Zen Multispeciality Hospital

Dr. Tapiawala will be talking about how this deadly virus can impact our kidneys, and what measures we can take to protect ourselves. Please feel free to ask your questions in the comment section. About - Dr. Shruti Tapiawala: Dr. Shruti Tapiawala is a renowned Nephrologist with many credentials in her field of expertise. She is well known for her leading contributions in Renal Transplantation cases and studies - within India and Abroad.
Major Achievements:
1. Fellowship in HLA medicine-North America
2. Established SORTER-Ist national registry for sensitized organ recipients
3. Fellow American Society of Transplantation
4. Faculty for National meetings, SNDT Course for Renal Dietetics and Dialysis Technology
5. President Narmada Kidney Foundation & Secretary-ISN-WZ-Chapter

A kidney transplant is often the treatment of choice for kidney failure, compared with a lifetime on dialysis. A kidney transplant can treat chronic kidney disease or end-stage renal disease.

Dialysis is a treatment that filters and purifies the blood using a machine. This helps keep your fluids and electrolytes in balance when the kidneys can’t do their job.

Schizophrenia is a mental disorder that usually appears in late adolescence or early adulthood. Characterized by delusions, hallucinations, and other cognitive difficulties, schizophrenia can often be a lifelong struggle.

Stress is your body’s response to changes in your life. Just as stress is perceived differently by each of us, stress affects us all in ways that are unique to us. The stress management plans usually include a mix of stress relievers that address stress physically and psychologically and help to develop resilience and coping skills.

Hi,

I am doctor Uddhavraj Dudhedia. I am a gynecologic, endoscopic, robotic oncosurgeon. Gynaecology has specialised into a lot of superb specialities and right from the beginning my area of interest was minimally invasive surgery, so many women who suffer from different problems of the uterus like heavy bleeding, painful bleeding, diagnosed fibroids, endometriosis also finding it difficult to conceive, urinary problems. All this can be now treated in a minimally invasive way. Besides another area of concern for women is increasing the incidence of gynaecological cancer involving the uterus, cervix, ovaries and sometimes even fallopian tubes and the lower genitalia. I specialised specifically in treating these conditions with minimally invasive surgery. I employ all techniques laparoscopy, hysteroscopy and robotic surgery wherever it is indicated and required. I am specially trained to do all these procedures and I have almost 17 years of experience in my field and I have been regularly updating myself in the newer advances which are coming to improvise and modify the techniques to increase the efficacy of treatment and get best results with the patients.

Another area which is very important is urinary problems like stress urinary incontinence in women, some women have leakage of urine, poor control and this can be very easily treated by small minimally invasive procedures and the results are very good and they have complete remission from the problem.

Another aspect which is evolving is laser and cosmetic surgery in the vaginal cosmetology and vaginal rejuvenation surgery. I have a special interest in this and I perform a lot of vaginal rejuvenation procedures by laser and also minimally invasive techniques.

Robotics has offered a great advantage in treating gynaecological cancers especially endometrial cancer. The latest generation of robot is Xi da Vinci generation for offering these services to the patients in best possible way in a very reasonable and attractive packages we made for these patients to help them seek the best modality to treat their condition and go home very early from the hospital, decreasing the hospitalization duration and the chance of infection, increasing safety of the procedure.

However, I employ the laparoscopic method for many other surgeries like performing the hysterectomy, removing the uterus for benign conditions, treating patients for infertility who find it difficult to conceive because of tubal blocks and endometriosis and other problems like intracavitary growths which can be treated very well by hysteroscopy. Congenital anomalies in women can also be treated by this method.

Another discipline which I have a special interest in, I am expanding the arena of the speciality is neuropelveology. I am specially trained and I am proud to say that I was one of the first 1 from this subcontinent to be exposed to the speciality in its earlier phase and now we are performing surgeries for the ailments of the pelvic nerves, where patients have symptoms ranging from pelvic pain, chronic pelvic pain, sciatica, pudendal neuralgia, painful intercourse, this can be very well treated by exposing the nerves and excising the lesion in a very safe way by protecting the nerves.

So, I am available for all your concerns and you can always seek my appointment as you require and we will be more than happy to help you in whatever you need.

Thank you.

Hello,

I am doctor Krishna Prasad cardiothoracic surgeon practicing in Mumbai.

