brain and spine surgeries

Brain and Spine SurgeriesSakra Institute of Neuro sciences

Team of experts:Our team of specialists with a combined experience of more than 30 years has performed over 40,000 surgeries with a remarkable rate of success that has enabled patients to return back to their daily routine in a matter of few days. Sakra Institute of Neurosciences is in constant pursuit to achieve the highest position in terms of quality of care and has attracted talented professionals to provide personalized care and innovative solutions to neurological problems at varying levels of complexities.

The Department of Neurosurgery at Sakra is one of the leading edges of treating neurological conditions using the latest innovations and techniques in neurosurgery such as Neuro Navigation system, Biplane Hybrid OT, Endoscopic Neurosurgery theater, Spine Surgery theater with image guidance and Deep Brain Stimulation surgery as well as Epilepsy Surgery procedures

What makes Sakra different from other medical centers?Sakra is one of the top neurology providers in the country. The departments of Neuro-radiology, neuro- inhabitation, neuro-nurses, neuro- intensives work form a well-integrated and dedicated team. This well-integration among our team members provide our patients various benefits such as faster recovery, early return to work and cost effectiveness along with the best treatment and care.

The Sakra Institute of Neuroscience aims at fostering talent and collaboration among people with a passion for understanding the complex nature of the nervous system and applying this knowledge to enhance human health and quality of life. The institute has made significant advancements in the detection, diagnosis, and treatment of strokes, brain and spinal tumours, acoustic tumours, aneurysms, epilepsy, traumatic injuries, neurovascular diseases, pain, and trauma. Under the umbrella of Sakra Institute of Neurosciences, the two distinct departments provide a comprehensive array of neurosurgical and neurological services for the people of Bangalore and beyond.

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Introduction

Uniqueness at Sakra:1. We maintain the standardization of care

2. We use high technology- Neuro-rehabilitation: neuromonitoring is done at the senior most level- best for Intra-operative. Our surgeons work in collaboration with neuro-rehabilitation technicians to give better results.

3. Our follow-up rate is 95%.

The Department of Neurosurgery is staffed by a team of clinicians highly trained in all facets of neurosciences, including neuro-oncology, spinal neurosurgery, and epilepsy surgery among others.

Key procedures:• We provide a full spectrum of neurosurgery that includes tumour surgery,

vascular surgery, spine surgery, movement epilepsy, movement disorder procedures, trauma and spinal tumour surgery.

• Among tumour surgery, skull-based tumours surgery is the most commonly performed. Moreover, we have exhaustive experience in dealing with pituitary tumours, acoustic tumours and skull-based meningioma, For example, in pituitary tumours, we carry out both endoscopic and micro-surgical procedures which is unique at Sakra Institute of Neuroscience.

• In acoustic tumours the key is facial preservation and brain-stem preservation, both are done extremely well at our department and have achieved excellent results.

• We have vast experience of neuro-vascular procedures involving cerebrovascular aneurysm, arteriovenous malformations (AVMs), and tumour embolization.

• Another specialty at the department of neurosurgery is that we are highly experienced in performing complex procedures such as

• Intra-medullary tumours which are the tumours that grow inside the spinal cord, most frequently occurring in the cervical region. We have unique experience in dealing with this complex procedure with 85-90% success rate.

• Among cranio-vertebral junctions, Sakra ranks the highest series in the state. We carry out meningioma neurofibroma, among others with 90-95% of success rate with significant recovery pattern where patients hardly go to ventilators.

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Overview:

Dr. Satish Rudrappa is one of the most eminent and distinguished Senior

Neurosurgeons in India. He has done his M.B.B.S from Karnataka Medical College,

Hubli in the year 1990. He completed M.Ch (Neurosurgery) at the prestigious

National Institute of Mental Health and Neurosciences (NIMHANS) in the year 1995

where he was awarded gold medal for “Best Outgoing Student”. This was followed

by a Fellowship in Complex Spine Surgery from Detroit Medical Centre, Detroit,

Michigan, USA, Thoracoscopic Spine training from Barrow Neurological Institute,

Phoenix, USA and a Fellowship of Microvascular Anastomosis at Henry Ford

Hospital, USA. Dr. Satish.R was a visiting Prof. of Neurosurgery at Louisiana State

University, Shreveport, USA, and has extensively worked and taught skull base

surgical skills and cadaver dissection techniques. At present he is the Director of

Institute of Neurosciences, Senior Consultant Neurosurgery & Head - Department of

Spine Surgery at SAKRA WORLD HOSPITAL, BANGALORE.

Areas of Expertise:

Skull Base tumor surgery, Brain Tumor surgery, Epilepsy surgery, Complex Spine

surgery with or without Instrumentation, Craniovertebral Anomalies, Complex Spine

& Reconstructive surgery, Spinal Cord Tumor surgery.

Dr. Satish RudrappaDirector - Neurosciences,Senior Consultant Neurosurgery, Head - Dept. of Spine Surgery,M.Ch(Neuro), FASS(USA),Diploma of Fellowship FRCS (Glasg)Department - Institute of Neurosciences

Our Doctors

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Awards & Recognitions:

• Has performed more than 6200 brain surgeries & 5800 complex spine surgeries.

(Microsurgery), with an overall experience of more than 12000 procedures for

Brain and Spine.

• He was the first person in India to perform Image Guided Spine and Brain Surgery.

• He has given more than 200 presentations in various medical forums at National

& International levels and has multiple publications in peer reviewed International

Journals.

• He is the Trustee of 'Sukriya' an NGO that mainly offers medical help to the

economically weaker sections suffering from curable illness.

• He was awarded the Silver Jubilee 'Gold Medal' for the best outgoing student

from NIMHANS University.

• "Lee Foundation Award" from Singapore. - Kempegowda Award 2011 for

Community Service.

• "Paul Harris Fellow" from Rotary International. - Distinguished Rotarian 2013 for

rendering excellent community services.

• Awarded as one of the Navarathna of Rotary International Dist. 3190 for

community services.

• "Rotary Ratna Award" 2016 in recognition of being an Exemplary representative

of his vocation, Living up to the highest ideals of rotary and for selfless service to

Rotary International 3190.

• He is now a visiting Professor of Neurosurgery at Hokkaido University, Sapporo,

Japan and from 2016 onwards he is the “Education Officer (Neurosurgery)” of

AOSpine Asia Pacific and Director of AOSpine Referral Center.

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Overview:Dr. Swaroop Gopal is Senior Consultant and Head of Neurosurgery, with over 20 years of Neurosurgical experience. Operative neurosurgery is his “Forte”. His surgical experience grosses to more than 20000 procedures for both brain and spine problems. On an average about 500 procedures every year. He has been an independently functioning neurosurgeon since 1993. He Sub-specializes in Vascular Neurosurgery, Endovascular Neurosurgery, Neuro-Oncology, and Neuro Endoscopy. Specially interested in surgery for stroke prevention. His passion is Vascular Neurosurgery and surgery for Stroke prevention.

He has operated upon all varieties of anterior circulation and posterior circulation aneurysms, more than 500 until date. Multiple aneurysms, bilateral aneuryms, giant aneurysms and aneurysmal surgery under hypothermia and low flow state have been encountered. He has also performed a reasonable quantum of AVM surgery both supra and infratentorial. He also has a large experience of all Brain bypass procedures, low flow to high flow. Extracranial vascular surgery also enthralls him. He is one of the few neurosurgeons in the country routinely performing carotid endarterectomy. He is also a trained Endovascular neurosurgeon and performs about 75-100 angiographic procedures every year including diagnostic and therapeutic procedures. He has also performed Aneurysm coiling, intracranial stents, flow diversion, AVM embolization, carotid stenting with distal protection. Diagnostic stereotaxy has been a routine part of his armamentarium since 1993. He has an experience of more than 300 stereotactic biopsies, stereotaxy guided craniotomies, and stereotaxy guided catheter placements for drainage purposes and infusion therapies for trial-related medication infusion..

Dr. Swaroop GopalSenior Consultant - Neuro Surgery & Director - NeuroscienceM.Ch (Neurosurgery) FASS (USA)Department - Institute of Neurosciences

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Areas of Expertise:- Neurovascular surgery

- Endovascular neurosurgery

- Neuro endoscopy procedures Cranial and Nasal Stereotaxy

- Carotid Endartectomy

- Aneurysm coiling

- Embolization

- Cerebrovascular - aneurysms and arteriovenous malformations (AVMs) and stroke

- Neuro-oncology (brain tumours)

- Spinal neurosurgery

- Functional and epilepsy neurosurgery

- General neurosurgery

- Trigeminal neuralgia and nerve compression syndromes

- Peripheral nerve injury

- Extra cranial vascular surgery

- Neuro Interventional procedures

- Radiosurgery

Awards & Recognitions:• Silver Jubilee Gold medal (NIMHANS),

• Hargobind Foundation travelling Fellowship (UK), International Cancer Research Foundation Fellowship (UK),

• Endovascular training (USA),

• High credentials during MBBS, College and School,

• Performed the first Brain-bypass procedure in Karnataka State in 2008,

• Has the largest experience in Brain Bypass procedures in the state,

• Performed the first Brain-bypass procedure in Karnataka State in 2008,

• Has published more than 100 publications and presentations in both international and national journals,

• Have morbidity and mortality rates which are lower and comparable internationally,

• Member of several International and National Neurosurgical Societies

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Outer Ring Road, Marathahalli, Opp. Intel, Behind Passport Office, Bangalore - 560103.www.sakraworldhospital.com

Institute of:

Cardiac SciencesNeurosciences

Bone and Joints

Digestive & HPB Sciences

Rehabilitation Sciences

Renal Sciences

Women & Child Health

Sakra Super Specialties

For quiries +91 80 4969 4969en contact:

Sakra Instituteof Bone and Joints

IntroductionSakra Bone and Joint Institute is a super-specialty institute which aims to provide

world-class, evidence-based treatment for various Orthopaedic disorders and

sports injuries. The Sakra Centre for Orthopaedics is at the forefront in offering the

latest in orthopaedic treatments and surgical techniques. The centre perform

complicated and advanced surgical procedures like joint preserving surgeries

including cartilage transfers, knee resurfacing, arthroscopic ligament

reconstructions, joint replacement and complex fracture management. Our team of

highly skilled and dedicated orthopaedic surgeons who have trained extensively in

their respective fields are led by Dr Chandrashekar P.

Services:At Sakra World Hospital, we have a team of highly skilled and dedicated Orthopaedic Surgeons who have trained extensively in their respective fields are led by some of the senior-most internationally acclaimed knee and joint replacement surgeons with the latest being knee resurfacing surgeries.

At Bone & Joint Center we are equipped with advanced cutting edge technology, like:

Ÿ Computer Navigation System

Ÿ Intraoperative CT scan

Ÿ High Definition Cameras

Ÿ Arthroscopic Equipment for performing technically challenging procedures

Ÿ First of its kind Level One Trauma care

We own a modern rehabilitation department with Electrotherapy equipment and the state-of-the art gym for rehabilitation. There is a dedicated team of rehabilitation specialists that provides excellent pre, intra and post-operative care. We have experienced and dedicated Rheumatologist for managing Arthritis patients. Our team of doctors is supported by highly experienced physiotherapists and occupational Therapist that provide out-patient, in-patient as well as domiciliary care to the patients.

