Dr. Srivastava’s brief introduction
Dr. Sudhir P. Srivastava has performed more than 1300 robotic cardiothoracic procedures — the largest volume in the globe. He is the only physician in the globe to have performed a Quadruple Vessel Beating Heart TECAB (Entirely Endoscopic Coronary Artery Bypass) Surgery although at the University of Chicago in 2007. He has also carried out many ‘first ever’ complex cardiac procedures in India because November 2011. These first time operations in India had been: Robotic Single Vessel Beating Heart TECAB, Robotic Double Vessel beating Heart TECAB, Robotic Myxoma Excision and numerous other hybrid instances. These days he is the only cardiothoracic surgeon in India who performs Completely Endoscopic Coronary Artery Bypass on a beating heart.
The name ‘Robotic Surgery’ appears to recommend that the process is getting performed by a robot…
The name has stuck, but it’s really a misnomer. To contact it ‘Robot-Assisted Surgery’ would be a lot more acceptable. The robotic surgical system serves as an instrument for surgeons, enabling them to be much more precise, advancing their method and enhancing their capability in performing complicated minimally invasive surgery. The da Vinci Technique replicates the surgeon’s movements in genuine time. It can not carry out any kind of surgical manoeuvre with out the surgeon’s handle.
How is robotic surgery much more beneficial for sufferers?
As opposed to traditional strategies of performing surgery, robot-assisted surgery is minimally invasive which implies smaller incisions of 1-two cm only as compared to conventional surgery exactly where the body is opened to access the operative field with a ten-12 cm cut. Minimally invasive surgery final results in lesser pain & trauma, lesser blood loss, faster recovery time & minimal scarring. In truth we send the patient home in three-five days. The procedure becomes much less daunting for old and young alike. Taking into account all these factors, robotic surgery has seen tremendous development and acceptance in the Western World giving rise to numerous positive aspects for the patient.
In laparoscopic surgery also smaller sized cuts are created instead of massive cuts. Then how is Robotic Surgery diverse from laparoscopic and endoscopic procedures?
Robotic Surgery allows surgeons to carry out complicated surgical procedures that might not be feasible through laparoscopic/endoscopic possibilities. In Robotic Surgery, a surgeon gets a 3D vision of the area that has to be operated upon, and that as well magnified up to ten occasions far more. The instruments we use can be moved the way we move our wrist and there is no tremor even though performing the operation. Laparoscopic procedures, on the other hand, offer surgeons only 2D vision lengthy instruments with no wrist-like motion and no tremor filtration.
Which medical procedures can be performed utilizing robotic assistance?
Robotic Surgery can be performed for the following specialities: cardiac, thoracic, urology, gynaecology, basic, head & neck, orthopaedics and ENT.
What could be the difference in price amongst a surgery performed in classic technique and a single using a robot and will my well being insurance spend for it?
The price of Robotic Surgery is 30-40% larger than conventional surgery. However, with the rewards offered by Robotic Surgery such as minimal rehabilitation, much less personal trauma/ side effects & early return to function, in the finish it is overall less costly. The individuals who have already opted for this surgical selection counter that robotic surgery truly proves to be more affordable all round – from the point of view of the decreased hospital bill and speedy return to an active, productive life. Also, Robotic surgery is billed as Minimally Invasive Surgery & for that reason, is covered by wellness insurance coverage.
What are the factors stopping Robotic Surgery from being integrated into medical procedures at a faster pace?
Higher initial capital fees and high expenses of robotic consumables add to the expense of each case. There is a steep understanding curve for surgeons and operating area teams. The ideal requirement at this time contains surgeons with eight-10 years of operative encounter and commitment on component of operating area teams. Several surgeons do not want to go by way of the understanding curve, longer operative time and achievable different outcomes in the middle of their surgical careers. Like any new method and process, initially there is lack of awareness amongst physicians and patient community that leads to slower adoption. However, when institutions and surgeons have committed themselves to robotic technology, the adoption has been significantly more rapidly as witnessed by the international growth of robotic surgery procedures. The number of robotic systems in India has enhanced from 14 to 22 in a year which means that men and women are becoming aware and there is an enhance in demand for robotic surgery. Even so, the dilemma in India remains lack of talent in robotic surgery, and surgeons becoming capable of using such technology and delivering the needed final results. There has been no tension by the key healthcare service providers to bridge this gap. We at ICRS intend to adjust this strategy and make robotic surgery an attainable reality for any doctor willing to commit the time to learn these tactics.