I would like to discuss with you all about valvular heart disease, so heart has four valves and valves can get affected by various diseases, especially rheumatic heart disease and also degenerative disease, which is due to aging and infection and other causes of valve disease.

So when the valve is diseased, the heart valve either become stenotic that means orifice or the opening becomes tight or it can be regurgitant or in other words leaking, so either it can be a tight lesion or can be regurgitant leaking lesion or it can be combined, so what we do? the surgical management in these cases are two options, one is valve replacement and other one is valve repair.

Replacement, we have two options by using metal valve or otherwise known as mechanical valve and other one is tissue valve. Tissue valve prepared from other animals or from cadavers, so there are various pros and cons and where to use there are guidelines so at a young age usually we put mechanical valve but the only problem with mechanical valve is patient has to be on long-term anticoagulant, but the advantage of mechanical valve is It stays longer because life is long with the metal valve.

Tissue valve is opted in old age above 65 or so, the main advantage is no need to take anticoagulation for a long time but the disadvantages is that new valve can undergo destruction early so re-surgeries are more common with tissue valve.

The other option as I told it's a valve repair, valve repair is possible especially in mitral, aortic valves when there is regurgitant lesions or stenotic lesions. We can address disease pathology and try to bring the valve near normal. The main advantage of having a repair is patient retains his own native valve and there is nothing like the natural valve, so no need for any anticoagulation and other thing is the disease may recur and may require surgery redo surgery at a later date, which can be performed whenever time is suitable and he develops the disease further. Otherwise repair is always the first option when it is possible, beyond any further details you can contact lybrate.

Thanks

Hello,

 I am Dr. Krishna Prasad, cardiothoracic surgeon. I want to discuss about coronary artery bypass surgery otherwise known as heart bypass surgery, which is a surgical management of coronary artery disease or the heart blocks, here what we do is we bypass blockages in the coronary arteries by using patient's own vessels from other parts of the body, so they are known as conduits and there are many ways to do it one is to stop the heart and do it and the other thing is to do in a beating heart without stopping the heart and also depend upon the conduit we use, the veins can be used from the legs or arteries can be used from the hand or arteries from within the chest wall .

So it can be divided or discussed in either a beating heart surgery or on-pump surgery or what we call stopping the heart and other thing is by what conduit we use, total arterial grafts or venous grafts like that. So now in the beating heart surgery with total arterial revascularization, the beating heart surgery is the more physiological we are not stopping the heart so it is a more natural way of doing it, second thing is we use total arteries so arteries have been found to stay longer than the vein grafts so patient gets a conduit which stays longer, here patency rates are very high and this has been proved in many investigations, so total arterial beating heart surgery is better and number one method for bypass surgery.

Thank you

Hello,

 I am Dr Krishna Prasad cardiothoracic surgeon from Mumbai. I would like to discuss with you all about minimally invasive cardiac surgery. Now recently minimally invasive cardiac surgery is picking up its interest and lot of surgeries can be done with a small incision. The surgery which we can do with minimal incisions are coronary artery disease, especially uncomplicated like single-vessel or double-vessel or sometimes triple-vessel disease then valve surgeries, mitral valve, aortic valve surgery and atrial septal defect.

Here what we require is a small incision to enter the particular hard cavity or surface of the heart and do the surgery and when valve surgery, open heart surgery is required the cannulations are done from the groin with a small incision, so the femoral artery, femoral veins are cannulated and the advantage of minimally invasive surgery is patient get very small incision, cosmetically very appealing and the pain is very less and the patient goes home earlier as compared to the conventional median sternotomy procedures and also the risk of infection and especially the sternal infection and all are avoided and to do this minimally invasive surgery we require lot of special instruments and sometimes the help of scopes to help make the surgery easier. Further queries and details you can contact lybrate.

Thank You.

Hi!

This is Dr. Uddhavraj Dudhedia once again. So I want to brief the patients that any patient who is suffering from heavy uterine bleeding, painful uterine bleeding, difficulty to conceive, as being diagnosed of some ovarian cysts, multiple fibroids or have post-menopausal bleeding which may need evaluation to rule out cancer or having troubles like uterine prolapse, urinary incontinence, pelvic floor weakness and even chronic pelvic pain. We are well available at Nanavati hospital from 5:30 to 7:30 in the evening every day from Monday to Saturday. You can always call in and come in by appointment or visit us at Nanavati hospital at your convenience to seek medical help at our super specialty center.

Thank you!