Aster RV doctors successfully perform neuromonitoring on 5 day old baby with cervical meningomyelocele

12 September 2020, Bangalore: In a first, doctors at Aster RV Hospital successfully operated on a 5 day old baby having a cervical myelomeningocele using neuromonitoring. As per medical literature, the youngest baby on whom neuromonitoring has been successfully performed is 15 days old, making this case a first of its kind.
Cervical Myelomeningocele is a very rare condition characterised by a swelling in the back of the neck since birth due to improper development of the nervous system. The swelling was initially found on the foetus during a routine ultrasound. The child’s mother, a 28 year old bank employee working in Karnataka was then referred to Aster RV Hospital, J.P. Nagar for further treatment.
An MRI on the child, Priti Das (name changed on request), revealed a 10×10 cm in size swelling on the baby’s neck, which was tense and looked like it was about to give way. The swelling was too large and would affect growth of the child. If it ruptured, it could lead to a brain infection which could be life-threatening.
“Neural tube defects like meningomyelocoele are generally diagnosed before the 5th month of pregnancy. This patient consulted us at the 7th month of pregnancy with a scan report showing a swelling near the baby’s neck. In such cases, we have to make sure that the meningocoele does not rupture during the delivery as it is like a thin inflated balloon,” explained Dr. Sunil Eshwar, Lead Consultant, Department of Obstetrics & Gynecology at Aster RV Hospital
In June 2020, the baby was delivered through Caesarean section and an emergency surgery was planned to excise the swelling. In order to increase the margin of safety and accurately remove the swelling, the doctors performed neuromonitoring. It was a critical surgery due to the small age of the child. If the spinal cord is injured during surgery then the child would have a lifelong neurologic deficit.
Neuromonitoring is a technique where the brain is stimulated with small amounts of current by stimulating electrodes placed in the scalp. This electric current passes through the spinal cord and reaches the limb muscles where it is recorded. This creates a feedback system which warns the surgeon of possible injury to vital neural structures, ensuring s/he alters or stops the surgery.
“We could remove the swelling safely without causing any damage to the spinal cord. Neuromonitoring is a recent advance in neurosurgery and its application in infants & new-borns is being explored as their nervous system is still developing. Through this case, we would like to highlight that it is possible to yield successful results even in very young children,” said Dr. Dhananjaya I Bhat, Senior Consultant Neurosurgery, Aster RV Hospital.
Surgery was performed successfully and child was discharged after 3 days. The child is on regular follow-up and the wound has healed without any complications. At present the child is active, doing well and having normal development.
“I was overjoyed as this is my first pregnancy but worried when we learnt about the condition. Because of the pandemic we were even more stressed however the doctors at Aster RV were compassionate and explained how we could overcome the situation. All Covid-19 precautions were taken and the surgery went well. Priti is healthy and happy and I am happy to be with her,” said the mother of the infant.

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Liver Helpline India Provides Information for International Patients to Take Liver Transplant Procedure in India

Liver Helpline India provides information for international patients to take their medication in India. The goal is to help more people with liver diseases.

Liver Helpline India, one of India’s liver transplants helpline center, conducted by Dr. Shailendra Lalwani, announces that they provide comprehensive information for international patients who are seeking liver medication in India. The purpose of this service is to help more people with liver disease to get proper medication. This is also because millions of people around the world are diagnosed with liver disease. The worst part is the medical centers in their countries don’t have tools or professionals to handle the problem. The representative of the Liver Helpline India explained, “Liver disease is one of the deadliest diseases. This disease causes up to over 1.16 million deaths in 2019. It attacks adults and even children. We can’t let this problem go without any solution. That’s why we try to facilitate people around the world to come to our country for liver transplant. International patients only have to follow the procedure before taking the liver transplantation in India.”

The liver transplantation in India by Dr. Shailendra Lalwani specializes in several procedures. International patients can consult about acute liver failure, liver disease because of alcohol, biliary disease, and hepatitis. The procedure also covers a liver transplant procedure for children. The Liver Helpline India representative stated, “Crucial thing in the liver transplant procedure is finding the most compatible donor. One of the roles of liver transplant in Delhi is to find the best donor for the patient. The donors also have to send their health reports. The professional team from the transplant center will check the health reports. The team has to match the patient and donor as well as make sure that they are ready to do the transplant procedure.”