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Overview:Dr. Chandrashekar P is a renowned Orthopaedic Surgeon with keen interest in Joint Replacement and Arthroscopy Surgeries of the Knee, Shoulder, and Hip. Presently, he is serving as Senior Consultant and Head of Orthopedics, Sakra World Hospital. He is one of the leading Joint Replacement and Arthroscopy Surgeon in India treating patients from different states and many countries all over the world. Dr. Chandrashekar P is one of the few surgeons in the country to perform Advanced Arthroscopy and Knee Replacement Surgeries. After joining Sakra World Hospital he has performed more than 6000 surgeries and to his credit, he has performed more than 2000 Joint Replacement and Arthroscopy Surgeries in Sakra World Hospital and more than 10,000 such procedures so far.

He is a pioneer in minimally Invasive computer assisted knee peplacement in India and also one of the few surgeons performing Meniscal Repairs and Autologous Chondrocyte Implantation in the state.

Qualification:After finishing his MS (Orthopaedics), Dr. Chandrashekar P. did his Fellowship Training in Joint Replacement and Trauma at Bombay Hospital, Mumbai and moved to Germany and Belgium for his Joint Replacement and Arthroscopy Training. He undertook Shoulder Arthroscopy and Replacement Fellowship training in South Korea. Dr. Chandrashekar completed Knee Resurfacing Surgery training in the USA and is one of the first in Karnataka to do the same, making him a pioneer in this technique.

Areas of Expertise: Dr. Chandrashekar. P has expertise in Knee Resurfacing Surgery, Meniscal Transplant, Minimally Invasive computer assisted Knee Replacement Surgery, Custom-fit Knee Replacement, Unicompartmental Knee Replacement, Patellofemoral Replacement; Hip Resurfacing and Revision Surgery for Failed Replacements.

Our Doctors

Dr. Chandrashekar P. Sr. Consultant & HOD - Orthopedics MS (Orthopaedics), FIJS (Germany, USA and Belgium), FISS (S. Korea) Department - Orthopaedics

His expertise includes –Ÿ Arthroscopy & Sports Medicine

Ÿ Ligament Reconstruction

Ÿ Meniscectomy

Ÿ Meniscal Repairs

Ÿ Multiple Ligament Injuries

Ÿ Surgery for Instability and Recurrent Dislocations

Ÿ Rotator Cuff Tears and SLAP Tears

Ÿ Chondral Stem Cell Grafting (Harvested Autologous Cartilage Culture Transfer)

Ÿ Mosaicplasty&Microfracture

Ÿ Meniscal transplant

Awards & Recognitions: Ÿ First Orthopedic surgeon to start knee resurfacing surgery in South India and has

the highest number of surgeries in India

Ÿ First Orthopedic surgeon to start minimally invasive computer assisted knee replacement surgery in our state and has the highest numbers

Ÿ First Orthopedic surgeon to do computer assisted partial knee replacement in South India.

Ÿ First Orthopedic surgeon to perform Ultra button ACL Reconstruction in the state

Ÿ First Orthopedic surgeon to start Persona Knee with computer technology

Ÿ First Orthopedic surgeon to introduce Columbus AS Knee in our state

Ÿ First Orthopedic surgeon to introduce Verilast Knee Technology- Knee Replacement in our state

Ÿ Apart from Knee and Hip Replacement , Dr. Chandrashekar P performs key hole surgeries of the knee and has performed more than 2500 such procedures.

Ÿ He has participated at many national and international conferences as guest speaker and has performed live surgeries in conferences.

Ÿ Dr. Chandrashekar. P has a special interest in Arthritis in young patients and he did the first Knee Resurfacing Surgery in Karnataka. He is one of the pioneers of this technique in India.

Ÿ He has authored publications on Custom Fit Knee Replacement and Knee Resurfacing Surgeries.

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OverviewDr Banarji B.H is a renowned Orthopaedic Surgeon specialised in the field of Shoulder and Upperlimb disorders and Arthroscopy & Sports medicine. He is one of the most renowned surgeons in the shoulder & Upper limb sector. Before joining Sakra World Hospital, he was working in MS Ramaiah Hospital, Bangalore, from June 2006 to October 2014.

Qualification:After finishing his MS (Orthopaedics), he worked under some of the most renowned surgeons in the country and has completed his fellowship training in Arthroscopy& Sports medicine. He later pursued fellowship in the shoulder and upperlimb arthroscopic surgeries and moved to France for further advanced training in the shoulder and upperlimb reconstructive surgeries.

Areas of Expertise: A specialist in the field of Shoulder Arthoscopy and Upperlimb Reconstructive surgeries, Dr Banarji B is known to be the best shoulder surgeon in Bangalore. He was one of the first surgeons to perform key hole surgeries of Shoulder and Elbow joint in Karnataka and since then, has performed a huge number of keyhole surgeries of the shoulder joint.

Ÿ Arthroscopic Rotator Cuff Repair (Key Hole)

Ÿ Arthroscopic Bankart repair

Ÿ Arthroscopic Frozen Shoulder Release

Ÿ Arthroscopic Shoulder Decompression

Ÿ Arthroscopic Nerve Release

Ÿ Arthroscopic Bone-block Reconstruction

Ÿ Shoulder replacement Surgery

Ÿ Stem cell treatment in Shoulder problems.

Dr. Banarji B.HSenior Consultant - OrthopedicsMS (Orthopaedics), FASM,FASS, Fellow in Advanced Shoulder & upper limb surgeries(France)Department - Orthopaedics

Awards & Recognitions: Ÿ Dr Banarji B.H has treated many patients from all parts of the country and has

treated several sports person right from the local sporting bodies to national sportsmen.

Ÿ He has organised several workshops and CME`s and also been Axan instructor for various surgical training workshops.

Ÿ He has delivered guest lectures at national and international conferences and has authored several publications.

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Institute of:


Bone and Joints



Renal Sciences




Sakra Institute of Cardiac SciencesCardiothoracic & Vascular Surgery | Interventional Cardiology

The Department of Cardiac Sciences has an integrated health care approach with a dedicated panel of Cardiac Surgeons and Cardiologists who have a team to provide comprehensive, multidisciplinary care to patients suffering from heart ailments. Our team of doctors, nurses, technicians and other heart experts are there to ensure unparalleled excellence in patient care, education and research. Our team is highly specialized and has years of experience and expertise in cardiac sciences, which helps us to treat the significant surgeries like minimally invasive cardiac surgery, VATS - Video-assisted thoracoscopic surgery, Keyhole lung surgery, keyhole heart surgery, etc.

Overview

- Modern beating-heart surgery- Minimally invasive surgery- Paediatric cardiovascular surgery- Thoracic Aortic Aneurysm Repair(Including Endographs)- Coronary Artery Bypass Graft (CABG)- Valve Repair and Replacement- Ross Procedure- Arrhythmia Surgery- Cardioversion- Pacemaker- Implantable Cardioverter Defibrillator (ICD)- Maze Procedure- Convergent Procedure- Heart Transplantation- Ventricular Assist Device (VAD)- Transmyocardial Revascularization (TMR)- Least Invasive Cardiac Surgery (LICS)

Services

The cardio thoracic department at Sakra is one of the best equipped and well-staffed teams that the hospital can speak about. This department mainly deals with the ailments and surgical procedures affecting the internal organs inside the thorax or the chest. It generally takes care of treatments of conditions involving the heart and the lungs. Our department offers virtually every type of elective and emergent surgery for heart valve disease, coronary artery disease, atrial fibrillation, aortic aneurysm and congestive heart failure.

Our surgeons are not only experts in traditional cardiac surgery techniques, but are also on the forefront of emerging technologies to treat the full spectrum of congenital and degenerative cardiac conditions. CTVS surgeons have been instrumental in implementing cardiac programs from heart transplantation to minimally-invasive cardiac surgery.

Introduction

Our Doctors

Dr. Adil SadiqSenior Consultant & Head - Adult Cardiac SurgeryMS (Gen.Surgery), MCh (CVTS), FACS (USA), FMICS (USA)Department - Institute of Cardiac Sciences

Overview:Dr. Adil Sadiq has the distinction of probably being the only cardiac surgeon in South India, who is trained in robotic cardiac surgery. He is one of the very few surgeons in the country, who has extensive experience in minimally invasive cardiac surgery (MICS CABG), including endoscopic approaches and is one of the very few surgeons performing Video-Assisted Thoracoscopic Surgery (VATS) in this part of the country. He has performed over 6000 Cardiac Surgeries, 2000 thoracic procedures and 65 Heart and Lung transplants which speak volumes about his success in critical surgeries.

His practice encompasses the entire spectrum of cardiac, thoracic and vascular surgery with special interests in minimally invasive surgery, complicated redo-heart surgery, and aortic valve repairs. Before joining Sakra World Hospital, he was a Senior Consultant, Cardiothoracic and Vascular Surgery at Apollo Hospitals, Bangalore for around two years.

Qualification:Dr. Adil Sadiq, having completed his medical degree from Bangalore medical college, his Masters in General Surgery from Kasturba Medical College, Manipal, and MCh from Sree Chitra Institute. He went on to complete his an American Graduate Medical Education accredited three-year specialized training in Cardiothoracic surgery with Emory university, Atlanta, USA. He also completed a six-month fellowship with the Children’s Hospital, Atlanta, USA, rated as one of the top-five Paediatric heart surgical centres in the US. His prior appointments include Chief, Cardiothoracic Fellow for the Emory Group of Hospitals, Atlanta, USA, as well as the Veterans Affairs Hospital, Atlanta USA.

Areas of Expertise:Dr Adil Sadiq's areas of expertise encompasses the entire spectrum of cardiac science which makes him as one of the best cardiac surgeon in Bangalore. He is specialised in:• Cardiothoracic & vascular surgery • Minimally invasive cardiac surgery • Ozaki procedure

• Minimally invasive valve surgery • Total arterial beating heart revascularization

• Keyhole heart surgery • Complicated redo-heart surgery • Valve repairs

• Keyhole vascular surgery • VATS - Video-assisted thoracoscopic surgery

• Bypass surgery • Congenital cardiac surgery

Overview

Department of Cardiac Sciences at Sakra is equipped with the following advanced machines for the various services rendered by the department:Non-invasive cardiology lab:Ÿ iE33matrix Echocardiography systemŸ HD 15 echocardiography systemŸ Treadmill machineŸ Tilt tableŸ Holter machinesŸ Ambulatory BP monitorInvasive Cardiology:Ÿ Philips FD10 cath labŸ Philips FD 20 Hybrid biplane cath lab

Services

The department of cardiology at Sakra World Hospital is a dedicated heart care centre. Boasting a team of the best talents available in the field of cardiac surgery and cardiology, this department aims to provide the best possible, comprehensive and multidisciplinary heart care services. The team is provided ample support with top of the line equipment and machinery, to complement their vast experience and talent. We have an interventional team working round the clock providing timely and appropriate procedures such as primary coronary angioplasties and stenting. We also have an electrophysiology team with all matters relating to the field such as radiofrequency ablations, pacemakers and device implants, and resynchronisation therapy.

