Scarless operations via ‘spider tech’

July 10, 2012

scarless

New Delhi, July 10: The humble navel has been an onscreen scorcher in many Bollywood and south Indian movies but now, the belly button is all set to don a more responsible role - the scarless route to treat common abdominal conditions like appendix, gall bladder stones and the weight loss bariatric surgery.

Surgeons in Delhi will for the first time in Asia Pacific use what is called a 'spider technology' — a single flexible laparoscopy instrument that will do away with the need for five incisions or scars for any abdominal intervention.

Instead, the rod like machine will enter through the belly button and open up like an umbrella within the abdomen, providing the surgeon with several instruments with 360-degree range of motion along with small cameras.

Once the procedure is completed, the system closes up and is removed through the same incision.

Dr Pradeep Chowbey, who heads the Max Institute of Minimal Access, Metabolic and Bariatric Surgery, will conduct the surgery on Tuesday. He said the greatest benefit is that there will be no visible scar because the 'spider' enters the abdomen through a small puncture at the navel.

In conventional laparoscopic surgery, surgeons place multiple incisions (five scars) in various parts of the abdomen in order to utilize several specialized instruments to achieve the necessary angles and access critical anatomical areas.

"This new technology is also hygienic as the instrument is disposable and for every new patient, a new instrument is used. This technology has not been used in Asia Pacific before," Dr Chowbey said.

"This is a quantum jump from the rigid laproscope. The spider is a flexible operating platform which has multiple arms, each acting as a separate instrument. Earlier, for any abdominal surgery, we had to make 3-4 extra punctures for different instruments to go in, leaving multiple scars 5-10 mm in diameter. With the spider, the laproscopic surgery will be scar-less. The instrument will go in and open up like an umbrella. The different limbs have different function - one could be a holder, another a dissector and the other a clip applier," he added.

"Lesser scars will mean lesser pain. Patients who receive a spider surgical procedure may experience less scarring with the potential for limited post-operative pain and a fast recovery to normal activities. We will put a water proof dressing on the belly button after the instrument is taken out. There will be no stitches," Dr Chowbey said.

According to the doctor, getting operated with a spider technology will cost around Rs 30,000 more than a normal laproscopic surgery.

In the 1990s, many surgeons began transitioning certain procedures from large, open incisions to multiple, smaller incisions through laparoscopic surgery. The surgeons had to learn an entirely new technique for performing complex surgeries, but the benefits of less invasive procedures drove many surgeons to embrace this innovation.

A flexible laparoscopy (scar-less surgery) is a class of minimally invasive surgery that utilizes small, flexible instruments that are controlled by a surgeon often through a single site.


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Agencies
March 29,2020
Agra, Mar 29: A 39-year-old man, who had walked almost 200 kilometers from Delhi to reach his home in Morena in Madhya Pradesh, collapsed and died in Agra on Saturday. 
 
The man, identified as Ranveer Singh, worked as home delivery boy for a private restaurant in the national capital.
 
According to police, the victim collapsed near Kailash turning of the national highway-2, after which a local hardware store owner Sanjay Gupta rushed to the victim. 
 
Sikandra station house officer (SHO) Arvind Kumar, said, 'Gupta made the victim lie on a carpet and offered tea and biscuit. The victim complained about chest pain and also called his brother-in-law Arvind Singh over phone to share his health condition. At around 6.30 P.m, the victim passed away and local police was informed. "
 
Ranveer had left for his native village on Friday morning on foot. It is likely that exhaustion of 200-km walk might have caused chest pain. 
 
The SHO said,"On the entire NH-2 stretch, UP policemen are present with food packets and water for such persons but Ranveer's death is unfortunate. "
 
After the death, policemen took the victim's body for post-mortem. The autopsy report is yet to be re eased. 
 
According to information available, Ranveer was working in Delhi's Tughlakabad for the past three- years. He is survived by three children including two daughters. He belongs to a family of farmers and was the main bread winner for his family.
 
His family has been brought to Agra to take the body back to their village for the last rites.

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Angry Indian
 - 
Monday, 30 Mar 2020

very sad news....this is the condition of hindu people after they adopt hindutva idology.

 

Politician enjoying playing ludo and watching ramayan, after complete lockdown, not even bothered by government about their transport,

 

modi spend crore on statue, but no hospital

 

this is the hindu rastra you want right...enjoy marons

 

 

 

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News Network
April 5,2020

New Delhi, Apr 5: Joining efforts to fight COVID-19, the Defence Research and Development Organisation (DRDO) has designed a full-body disinfection chamber and a special face protection mask for healthcare professionals, officials said.

