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    CUTS THAT HEAL

    10 breakthrough surgeriesMalathy Iyer | December 11, 2010

    In the course of research for this article

    on the breathtaking advances India has

    made in medical surgery from re-do

    bypass of the kind Prime Minister

    Manmohan Singh had, to the suspended

    animation technique used to save the life

    of an Ahmedabad businessman, or even

    the small-intestine operation on Amitabh

    Bachchan a renowned surgeon saidNew York comes to New Delhi these days

    for its heart problems. Many say thats

    not an exaggeration. Indian doctors now

    routinely perform cutting-edge

    procedures be it to remove deep

    tumours in the brain, or to correct

    malfunction in the femur bone. To

    represent this great leap in Indias

    operation theatres, TOI-Crest brings you

    10 surgeries that underline both the

    coming of age of home-grown methods

    and the sharpness that technology lends

    to medicine. This is by no means a

    definitive list; what this story seeks to dois bring you a sense of the exciting work

    thats going on

    Until a decade back, India's rich and

    famous bypassed the country if they

    needed an open heart surgery. And Go-West was the mantra that ruled their minds and

    guided their health decisions. Be it a liver transplant, facelift or cancer surgery, they were

    never impressed with desi doctors or infrastructure back home.

    But this no longer is the case. When Prime Minister Manmohan Singh needed a re-do

    bypass heart surgery - still considered a niche and difficult operation - he chose a

    home-grown doctor and a public hospital. So did a lakh of other Indians. Ramakant

    Panda, who operated on the PM, says, "Between January and November 2010, heart

    surgeons across India performed 97, 000 operations, including bypasses and valve

    replacements. " In fact, India stands third globally (after the US and China) in the

    number of heart operations performed each year.

    The success story in surgeries is not limited to heart alone - though it is the most

    illustrative one. Be it surgery for cancer, ophthalmology or bone joints, India's other men

    - and women - in blue are abreast with the latest in the field. Contemporary designs in

    joints in the fields of spine and orthopaedics make their Indian debut almost alongside or

    immediately after they appear on European shelves. Suddenly, the number of medical

    device companies that are setting up Indian offices has gone up. Be it the Mercedes Benz

    of the hearing aids segment, Phonak, or St Jude Medical, which has a vast repertoire of

    devices, many have in recent years put India on their marketing map.

    "There is no doubt that Indian surgeons are as good, if not better, than their counterparts

    more | |

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    eakthrough surgeries | Cover Story | Times Crest http://www.timescrest.com/coverstory/10-breakthrough-surge

    12/12/2010

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    in the West in certain fields, " said Dr Rajan Badwe, who heads the country's premier

    cancer-care hub, Tata Memorial Hospital, in Mumbai. Take the case of oesophageal or

    head and neck cancers. As India has the largest number of patients in the world suffering

    from these forms of cancers, its surgeons are versatile in treating them.

    What has brought about this change? The medical fraternity gives three reasons. First,

    the booming economy has resulted in infusion of funds to build infrastructure and there

    is a healthy readiness to invest in newer technologies. Swank hospitals have sprung up

    not only in metro cities but also in smaller towns. Many hospitals in metros such as Delhi

    and Mumbai have placed orders for robotic arms to perform surgeries.

    Second, these new healthcare hubs are more often than not manned by doctors who have

    returned home due to the boom in opportunities.

    Third, there also is the matter of skills and expertise. Until 15 years back, Indian

    hospitals had a mortality of 30 per cent in heart surgeries. Today the figure stands

    between 3 per cent and 5 per cent - inching closer to the American figure of 2. 7 per cent.

    Ditto in the field of cancer. "Until the 1990s, pancreatic cancers had a mortality of 20 per

    cent, but now it is down to 2 per cent, " says Dr P Jagannath, the surgeon who operated

    on Amitabh Bachchan's diverticulitis (a disease of the small intestine) six years back. He

    credits this outcome to two factors - the availability of newer technologies that make

    operations safer for patients and the practise that Indian doctors now get.

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    eakthrough surgeries | Cover Story | Times Crest http://www.timescrest.com/coverstory/10-breakthrough-surge

    12/12/2010