Institutes and hospitals where I have worked in Cardiac Surgery
Sanjay Gandhi Post-Graduate Institute Of Medical Sciences, Lucknow.
The Sanjay Gandhi
Post-graduate institute of
Medical Sciences, Lucknow, is a premier autonomous Institute of national importance. It
is a tertiary-level super-speciality referral center for the
state of Uttar Pradesh (UP).
Super-speciality training is imparted to Senior residents, selected on the
basis of an All - India competitive entrance
examination, leading to the award of either DM or MCh
degrees. Post-graduate courses are
also offered for speciality subjects like Transfusion
medicine, Immunology, Radiotherapy and so on.
The
Department of Cardio-vascular and
Thoracic Surgery (CVTS), comprising
five surgeons, has an independent ward of 30 beds, a dedicated well
equipped postoperative Intensive Care Unit and Intermediate Care facility.
It runs an
active Cardiac surgical programme
covering both acquired and congenital areas. Valvular, coronary and
pediatric work constitute a third
each of about 350 Open
Heart surgeries performed
per year. An additional 450 closed cardiac surgical
operations are performed. Cardiology
backup is excellent. Colour-Doppler,
Echocardiography, CT scan
and MRI facilities , PET CT are available round-the-clock. An ongoing Interventional Cardiology
programme covers MVBD, AVBD, PTCA, Atherectomies and EPS
with ablations. Radiology Pathology
and Biochemistry backup
is available round-the-clock.
Each year two general surgical post-graduates are
selected on merit for
a three year training in CVTS
leading to eligibility for super-speciality
certification (MCh). Training
includes emphasis on clinical research, a tight academic schedule,
courses in Molecular biology,
biostatistics, Computers and
additional outstation postings at other major centres in India.
Senior Residents in CVTS perform independent
post operative Intensive care
duties and additionally manage emergencies and
ward. They are expected to assist in all
operative cases and perform
routine cannulation and
decannulation for Open heart
procedures. Some simpler procedures are
performed by residents under supervision.
There are together 869 beds in Bombay Hospital and Medical Research Centre of the Bombay Hospital Trust.
There are thirteen Operation Theatres. Facilities exist for treating patients in various Departments. Viz. General Surgery, Thoracic Surgery, Obst. & Gynaecology, Cardiovascular Surgery, Neurosurgery, Orthopaedic Plastic Surgery, General Medicine, Cardiology, Neurology, Psychiatry, Artificial Kidney (Dialysis) Intensive Coronary Care Unit, Intensive Care Unit, (Adults) Endocrinology, Skin, E.N.T., Ophthalmology, Dental, Oncology, Urology, Nuclear Medicine and Ultrasonic Department and Nerve Muscle Research Wing, C.T.Scan, Therapeutic Drug Monitoring Dept. Urodynamic Laboratory and Neonatology including Intensive Care Unit (Newly Born).
The Bombay hospital has a well equipped Central Laboratory, Blood Bank, and X-ray Department (Diagnostic & Therapeutic including Cobalt Therapy). Physiotherapy & Occupation Therapy Department a Casualty Department and an Out-patient Department, Retina Clinic, and Dental Speciality Section, and Endoscopic Department.
The Department of Cardiovascular & thoracic Surgery comprised of 3 units, with 3 operation theatres functioning from Monday to Saturday. There is a well equipped post operative Intensive Care Unit and Intermediate Care facility comprising of total 25 beds(17 bedded ICU). The department is running an active cardiac surgical programme including both acquired and congenital areas. Morethan 1500 Open heart surgeries are done per year comprising of Valvular, Coronary and Paediatric work. An additional of 450-500 Closed cardiac surgical operations and Vascular surgery were performed. Cardiology back-up was excellent, and round the clock facilities were available for Echocardiograpy, CT Scan and MRI. Emergency cardiovascular and thoracic cases were also managed by the department.
Every year, 3 surgical post graduates were selected on the basis of competitive entrance exam conducted by the Maharastra University. These residents underwent 3 years training which included clinical research and a tight academic schedule along with a pre, per and post operative mangement of patients, and ultimately led to eligibility for Superspeciality Certification (M.Ch.).
Senior clinical
assistant in CVTS performed
independent post operative ICU duties
and additionally managed the ward. They
are expected to perform Open heart surgeries like ASD,
Mitral valve replacement, Aortic valve
replacement, Open mitral valvotomies
along with Closed
heart and vascular procedures.
