Park Hospital Provides Complete Cardiac Care For Your Healthy Heart

Are you having a typical chest pain very frequently? Let's discuss the symptoms of cardiac trouble.

Heart disease has become a major concern worldwide. It’s not certain to say who is prone to such a fatal disease and who isn’t. People of all ages and gender, having a family history of heart disease or not, are becoming victims to this. But what’s certain is that it can be avoided or at least be pushed to later in life by bringing changes and adapting to a healthier lifestyle, starting today itself.

Now is the time to understand the warning signs and conditions of a weakening heart.

Not everyone perceives sudden numbness for a stroke, or acute chest pain for a heart attack.

From diagnostic to surgical expertise, complex to minimally invasive surgeries; We at Park are one of the best cardiology hospitals in Delhi NCR, Karnal, Haryana and Panipat with a renowned team of cardiologists and the best heart specialist consultants all over India, committed to deliver the best available cardiac care with world class technology at affordable rates.

Providing complete heart care and seamlessly integrated services; Your heart is now in the right hands with Park.

We transcend the whole heart care gamut, making us one of the best heart surgery hospitals and one of the best hospitals for bypass surgery in Delhi, Gurgaon and all branches across India.

We help our patient and assures them if he requires stenting after confirming whether hindrance is varying from sixty percent to ninety percent. We use our coronary angiography and angioplasty to check this.

Our specialists assist to open hindrance, contusions and prevent the possibilities of a heart surgery.

Our heart specialists render all types of advanced adult and paediatric cardiac surgery in Delhi, making us the best heart surgery hospitals.

Trusted as one of the best heart hospitals in Delhi NCR rendering top cardiac surgery in Delhi, we also have an expert team of heart specialists in Panipat and cardiologists in Panipat.

Successful Craniotomy done with Excision of Tumor (Enplaque Maningioma)

Dr. Anil Arya MBBS, MS, DNB (Neuro Surgeon)

Surgical Case Reports 2017 © The Park Group of Hospitals. 2017

Abstract

“En plaque meningioma refers to a specific meningioma macroscopic appearance characterised by diffuse and extensive dural involvement, usually with extracranial extension into calvarium, orbit, and soft tissues. These tumours are thought to have a collar-like or sheet-like growth along the dura mater, different from the usual globular meningioma.”* This type of brain tumour is highly vascular and involves risky operation. Being a very rare type of tumour, this needs intensive care. A 45 year old woman with a progressive increasing headache on the right side of the brain for last years, who was also misdiagnosed by a private hospital in Sonepat, visited Park Hospital Panipat. The team at Park Hospital Panipat started the treatment with MRI and brain investigations wherein the En-Plaque Meningioma was diagnosed. There was pain and bulginess in both eye balls due to the tumour and weakness on the left side. The patient was discharged after a week of intensive observation and once we saw recovery signs in her with the ability to move smoothly her limbs.

Background

En-Plaque Meningioma is a rare type of brain tumour and requires intensive care. This is one of the slow growing benign tumours which is attached to the dura and are made up of neoplastic meningothelial cells. These are more common in Western World reporting around 24-30% cases. Meningioma en plaque represents a morphological subgroup within the meningiomas defined by a carpet or sheet-like lesion that infiltrates the dura and sometimes invades the bone. Histopathological features of meningioma enplaque are similar to that of usual meningiomas; however, it is sometimes difficult to predict the behavior in individual cases. Extra-cranial meningiomas form 1-2% percentages of all meningiomas. ** The en plaque variants commonly involve fronto-parietal, juxtaorbital, sphenoid wing, diffuse calvarial or rarely spinal region. *** Due to difficulty in complete resection, the recurrence rate of en plaque meningiomas is higher than the usual counterpart. **** These tumors are also more prone to develop malignant change (11%) when compared to intracranial meningiomas.