Advanced technology like three dimensional mapping will lets our electro physiologists perform the most complex RF ablations with ease. Our preventive Cardiology programme helps identify patients at high risk and take appropriate preventive measures. Our 128 slice Multi-detector CT provides high resolution images of the coronary arteries enabling in early detection of heart disease. Cardiac MRI, 3D echocardiography and contrast echocardiography are some of the advanced diagnostic imaging technologies available here.

At Sakra cardiac sciences we dedicate our efforts, time and expertise to people suffering with heart disease enabling them to lead productive and healthy lives.

Awards & Recognitions:• Dr. Adil has numerous publications to his credit in internationally acclaimed peer-reviewed

journals

• He has also authored chapters in three international textbooks of Cardiac surgery

• He has been involved in numerous trials, both nationally and internationally

Keyhole Angioplasty:Keyhole Angioplasty is a minimally invasive procedure which is performed to increase the flow of blood through a narrowed artery. This procedure involves keyhole surgery where a balloon is placed at the narrowing in the blood vessel. When the balloon is inflated, blood vessel should open and allow an adequate amount of blood through a narrowed artery. Keyhole Angioplasty is a procedure which is considered as an alternative to bypass surgery as it takes 30minutes and 2hours for the procedure to be completed, the patient can go home on the same day.At Sakra, we have a team of expert cardiologists who will perform the advanced diagnostic test that uses X-rays to take pictures of your blood vessels to determine where the blockages are. This procedure is known as Angiogram.Interventional Cardiology:Interventional cardiology is a branch of cardiac science that deals with cardiac catheterization procedures to diagnose and treat structural heart disease. Other heart diseases include coronary artery disease, valvular disease, and peripheral vascular disease. The department of cardiac science at Sakra has a team of best Interventional cardiologists in Bangalore who are highly-qualified and with expertise in the treatment of heart diseases. We aim at providing comprehensive cardiac care with customized cardiac rehabilitation programs, making it the choice for Interventional Cardiologists and best heart care hospital.IVUS:IVUS is Intravascular ultrasound procedure that uses sound waves to produce an image of the coronary arteries and view their condition. It is also referred as intravascular echocardiography procedure which uses high-frequency sound waves to create moving pictures of your heart. This procedure will show a detailed visualization of the artery wall and provide significant information about the amount of plaque developed and assess if the individual is at the risk of a heart attack.

Dr. Sreekanth B. ShettySenior Consultant and Head of Interventional CardiologyMBBS, MD (Internal-Medicine), DM (Cardiology)Department - Institute of Cardiac Sciences

Overview:Dr. Sreekanth Shetty performs most of his angioplasties through the Trans-radial route (Through the wrist), even for complex angioplasties such as those involving large side branches (Bifurcation stenting) and for heart attacks (Primary PCI / Heart Attack

Angioplasty). This helps achieve excellent results with great patient comfort and minimal risk of complications.He is also known for his consistent success in opening Chronic Total Occlusions which are considered the final frontier in coronary interventions. He believes in exploring new frontiers to provide the best available care to his patients for the betterment of their lives. He firmly believes in honest communication which allows patients to make fully informed choices.

Qualification:Dr. Shetty is an alumnus of the JJM Medical College, Davanagere (Kuvempu University) where he did his MBBS (1991 – 1996) with distinctions in six subjects. He excelled in clinical and bedside medicine and his exemplary clinical skills were highly appreciated by his peers and teachers alike. He completed his compulsory internship at the Chigateri General Hospital, Bapuji Hospital and Women and Child Hospital at Davanagere where he showed complete commitment and dedication to patient care which would become the foundation for his patient-centric approach in the years to come. Thereafter he secured MD (Internal Medicine) seat at the prestigious KEM Hospital and Seth GS Medical College, Mumbai through the all-India Pre-PG entrance where he scored 29 th rank in the first attempt and completed his post-graduation with a Gold Medal in Mumbai University for the year 2000. He was also the best out-going student for his batch at KEM Hospital and was awarded the “Dr. Palekar Prize “. KEM Hospital is among the premier institutes in India and is sought after by the brightest in the medical field. It provides the most comprehensive training in all branches of Internal medicine and also creates solid grounding in academics and research.In 2004 he completed his DM (Cardiology) from J.J. Hospital and Grant Medical College, Mumbai which is one of the largest state-run hospitals in Maharashtra and is also amongst the premier institutes in India. Here he received intensive training in the entire spectrum of Cardiovascular Medicine ranging from Coronary artery disease, Peripheral Vascular Disease, Congenital Heart disease, Lipidology, Heart Failure, Valvular and other structural heart diseases, Hypertension and Arrhythmia management. Being a very busy hospital with a structured training programme, JJ Hospital provided Dr Shetty with excellent training in Interventional Cardiology and has shaped him into a master interventionist

Areas of Expertise:Coronary angioplasty (Transradial Angioplasty), IVUS (Intra- Vascular Ultrasound), FFR and IFR (Fractional Flow Reserve), Rotablation, Chronic Total Occlusion Angioplasty (CTO angioplasty), Vein Graft Angioplasty, Permanent Pacemaker Implantation, Implantable defibrillator Placement (AICD), Heart Failure Device Implantation (CRT-P and CRT-D), Balloon Valvuloplasty, Device closure of ASD, VSD, PDA,. Peripheral Angioplasty (upper and lower limb vessels), Carotid Angioplasty, Renal Angioplasty, Aortic Interventions (Stent Grafting of Aortic Aneurysm and Dissection – TEVAR, EVAR)

Award & Recognitions:Ÿ He is a proud recipient of many awards and citations from Mumbai University.Ÿ Dr. Shetty is a life member of the “Cardiological Society (CSI) of India”Ÿ Kempegowda Award for 2014 for contribution in the area of healthcare.Ÿ Gold Medallist in Mumbai University for M.D. (Internal Medicine) in the year 2000.Ÿ Third rank in Mumbai University for D.M. (Cardiology) in 2004.

Overview:Dr. Deepak Krishnamurthy is a Senior Consultant Interventional Cardiologist at Sakra World Hospital, Bangalore. He has been associated with Sakra World Hospital from its inception days and has been one of the people instrumental in setting up the Department of Cardiology.Dr. Deepak has been an exceptional, outstanding student and an achiever since his graduation in MBBS at JSS Medical College, University of Mysore, where he bagged several university gold medals in almost every subject right from 1st year to final year. After completing his internship and securing a high rank in the All India MD/MS entrance examinations, he completed his MD (General Medicine) from SMS Medical College, Jaipur. Following his post-graduation in Medicine, Dr. Deepak went on to pursue super-specialisation in Cardiology at the esteemed Sri Sathya Sai Institute of Higher Medical Sciences, Whitefield, Bangalore. Here he had priceless exposure and training in Non-invasive and Interventional Cardiology which led to his achieving the extremely prestigious Wasir Gold Medal in Cardiology at the all India level.His core work constitutes emergency primary angioplasty and complex angioplasties with over 4000 angioplasties performed successfully till date. Dr. Deepak also has immense experience in diagnostic cardiac cath studies, and several peripheral angioplasties and paediatric cardiac interventions. He is adept in device closure procedures for Atrial and Ventricular septal defects (ASD/VSD) and PDA. He has also implanted more than 500 Pacemakers, ICD and CRT devices.Dr. Deepak has expertise in interventional cardiology and he also has a deep passion for preventive cardiology and evidence based management of hypertension, heart failure and lifestyle related cardiac diseases.

Qualification:MD (General Medicine), DNB (Cardiology)

Dr. Deepak KrishnamurthySenior Consultant - Interventional CardiologyMD (General Medicine), DNB (Cardiology)Department - Institute of Cardiac Sciences

Ÿ Several Citations and awards from Mumbai University as under: Dr. V. S. Palekar Prize, the year 2000., Dr. C. S. Patel Gold Medal 2000., Dr. Latif Patel Prize, 2000., Dr. R. B. Billimoria Scholarship., Dr. J. K. Mehta Scholarship., Dr. N. F. Surveyor Memorial Scholarship.

Ÿ Won the best presentation for “A case of stent grafting for a coronary Aneurysm with acute MI” at the ACVS 2012 at Hyderabad.

Area of expertise:Dr. Deepak Krishnamurthy is an expert in primary angioplasty and stenting for acute myocardial infarction and elective coronary angioplasty including complex procedures. He also performs balloon mitral, aortic and pulmonary valvuloplasty, peripheral angioplasties and permanent pacemaker implantations regularly.Dr. Deepak strongly believes in practicing evidence based management of hypertension, heart failure and acute coronary syndromes.His expertise in cardiac interventions include:Ÿ Angioplasty and Stenting (PTCA)Ÿ Emergency Angioplasty (Primary PCI)Ÿ Coronary AngiogramŸ Peripheral AngiogramŸ Cardiac Cath StudyŸ Pacemaker implantationŸ AICD ImplantationŸ CRT ImplantationŸ Balloon ValvuloplastyŸ Device closure of ASD/VSD/PDAŸ Peripheral AngioplastyŸ Renal and Carotid AngioplastyŸ IVC Filter Placement and RetrievalŸ Alcohol Septal Ablation for Hypertrophic Obstructive Cardiomyopathy, (PTSMA)Ÿ Paediatric Cardiac Cath study and Intervention

Award & Recognitions:The Wasir National Gold Medal in Cardiology for his outstanding performance in the DNB Cardiology Examinations at the all India level, 2007.He was the University topper in final MBBS (1998) and was awarded seven gold medals and three awards from the University of Mysore and the Pfizer medallion of merit.Awards:#For Securing The First Rank In Final MBBS Examination Of January 1998 For The University Of Mysore (80th Convocation)Ÿ Dr.D.V.Subbarao Memorial Prize Ÿ Smt.Shantabai Memorial Prize Ÿ His Holiness Sri The Jagadguru Dr.Sri Shivarathri Rajendra Mahaswamiji Of Suttur Mutt

Gold MedalŸ The Armugam Gold MedalŸ Dr.B.K.Ramakrishna Rao Prize Ÿ Dr.P.D.Krishnaswami Memorial Endowment Gold Medal Ÿ Late Smt.Koratagere Lakkamma Memorial Gold Medal Ÿ Sri Shamanur Shivashankarappa Endowment Gold Medal Ÿ Dr.Sri Sri Shivarathri Rajendra Mahaswamiji’s Certificate Of Merit

Ÿ Pfizer Medallion In Medicine And Award Ÿ # For Securing The Highest Marks In Surgery In The Final MBBS Examinations Ÿ Dr.Lalana Narayan Gold Medal Ÿ Dr.M.N.Channabasappa Memorial PrizeŸ He stood 46th in the All India MD/MS entrance examination and joined MD (General

Medicine) at Sawai Man Singh Medical College, Jaipur, Rajasthan, which is a 3000 bedded tertiary care centre.