The special chamber called 'PSE' has been designed by Vehicle Research Development Establishment (VRDE), Ahmednagar, a DRDO Laboratory.

The walk through enclosure is designed for personnel decontamination, one person at a time. It is a portable system equipped with sanitiser and soap dispenser, officials said.

The decontamination is started using a foot pedal at the entry. On entering the chamber, electrically-operated pump creates a disinfectant mist of hypo sodium chloride for disinfecting, the DRDO said in a statement.

The mist spray is calibrated for an operation of 25 seconds and stops automatically indicating completion of operation. As per procedure, personnel undergoing disinfection will need to keep their eyes closed while inside the chamber, it said.

The system consists of roof mounted and bottom tanks with a total of 700 litres capacity. Approximately 650 personnel can pass through the chamber for disinfection until the refill is required, the DRDO said.

The system has see-through glass panels on side walls for monitoring purpose and is fitted with lights for illumination during night-time operations, it added.

This system can be used for disinfection of personnel at the areas of controlled ingress and egress such as entry and exit to hospitals, malls, office buildings and critical installations, officials said.

Also, Research Centre Imarat (RCI), Hyderabad, and Terminal Ballistics Research Laboratory (TBRL), Chandigarh, have developed face protection mask for healthcare professionals handling COVID-19 patients, the DRDO added.

Its light weight construction makes it convenient for comfortable wear for long duration. This design uses commonly available A4 size Over-Head Projection (OHP) film for face protection, it said.

One thousand face shields are being produced daily in TBRL and provided to Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, it said.

Similarly, 100 are produced at RCI and these have been handed over to Employees' State Insurance Corporation (ESIC), Hyderabad. A demand of 10,000 shields has been received from PGIMER and ESIC hospitals based on successful user trials, the DRDO added.

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News Network
March 25,2020

New Delhi, Mar 25: The Congress said on Wednesday that it stood with Prime Minister Narendra Modi on his appeal for 21-day lockdown but was "deeply disappointed by the lack of coherent strategy" and demanded that Rs 7,500 should be transferred to every Jan Dhan, PM Kisan and pension account to tide over the nutrition needs for 21-days.
It also demanded that the Public Distribution System (PDS) ration should be given free.
In a series of tweets, Congress Communications in-charge Randeep Singh Surejwala said that the need of the hour was to implement 'Minimum Income Guarantee Scheme' (Nyay) mooted by the Congress and party leader Rahul Gandhi.
"Please transfer Rs 7,500 to every Jan Dhan, PM Kisan, and every pension account to tide over nutrition needs of 21 days and give free PDS ration. We will rise together as a nation and defeat COVID-19. We stand with lockdown but are deeply disappointed by the lack of coherent strategy or a clear 'way ahead' on your part," he said.
Surjewala asked what steps the government took despite an early warning about COVID-19 and sought details about isolation beds and ventilators available to people.
"Dear PM, India will adhere to the lockdown but what steps did the govt take to tackle the corona pandemic despite early warnings in Feb? When will doctors, nurses and health workers have adequate protection? How many 'isolation beds' and ventilators are available and where?" he said.
He asked how daily wagers and labourers will sustain during the 21-day lockdown.
"What's your plan to address the huge issue of bread and butter and livelihood for millions? How will daily wagers, labourers, MGNREGA workers, factory workers, unorganised workers, fishermen, farmers and farm labour sustain for 21 days?" he asked.
Surjewala said the crying need is to arm doctors, nurses and health workers with personal protection equipment and asked: "why are N-95 masks, Hazmat suits not available?"
"In March itself, India needs 7.25 lakh bodysuits, 60 lakh N-95 masks, 1 crore 3 ply masks? When will they be available?" he asked.
Surjewala said that the government banned the export of ventilators, respiratory devices and sanitisers only yesterday on March 24, "84 days after the spread of COVID-19."
"Is this your government's 'Modus operandi' to fight coronavirus? Too little, Too late!," he said.
Noting that two-thirds of the country's population is engaged in agriculture, he said that Prime Minister Modi did not refer to farmers during his address to the nation and demanded a moratorium on farmers' loans.
"Crop is ready for harvest in March itself. How will it be harvested and sold and who will buy at fair price? Indebtedness relief to farmers is the only way forward in these testing times. Please put a moratorium on farmers' loans and recoveries. Please ensure the procurement of crops at MSP. Let's not forget that farmers are the backbone of India's economy," he said.
Surjewala said the Prime Minister gave only four hours to prepare for 21-day lockdown.
"Did you think of over 5 lakh truck drivers, who are now stranded on roads? Did you think of millions of workers, who are stranded in cities away from home without food or money? What should they do," he asked.

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