Case Presentation

A 45 year old woman visited Park hospital Panipat for an OPD consultation with Dr. Anil Arya wherein he studied the MRI reports and after brain investigations, he diagnosed a rare brain tumour. The lady had progressive increasing headache on the right side of the brain for last 5 years. However, for last 2 years there was pain and bulginess in both eye balls. The patient visited a private hospital in Sonepat for the treatment wherein the CT head was performed and based on the same she was misdiagnosed with Subdural Hematoma. During the operation, the doctor confirmed that the case is of Brain tumour. She was then referred to GB Pant Hospital in New Delhi for further treatment. However, she did not receive any treatment or response; thereafter she contacted Dr. Anil Arya at Park Panipat. After explaining the complexity of the surgery and the poor prognosis during and after the surgery, with due permissions, the patient was operated on 27th July 2017. The tumour mass was completely removed from the brain with craniotomy. Post operation, the patient is conscious oriented with signs of difficulty in limb movement.

Angiography, Angioplasty and Coronary Artery Disease

Coronary Artery Disease is the hardening of arteries that supply oxygenated blood to the heart. These arteries are hardened due to the formation of plaque caused by fatty material and other substances being deposited in the arterial wall. This narrows down the artery and reduces blood flow to the heart and leads to several heart problems, including heart attacks. Heart attacks occur when there is less or no supply of oxygenated blood to the heart muscles causing that part of the muscles to lose function or die.

People suffering from heart problems can be treated using surgical and non-surgical methods. Angioplasty is also one such non-surgical method to treat heart diseases (also called as interventional technique). This method is used to widen blocked or narrowed arteries (a result of coronary heart disease or atherosclerosis) that carry oxygen-rich blood to the heart.

Symptoms of Coronary Artery Disease

• Pain or discomfort in the chest is the most common symptom
• A squeezing pain in the chest, neck, back, stomach or arm
• Shortness of breath
• Fatigue
• Weakness

Treatment of Coronary Artery Disease

Medicines may be prescribed to control high blood pressure, high cholesterol levels or diabetes.

In case the disease is severe, the following procedures and surgeries are done:

• Angioplasty and Stent Placement
• Coronary Artery Bypass Surgery (CABG)
• Minimally Invasive Heart Surgery

What Happens During Angioplasty Treatment?

Before starting the procedure, some pain medicine and blood thinning medicine are given to the patient. A local anaesthesia may also be given.

Angioplasty procedure: As a part of angioplasty, a cardiac catheterization is performed. A sheath (a thin plastic tube) is inserted through the groin or arm, into an artery. Through this sheath, a long, flexible, narrow and hollow tube called the catheter is passed and guided through the blood vessels to the arteries around the heart. A small amount of a contrast material (dye) is injected into the body to highlight blood flow through the arteries. The dye, injected during angioplasty, is photographed through an X-ray as it travels through the heart chambers, valves and arteries. Through these pictures, the doctor can tell if there are any blockages in the arteries or if they have narrowed down and if the heart valves are functioning properly.

In case a decision is taken to perform an angioplasty, the doctor will move the catheter to the artery with a blockage. An interventional procedure (as mentioned below) will be performed.

Balloon angioplasty: A catheter with a small balloon tip is placed at the point of narrowing of the blocked artery. Upon reaching there, the balloon is inflated to compress the plaque in the artery wall to widen (stretch) the artery and increase blood flow to the heart.

Stent: A stent is a mesh metal tube that is introduced as a scaffold into the coronary artery, with the help of a balloon catheter that is placed over a guide wire. When the balloon tip is inflated, the stent expands to the size of the coronary artery and stays in place permanently.

Rotoblation: An acorn-shaped, diamond coated tip is attached to the catheter, which rotates at high speed and grinds away the plaque upon reaching the blocked artery.

Atherectomy: A minimally invasive surgical method of removing, mainly, atherosclerosis from a large blood vessel within the body. It is generally used to effectively treat peripheral arterial disease of the lower extremities are also been used to treat coronary artery disease

Cutting Balloon: An angioplasty technique that has a special balloon tip with small blade that is activated when the balloon is inflated. The blade chips at the hardened calcific deposits on the artery

What is Angiography?