Publications:Ÿ Balloon Occlusion Study in Assessment of Operability 6in Congenital Left to Right Shunt

Lesions with Severe Pulmonary Artery Hypertension - Deepak K, Reeta Varyani, Manohar S, Barooah B, Dash PK Department of Cardiology, Sri Sathya Sai Institute of Higher Medical Sciences, Bangalore – Indian heart journal 2007 volume 59 No 5 page 6

Ÿ MRI Brain before and after Percutaneous 127Transvenous Mitral Commissurotomy in Individuals at High Risk for Systemic Embolisation - S Chaudappa, AV Praveen, Sunil Kumar, Reeta Varyani, K Deepak, M Sakhare, B Barooah, PK Dash Department of Cardiology, Sri Sathya Sai Institute of Higher Medical Sciences, Bangalore - Indian heart journal 2007 volume 59 No 5 page 127

Ÿ Determinants of Significant Mitral Regurgitation Following Percutaneous Mitral Commissurotomy – K Deepak et al Department of Cardiology, Sri Sathya Sai Institute of Higher Medical Sciences, Bangalore - Indian heart journal – 2004 – 56 – 448

Ÿ Percutaneous transluminal septal myocardial ablation for hypertrophic obstructive cardiomyopathy: immediate and short term follow up results – V Keshavamurthy, K deepak et al Department of Cardiology, Sri Sathya Sai Institute of Higher Medical Sciences, Bangalore - Indian heart journal – 2004 – 56 – 507

Ÿ A review of ECG features on Tetralogy of Fallot in Indian Patients – V Reeta, K Deepak et al Department of Cardiology, Sri Sathya Sai Institute of Higher Medical Sciences, Bangalore- Indian heart journal – 2005 – 56 – 490

Ÿ Complications of Catheter based interventions in Paediatric age group – Reeta Varyani, Deepak K et al Department of Cardiology, Sri Sathya Sai Institute of Higher Medical Sciences, Bangalore - PCSI – New Delhi – 2006

Ÿ Pulmonary valve balloon dilatation: Immediate and short term follow up results – V Keshavamurthy, Deepak K et al Department of Cardiology, Sri Sathya Sai Institute of Higher Medical Sciences, Bangalore- Indian heart journal – 2004 – 56 – 472

Ÿ Aortic valve balloon dilatation in Congenital Bicuspid Aortic valve stenosis – Immediate and short term follow up results – Deepak.K, Reeta Varyani, Keshavamurthy.V, Barooah B, Dash PK Department of Cardiology, Sri Sathya Sai Institute of Higher Medical Sciences, Bangalore – Indian heart journal – 2005 – 57

Ÿ Rheumatologic complications of type 2 Diabetes mellitus – A largely overlooked yet important entity – Renu Saigal, Deepak K et al Dept of Internal medicine, SMS Medical college and Hospital, Jaipur – Novel Science International Journal of Medical Science, 2012, 1(7) - 226-231


Institute of:


Bone and Joints



Renal Sciences




Medical GastroenterologySakra Institute of Digestive and HPB Sciences

The Sakra Institute of Digestive and HPB (Hepato-pancreato-biliary) sciences has

two departments i.e Medical and Surgical. At Sakra World Hospital, we strive to offer

the patients with comprehensive multidisciplinary approach for all Gastrointestinal /

Liver / Pancreatic / Gall bladder related problems.

The Medical Gastroenterology team has dedicated, qualified, experienced team

which provides the clinical evaluation; state of art endoscopy suites with focus on

high end technology; emphasis on patient safety; disinfection protocols; with high

ethical values. We have excellent supporting team which includes experienced GI

surgeons, Interventional radiologist, GI pathologist, ICU specialist and

Anaesthesiologists.

The Department focus is on:

Ÿ Minimally Invasive Advanced Interventional Endoscopy services

Ÿ Gastrointestinal Physiology Lab

Ÿ Liver Unit

Ÿ Endoscopic Treatment of Obesity

Ÿ Luminal Clinical

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Introduction

The Sakra Institute of Digestive and HPB (Hepato-pancreato-biliary) Sciences has two divisions, i.e. Medical and Surgical. At Sakra World Hospital, we strive to offer the patients a comprehensive multidisciplinary approach for the full spectrum of gastrointestinal, liver, pancreas and biliary diseases.

The medical division provides a state-of-the-art diagnostic and therapeutic services

for patients of digestive, liver and pancreato-biliary diseases. It has all diagnostic

endoscopy facilities along with interventional procedures for GI, Liver and

Biliopancreatic disorders, and also runs a gastrointestinal and liver high dependency

unit for sick patients.

Medical Gastroenterology

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1. ESOPHAGEAL DISEASES

Diagnostic services

• Upper GI endoscopy for

- Retrosternal burning sensation and reflux disease - Difficulty in swallowing

• Endoscopy with NBI for

- Early detection of esophageal cancers• Manometry for difficulty in swallowing• PhMetry for reflux disease

• Endoscopic Ultrasound for

- Evaluation of submucous lesions/ growth - Assessment of resectability of tumors

• Therapeutic services

- Control of GI bleeding – EVL/EST - Foreign body removal - Esophageal stricture dilatation - Esophageal stent placement - Ballon dilatation for Achalasia - EMR/ ESD for early esophageal cancer

2. STOMACH DISEASES

Diagnostic services

• Upper GI endoscopy for evaluation of

- Ulcer disease - Bleeding - Cancers/ polyps - Anemia - Vomiting


- Evaluation of submucosal lesions

• Therapeutic services for

- Bleeding ulcer – Injection therapy, Clipping of vessel and thermal abalation - Glue injection for gastric varix bleed

Services:

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- Stent placement for gastric outlet obstruction

- Feeding tube/ PEG tube placement

- Foreign body removal

- APC for GAVE

- EMR/ESD for early gastric cancer

- Balloon placement for treatment of obesity

3. PANCREATICO BILIARY DISEASES

Diagnostic services


- Detection of small bile duct stones and tumors

- Diagnosis of early Chronic Pancreatitis

• Evaluation of Pancreatic Cancers

- Tissue acquisition from lymphnodes, and pancreatic lesions

• Choledochoscope / Spyglass

- For evaluation of bile duct stricture

- To rule out bile duct cancers

Therapeutic services

• ERCP for

- Metal and plastic stent placement for biliary obstruction/ portal biliopathy

- Bile duct stone removal

- Endoscopic management of bile duct inuries

- Pancreatic duct stone removal

- Accessory pancreatic duct sphinchterotomy and stenting for Pancreas divisum

- Drainage of pancreatic pseudocyst

• Pancreatic duct stenting for

- Pancreatic duct stricture

- Pancreatico pleural fistula

- Traumatic pancreatic duct disruption

Endoscopic necrosectomy


- Drainage of pancreatic pseudocyst

- Celiac gangion block/neuronolysis

4. SMALL INTESTINAL DISEASES

Enteroscopy for diagnosis and management of small intestinal

- Bleeding - Tumors

5. COLONIC DISEASES

Diagnostic services

• Colonoscopy for

- Blood in stool - Long standing diarrhea - Colonic obstruction - Detecting cancers

• Endoscopy with NBI for

- Early detection of colonic cancers

• Manometry for

- Severe constipation (due to pelvic floor dysfunction) - Fecal incontinence


- Evaluation of anal sphincter defects

• Therapeutic services for

Ÿ Polypectomy for colonic polypsŸ Endoscopic mucosal/ submucosal dissection for precancerous lesions and early

cancersŸ Colonic decompression - Tumor related obstruction (endoscopic metal stent placement) - Non tumor related ( Volvulus and pseudo obstruction) - Colonic/ piles bleeding ( Banding/ injection therapy/ Clip placement) - Biofeedback for severe constipation and fecal incontinence

Special OPD ServicesŸ HEPATO PANCREATO BILIARY CLINIC for liver, gall bladder, bile duct and

pancreatic diseases.Ÿ LUMINAL CLINIC for Chronic diarrhea, Ulcerative colitis, Crohns disease,

Swallowing disorders, Dyspepsia and Reflux disease.

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Dr. Dinesh KiniDirector - Gastroenterology & HepatologyMBBS, MD (Internal Medicine) DM (Gastroenterology)Department - Institute of Digestive and Hepatobiliary Sciences

OverviewDr. Dinesh Kini is Director – Department of “Digestive and Hepatobiliary Sciences” at SAKRA World Hospital - Bangalore. He has been instrumental in setting up a state – of – art Endoscopy facility including Standard upper + lower GI Endoscopy, Spyglass Cholangioscopy, Enteroscopy, Endoscopic ultrasound, Argon Plastic Coagulation unit, Breath test, fibroscan.

He also ensured setting up of a Comprehensive team, which included best of brains in various Sub-specialty of the Medical Gastroenterology, Surgical gastroenterology interventional, GI radiology, specialized GI pathology, Pediatric Gastroenterology, and a dedicated Liver transplant team.

His Previous Appointments were: Assistant Professor of Medicine, Kasturba Medical College, Mangalore (1994-1995); Senior Resident Gastroenterology, S.G.P.G.I, Lucknow (1995-1996); Assistant Professor of Medicine, Department of Gastroenterology, K.M.C, Manipal (1996); DM (Gastroenterology) S.G.P.G.I, Lucknow (1997-2000); Senior Consultant Gastroenterologist / Hepatologist, Manipal Hospital, Bangalore (2001-2009); Head – Department of Gastroenterology, MILDD, Bangalore (2010-2012).

Areas of ExpertiseŸ Liver diseases

Ÿ Biliary Diseases

Ÿ RFA (Radio Frequency Abrasion) for liver cancer

Our Doctors

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Ÿ Therasphere (Y 99) for patients with liver cancer

Ÿ Trans jugular liver biopsy

Ÿ TIPSS for patients with end stage liver disease

Ÿ Retrievable metal stenting for benign bile duct problems

Ÿ Fibro scan for patients with liver disease

Ÿ Triple side to side biliary metal stenting for bile duct and pancreatic cancer

Ÿ Spyglass and Holmium Laser Lithotripsy for large bile duct stone.

Awards & RecognitionsOne of the first in the state of Karnataka to perform :

Ÿ RFA (Radiofrequency ablation for Liver cancer)

Ÿ Y99 RadioEmbolization in Liver cancer

Ÿ Transjugular live biopsy

Ÿ TIPSS in patients with end-stage liver disease

Ÿ Retrievable metal stenting in benign bile duct disease

Ÿ Triple biliary metal stenting of Bile duct for Pancreatic cancer

Ÿ Spyglass and holmium laser lithotripsy in large bile duct stone.

Gold Medal for best Outgoing MD (Gen MED) Post Graduate, has published articles in various National & International journals, First one to start the concept of Multi-Specialty approach in Gastroenterology with Surgical Gastroenterology / Interventional Radiology and starting the concept of “MILDD”, Invited Faculty for Annual Conference of ISG/INASL/APICON, Major role in initiating a liver transplant programme in Manipal Hospital Bangalore, Started the concept of “Liver Clinic” as a National CME in Hematology, held once in 2 years in Bangalore.