You are the Chairman-MD of ICRS (International Centre for Robotic Surgery). What is ICRS all about?
To give you a background, I have been primarily based in the US given that the 70s, and was practising there. I have launched robotic surgical programmes in several countries like Australia, Korea, China, Thailand and Japan. But it has often been a dream for me to supply my service via medicine to India. All through my evolution as a surgeon, I was continually teaching fellow colleagues in India, and in 2002, I performed the 1st robotic surgery in the subcontinent. Given that then, I have hosted several Indian surgeons back in the US who have been enthusiastic about training. But in order for the programmes to flourish in India, and to utilise the full talents of numerous gifted Indian surgeons, there had to be someone on the ground to additional mature their coaching. In 2010, I set up ICRS in India to provide the most sophisticated surgical practices to sufferers in the Indian subcontinent, and to also teach and train surgeons. ICRS is the only centre in India supplying a extensive robotic surgery system. The ICRS consulting group consists of 20 world leaders in the fields of minimally invasive and robotic surgery specialising in Cardiac, Thoracic, Urology, Gynaecology, Common Surgery, Head and Neck and Orthopaedics. The combined robotic surgery expertise of these surgeons is more than 15,000 circumstances — the biggest collective volume in the world.
ICRS has collaborated with Fortis Healthcare to offer onsite surgical expertise to the Fortis network of hospitals. On November 2nd 2012, the very first robotic surgery centre was launched at Fortis Escorts Heart Institute, New Delhi. Fortis ICRS centres will be set up across Fortis hospitals in Mumbai, Gurgaon, Bangalore, Chennai, Kolkata as well as some tier II cities such as Mohali and Jaipur. Fortis ICRS is a massive step forward towards commitment to providing the newest in healthcare in terms of cutting-edge technology and very best-in-class healthcare knowledge. The centres will certainly set new paradigm in robotic surgery in India.
ICRS has also collaborated with Asian Heart Institute ‘India’s Highest Accredited Hospital’ and ‘The Best Private Cardiac Hospital'( as per a CNBC and The Week survey accomplished in 2011) to offer you experience and service in robotic cardiovascular surgery in Mumbai and Western India .
My vision is to establish complete robotic surgery system here in India, building and nurturing talent to make this a longer term reality, and conducting educational forums and seminars to educate the mass on the advantages and outcomes of such a system.
What can developments in this field imply to the country?
Nowadays, robotic surgery is not considered experimental as quite mature programs are now accessible world-wide. Robotic surgery has been practiced for the last 12 years worldwide. Final year about 350,000 robotic procedures were performed globally. Development in this field would mean many a lot more individuals can advantage in India utilising this strategy. This will additional be a boon to the medical tourism business in India.
India was one particular of the very first nations to recognize the potential of healthcare tourism and today is the top location for international health-related tourists. Already in 2004, India has received 150,000 healthcare tourists and this quantity has grown by an impressive 33% by 2008 to 200,000 inbound healthcare tourists. It is estimated that by the year 2015, India will acquire over half a million annual healthcare tourists annually.
Individuals have realized that they have greater choices other than getting nearby healthcare therapy and it is their proper to check elsewhere and take benefit of the fact that the improvement of the implies of transportation along with the net is turning our world into a “international village”.
Two significant motives for travelling to one more country for medical remedy is availability of much more advanced medical technologies with ongoing investigation in the certain field of surgery and reduced medical fees as a lot of patients do not have suitable health-related insurance (or any at all) and when in require of surgery, they can not afford to spend for it in their house nations.
India’s private health-related sector delivers the most advance health-related treatment options and technology available in the world these days. There are 22 robotic systems in diverse centres across India and a talented pool of surgeons performing robotic surgery in different specialities. Further, in nations like USA and Australia, Robotic Surgery procedures cost anyplace among $ 40, 000 – $ 75, 000 which is approximately 4 times much more than the price prevailing in India.