Many people tend to confuse angiography and angioplasty. There is a vast difference between these two terms. While angioplasty has been explained above, angiography is a medical imaging of blood vessels, which involves using water soluble ionic or non-ionic x-ray contrast material that is injected into the blood stream to visualise the blood vessels supplying blood to the heart and is a diagnostic tool.

Top 10 Hospitals in Delhi, India

After leaving a great impression in the North region of India, Park Hospital has earned are owned position among the top 10 hospitals in Delhi. Park Group is a rapidly growing chain of hospitals in Delhi and has various Hospitals in Gurgaon, NCR. Presently, they have 1500 beds and reach the level of prominence in the field of healthcare through their new tech machinery and advanced treatments along with a skilled team of doctors as well as Professional staff. With the support of a great panel of doctors and 27*7 emergency services, the hospital attracts a number of patients from all over the North India.

Park Hospital offers high-quality treatment for Cardiac Sciences like diagnosis and monitoring of heart patients, crucial analytical procedure and, Neurology, Nephrology, Orthopedics& Joint replacement, General Surgery, Critical Care etc., which only the best hospitals in India, can provide. The hospital is the appreciable blend of state-of-the-art infrastructure, new tech tools & machinery as well as tech-friendly staff which gives a thought of care and best treatment. Not only this but also the hospitality of the hospital for the people who come along with patients are magnificent so that one can relax in a critical situation.

Excellence in Quality Healthcare:

• The team of cardiac sciences comprises of health science assistants, operating department practitioners, specialist nurses, anesthetists, radiographers and so on, they help the patients in their most critical times and take complete care till the time they are not cured.
• The Neurology unit is supported by well-equipped and complete ICU facilities, and also for managing critically ill neurological patients, The Electro-Encephalogram (EEG) monitoring is also available at the multi speciality hospital.
• The Nephrology unit is equipped with the latest technology for the advance treatment of renal disease and also other problems due to stone, diabetes, hypertension, and infection.
• The unit of Obstetrics and Gynecology in the hospital takes complete care of the women health, from pre to postnatal period along with advanced gynecologic surgeries, if needed.
• The Orthopedics & Joint replacement units help to replace the damaged bone which provides comfortable movements very soon.
• The unit of Oncology of Park Hospital works and gives the best treatment to Cancer patients through its various forms of treatments which include hormones, drugs, chemicals and biological products.
• The General Surgery unit normally focuses on the abdominal area organs treatment, as it is the one of the significant decision for your physical well-being.

Being one of the best Hospitals in Gurgaon, Park Groups a renowned name which is synonym with the new birth, healthy life that each and every individual strives for.

Joint Replacement Surgery: Best Orthopedic Hospital in Delhi

Park Hospital

Many people struggle with the issue of joint pains which may or may not develop due to an infection in the joints (septic arthritis), or because of factors like overweight, diseases, or sports injury. These conditions limit the blood flow in the joints and cause problems in the bones. When these issues are neglected for a prolonged period of time, it may cause joint pains. Only the best orthopedic hospital in Delhi will have the options to treat joint pains effectively. Among various options, joint replacement surgery is the most viable option to treat this problem from the core.

Causes of Joint Pains

The best orthopedic doctors will thoroughly screen and verify the cause of the joint pains as the problems may not be as casual as it looks. There are various causes of joint pains resulting from problems with the lining of the joint, surrounding the bone or tendons or ligament muscles around the joint. Apart from this the main causes include-

• Infection
• Osteoarthritis
• Rheumatoid Arthritis
• Connective Tissue diseases
• Joint bone or soft tissue injury (Knee, elbow, shoulder, ankle)

Joint Replacement Surgery- A Perfect Solution

The last resort for the treatment of joint pains is joint replacement surgery. People suffering from osteoarthritis and rheumatoid arthritis are recommended to opt for the main orthopedic treatment i.e. joint replacement surgeries which are characterized by the replacement of the damaged cartilage. In the surgery, the joints are resurfaced while the muscles and ligaments support and function. The prosthesis made up of titanium, stainless steel or ceramic allows the growth of the bone in the implant. The procedure is followed by physical therapies to adjust themselves with the physical movements.