Ÿ He was awarded "Service Excellence in Gastroenterology" during "Times Health Excellence 2018" event

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Dr. Surender K YachhaSenior Consultant & Head - Pediatrics and Pediatric SuperspecialityMBBS, MD (Paediatrics), DM (Gastroenterology)Department - Institute of Paediatrics

OverviewDr.Surender K Yachha is one of the leading doctors in the field of paediatric gastroenterology. He holds 30 years of extensive experience in the field of gastro-intestinal disorders, liver disorders and pancreatic disorders in infants and children. He has wide experience in performing endoscopic procedures (diagnostic and therapeutic) in infants and children.

He has held different positions in the paediatric gastroenterology department through his career. He was the first to introduce a paediatric gastroenterology department in India with multidimensional growth in the field of patient referral, academics, research, training programs, he held high positions such as the Founder President of Indian Society of Paediatric Gastroenterology, Hepatology and Nutrition (ISPGHAN), Chairperson (National President) Pediatric Gastroenterology specialty of Indian Academy of Pediatrics etc.

He set up the first post-doctoral certificate course aimed at paediatric gastroenterology for paediatricians (post MD) in the year 2000. He has taken India to the world map on several disorders and research aspects that are highlighted through his international research publications and 30 book chapters. He is also the recipient of 94 prestigious awards for his relentless efforts and contribution to healthcare services.

His areas of expertise in paediatrics include- neonatal jaundice, celiac disease, constipation, abdominal pain , gastrointestinal bleeding, milk allergy, tuberculosis, extrahepatic portal venous obstruction, acute viral hepatitis and other esophageal

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Our Doctors

disorders. He possesses expertise on liver disorders in infants and children and has experience in curing pancreatic disorders and portal hypertension.

Before joining Sakra World Hospital, Dr. Yachha was the Professor and Head- Department of Pediatric Gastroenterology at Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.

QualificationDr. Surender K Yachha completed his MBBS from the University of Kashmir, and pursued his MD in Paediatrics from the Postgraduate Institute of Medical Education and Research, Chandigarh.

His love for academics never ceased to exist. He continued to finish his DM (Gastroenterology), Fellowship, Inclusive of training in Pediatric Gastroenterology, Postgraduate Institute of Medical Education & Research, Chandigarh. He also received the Commonwealth Medical Fellowship in Pediatric Hepatology and Pediatric liver transplantation (medical aspects) from the prestigious King’s College, School of Medicine and Dentistry, London, UK.

Awards & RecognitionsDuring the course of his illustrious career spanning over 30 years, Dr. Surender K. Yachha has received over 90 awards, some of which are listed below:

Ÿ Lifetime Achievement Award by Indian Academy of Pediatrics Uttar Pradesh awarded in 39th U.P. Pedicon (November,2018), Lucknow

Ÿ Prof.S.R. Naik Award for Outstanding Research Investigator.23rd Convocation (01-Septembe, 2018), Presented by Shri Ram Naik, Honorable Governor of state of Uttar Pradesh; Visitor Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.

Ÿ Highest and Prestigious Oration Award entitled “PN Chuttani Oration” by Indian Society of Gastroenterology, Year 2017

Ÿ ICMR:“M.N. SEN Oration Award 2016”.Indian Council of Medical Research (ICMR), New Delhi.

Ÿ Times Icon Medical excellence award April, 2017 awarded by Honorable Minister of Health Govt. of UP Shri Siddarnath Nath Singh.

Ÿ Professor PK Misra Oration award November, 2016. Foundation Day Celebration

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Ÿ Department of Pediatrics. King George’s Medical University, Lucknow, India.

Ÿ “Mehta, Mittal, Sankaranarayanan Oration” award year 2016, Indian Society of Pediatric Gastroenterology, Hepatology and Nutrition (ISPGHAN)

Ÿ Dr. J R Srivastava Memorial Oration, Indian Academy of Pediatrics, Kanpur, November, 2013

Ÿ Oration “Wings of expansion of Pediatric Gastroenterology in India” 21st Annual Conference of Pediatric Gastroenterology, Hepatology and Nutrition November, 2011 Gurgaon, Haryana

Ÿ ISG-Win-Medicare Plenary session Award, 2010. 51st Annual Conference of the Indian Society of Gastroenterology, Hyderabad, November, 2010. Research paper entitled “Effect of porto-systemic shunt on prevalence of minimal hepatic encephalopathy in extrahepatic portal venous obstruction in children: assessment by MR imaging and Psychometry” Anshu Srivastava, Santosh Kumar Yadav, RichaLal, S K Yachha, Michael A Thomas, VA Saraswat, RK Gupta.

Ÿ Indian Society of Gastroenterology -Astra Zeneca Oration (2010).

PublicationŸ Upender Shava, Surender Kumar Yachha, Anshu Srivastava,Ujjal Poddar,Moinak

Sen Sarma. Assessment of stool frequency and colonic transit time in Indian children with functional constipation and healthy controls. Indian Journal of Gastroenterology.https://doi.org/10.1007/s12664-018-0902-5

Ÿ Sharma A, Poddar U, Agnihotry S, Phadke SR, Yachha SK, Aggarwal R. Spectrum of genomic variations in Indian patients with progressive familial intrahepatic cholestasis.BMC Gastroenterol. 2018 Jul 4;18(1):107. doi: 10.1186/s12876-018-0835-6.

Ÿ Sen Sarma M, Yachha SK, Rai P, Neyaz Z, Srivastava A, Poddar U. Cholangiopathy in Children with Extrahepatic Portal Venous Obstruction. J Hepatobiliary Pancreat Sci. 2018 Sep 27. doi: 10.1002/jhbp.582. [Epub ahead of print]

Ÿ Singh SK, Sen Sarma M, Yadav R, Kumar S, Prasad R, Yachha SK, Srivastava A, Poddar U. Prognostic scoring systems and outcome of endovascular radiological intervention of chronic Budd-Chiari syndrome in children. Liver Int. 2018 Jul;38(7):1308-1315. doi: 10.1111/liv.13683. Epub 2018 Feb 17.

Ÿ Jain V, Yachha SK, Bhatia E, Sarma MS, Srivastava A. Concurrent extrahepatic

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autoimmune disorders: unexplored dimension of autoimmune liver disease in chi ldren. Eur J Gastroenterol Hepatol . 2018 Aug;30(8):910-917. doi:10.1097/MEG.0000000000001122.

Ÿ Bolia R, Srivastava A, Marak R, Yachha SK, Poddar U. Prevalence and Impact of Bacterial Infections in Children With Liver Disease-A Prospective Study. J Clin Exp Hepatol. 2018 Mar;8(1):35-41. doi: 10.1016/j.jceh.2017.08.007. Epub 2017 Sep 14.

Ÿ Singh SK, Borkar V, Srivastava A, Mathias A, Yachha SK, Poddar U.Need for recognizing atypical manifestations of childhood sporadic acute viralhepatitis warranting differences in management.Eur J Pediatr. 2018 Sep 29. doi: 10.1007/s00431-018-3262-3. [Epub ahead of print].

Ÿ Benjamin M, Agnihotry S, Srivastava A, Bolia R, Yachha SK, Aggarwal R. Relationship of Severity of Hepatitis A with Polymorphisms in Hepatitis A Virus Cellular Receptor 1 (HAVCR1) Gene.Ann Hepatol. 2018 July - August ,;17(4):561-568. doi: 10.5604/01.3001.0012.0917.

Ÿ Bolia R, Srivastava A, Kapoor A, Yachha SK, Poddar U.Children with untreated coeliac disease have sub-clinical cardiac dysfunction: a longitudinal observational analysis. Scand J Gastroenterol. 2018 Jun - Jul;53(7):803-808. doi: 10.1080/00365521.2018.1473483. Epub 2018 Jun 16.

Ÿ Yachha SK, Srivastava A, Mohan N, Bharadia L, Sarma MS. Management of Childhood Functional Constipation: Consensus Practice Guidelines of Indian Society of Pediatric Gastroenterology, Hepatology and Nutrition and Pediatric Gastroenterology Chapter of Indian Academy of Pediatrics. Indian Society Of Pediatric Gastroenterology, Hepatology And Nutrition Committee on Childhood Functional Constipation And Pediatric Gastroenterology Subspecialty Chapter Of Indian Academy Of Pediatrics. Indian Pediatr. 2018 Jun 13. pii: S097475591600121. [Epub ahead of print].

Ÿ Poddar U, Singh S, Pawaria A, Srivastava A, Yachha SK. Aetiological spectrum, clinical differentiation and efficacy of polyethyleneglycol over lactulose in children with constipation: Experience of 316 cases.J Paediatr Child Health. 2018 Jun 26. doi: 10.1111/jpc.14099. [Epub ahead of

Ÿ Singh SK, Sr ivastava A, Rai P, Yachha SK, Poddar U. Yie ld of EndoscopicUltrasound in Children and Adolescent with Acute Recurrent Pancreatitis. JPediatr Gastroenterol Nutr. 2017 Dec 5. Epub ahead of print].

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Ÿ Ravindranath A, Pai G, Srivastava A, Poddar U, Yachha SK. Infant withhepatomegaly and hypoglycemia: A setting for fatty acid oxidation defects. Indian J Gastroenterol. 2017; 36:429-434.

Ÿ Shava U, Srivastava A, Mathias A, Yachha SK, Poddar U. Nutrient drink test:Normative values in Indian children. Indian J Gastroenterol. 2017; 36:405-410.

Ÿ Bolia R, Srivastava A, Yachha SK, Poddar U. Pediatric CLIF-SOFA score is thebest predictor of 28-day mortality in children with decompensated chronic liverdisease. J Hepatol. 2017 Oct 10. [Epub ahead of print]

Ÿ Zaidi G, Bhatia V, Sahoo SK, Sarangi AN, Bharti N, Zhang L, Yu L, Eriksson D, Bensing S, Kämpe O, Bharani N, Yachha SK, Bhansali A, Sachan A, Jain V, Shah N,Aggarwal R, Aggarwal A, Srinivasan M, Agarwal S, Bhatia E. Autoimmunepolyendocrine syndrome type 1 in an Indian cohort: a longitudinal study. Endocr Connect. 2017;6:289-296.

Ÿ Srivastava A, Malik R, Bolia R, Yachha SK, Poddar U. Prevalence, Clinical Profile, and Outcome of Ascitic Fluid Infection in Children With Liver Disease. J Pediatr Gastroenterol Nutr. 2017;64:194-199

Ÿ Jain V, Srivastava A, Yachha SK, Kumari N, Kathuria R, Sarma MS, Poddar U. Autoimmune acute liver failure and seronegative autoimmune liver disease in children: Are they different from classical disease?, Krishnani N.Eur J Gastroenterol Hepatol. 2017 Sep 13. [Epub ahead of print],

Ÿ Borkar VV, Poddar U, Thakral A, Agarwal J, Srivastava A, Yachha SK, Kumar S. Intussusception in Celiac Disease: is it a common feature in Children?..J Gastroenterol Hepatol. 2017 Jul 7.[Epub ahead of print]

Ÿ Poddar U, Yachha SK, Borkar V, Srivastava A. Is acute recurrent pancreatitis in children a precursor of chronic pancreatitis? A long-term follow-up study of 93 cases..Dig Liver Dis. 2017; 49:796-801.

