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Dr. Swati Aggarwal

MBBS

Anesthesiologist, Gurgaon

500 at clinic
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Dr. Swati Aggarwal MBBS Anesthesiologist, Gurgaon
500 at clinic
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Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Swati Aggarwal
Dr. Swati Aggarwal is a popular Anesthesiologist in Sector-51, Gurgaon. She is a qualified MBBS . You can consult Dr. Swati Aggarwal at Artemis Medicare Services Pvt. Ltd in Sector-51, Gurgaon. You can book an instant appointment online with Dr. Swati Aggarwal on Lybrate.com.

Lybrate.com has top trusted Anesthesiologists from across India. You will find Anesthesiologists with more than 36 years of experience on Lybrate.com. You can find Anesthesiologists online in Gurgaon and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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MBBS - - -

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Artemis Medicare Services Pvt. Ltd

Sector 51, Gurgaon, Haryana. Land Mark : Near Unitic Siber Park, GurgaonGurgaon Get Directions
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Artemis Hospital

Sector 51 Landmark : Near Unitech Cyber Park.Gurgaon Get Directions
500 at clinic
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I have back side pain and burning and my back side colour blackish I consult many doctors but I do not get relief. Please advise

BPTh/BPT, MPTh/MPT
Physiotherapist, Faridabad
I have back side pain and burning and my back side colour blackish I consult many doctors but I do not get relief. Pl...
No need to take any medicine for do proper stretching n strengthening exercises n some yoga asans n hot pack n go for calcium and vitamin d n vit b12 or calcium deficiency tests .but all exercises should be done under experience guidence for more information call me at you can take private consultation with me through Lybrate.
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Knee Replacement

DNB (Orthopedics), Diploma in Orthopaedics, MBBS
Orthopedist, Mumbai
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Benefits of Bilateral Total Knee Replacement

I am Dr. Rakesh Nair. I am an exclusive knee replacement surgeon practicing at Zen Hospital in Chembur. I am also attached to the Fortis Group of Hospitals at Vashi and Mahim and Holy Family Hospital at Bandra. Today, I am going to talk about Bilateral One Stage Total Knee Replacement. To understand the basic term which I have used here when I say Bilateral One Staged, I say both knees and one sitting. They are done together once the patient is wheeled in. They are not done in a gap of a few days. That’s what I mean by both knees and one sitting.


In the surgery, all we remove is hardly 7-8 mm of bone from the thigh bone and around 7-8 mm from the shin bone, that is the lower part and all we do is just change the cap. It’s like changing the cap of a tooth, so your bone and your muscle are your own. We are not chopping off the whole knee and replacing it. So, that is the reason why I am using the terminology Knee Resurfacing, we are changing only the cap.
Once the cap is changed, we are able to mobilize the patient, the same evening if required. And, with the advanced anesthesia techniques that we have, I am able to make the patient walk the same evening. So, there are some videos here also which would tell you the same where the patient has been operated in the morning by around 12 o’clock once he or she is wheeled out the operation theatre. In another four hours by 4 o’clock evening, the patient is walking with full weight on the leg without much pain because of the pain techniques that we in terms of the pain management.

Now, why would I say that we should be doing both knees in one sitting? So, what are the advantages of doing both knees in one sitting? If you see the further videos which I would also show you, most of the patients who come to me have severe deformities. They, like, have severe bow legs, legs which are severely bent, either towards the inside or either towards the outside. So, doing one knee and then doing another knee is not going to help at all because the patient is not going to be able to walk. So, when I do both knees in one sitting it restricts the surgical procedure so it is like saying I do everything under one anesthesia. The patient gets short of medication. The medicines also which go into the body is once you are wheeled into the operation theatre. The most important part is that the patient can be mobilized very easily because immediately both the legs are straight and the patient can walk with full weight bearing on both the legs. So, I can make the patient walk in the evening or the next day depending on how strong the bones and the muscles are. Another thing is, it reduces the hospitalization also, plus the hospital cost also goes down because we don’t double use the medication nor the stay is doubled. The stay is same; it varies between 3-7 days depending on how strong the patient's knees are before surgery. So, I would definitely advocate doing both knees in one sitting.


What are the main advantages and what would you say in terms of why wouldn’t we do a knee after a week or 10 days? There are studies which say that it is not the number of joints, so the number of knees you do in which causes the problem or the commonest cause which is an infection. The problem arises if you keep on wheeling the patient into the operation theatre. So, if somebody says that we do a knee today and then we do a knee after 4 or 5 days then cases of infection will increase because the patient is being wheeled into the operation theatre on two separate occasions. So, it is not that I have not done both the knees in one sitting, which is a better option because the chances of infection are less than doing one knee now and then doing the other knee after 4-5 days, where the patient gets the same medicines repeatedly plus he is bought into the operation theatre again and his stay also increases in the hospital.


We would be showing you some videos where the patient, how the patient is walking before surgery. If you see most of these patients, the legs are severely deformed. So, all of them I have been able to do a One Staged Bilateral Knee Resurfacing where I have done both the knees in one sitting. You see them how they are walking before surgery, you see them how are they are walking after surgery. And, if you compare the function, they are really able to walk very comfortably.


My patients even sit cross-legged after surgery but that is not. I will show you one of these videos which are showing the patient sit cross-legged after surgery. But that is not something which we promote. It is just to show that they get very good function and they would definitely be able to sit cross-legged but that is not something we tell the patient to do because that compromises on the life of the knee. So, there are a lot of records and results which say that, whether we do a Bilateral One Staged Knee Replacement or whether we a One Staged Knee Replacement, the complications in terms of infection, an embolism is always similar. In fact, it is much more in a unilateral knee than in a bilateral knee.