• Correcting a deformity
• Improves mobility
• Severe joint pain
• Stiffness, limping
• Muscle weakness
• Swelling

How to Choose the Best Orthopedic Hospital

To have the most effective orthopedic therapy, it is important to choose the best orthopedic hospital. Since, joint replacement surgery includes hip, knee and shoulder surgery, only those medical institutes should be chosen that suits your criteria-

Logistics: Always make sure that the hospital has all the necessary technologies and treatments required for the surgery. Check if the hospital has a specialized orthopedic department only for joint replacement surgeries. Make efforts to find out the number of operation theaters, nurses and the team of orthopedic surgeons.

Experienced Orthopedic Surgeons: An experienced surgeon will be efficient enough to handle the complex cases and suggest treatment and after-care which will be great for the patient. The hospital that you choose must have a good team of highly qualified and experienced orthopedic doctors & surgeons who will counsel you to clear all your doubts and keep regular follow-ups on their patients.

Feedback from patients: Take reviews from the patients who have undergone treatments and joint replacement surgeries from the hospital. They are the best people to get feedback on the doctors, nurses, treatments and the care offered at the hospital. Their genuine reviews and feedback will definitely help you decide whether to go to the hospital or not.

Location of the Hospital: The location plays a major role. As a patient, one always think of having an orthopedic near me so that in case of an emergency, one can visit the doctor immediately. Getting post-surgical care and taking follow-up from the doctor is always easy if the hospital is located near your place.

Quality Measures: One should always make sure that the machinery, equipment, and procedures of the orthopedic treatments conform to the international standards. From the antibiotics to the quality of prosthesis and the equipment in the operation theater should be of good quality and passed through the quality assurance standards.

Check Hospital Rating: Read, review and find out the rating of the hospital in terms of patient care, therapies offered, medical standards followed etc. These queries are easily answered at the internet and social media pages.

Affordability: The cost of the surgery is one of the most important factors to consider while selecting the best orthopedic hospital in Delhi. Most hospitals have great differences in their cost which confuse most people with the thought that the higher the cost, the better is the patient care, which is not always true. Choose the hospital after comparing the cost factor and the treatment & services offered.

Park Hospital, Gurgaon Successfully Completed a Complicated and Unique Neurosurgery

Dr. Manish Kumar a highly experienced neurosurgeon at the super-specialty hospital performed a successful neurosurgery for anterior screw fixation and gave a healthy new life to the patient.

Gurgaon, Haryana: The multi super-speciality hospital of Park Group, Gurgaon announces to have successfully operated a neck bone fracture through anterior screw fixation surgery.

The patient (an electrician) was admitted to the hospital on 15th June 2017 with a neck bone injury due to his fall off from electric pole. There was severe neck pain and the patient was unable to move his head due to trauma. Although there were no signs of weakness in the limbs and the patient had no signs of breathing issues. Before the major surgery, the patient was given Skull pin traction by the team. Later the Anterior Screw Fixation surgery was done by Dr. Manish Kumar, MBBS, DNB (Neurosurgery) who is a senior neurosurgeon at Park Hospital, Gurgaon.

According to Dr.Manish, this surgery was very complicated as there was neck bone fracture. Also known as cervical spine (neck) trauma. The injury is like decapitation. About 25-40% of dens fractures are fatal at the time of accident due to cessation of breathing and sudden loss of other vital functions or other associated injuries like Brain injuries. Many patients suffer with severe morbidity because of poor handling during transit or in the hospital sometimes even resulting in prolonged hospital stay and death.

“Post surgery, the patient is very well and is also not having any issues with the limbs movement and is also not experiencing any limb weakness. He is eating well and is able to talk properly now,” as stated by Dr. Manish Kumar. He further added to the statement that the patient was able to walk the next day of the surgery and will soon have normal range of neck movement.

Park Hospital, Faridabad announces successful Brain Cancer Surgery

Dr. Manish Kumar is a highly experienced neurosurgeon at the super-specialty, Park Hospital recently performed a successful Brain Surgery for Cancer and gave a healthy new life to the patient.