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Institute of:


Bone and Joints



Renal Sciences




Surgical Gastroenterologyand HPB Surgery

Sakra Institute of Digestive and HPB Sciences

The Sakra Institute of Digestive and HPB (Hepato-pancreato-biliary) Sciences has two divisions, i.e. Medical and Surgical. At Sakra World Hospital, we strive to offer the patients a comprehensive multidisciplinary approach for the full spectrum of gastrointestinal, liver, pancreas and biliary diseases. The surgical division has a state-of-art facility for the early detection, diagnosis, and surgical treatment of all complex diseases. There are few key areas of focus, namely Minimally Invasive Organ Preserving Surgery, Pancreas Care Program, Bariatric Surgery and Gastrointestinal Oncology Program.

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Introduction

The surgical division of the Sakra Institute of Digestive & HPB (Hepato-pancreato-biliary) Sciences has the following

key areas of focus. They are:

1. Minimally Invasive Organ Preserving Surgery

At Sakra Hospital, majority of gastrointestinal surgical procedures can now be performed by a minimal invasive approach (laparoscopic surgery) with small incisions, quick, painless recovery and early return to work. All intestinal surgeries (esophagus or food pipe, large intestine), a majority of biliary surgery (gallbladder surgery, surgery of the bile duct) and selected pancreatic surgery are performed by the laparoscopic approach. The next natural step in advanced laparoscopic surgery is to combine the minimally invasive approach with organ preservation to enhance outcomes. At Sakra, with scrupulous planning and expertise we strive to safeguard the complete organ and accomplish the objective of treating the disease. Organ preserving approaches are an advantage in the surgery of the liver, pancreas where removal of the critical part of the organ leads to a long term functional disability.

2. Pancreas Care Program

The Pancreas Care Program at the Institute of Digestive & HPB (Hepato-pancreato-biliary) Sciences, at Sakra World Hospital is a comprehensive program for management of pancreatic diseases with a MULTI DISCIPLINARY team. Pancreatic disorders present unique challenge to the physicians in terms of diagnosis, selecting

Overview:

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the most appropriate treatment option and execute the same with the skill and precisionusing skilled personel and technology.

3. Bariatric Surgery

There are many types of weight-loss surgery, known collectively as Bariatric Surgery. Gastric bypass and other weight-loss surgeries make changes to your digestive system which would help you to lose weight by limiting you from the intake of food.

4. Gastrointestinal Oncology Program

The Gastrointestinal Oncology Programundertakes the care of all GI malignancies, including pancreas, liver, biliary tract,and the complete gastrointestinal tract including that of esophagus, stomach, colon and rectum .A multidisciplinary tumor board reviews the cases and management strategy for the patient is charted. The teams comprises of physicians and surgeons with international experience and renowned nationally for their expertise in dealing with these cancers. All diagnostic facilities with expertise in surgical treatment and /or endoscopic palliation is available in the program. The team has considerable expertise in procedures such as hepatectomy, Whipple's Procedure, total mesorectal excis ion and laparoscopiconcology procedures.

5. Biliary Surgery

Injuries of biliary tract after cholecystectomy (gallbladder surgery) are serious problems which require expertise and understanding in successful management. The surgical team has national and international recognition in the treatment and management of bile duct injury following cholecystectomy. The center is a referral center for management of this complex problems.

Our expertise is also in the treatment of choledochal cyst (congenital dilatation of the bile passage) in all age groups, apart from other diseases like gallbladder cancer and bile duct obstruction.

6. Liver Surgery

The team has a large experience of performing liver surgery for liver cancers, cancers of the bile duct and for other liver tumors. The center has a skilled team of surgeons, complimented by intraoperative tools (intraoperative ultrasound, USA and Waterjet dissectors, Bipolar radiofrequency dissecting device etc) to perform a safe and blood less liver surgery. A well trained anesthesia team and a well-equipped ICU for postoperative care thus ensures that all major and complex liver surgery is performed safely and successfully.

• Surgery of the Liver

• Major liver resections including laparoscopic liver resections

• Surgical treatment for liver tumors, cystic lesions of the liver

• Surgery for portal hypertension

• Surgery of the Biliary tract

• Laparoscopic surgery for gallstones, common bile duct stones, choledochal cyst

• Repair of bile duct injuries (after cholecystectomy) and bile duct strictures

• Surgical treatment for bile duct cancers

• Surgery of the Pancreas

• Surgery for chronic pancreatitis

• Laparoscopic Pancreatic resections for pancreas tumours

• Surgical treatment for cancers of the pancreas

• Surgery for acute pancreatitis – video assisted necrosectomy

Surgery of the Digestive Tract1. Upper Gastrointestinal Tract

• Esophageal surgery – for strictures of the esophagus, cancers

• Laparoscopic and throacoscopic surgery for benign esophageal diseases

• Laparoscopic and open surgery for

• Gastric cancers

• Small Intestine diseases

• Colon and rectum

• Laparoscopic surgery for colon and rectal cancers

• Surgical treatment for Ulcerative colitis and Crohn’s disease

• Surgical treatment of Benign anorectal problems – incontinence,hemorrhoids and fistula

2. Management of Neuroendocrine tumors of the pancreas and gastrointestinal tract

3. Surgical treatment for all Gastrointestinal and HPB (Hepato-pancreato-biliary) cancers

4. Surgery for Morbid Obesity

Services:

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Our Doctors:

Dr. Sadiq SikoraDirector - Gastrointestinal SurgeryMS, FACS FRCS (Glas)Department - Institute of Digestive & Hepatobiliary Sciences

Overview:He was a faculty in Department of “Surgical Gastroenterology” at Sanjay Gandhi Post-Graduate Institute of Medical Sciences (SGPGIMS) at Lucknow from 1991 to 2005 and was involved in teaching, training and research producing several publications in the area of work. At the Johns Hopkins Institute, Baltimore, Maryland with Prof JL Cameron, he gained insight into the nuances of pancreatic and biliary surgery, while on a UICC sponsored ICRETT fellowship. The experience in Surgical Oncology, as a fellow in Surgical Oncology at the University of Pittsburgh provided an in-depth understanding of cancer, the multimodality approach to this problem and an insight into the novel and innovative (immunotherapy and gene therapy) treatment approaches to this dismal ailment. He was the key member of the team, which established the living related liver transplant program at Kochi, Kerala and was a member of the liver transplant team at SGPGIMS, Lucknow. Dr. Sikora started the successful Liver Transplant Program (cadaveric and living donor) at Manipal Hospital, Bangalore.

Qualification:Dr Sikora S Sikora had his MBBS and General Surgical training from the prestigious All India Institute of Medical Sciences (AIIMS), New Delhi. Then he moved to the prestigious Sanjay Gandhi Post-Graduate Institute of Medical Sciences (SGPGIMS) at Lucknow for his specialization. He later completed the “Surgical Oncology Fellowship” from the University of Pittsburgh, USA.

Areas of Expertise:Dr. Sadiq Sikora has a vast experience of 25 years of conducting specialized surgical procedures which includes “Living related liver transplantation”, complex “Pancreaticobiliary” resections for both benign and malignant disease, “Liver resections, esophageal resections, surgery for portal hypertension and colorectal

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disorders”. His major contributions are in the area of bile duct injury repairs, Biliary and Pancreatic cancers, innovative techniques in Esophagus resection, pancreatic surgery and Hepaticojejunostomy. Imparting training for a “safe cholecystectomy” (gallbladder removal) and preventing bile duct injury are his passion.

AREA OF EXPERTISE: HEPATO-PANCREATICO-BILIARY (HPB) SURGERY, SURGICAL GI ONCOLOGY, ADVANCED LAPAROSCOPIC SURGERY & LIVER TRANSPLANTATION.

Awards and Recognitions:• INTERNATIONAL: Conferred the Fellowship of the Royal College of Surgeons

(Glasgow) in 2011 .

• Fellow of the American College of Surgeons, 2001. Japan Surgical Society (JSS) traveling grant award at the JSS 2000 meeting held in Tokyo, Japan.

• Visiting Faculty at the University of Tsukuba, Tsukuba, Japan, with Prof T Todoroki, April 2000.

• Surgical Oncology Fellowship at the University of Pittsburgh, Pittsburgh under Prof MTLotze 1994-1996.

• International Cancer Research and Technology Transfer Fellowship of the UICC.

• Johns Hopkins Medical Institutions, Baltimore. Prof JL Cameron January - March 1994.

• Visiting Fellow at the Department of ColoProctology at Singapore General Hospital. Prof Goh Hak Su. June 1993.

• NATIONAL: Hoechst Om Prakash Memorial Award (Young Investigator Award) of the Indian Society of Gastroenterology, 1998. Best Paper Award and a Gold Medal for the paper entitled “Hilar Benign Biliary Stricture-need for Subclassification”, at the National Conference of the Indian Association of Surgical Gastroenterology 1997 held at Madurai, India. SR Joglekar Best Paper Award of the Indian Journal of Surgery.

• Role of perioperative Octreotide in major pancreatic resections for malignant disease. Sikora SS, Srivastava S, Kumar A, Saxena R, Kapoor VK.. Ind J Surg 1998; 6: 291-5. Invited faculty in National and International conferences to deliver talks on Pancreatic disorders, Bile duct injuries and GI cancers.

• Visiting faculty at surgical workshops to demonstrate and perform surgical procedures.

• Published more than 150 articles in International and National peer reviewed journals with significant contributions in the field of repair of bile duct injury and in pancreatic diseases.

• He has contributed several notable chapters in books and has written review articles and editorials for various journals.

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Dr. Kishore GSBSenior Consultant, HPB Surgery & Liver TransplantationMBBS, MS (Surgery) DNB (Surgery) MCh (Surgical Gastro),Master of HPB SurgeryDepartment - Surgical Gastroenterology

Overview:Dr. Kishore GSB is dedicated towards providing services of the highest standard to patients who are in need of liver surgery or liver transplantation. Before joining Sakra World Hospital, he was Associate Professor of Liver Transplantation at the Institute of Liver and Biliary Sciences, New Delhi. During the four and a half years as consultant there, he was a member of the core team that performed over 300 liver transplantations with success rates at par with the best centers in the world. He has significant expertise in living donor hepatectomy and has international publications in this area. He has also led liver retrieval teams at various cities of India for deceased donor liver transplantation.