Liver Helpline India representative also explained, “International patients can consult about their plan to do a liver transplant procedure with us. They can ask anything they want to know, including liver transplant cost in India. Once they are ready, they can fill the requirements before starting a liver transplant procedure in one of the reliable liver transplants in India. It takes time, but the procedure is for the safety of the patient and donor.”

About Liver Helpline India:

Liver Helpline India is a liver transplant helpline center in Delhi, India. The liver transplant by Dr. Shailendra Lalwani is ready to handle a variety of problems such as acute liver failure, alcoholic liver disease, biliary disease, hepatitis, and others. LIver transplant and treatment by Dr. Shailendra Lalwani also welcomes international patients.

For more information, please visit https://www.liverhelplineindia.com.

Email: livertransplanthelpline@gmail.com 

Phone: +91-9650915455

Address: Palam Vihar, Sector 6 Dwarka

City: New Delhi 110075

State: Delhi

Country: India

Contact Person: Dr. Shailendra Lalwani

Fluoroscopy Equipment Market | Use of Fluoroscopy in Pain Management

The report “Fluoroscopy Equipment Market by Product (Fixed C-arms, Fluoroscopy Systems (Remote Controlled), Mobile C-arms), and Application (Diagnostic (Cardiology, Gastroenterology), Surgical (Orthopedic, Cardiovascular) – Analysis & Global Forecast to 2024”, The global fluoroscopy equipment market is projected to reach USD 7.1 billion by 2024 from USD 5.7 billion in 2019, at a CAGR of 4.4%. The major factors driving the growth of the fluoroscopy equipment are the advantages of FPDs over image intensifiers, the use of fluoroscopy in pain management, reimbursement cuts for analog radiography systems, rising geriatric population, growing prevalence of chronic diseases, and awareness programs, conferences, and funding activities.
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What Drives the Market?
• Advantages of FPDs Over Image Intensifiers
• Use of Fluoroscopy in Pain Management
• Reimbursement Cuts for Analog Radiography Systems
• Rising Geriatric Population and Growing Chronic Disease Prevalence
• Awareness Programs, Conferences, and Funding Activities
However, the market is projected to register the highest CAGR of 5.4% during the forecast period primarily due to the growing geriatric population and the healthcare reforms and government initiatives & investments in several countries.
On the basis of product, the fluoroscopy equipment market is segmented into fixed C-arms, fluoroscopy systems, and mobile C-arms. The mobile C-arms segment is projected to register the highest growth during the forecast period. The rising prevalence of cardiovascular diseases and the increasing number of orthopedic surgeries are some of the major factors driving the growth of the mobile C-arms market. C-arms are used for a wide range of applications, including surgeries for cardiovascular diseases, neurosurgeries, and surgeries for gastroenterology, orthopedics, traumatology, and urology disorders.
On the basis of application, the fluoroscopy equipment market is segmented into diagnostic applications and surgical applications. The diagnostic applications market is further segmented into cardiology, gastroenterology, urology & nephrology, and other diagnostic applications (orthopedics, neurology, and gynecology), while the surgical applications market covers the market for C-arms in orthopedic and trauma surgeries, neurosurgeries, cardiovascular surgeries, gastrointestinal surgeries, and other surgical applications.
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Recent Developments:
• In 2019, Siemens Healthineers (Germany) launched the Artis icono biplane, an angiography system with special functions for neuroradiology.
• In 2019, Philips (Netherlands) launched the Zenition mobile C-arm platform.

Bed Monitoring System Market | Rising Adoption of Unobtrusive Monitoring Solutions

[86 Pages Report] The bed monitoring system market is expected to grow from USD 1.3 billion in 2019 to USD 1.9 billion by 2024, at a CAGR of 7.9% during the forecast period.
The report covered sensor pads or smart mattresses embedded with the sensors for bedsore monitoring, baby monitoring, elderly monitoring, and sleep monitoring. The growth of this market is driven primarily by factors such as growing investments in healthcare infrastructural development, increasing elderly population, rising adoption of unobtrusive monitoring solutions, increasing focus on reducing the treatment cost of pressure ulcer & fall injuries and increasing online availability & purchase of products. However, lack of awareness and acceptance of the products in developing countries is expected to restrain the growth of this market during the forecast period.
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APAC market is projected to grow at the highest CAGR during the forecast period
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Key Market Players
The prominent players in this market include Early Sense (US), EMFIT (Finland), Eight Sleep (US), Smart Caregiver Corporation (US), Wellsense (US), Tekscan (US), Lenovo Group (Hong Kong) and Sleep Number Corporation (US).
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