BYL Nair Hospital upgrades ENT department through latest laser technology

Written By Unknown on Jumat, 15 Maret 2013 | 22.23

MUMBAI: Today one of the biggest challenges faced by lower and middle income groups is good medical care. Public hospitals are the only hope for them. Therefore, the public hospitals in Mumbai are gearing up and upgrading their technology by entering into appropriate alliances with the private healthcare sector. In a similar endeavour, B.Y.L Nair Hospital, a public sector hospital upgraded their ENT department by getting the latest LASER technology for head and neck surgery.

Narotam Sekhsaria Foundation (NSF) in association with Prince Aly Khan Hospital (PAKH) have recently donated the Lumenis AcuPulse laser, which is a state-of-the-art equipment that can be used to treat cancers of head and neck like oral cavity, Oropharynx and the voice box (larynx) among other ailments.

"The Foundation believes that irrespective of their economic condition people should have access to quality health care. Since the vast majority of the people who need treatment visit the public hospitals, the Foundation has been consistently working towards strengthening the public hospitals," Leni Chaudhuri, programme Head, Narotam Sekhsaria Foundation.

Today the trend is shifting to day-care surgeries and minimal invasive surgeries. Keeping this principle in mind, the AcuPulse equipment is designed to perform the surgeries on a day-care basis that reduces the hospital stay, hospital cost and patient mortality.

Cancer treatment is expensive and requires trained human resources and advanced medical equipments. As people from all strata of society cannot afford the expensive treatment at private hospitals, there is a need to strengthen public hospitals.

"Since 2007, Prince Aly Khan trust has entered into a public-private partnership with Municipal Corporation of greater Mumbai. These two entities have come together to develop cancer care in the ENT department in Nair hospital, which is the only ENT department in India's public health sector that is ISO certified. From 2007 to now, almost 800 cancer patients have been treated at Nair hospital." Dr. Kamal Cheema, Medical Director, Prince Aly Khan Hospital said.

Treatment of cancer in the traditional way involves complex surgeries to be performed that would cause external scars and numerous incisions. With the help of the LASER technology, these surgeries are performed endoscopically. Also, unlike the normal surgical procedures, the minimal invasive surgery through LASER technology causes less scaring and minimum damage to the surrounding normal tissue (or minimum collateral damage). Another advantage is that being a precise tool it enables exact treatment of the affected area with the same outcome as that of surgery.

Dr. Bachi T. Hathiram, Head of the ENT Dept, Nair Hospital said, "A surgeon is highly dependent on his tools. If the tools are state-of-the-art, the outcome is automatically better. Our esteemed MCGM has been very supportive and kind by providing all the required equipment. The recently installed LASER equipment is an added help and will help in fast tracking the treatment of cancer through minimally invasive surgery. It is complimenting what we already have and helps us to do a better job of treating the patient."

Treatment through LASER is comparable, if not better, than the other modalities that are being used. In some cases, it has proved to be even better, because when the part affected by cancer is removed, the function of the organ is retained in most cases.

LASER is an integral part of Airway surgeries as well. There is an increase in the number of cases where the airway has been damaged. Generally these patients comprise of people who have met with an accident or have come out of the ICU. The tube that is put inside when a person is on ventilator in the ICU, at times causes damage to the airway by weakening and narrowing the airway. This is a very common problem, but was mostly left untreated due to its complexity. About 90% of such patients are left untreated as complex surgeries cannot be performed on these patients at most centres. The LASER is an integral tool in Airway surgery as well, and its recent setting up at the Nair Hospital ENT department has already helped in treating about 15-20 such cases till date.

Dr. Vicky S. Khattar, Assistant Professor in the Department if ENT, Nair Hospital added, "There are a few diseases like cancer that are better treated by laser than by cold instruments. Laser surgery is a very expensive procedure if done in a private hospital but we are giving the same standard of treatment absolutely free of cost. Thanks to the NSF and Prince Aly Khan Trust, we can avail of this equipment and use it for the patients who require this state-of-the-art kind of treatment but cannot afford it. We have a waiting list for almost about a month. With the help of these tools, we can perform upto 3-4 surgeries for early cancer in a day which is more than what could be achieved earlier."


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