The most sophisticated healthcare service is now accessible right here at a fraction of price compared to other nations. And right after receiving medical therapy and recovering, sufferers are free to maintain travelling and take pleasure in a trip in India and the nations surrounding it as India is situated in the heart of East Asia.
I strongly believe that Robotic Surgery will provide a increase to the already current health-related tourism market in India and will bring income and prestige to the nation. We expect many medical value trips / tourism facilitators to partner with programs like ours to additional develop awareness internationally and additional enhance our reach in medical service and science.
What’s the greatest way to schedule an appointment with you or to receive far more details about International Centre for Robotic Surgery?
You can reach us through the following mediums:
Call: 9PM IST – 6PM IST: 011 – 47134472
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Saroj Srivastava, 65, a former diplomat, on whom India’s very first ever robotic double vessel bypass procedure was performed, says, “I was petrified about undergoing a bypass, as it includes opening the chest and cutting the breastbone to access the heart. But then I was told that a robotic bypass includes making just four fingertip-sized incisions in the body and that, it results in less blood loss, much less discomfort and significantly quicker recovery.” Srivastava decided to go for it and was enjoying breakfast with her family the really subsequent day of the surgery. Discharged just three days later, she says smiling, “I was up and about within a week’s time. I am glad I opted for it.
The benefits of robotic surgery are not just restricted to the heart. Robotic surgery can be applied in other specialities as effectively. Take for instance, the case of Deepa Vaid,44, who had been suffering from excessive bleeding due to uterine fibroids and was advised to undergo a hysterectomy. Says Vaid, “I was so stressed out.” My husband was suffering from serious back pain, so I was taking care of my two youngsters, my 85 year old mother-in-law and a enterprise all on my own. I had noticed my niece undergo laparoscopic hysterectomy. She had so a lot trouble just altering side and was bed-ridden for over a month. I could not afford such a lengthy recovery time!” So, when her gynaecologist informed her that with robotic surgery, she will not have to go by way of that ordeal, she was relieved. “It was practically nothing significantly less than miraculous!”, she says. ” I was discharged in just two days and was back at function in a week! There was hardly any blood loss, minimal pain and negligible scarring – and no need to have to even change the dressing.”
Drastically, robotic surgery is also endorsed by men and women in rural India, like 72 year old farmer Dharampal Singh from Bela village, Haryana. Singh’s son Prahlad who’s a BSF constable recounts, “An open heart process would have meant a month or more of bed rest. My father weighed about 115kgs and assisting him sit or get up from the bed would have been difficult.” So, following consulting with BSF physicians, they decided to opt for a robotic bypass. “My father was residence in just six days and on his feet quickly after. That also with out possessing his chest split wide open!” Singh, who has turn out to be the village celebrity, had a extremely sensible explanation to go robot. “Is umar me maut se kisko darr lagta hai? Par kaun maheeno bistar pakadkar rehna chahta hai? (Who is afraid of death at this age? But who would want to be bed-ridden for months?), he says.
Be it a septuagenarian or little kids, this new procedure is giving hope to numerous in India. Take the case of one year old Aditya Khandelwal from Kota, Rajasthan, who was suffering from Vesico Ureteral Reflux (VUR) – a situation in which the valve between the ureters (the tubes that carry urine away from the kidneys) and the bladder does not function appropriately. Says father Dr. Anish Kandelwal, a general practitioner, ” For eight months, he had recurrent infection, higher fever and was losing weight. We brought him to Delhi and go for robotic ureteric re-implantation. If we had opted for the open procedure, it would have been extremely painful for my little boy – particularly the 48 hours after the anaesthesia wears off. It would have taken him at least a couple of months to recover. Also, post operative care would have been very difficult, as restraining a one particular year old from playing and generating sudden jerky movements is tough. Adds Aditya’s mother, “At no point did I feel that my son was undergoing a key surgery. He was playing in his room just two days right after the operation.” So what made this attainable? Robotic Urologist Dr, Anant Kumar, who performed the operation on Aditya explained, “Easy access to small infant structures produced the surgery precise and less difficult, which would not have been possible with rigid laparoscopic instruments.