Major Liver Resection for Cancer performed at Yenepoya Specialty Hospital

[email protected] (CD Network)
August 3, 2012

Dr_Vijay_Ramachandran

Mangalore, August 3: A team of doctors headed by Dr. Vijay Ramachandran, Surgical Gastroenterologist and Hepatopancreatobiliary Surgeon, have successfully performed an Extended Right Hepatectomy (Right Hepatic Trisectionectomy), one of the most technically challenging liver surgery for Liver tumours, at Yenepoya Specialty Hospital, here.

This procedure has been carried out for the first time in Mangalore.

A 42 year old lady, mother of two children, hailing from Kasargod, was diagnosed with metastatic tumour which involved the entire Right lobe of liver (Segments 5,6,7&8) and part of segment 4 of liver and had even infiltrated the diaphragm and abdominal wall. In most of the centres, this tumour would have been deemed unresectable. In a Major Surgical Procedure lasting 5 hours, the entire tumour was successfully resected along with the Right half of the diaphragm. The patient is doing well after the surgery.

Dr. Vijay explained that such complex and technically challenging liver surgeries are usually performed only in established Hepatobiliary centres in a few cities in India. The complexity is owing to the fact that the patient is left with only the small left lobe of the liver to perform the functions. Assessment of residual liver volume and function and preserving non diseased liver parenchyma becomes critical in such surgeries.

Dr. Vijay stated that such complex liver resections can be done successfully for advanced liver tumours with the potential for cure.

Incision

Remnant_Liver


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News Network
March 5,2020

Mangaluru, Mar 5: Chairman of Karnataka Christian Development Committee (CDC) Joylus DSouza on Thursday welcomed the allocation of a Rs 200-crore grant in the state budget for the development of the Christian community.

In his message to the Chief Minister B S Yediyurappa released to the media, DSouza said, "Christians in Karnataka welcome with gratitude the announcement of Rs 200-crore allocation for the community in the budget for fiscal 2020-21."

In 2011-12 fiscal also, Yediyurappa as Chief Minister had allocated a grant of Rs 50 crore for the community for the first time in the history of the state, he said.

The grant of Rs 200 crore this year shows Yediyurappas concern for the Christians.

I congratulate and offer my sincere gratitude on behalf of the Christian community of the state to Yediyurappa, DSouza said.

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News Network
March 23,2020

Kasaragod, Mar 23: The district administration on Monday decided to abandon efforts to map out the movement details of the NRI who came from Dubai recently and came into contact with many in North Kerala.

The district has been completely locked down since Monday morning, on the directive of the Central Government. Prohibitory orders have been slapped in the district since Sunday night to restrict socialisation of the people.

As the person now in isolation have allegedly been non-cooperative, the authorities were finding it difficult to sketch out a rote map as his movement and socialisation has been so vast and wide since his arrival here on March 12.

The middle aged and popular NRI who landed at Karipur airpprt on March 11 had been in Calicut till midnight prior to boarding the Maveli Express to make it to his hometown Kasaragod, which is 160 kms away from Calicut. He had come into contact with very many, including two MLAs of the district, prior to getting tested positive and getting isolated in the hospital.

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News Network
June 20,2020

Bengaluru, Jun 20: The Karnataka Health Department has issued guidelines on the admission of COVID-19 patients in private hospitals after clinical assessment, mandating that the district surveillance officer (DSO) should be first informed to initiate further procedures, an official said on Friday.

"A health team sent by the DSO should visit the home or hospital where the patient is staying. The team should conduct a rapid assessment of his or her health condition," said Karnataka's Additional Chief Secretary Jawaid Akhtar.

In the rapid health condition assessment, the team should first check the patient's body temperature, followed by SpO2 (oxygen saturation) level and confirm if there are any comorbidities such as hypertension, diabetes, tuberculosis, HIV, cancer, stroke etc.

Depending on the health condition of patients, Akhtar said, two categories have been made.

"Those who have body temperature greater than 37.5 degrees Celsius, SpO2 level below 94 percent, elderly (above 60 years) and suffering from known comorbid conditions should be taken to a dedicated Covid hospital (DCH)," he said.

"All other patients, even if older but not suffering from co-morbidities, those below 60 and suffering from co-morbidities and asymptomatic cases should be taken to a dedicated Covid health centre (DCHC) or a private hospital as opted by the patient," he added.

Private hospitals have been asked to pitch in due to the rising number of cases in Karnataka. Currently, there are 2943 active cases in the state after 337 cases were reported on Friday.

"The patients are assessed clinically and evaluated at DCHCs or private hospitals with appropriate diagnostic tests. After evaluation, if the patients are asymptomatic, they are shifted to a COVID Care Centre (CCC) for further management," said Akhtar.

CCCs are expected to be equipped with ventilated rooms, pulse oximeters, handheld thermal scanners and blood pressure apparatus.

A nurse has to be present round the clock for every 50 patients and should visit each patient twice a day for assessment whereas the medical officer has to visit the CCC once a day. He should also be available on call in case of an emergency.

Staff serving food and others should wear personal protective equipment and an N-95 mask. Explaining the procedures at DCHCs, Akhtar said general examinations for medical conditions like body temperature, BP, pulse, oxygen saturation and urine output should be in place.

Investigations such as complete blood count, fasting blood sugar, random blood sugar, liver function tests, renal function tests, ECG and chest X-ray facilities should be available.

"DCHCs should ensure that above examinations are over in an orderly timeline of 24 hours and depending on the examination, the patient is continued to be lodged at the DCHC or sent to DCH or CCC," said the senior officer.

Likewise, the discharge policy should be done as per the protocols issued by the Health Department from time to time.

The Karnataka government is yet to fix an upper limit on the cost of treating COVID-19 patients in private hospitals. While reports indicated that this could be capped at Rs 5200 per day, health officials are yet to specify this is the case. Private hospitals in the state have asked the government to take a collaborative approach in deciding the fixed cap on treatment cost.

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