Qualification:He has a very strong foundation in liver surgery and was conferred a Master’s Degree in Hepato-Pancreato-Biliary Surgery from the Henri Bismuth Institute, Paris. He has been a visiting fellow to high-volume centers of excellence across the globe. Over a period of one year (2010-2011), he was affiliated with the Liver Surgery/Liver Transplantation Units at MD Anderson Cancer Center, Houston, Texas, USA; St James’ Teaching Hospital, Leeds, UK and Asan Medical Center, Seoul, Korea. He completed his advanced training in Surgical Gastroenterology from the Post Graduate Institute of Medical Education and Research, Chandigarh in 2009. He completed his general surgery training from St Johns Medical College and Hospital, Bangalore. He graduated from the same college with gold medals and distinctions.

Areas of Expertise:• He is competent in the peri-operative management of both adult and pediatric

patients with acute liver failure, acute on chronic liver failure and chronic liver disease.

• He has performed many complex resections for tumors of the liver, gallbladder, bile ducts and pancreas.

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• He also has experience in performing major hepatobiliary surgeries in infants and children.

• He has contributed towards peer-reviewed publications in leading journals of the specialty.


Institute of:


Bone and Joints



Renal Sciences




Cancer and Blood Disorders Centre

Sakra Institute of Oncology

OVERVIEWThe Cancer and Blood

Disorders Centre at Sakra World Hospital

p r o v i d e s p a t i e n t s suffering from cancer and

b lood d isorders such anaemia, low platelets,

b l e e d i n g & c l o t t i n g disorders, sickle cell disease,

and thalassemia with the most a d va n ce d a n d e ffe c t i ve

treatments. Sakra’s Medical Oncology and Haematology team is headed by Dr. Vineet Gupta, an internationally recognized clinician in cancer care, having over a decade of experience in USA.

We at Sakra, believe in approaching the treatment of cancer and blood disorders by treating the individual holistically and not just the disease.

Cancer:Every cancer is different and so is every person. That is why, we offer a full range of treatments and support services tailored to suit a patient’s individual needs.

Blood Disorders: We offer treatments to children and adults for several types of blood disorders including problems with blood cells, bone marrow, bleeding and clotting. Our experts diagnose and treat all these blood disorders using the most advanced equipment in health care technology.

At Sakra Cancer and Blood Disorders Centre, patients benefit by having a team of experts from various super-specialties working together to determine the best course of treatment, that is then delivered in a healing and compassionate environment.

Our commitment to patient care ensures that the entire cancer treatment process is holistic, and focused on healing the whole person - body, mind and spirit. The Sakra Cancer and Blood Disorders Centre is your gateway to the most innovative, advanced and holistic therapies that medical science has to offer.

SERVICESŸ M u l t i d i s c i p l i n a r y

Comprehensive Cancer Care - There are more than 200 types of cancers — each requiring highly specialized treatment. Clinicians at the centre work together to study cancer in all its forms, providing patients w i th some o f the most innovative approaches in fighting the disease.

Ÿ – Specialist Nurse-NavigatorsS a k ra s p e c i a l i s t n u r s e -navigators are patient educators and care navigators on a mission to improve the cancer experience for every patient (Adult/Child). Our team of experts ensure the most appropriate treatment to enable less radical surgeries, better results, and a shorter hospital stay.

Ÿ - There are several types of cancers. Their Second Opinion Clinicsymptoms and healthcare is interpreted and delivered in various ways by different clinicians. Our second opinion services help the patient make important decisions regarding their treatment options/ plans in an informed manner.

Ÿ - Right knowledge about the type of the cancer, goes Cancer Registrya long way in expediting the treatment. We gather information about the types of cancer that occur in our patients, the extent of the disease and its response to therapy.

Ÿ o Cancer Risk - We work with individuals and Special Programs:families who may be at an increased risk of cancer. Our team of expert physicians, genetic counsellors and staff use laboratory and clinical methods to assess cancer risk of patients and their family members and then offer strategies to help reduce their risk.

Ÿ - Combined with the latest breakthroughs in Children Oncology Groupcancer research, we treat newly diagnosed young cancer patients. Our world-class expertise in cancer care brings about better results for our younger patients.

Ÿ – Patients who are 60 or over and have Oncology program for Seniorsbeen diagnosed with cancer, can benefit from a specialized assessment at the centre. The assessment is designed to identify and

manage problems related to a cancer diagnosis and treatment that may otherwise get overlooked. The assessment's goal is to improve patient’s quality of life, offer reassurance to patient and their family, thereby empowering them to make informed healthcare decisions.

Ÿ –. Computer Aided Computer Aided and Minimally Invasive Surgeryand minimally invasive surgery is an option for some forms of cancer that allows patients quicker recovery time and less complications than traditional surgery.

Ÿ – Today, most patients don’t require to be Outpatient Chemotherapyadmitted for Chemotherapy and it can be done at comfort of the day care unit.

Ÿ – Our patients Clinical Trialsare eligible to take part in one of the many clinical trials underway at the Sakra Centre. By participating in a clinical trial, patients have access to cutting-edge treatments and therapies l o n g b e f o r e t h e y a r e available to the general public.

Ÿ – We help answer questions about the risk Cancer Genetic Counselingof genetic cancers. A genetic evaluation can help clarify whether a patient and their family members have a higher risk of developing certain types of cancer. Evaluations may also suggest actions that can be taken to prevent cancer.

Ÿ - Sakra’s Cancer Wellness Program Cancer Wellness Programpromotes health and well-being for people affected by cancer. We offer personalized services such as:

Ÿ Cancer Rehabilitation

Ÿ Integrative Oncology

Ÿ Survivorship

Dr. Vineet Gupta Senior Consultant & Head - Medical Oncology& Haematology MD (USA), DM (Medical Oncology - USA)DM (Hematology - USA) Lubrano Distinguished Scholar(Harvard University)Department – Sakra Institute of Oncology

Dr. Vineet Gupta is a renowned Medical oncologist and Hematologist. He is the first Asian to be conferred the Prestigious Lubrano Distinguished Scholar award by Dana Farber Cancer Institute / Harvard University (USA). He has over 12 years clinical experience in USA.

Qualification:Ÿ DM (Medical Oncology)

Ÿ DM (Hematology) from New York Medical College Comprehensive Cancer Centre and the H.Lee Moffitt Comprehensive Cancer Centre (NCI designated), Florida, USA.

Ÿ MD (Medicine) from Wayne State University and Karmanos Comprehensive Cancer Center, Detroit, USA.

Ÿ Lubrano Distinguished Scholar (Harvard University)

Areas of Expertise:

Ÿ Brain, Breast, Lung, Colon and Prostate Cancers. Acute & Chronic Blood Disorders. Leukemia and other Bone Marrow disorders.

Awards & Recognistions:

Ÿ International Advisory Broad of the Breast Journal. Member Scientific Council-International School of Senology. Working member of ASCO, ESMO.


For enquiries contact: +91 80 4969 4969

Institute of:

Cardiac SciencesNeurosciences Bone and Joints


Rehabilitation Sciences Renal Sciences Women & Child Health


Helping you get back toyour best, after a setback.Sakra Institute of Rehabilitation Sciences (SIRS)

The Institute of rehabilitation science at Sakra is one-of-its-kind and is spread across an area of 7000 sqft. The center is equipped with a highly specialized and accountable team of Physiatrist, Physiotherapists, Occupational therapists, Clinical psychologist, Nutritionist, Ergonomists, Speech & Language therapists and Ortotists & Prosthetists for patient recuperation from acute, subacute and chronic medical disorders in all age groups. The aim of Sakra Physical Medicine and Rehabilitation is to enhance and restore functional ability and quality of life to people with physical impairments or disabilities.

Overview

The centre offers integrated advanced comprehensive rehabilitation programs such as post-stroke and traumatic brain injuries, spinal cord injury, paralytic diseases, neuromuscular diseases, paediatric disabling conditions, sports injury, women’s health issues, pregnancy related fitness care, pain management like myofacial, fibromyalgia, musculoskeletal and spinal conditions such as back, neck and joint pain, recovery from joint replacement, ligament reconstructions and other orthopaedic surgeries.

With all of these conditions, emphasis is placed on treating the whole person through a combination of therapies, including investigations, medications, surgical procedures, pain interventions, physical modalities such as soft-tissue manipulation and electrical stimulation, therapeutic exercise, modifications in the way patients move and perform daily activities, the use of adaptive equipment and assistive devices such as orthotics (braces) and prosthetic limbs, neuropsychological assessment, cognitive and behavioural management and other interactive therapy approaches.

We have specialized teams for Early intervention Programme, Neurological Rehabilitation, Orthopaedic Rehabilitation, Paediatric Rehabilitation, Cardio-pulmonary Rehabilitation, Foot Solutions, Rehabilitative Ergonomic Solutions, Treatment for Urinary incontinence, Rheumatologic rehabilitation, Sports & Fitness Rehabilitation.

Dedicated Biodex Balance System for static and dynamic balance testing and training for athletes to older adults. Biodex Body Weight suspension with Gait evaluation and training.

Unique Gym with HUR's most developed range offers world-leading equipment used for senior exercise and rehabilitation. It is unique in individual safe training with pneumatic resistance - as well as zero starting load and 100g/1kg increments in resistance.

This equipment range, suitable for all ages and abilities, incorporates many features that enhance safety and facilitate rehabilitation, for example, range limiters and additional supports.

Our Doctors

Dr. Maheswarappa B.M.Senior Consultant & Head - Physical Medicine,Rehabilitation & Sports Medicine MBBS, MDDepartment - Physical Medicine, Rehabilitationand Sports Medicine

Overview:Dr. Maheswarappa BM is one of the most eminent and distinguished Physical Medicine and Rehabilitation specialist in the country. He has extensive knowledge, skill and experience in pain management and rehabilitation of traumatic and non-traumatic conditions of orthopedics, spine and neurological conditions. He joined Manipal Hospital, Bangalore, to set-up India’s first department of Physical Medicine and Rehabilitation of comprehensive in nature. After a decade of successfully establishing the department, now he has moved to Sakra World Hospital, Bangalore.

Qualification:He did his graduation from Kasturba Medical College, Mangalore. He completed post-graduation course MD in Physical Medicine and Rehabilitation from AIIMS, New Delhi and training in sports medicine from Sports Authority of India, New Delhi. Since there was need of surgical training to manage long term medical complications in patients with orthopedic and neurological disorders like spasticity, deformity, contractures, pressure ulcer, tendon transfer, arthrodesis etc., he went to Balaji Institute of Surgery Research and Rehabilitation for Disabled (BIRRD) at Tirupati and got extensive surgical training for two year. His keen interest in disability and challenges of patients with neurological disorders made him to join three years senior residency program in neurological rehabilitation at NIMHANS.

Areas of Expertise:Neuro-rehabilitation: Stroke, head injury, hypoxic brain damage, spinal cord injury, cerebral palsy, neurodevelopmental disorders, neuro-infections squeal, multiple sclerosis, peripheral neuropathy, nerve injury, spasticity, Parkinson’s disease, neurodegenerative disorders, motor neuron disease, muscular dystrophy.

