BEST CARDIAC SURGERY

A typical day for open heart surgery at Medicover Hospitals Hyderabad India

  PERFUSION DAY 06/05/2020

May 6th is the International Perfusion Day. All of us know about cardiac surgeons and what they do and how they treat their patients, however few beyond the ones working in the specialty will know about who a perfusionist is or what is his role in cardiac surgery.

The Perfusionist is the person who maintains the circulation of the patient with the help of the heart-lung machine while the surgeon opens the heart and does the corrective steps. This is a very crucial step for the patient as the whole circulation of the patient is maintained without the use of the patient’s heart or lungs and the biochemical and hemodynamic status of the patient is kept so that there can be full recovery after the procedure. This field requires a good level of scientific knowledge and also complete dedication to the field. During the cardiopulmonary bypass, the Perfusionist has to have total concentration as otherwise things can go wrong and the patient may suffer.

This is the “Perfusion Awareness Week” as this specialty is rather unknown even after 70 years of its development. I have worked with wonderful perfusionists at the Sree Chitra Tirunal Institute at Thiruvananthapuram including pioneers in India like Thomas Malliakal, Hareendran, Sam Mohnsy and Joseph Leon. Once I came out into private practice I was helped by Sumeet Roy and then later by Mr J M Ibrahim.

Mr Ibrahim has been working with me since 2002 and his team has expanded to include  Mr Junaid Deshmukh and Ms Jyoti Verma. Presently these three Musketeers In Perfusion take care of my needs in open heart surgery, minimal access cardiac surgery and ECMO (which is a life support in cardiac or respiratory failure). This team is doing great work.

(above) Dr Avinash Dal with the Perfusion team of Virinchi Hospitals J M Ibrahim, Karunakar Swamy and Junaid Deshmukh

POSITIONS OPEN IN THE DEPARTMENT:

Post of

1, cardiac anaesthesiologist

2. junior cardiac anaesthesiologist

3. junior consultant in CVTS should be ready to do cases in peripheral centres at times.

4. Physician Assistant in the department of CVTS Virinchi Hospitals Hyderabad India for the inpatient care and research.

These posts are through the hospital administration so you could also apply to the email hrd.vh@virinchi.com. This is for the ward, pre-operative and post-operative management and is a Virinchi Hospital post

Also there is an opening for Surgical physician assistant in my department but this is a departmental post and not a Virinchi Hospital post (however, the remuneration will be better).We are looking out for a person who is interested in upgrading his/her skills and will be ready to associate for a long time.

You may still apply for short term observer posts

You may send your application to

email:

dravinashdalcvts@gmail.com

bestcardiacsurgery@gmail.com

or by mail/courier

Dr Avinash Dal

Chief Cardiothoracic and Vascular Surgeon,

Medicover Hospitals

7-1-21, Railway Station Rd, opp. Metro Station Begumpet, Uma Nagar, Begumpet, Hyderabad, Telangana 500016

sms: +91 9848025467

 Dr Avinash Dal (Head of Department)

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Mr J M Ibrahim is a clinical perfusionist and also a research associate for this unit. He is a core member and is aggressive on enhancing care.

   .Mr Junaid Deshmukh has been appointed as junior perfusionist. He previously worked here as "Observer" in Clinical Perfusion for 6 months at Virinchi Hospitals itself



OUR MISSION

This Department is run by a unit that was set up primarily for the service of humankind through the practice of surgery. The Department is headed by Dr Avinash Dal who has about 22 years of practice and has performed over 9000 cardiothoracic and vascular surgeries. An intense desire for constant improvement has led us to reach an international standard and also be on the leadership front concerning some advanced surgeries.

The desire to serve humankind makes us to reach out to all people who need this type of service whether it is within our state and nation or outside the nation in countries that have not yet developed the technology or medical expertise to deal with high end surgeries.

We have performed numerous free health camps in various Indian cities such as Hyderabad, Nanded, Kurnool, Kadapa and many others. Continental Hospital has given us the opportunity to serve you by arranging this camp in your country. Our desire is that you participate and take advice from the doctors and also try to apply that advice so that your life can be healthy.

Although we are a surgical group, we prefer to call ourselves preventive cardiologists as we all preach more strongly as to how you should prevent heart diseases. This is because it is easier to prevent disease and rather costly to treat them. If you have any queries about the preventive care, you could also get them clarified here.

• SURGERY FOR CORONARY PROBLEMS:  Surgery is a good option for patients having blocks in the arteries supplying the heart. These blocks can lead to chest pain and in some patients will give heart attack.  These lesions can be treated with stenting (PCI) but when the lesions are long as well as many in number, the patients will benefit more with surgery known as CABG. In Continental Hospitals, we perform the grafting of such blocked arteries and we use more of “arterial” grafts; this gives better long term benefits.
• SURGERY FOR VALVE DISEASE:  Heart valves can give rise to breathlessness, coughing and chest pain. The patients may have swelling of the legs due to congestive heart failure. Most of the cases are due to Rheumatic heart disease which occurs in childhood but presents later with valve lesions. It licks the joints but bites the heart. Some of these may be due to degeneration of the valves because of intrinsic weakness in the valves. We can repair or replace the valves depending on the damage that the disease has done. The results of the operations are generally good
• SURGERY OF ANEURYSMS: Aneurysms are balloon like abnormal expansions of blood vessels leading to the risk of rupture and sudden death. Aneurysms can be tackled with endovascular technique in which a covered stent is placed from within the blood vessel to exclude the aneurysm sac. This is also called EVAR. The other way is to perform open surgery on the artery. Both the modalities are being routinely performed at the Continental Hospitals, India with good results.
• SURGERY FOR CONGENITAL HEART DEFECTS: Birth defects usually present in childhood and may range from simple holes in the heart to severely malformed hearts. The babies may not be able to grow properly and in some there may be blue color of the lips and fingernails. We have excellent results with surgical correction of such defects. There is a dedicated ICU team that takes care of such babies after surgery as post-operative care is very important in these children.
• MINIMAL ACCESS SURGERY: This is also known as Minimally Invasive Surgery or “keyhole” surgery. We are the leaders in our city in performing the minimal access surgery and applying it to coronary artery disease, valve repairs and replacements, closure of simple holes in the heart and thoracic surgery (VATS). The advantages of minimal access surgery are that the patients have lesser blood loss, have less pain and recover fast. The scar of surgery is also small hence the patient has an added advantage in the long term.
•  THORACIC SURGERY: Lung disorders such as chronic infections (like tuberculosis) and lung tumors may require surgery. We have the option of performing the surgeries through incision on the chest and nowadays we are using the “keyhole” concept to do these surgeries using small incisions. The advantage is that the patients have a faster recovery as they can breathe better. This method is known as VATS (video assisted thoracic surgery)
• HEART AND LUNG TRANSPLANT: we run a heart failure clinic to manage patients with end stage heart disease. Some of these patients have undergone heart transplant with good result. Lung transplant is also an alternative when it comes to chronic respiratory failure

You may contact the Department through the Virinchi Hospital or directly on the numbers given below:

Dr Avinash Dal                                   +91 9848025467

Email: bestcardiacsurgery@gmail.com