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Another successful endoscopic surgery

IN A repeat of surgical feat for Indore, Dr Kishore Sieunarine from Royal Perth Hospital at Perth (Australia) on Sunday performed another endoscopic vascular surgery on a 76-year-old retired radiologist at the Bhandari Heart Hospital here.

india Updated: Oct 30, 2006 18:29 IST

IN A repeat of surgical feat for Indore, Dr Kishore Sieunarine from Royal Perth Hospital at Perth (Australia) on Sunday performed another endoscopic vascular surgery on a 76-year-old retired radiologist at the Bhandari Heart Hospital here.

During nearly 1-1/2 hours of the surgery carried out by Dr Kishore, Dr Tarun Gandhi and the team at the hospital, a 4 cm long stent of 8 mm diameter was inserted in the carotid artery which had shown nearly 70-80 per cent blockage, Dr Dheeraj Gandhi of Bhandari Hospital said.

Dr Solapurkar, who was suffering from diabetes, hypertension, temporary loss of vision and other symptoms including temporary paralysis in right upper and lower limb, was earlier counselled and told about the procedure, resulting in his full cooperation as he was operated with local anaesthesia and even talked and watched his own surgery.

“This was not a conventional surgery as there was no opening of any skin part. A small catheter was first inserted in the femoral artery after which the long catheter was inserted till the aorta,” Dr Gandhi said.

Aortic arch angiography and later carotid angiography was done first and then, a protection device was put in place where the blockage had occurred to

protect emulisation of cholesterol. That was followed by inserting the stent and soon after it, fixing it at its place with a balloon catheter.

The whole procedure is pain-free as there is no opening of skin, there are lesser complications and moreover, no fear of any kind of infection in such procedures and that is why this is becoming the preferred choice the world over.

The patient is normal after the procedure and most probably would be sent home by day after tomorrow, Dr Gandhi said adding, the patients operated yesterday, too are doing well.

Like yesterday, the procedure was shown live via videoconferencing at two venues, Sri Aurobindo Institute of Medical Sciences for the benefit of medical students and at a special room at Hotel Sayaji for the local medical fraternity. Dr Kishore answered queries during the whole procedure.

After the surgery, in the concluding session of the two-day workshop and conference, a symposium was held at Hotel Sayaji on ‘Carotid Artery Diseases’, which was addressed by Dr Ajay Sodani, Dr Sudhir Gokhale, Dr Apoorva Puranik, Dr Tarun Gandhi and Dr Kishore.