Faridabad, Haryana: Park Hospital Faridabad is the fastest growing multi super speciality hospital from Park Group of Hospitals which has been known for its care and performance towards its patients.The hospital has announced a successful Brain Cancer Surgery performed by senior neurosurgeon Dr. Manish Kumar.

Patient was brought to the Faridabad Park Hospital on 2nd June 2017 in an unconscious condition where he was unable to talk and move his right side with severe pain. His problems started around 15 days ago when he faced difficulty in walking and gradually the sufferings increased with him becoming unresponsive around three days ago. MRI Scan of the brain showed tumour in the left side close to the area for speech and right-side limbs movement and in the fibres connecting the two sides of the Brain. Dr. Manish Kumar said that in such conditions, there is a high risk of permanent speech loss and weak limbs and there is risk to life also, if surgery is not done in time.

After investigation and complete examination, nature of the disease and the need for the surgical intervention, along with its limitations and possible complications were thoroughly explained to the patient’s relatives since patient was unconscious. Temporary medications had already been started by that time. After the consent of the relatives, left frontal craniotomy and safe excision of the tumour along with biopsy was carried out. Technologies available at the Park Hospital Faridabad were of great importance and helped during the surgery. Post operation patient improved slowly and became fully conscious and independent. Biopsy proved high grade malignancy of brain.

Dr. Manish said, he was in a critical situation when the patient had arrived. He was running the risk of life. He is back to normal life, after the successful surgery. But the tumour is among the worst type of cancer and requires immediate further treatment by radiation therapy and medicines. Despite of all the treatment, the life expectancy is limited in such cases. But after the present surgery, a good recovery has proved the feasibility of complicated high risk surgeries at the Park Hospital Faridabad.

PARK HOSPITAL, GURUGRAM SUCCESSFULLY COMPLETED FIRST AWAKE CRANIOTOMY

Dr. Manish Kumar a highly experienced neurosurgeon at the best super specialty hospital performed a successful awake craniotomy for a patient with seizure disorder.

Gurugram, Delhi NCR, Haryana: The best super specialty hospital at Park Hospital Gurgaon, announced successfully operation of an awake craniotomy for a 42 years old industrial worker.

A 42-year-old business man was experiencing rehashed seizures since 2014. After radiological examinations, we revealed an expanding left frontal space possessing injury since 2014; highlights suggestive of Glioma The lesion very close to the area of speech (as it was involving the predominant side – the working side for a right-handed individual) and right side appendages. In this condition, an entire excision with good clearance of the tumor had been undertaken as there was risk of loss of speech and weakening of right side limbs because of the position of the tumor. To keep this loss of speech and weakening of right side limbs of the patient, Dr. Manish Kumar, MBBS, DNB (Neurosurgery) did the Awake Craniotomy with his group of specialists and experts.

Dr. Manish Kumar clarifies that, “Awake craniotomy is a way of performing brain surgery where in the patient is given local anesthesia and intravenous anesthesia to keep him quiet and pain free. It’s not the same as the standard anesthesia where for the most part unique gasses are utilized as a narcotic and a profound anesthesia is accomplished.” He additionally included, “In such critical conditions, it is essential that the patient and relatives comprehend the upsides and downsides of the neuro surgery and cooperate accordingly.”

The risk of loss of speech and right-side limb weakness with the quick requirement for the surgical excision was explained by the team to the patient and his relatives and a possible safer option of awake craniotomy was discussed.

Craniotomy lasted for around three hours and was successful with patient cooperation. The tumor was removed completely; however the surgery had to be ceased for some time as patient’s verbal response had developed slowness. The limb response was unchanged. The patient’s speech was saved through the awake craniotomy method of surgery. Post surgery, the patient has recovered his speech and limb power back to normal.

Dr. Manish Kumar who has conducted epilepsy surgery previously, Cervico-Thoracic Junction Fixation and odontoid fixation with other demanding surgeries at the Park Hospital Gurugram, specified that this surgery was possible because of the great team of neurology specialists and consultants as well as sophisticated technology available at the hospital premises. This patient’s relatives were very cooperative and they appreciated the idea for doing this neurosurgery .