Page 47 - Apollo Book complete

power spirus enteroscopy and hemostasis was • Biocellular regenerative therapy and tissue
achieved by the application of hemoclips. This was engineering with bio scaffolds was successfully
the First case in India where hemoclips were utilized for reconstructing and salvaging complex
applied through power spirus enteroscope. lower limb Injuries in a 29-year-old male patient
who suffered a road traffic accident and massive
• Three hernias in a patient were repaired robotically muscle injury over the thigh and knee extensor
at Apollo Gleneagles Hospitals, Kolkata. A live feed mechanism.
from the operating theatre was shared with
participants in a conference

• A 7-year old boy with a history of accidental
ingestion of screw-driver, followed by 2 episodes of
vomiting, successfully underwent laparoscopy
assisted removal of the foreign body from the small
intestine.

Biocellular regenerative therapy and tissue engineering with bio scaffolds
was successfully utilized in RTA
• Composite laser therapy of hypertrophic scars and
scar contractures was successfully performed as an
alternative to excisional scar surgery on a 30-year-
old lady suffering from post-burn hypertrophic
scars and contractures. This innovative scar
treatment was performed for the first time in the
world.

Fig. 1: A 30-year-old female patient suffered deep
flame burns during a house fire in childhood. She
presented with severe hypertrophic and contracted
Laparoscopy assisted removal of the foreign body from the scars over her face, neck, chest and right axilla.
small intestine was successfully done Raised, erythematous, contracted, hypertrophic scar
band over the pre-auricular region of her cheek is
• A 64-year-old man with extensive de-gloving and indicated by red arrows. Contracted, dyspigmented
scarred tissues over her jawline and upper neck is
muscle injury over his forearm after a road traffic indicated within the region between black arrows.
accident, successfully underwent reconstruction of
all exposed areas using regenerative biodegradable Fig. 2: Lazy S-shaped intra-scar incisions has been
temporizing matrix (Novosorb BTM) and dermal made over the preauricular hypertrophic scar band
with an incisional handpiece of CO2 Laser machine
regenerative template (Integra). This was the first (Acupulse, Lumenis). White arrows indicate the 3
incisions. Note how the hypertrophic band of scar has
case of successful use of regenerative matrix as a flattened and lengthened immediately.
flap alternative in India.
Fig. 3: 6 months after 2 incisional laser treatments
and simultaneous fractional CO2 resurfacing
procedures, the patient's appearance has normalized
• A complex surgery to treat advanced squamous cell significantly. Pre-auricular scar band has disappeared
carcinoma of temporal bone with metastatic in most parts, as indicated by red arrows. Contracted
and scarred region over her jawline and neck has
deposits to neck, parotid and skin infiltration was become more relaxed, supple and with less
pigmentary problems, as indicated within the region
successfully performed in a 48-year-old male between black arrows. No scar tissue has ever been
patient. The incidence of temporal bone cancer
worldwide is one in a million. The ardous procedure Apollo Hospitals, Navi Mumbai
took 8-hours to complete and the technique
included left lateral temporal bone resection+ wide • Transcatheter Aortic Valve Replacement (TAVR), a
local excision + resection of TM joint+ radical percutaneous procedure, was successfully
parotidectomy+ MRND+ reconstruction with scalp performed in a 78-year-old male patient, at Apollo
rotation flap and SSG. The patient recovered Hospitals, Navi Mumbai. The patient could not
without any complications. undergo open heart valve replacement surgery due
to co-existing health issues.

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