year-old female patient Mrs. KY was suffering • Recovery – The recovery was uneventful. Walking
from medial compartment osteoarthritis since last 2 with support was initiated in the recovery itself and
years. She was on painkillers but gradually the pain she continued at her home. On the 7th post-
went on increasing and during the last few months' operative day she walked without support and
patient was home ridden and could barely walk from climbing and getting down from stairs on her own.
bed to washroom.
• Follow Up – Patient came for follow-up on 8th
The various stages for the procedure followed were: postoperative day. Range of movement was 0-90
degrees. There were no issues and the patient was
• Pre-operative counselling – Patient fit into the
happy, pain free and walking without support and
selection criteria for day-care surgery was checked
climbing stairs.

24