We use body exhaust play suits, again, during surgery. I will show you this video which is showing you the body exhaust play suits where we are working in a very sterile environment. We would not want to give any infection even from the OT personnel to the patient. So, these are body exhaust playsuits which prevent the impure air breath out of the operating team, it is not allowing it to go to the patient. In fact, it is sucked up by a rotating fan which is there on top of the body exhaust playsuits and the whole impure air is taken out from the patient’s atmosphere. Even our conventional methods of mixing cement have been changed and we are using basically vacuum mixing for cement so there again is no impurities in the bowl in which we are mixing the bone cement to fix the implants to the bone.

We have all the options in terms of the knee replacement where we even have computer assisted Total Knee Replacement. We have Unilateral Knee Replacement where basically the unilateral knee replacement is used for younger patients who have deformities or pain in the insides of the knee where only a part of the knee has been damaged, the rest of the bone is all right, that’s where we use the Unilateral Knee Replacement. The latest what we have is the Customized Jigs in Total Knee Replacement where we get the MRI done of the affected knee. On the basis of the MRI, ceramic Jigs are made and on the basis of the ceramic Jigs, the positioning of the implant can be as perfect as required. Obesity has always been, the patient has always come up to me saying, “Doc, I am little on the heavier side, I am so heavy, is it a contraindication to my surgery?” So, obesity as such is not a contraindication to surgery. Definitely chances of wound healing are a problem but, instead of a week to ten days, it will take another week to ten days for healing. Otherwise, it is not a contraindication to the surgery.


Now, a very important question which comes from the patient is, “Doctor, how long will these knees last?” So, I give a very simple answer to that is that, the more you take care of it, the longer it will last. So, the longevity of the knee all depends on how strong your muscles are before surgery, how strong your bones are after surgery or before surgery and depending on that we normally get a bone density done for the patient and we treat the patient either on a yearly injection for osteoporosis or daily injection which are meant to fill up the bone and that decides on how well the implant is going to hold on and how long the life of the knee is going to last.

For further information, you need to contact me through lybrate.com.

 

3458 people found this helpful

I end up getting wake in the morning with severe back pain and body ache. please suggest.

BPTh/BPT
Physiotherapist, Mumbai
I end up getting wake in the morning with severe back pain and body ache. please suggest.
Hi take hot water bath twice daily, sleep on hard and even mattress. Kindly rule out your diabetes, calcium, vitamin d and other metabolic disorders. Do start physiotherapy sessions. Best wishes.
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I am 60 years ols women suffering with leg pains. Please suggest me to which medicines I have to use to reduce my pains.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Bangalore
I am 60 years ols women suffering with leg pains. Please suggest me to which medicines I have to use to reduce my pains.
With ageing, knee and leg pain becomes a common thing esp for females. Make sure you get enough calcium in your meal. You can start with knee press, ankle press exercises to avoid such pain. These exercises are to be repeated three times a day, 10 reps each exercise.
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Sir I want 2 know, whether the arthroscopy operation in knee causes any future problem 2 us? In ACL tear operation is advisable up to what extent or any other solution is there besides operation.

MS-Orthopaedics
Orthopedist, Chennai
Sir I want 2 know, whether the arthroscopy operation in knee causes any future problem 2 us? In ACL tear operation is...
Arthroscopy is a minimally invasive less traumatic safe surgery. No other option except to reconstruct if your acl is a complete tear.
1 person found this helpful
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I am suffering from sever backpain since two months I had used many creams and tablets give me better solution please help me.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am suffering from sever backpain since two months I had used many creams and tablets give me better solution please...
Posture correction must. Avoid long sitting toward bending lifting weight. Do hot fermentation and stretching exercise if it work then ok otherwise physiotherapy must.
1 person found this helpful
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My problem is shoulder pain and back pain also I am suffering from it from six months.

DHMS (Hons.)
Homeopath, Patna
My problem is shoulder pain and back pain also I am suffering from it from six months.
Dear lybrate user, it might be cervical spondiolosis, postural defect. Go for suitable physiotherapy for your complain. Take, homoeo medicine. @ rhus tox 200-6 pills, thrice a day. @ arnica mont200-6 pills, thrice a day. Avoid, jerk, bending down to lift heavy weight, junk food, cold intake, smoking, alcohol. Correct your sitting, sleeping postures. Report, wkly, please. Take, care.
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My hubby HV uric acid, frozen shoulder, n arthritis no pain killer medicine help. Medicine give temporary help. Pl suggest.

BHMS
Homeopath, Kolkata
My hubby HV uric acid, frozen shoulder, n arthritis no pain killer medicine help. Medicine give temporary help. Pl su...
Give him Mag phos 6x - 4 times a day -- and additional dose for acute pain when required. Also do hot and cold compress alternately if this gives him relief.
3 people found this helpful
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Female Aged 50 With left shoulder Hand Pain Not related to ecg Diabetic But With neuro problem due to continuous usage of computer. Kindly guide

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
As you have mentioned usage of system related pain try to restrict or avoid if possible, for pain do have hot water and cold water fomentation thrice a day for 3days of 15 minutes duration each time and consult neuro physiotherapist or orthopaedician or neuro physician asap.
2 people found this helpful
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Two months ago I had got an injury in my knee while playing cricket. Sy that time I had used volini gel to avoid pain. But now a days I am again feeling acute pain in that left knee. Suggest me proper medication to get rid of.

Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS)
Orthopedist, Trichy
Two months ago I had got an injury in my knee while playing cricket. Sy that time I had used volini gel to avoid pain...
the pain could be due to ligament injury inside the joint. you should visit an ortho surgeon who may request MRI scan depending on the physical examination findings if required.
2 people found this helpful
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