Sri Venkateswara Institute Of Medical
Sciences, Tirupati
The department was started way back in November 1993,
when this super-specialty hospital came into existence, under the banner of
Tirumala Tirupati Devasthanams. I became the part of the Department in April
1995. Our mission has been to provide
the most advanced technology to the poor and needy, extending as a life line to
every patient through innovative ways of management including the surgical
procedures with positive results. This
is flanged by a continued dedicated follow-up in a patients friendly approach.
The last few decades have seen medical science, including
cardiac science advance like never before in the history of mankind. On the
other hand, modern life has brought about an increase in the life style
diseases. At present, patients would be presenting with multi-system
involvement and co-morbid conditions like chronic obstructive airway diseases,
Diabetes mellitus, hypertension, and many more which may make this group of
patients unfit to undertake major surgeries. Here we use the concept of
minimally invasive procedures or hybrid procedures to decrease the mortality,
this involves a combination of medical /surgical skills and technology.
The staff in the Department of Cardiovascular and
Thoracic Surgery have a patient centric approach to clinical practice and aim
to bring advance form of medical health care to our patients, through high
quality facilities ensuring the best outcome to patient care. We value all our
staff and team work is what determines our future. There is an open
communication between the patients and relatives and this results in effective
and timely action which benefits our patient.
The Department of
Cardiovascular and Thoracic
Surgery (CVTS) has an independent
bed strength of 60 beds which are dedicated to
preoperative ward, a well
equipped postoperative intensive
care unit and intermediate care facility. It runs an
active cardiovascular and
thoracic vascular surgical program
which entertains both routine and
emergency procedures. Cardiac work comprises of
both congenital and acquired areas
including valvular, coronary and
congenital work except transplantations. Approximately 500 OHS procedures are performed
each year, in addition to these a
good number of closed cardiac surgical procedures, thoracic and vascular
cases (including aortic aneurysm)
are being done.
There is a good cardiological back-up with facilities available
round the clock for invasive
hemodynamic monitoring, echocardiography. Cardiology department is
well equipped with an echocardiography machine having
biplane transoesophageal probe,
along with facilities for
color flow mapping,
several computerized ECG machines, a computerized tread mill
machine and two siemens cath lab, CT Spiral, 28 slice CT and MRI are other
facilities available in the department of Radiology of
this Institute. Department of
Nuclear medicine is
armed with sophisticated Gamma
Camera with spect system
and radioisotope dose calibrator.
Recently, the PET CT also has been added to the armatarium of advanced
investigations. Besides the Institute is backed up with the Biotechnology and
Bioinformatics department which are involved with the basic research on stem
cells. This institute has several research projects which are being conducted
in collaboration with Indian Council of Medical Research and the University
Grants Commission
The
Department runs:
- a three years M.Ch. course in Cardiovascular and thoracic surgery which is recognized by the Medical Council of India,
- a four years B.Sc in cardiopulmonary perfusion technology
- a one years course in post basic specialized CVT nursing.
- Besides the department Faculty are also involved with the teaching and training of the students of the seventh semester of the Bachelors of Physiotherapy and Bachelors of Nursing course.
- Training of the Masters of Physiotherapy and Nursing
- Guiding the Ph.D for the Physiotherapy and the Nursing students.
- The Department of Cardiovascular and Thoracic Surgery provides surgical solution to a wide spectrum of heart, vascular and lung ailments. The cardiac procedure involves the following:
- Palliative and intra-cardiac surgeries for congenital heart diseases.
- Valve reconstruction as well as replacement for valvular heart diseases.
- Coronary artery bypass grafting /revascularization surgery through the beating heart technique as well as on cardiopulmonary bypass.
- Repair of aortic aneurysms arising from the ascending aorta till bifurcation of the aorta.
- Repair of all forms of peripheral arterial aneurysms including the A-V fistula aneurysms in the chronic renal failure patients.
- Surgery for aorto- iliac diseases, femoro-popliteal diseases and the other peripheral arterial occlusive diseases.
- Surgery for varicose veins
- With the increasing incidence of the pleural and the pulmonary diseases, there has been an increase in their interventions. Thoracic surgery involves the surgery which are done through the open technique as well as with the use of the video assisted thoracoscope where ever indicated.
- Chest wall tumors with chest wall reconstructions
- Decortication for Empyema thoracis irrespective of the etiology
- Lobectomy / pneumonectomy for all forms of lung diseases whether infective or malignant.
- Extended thymectomy for Myasthenia Gravis
- Surgery for mediastinal tumors both benign and malignant.
- Tracheal reconstruction
DR.ABHA CHANDRA
SENIOR PROFESSOR
& HOD
DEPARTMENT
OF CARDIO VASCULAR & THORACIC SURGERY
SRI VENKATESWARA INSTITUTE OF MEDICAL SCIENCES
TIRUPATI
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