Orthopedic and Rheumatologic: Poly-trauma, Post-surgical management of fracture, arthritis, amputation, osteoporosis, joint replacement and ligament reconstruction. Pain management: Acute, chronic, and recurrent neck and back pain, myofacial pain, fibromyalgia, disc, joints, musculoskeletal and soft tissue pain, Sports Injuries, rains and sports injuries.

Awards & Recognitions:Ÿ He is member of Indian Association of Physical Medicine and Rehabilitation,

Indian Association Sports Medicine and Indian Association of Spinal cord injury.

Ÿ He also does community based rehabilitation and training of community based rehabilitation workers in Association of People with Disability (APD) a non-government organization in Bangalore.


Institute of:


Bone and Joints



Renal Sciences




Sakra Institute ofObstetrics & GynaecologyObstetrics Gynaecology and Gynaecological SurgeriesMinimally Invasive Gynaecological Surgery (Laparoscopy)

The Department of Obstetrics and Gynaecology at Sakra World Hospital provides complete care that goes beyond the needs of a woman, to ensure a healthy life for them. The Department provides a wide range of services including complete obstetrical and gynaecological care through management of high risk pregnancies, painless deliveries, infertility management, contraception and family planning, prenatal diagnosis, menopause management, aesthetic gynaecology, laparoscopy, fibroid and ovarian cyst treatment and more. The Department also hosts special services related to oncology and urogynaecology.

This Department is well equipped with the latest state of the art technologies, alongside a team of highly skilled doctors, nurses and other specialists. The Department of Obstetrics and Gynaecology at Sakra World Hospital keeps women’s health as a priority and is committed to improving the quality of care for women constantly.

Women Care Centre Offers:

Ÿ Obstetrics and Gynecology Consultations

Ÿ Reproductive Health Services

Ÿ Prenatal and Postnatal exercises

Ÿ Labour services: Birthing in Suites and recovery rooms

Ÿ Specially trained Obstetricians and nurses who promote normal vaginal deliveries

Ÿ State-of-the-art operation theatres dedicated to Obstetrics and Gynecology

Ÿ Gynec-Oncology and Urogynecology services

Ÿ Minimally Invasive Gynecological surgeries (Laparoscopy and Hysteroscopy)

Ÿ Ultrasound and laboratory services

Overview

Our Doctors

Dr. Prabha RamakrishnaSenior Consultant - Obstetrics & GynaecologyDGO, DNB (OBG), FRCOG, Diploma in Advanced GynaecologicalEndoscopy (Germany)Department - Institute of Women and Child Health

Overview:Ÿ Dr. Prabha Ramakrishna is a Senior Consultant in Obstetrics and Gynaecology

with 20 years of experience, both in India and abroad.

Ÿ She has a wide range of expertise in managing complicated cases in OBG.

Ÿ Prior to joining Sakra, she has worked in many hospitals in Bangalore, including Fortis Hospital, Manipal Hospital and St John’s Medical College.

Ÿ She has been instrumental in setting up the Department of OBG at Sakra, since its inception in 2013. She believes in team work, multidisciplinary care and evidence-based practice, and has led Sakra OBG department to gain reputation as the most recommended centre for high risk pregnancy cases.

Qualification:DGO, DNB (OBG), FRCOG, Diploma in Advanced Gynaecological Endoscopy (Germany)

Area of expertise:Ÿ Obstetrics (Pregnancy and delivery care, especially management of high risk

pregnancies)

Ÿ Medical disorders in pregnancy

Ÿ Non-surgical / organ-sparing minimal access procedures for menstrual abnormalities

Ÿ Hysteroscopy - Polypectomy, endometrial ablation, resection of septum / fibroid

Ÿ Hystero-laparoscopy for infertility

Ÿ Laparoscopy / open surgery for Ovarian Cysts, endometriosis

Ÿ Hysterectomy - Laparoscopic / abdominal / vaginal

Ÿ Myomectomy for fibroids

Ÿ Prolapse surgery

Ÿ Preventive Oncology and Colposcopy

Awards:Ÿ Life member of the Bangalore Society of Obstetricians and Gynaecologists

(BSOG) and Bangalore RCOG Trust.

Ÿ Invited faculty at MRCOG training courses, Continuing Medical Education programs, Emergency Obstetrics Skill training programs and Hysteroscopy workshops conducted by various professional bodies like BSOG, Bangalore RCOG Trust, and Federation of Obstetrics and Gynaecology Societies of India (FOGSI).

Ÿ Awarded 'India Positive award' by CNN-IBN for her pioneering public-private partnership initiative to provide free specialist services at a BBMP hospital.

Dr. Chitra SSenior Consultant - Obstetrics & GynaecologyDGO (OBG), MRCOG (UK)Department - Institute of Women and Child Health

Overview:Dr.Chitra is Currently a Consultant Obstetrics & Gynecology at SAKRA World Hospital. Prior to this, she has worked as a consultant and director of South Bangalore OBGYN doctors practising evidence-based medicine to provide quality health care to women across all sections of the society.

Qualification:DGO (OBG), MRCOG (UK)

Areas of Expertise:Her special interests are medical disorders in obstetrics, managing high-risk pregnancies and vaginal surgeries.

Awards & Recognitions:Ÿ She has conferred the Membership to Royal College of obstetricians and

Gynaecologists (UK) in 2010.

Ÿ Post membership, she was involved in community-based obstetrics and gynaecology for a year, in conducting free clinics to urban poor and training of health workers.

Ÿ She also has a keen interest in teaching and training candidates for MRCOG.

Ÿ She is an active trainer in clinical skills and simulation training. She has co-coordinated the MRCOG part 2 weekend course conducted by the Bangalore RCOG trust .

Ÿ She has been a faculty for skill training and Emergency Obstetric Care, locally as well as for outreach programmes and CTG training programmes conducted by BSOG and Bangalore RCOG Trust.

Ÿ She has also been involved in grafting protocols and training nurse/midwifery staff for improving standards of care.

Ÿ She holds the post of Treasurer for the Bangalore RCOG Trust presently.

Ÿ She is also a research guide to students of SVYASA, a deemed university.

Every year, millions of women undergo gynaecological procedures to diagnose, evaluate, or treat gynaecological problems. Gynaecological surgery or treatment procedures are performed on the female reproductive system. These procedures can range from minimally invasive to open surgery. A variety of gynaecological illnesses and conditions can be diagnosed and treated this way including uterine fibroids, cysts, uterine prolapse, etc.

The field of gynaecological surgery is ever-expanding and encompasses the surgical interventions related to women’s health, which includes minimal access surgery, oncology, urogynecology, and fetal surgery. The gynaecological field is rapidly evolving with respect to new developments and innovations in robotics, endoscopy, and interventional procedures.

Laparoscopy/keyhole surgery/minimal access surgery

In order to perform open abdominal surgeries, the surgeon makes a cut which is large enough to have adequate visibility, access to the abdominal organs and allow the use of hand-held surgical instruments. Depending on the size of the patient and the type of operation, the cut may be 6 to 12 inches in length. There is a significant amount of discomfort associated with these cuts. They have more blood loss, prolonged hospital stay, and longer recovery time post-surgery. These traditional techniques have long been used and taught to generations of surgeons, and are widely available.

Advantages of laparoscopy over open surgeryŸ Small incision- less pain and short recovery time, wounds heal quickly. There is

less scarring with better cosmetics.

Ÿ The pain is less. So less administration of pain medication.

Ÿ Reduced bleeding and need for blood transfusion is negligible.

Ÿ 2-3 days stay in the hospital after surgery. Few are discharged on the same day. This enables the patient to return to normal routine life quickly.

Ÿ There is a reduced chance of infections & contamination

Overview

Our Doctors

Dr. Shanthala ThuppannaSenior Consultant - Gynecological LaparoscopyDepartment - Obstetrics and Gynecology

Overview:Dr. Shanthala Thuppanna, is working as Senior Consultant - Gynecological Laparoscopic and Gynecological Aesthetic Surgeon in the department of Obstetrics & Gynecology. Dr. Shanthala comes with more than 14 years of rich and varied experience in Obstetrics & Gynaecology mainly in Gynecological Laparoscopy. Her last assignment prior to joining at Sakra was with Columbia Asia Hospital, Bangalore and has worked as Senior Consultant - Gynecological Laparoscopy.

Qualification:MBBS, MS (Obstetrics & Gynaecology) Fellowship in Gynecological Laparoscopy (RGUHS) Diploma Gynecological Endoscopy, Kiel (Germany) Fellowship in Cosmetic Gynecology (American Aesthetic Association)

Areas of Expertise:Ÿ Laparoscopic Hysterectomy

Ÿ Laparoscopic Myomectomy

Ÿ Laparoscopy for Ovarian Cyst

Ÿ Laparoscopy for Infertility

Ÿ Laparoscopy for Prolapse

Ÿ Diagnostic Hysteroscopy

Ÿ Hysteroscopic Polypectomy

Ÿ Hysteroscopic Cannulation

Ÿ Follicular monitoring (Ultrasonography)

Ÿ Artificial Insemination (IUI)

Awards & Recognitions:Ÿ She has received Kempegowda awarded for the year 2016.



Institute of:


Bone and Joints



Renal Sciences



Understanding Interventional RadiologySakra institute of Interventional Radiology

The Department of Interventional Radiology (IR) at Sakra is a subspecialty of radiology that uses image-guided, minimally invasive techniques for both diagnosis and therapy. In other words, it is a medical procedure performed by Interventional radiologist using x-ray fluoroscopy, computed tomography, magnetic resonance imaging, or ultrasound.

Interventional radiology, however, is both a diagnostic and therapeutic discipline, where operations are performed using the normal highway system of the body, the network of veins and arteries, through a puncture the size of a pinhole.

The purpose of using Interventional radiology is to diagnose and treat patients using the least invasive techniques to reduce the risk and improve the overall health of the patients.

The range of Interventional radiology techniques is divided into two main types of procedures such as diagnostic and therapeutic.

Diagnostic Procedure:

Diagnostic procedure employs anatomical images either to precisely direct an abnormality biopsy, such as a cancerous tumor, or to insert a radiopaque agent to imagine a hollow structure, such as a blood vessel or canal.

Therapeutic Procedure:

Therapeutic procedure specifically direct treatments to an abnormality, such as stents, laser treatment or clotting agents.

Types of interventional radiology:

1. Diagnostic interventional radiology: The procedures of diagnostic IR include Angiography, Cholangiography and Biopsy.

2. Therapeutic interventional radiology: The procedures of Therapeutic IR include Balloon angioplasty, Endovascular aneurysm repair, Embolization, Thrombolysis, IVC filters, Dialysis, TIPS, Endovenous laser treatment, Cholecystostomy, Catheter placement, Embolization and Percutaneous nephrostomy.

The range of conditions which can be treated by Interventional radiology is vast and constantly expanding. While technology advances and the availability of high-

Overview

quality imaging equipment grows, interventional radiology will bring a host of new treatment options to patients and referral specialists.

The benefits of Interventional radiology are:

1. Reduced risks and shorter hospital stay

2. Lower cost than surgery

3. Greater comfort and quicker

4. Lower costs, greater comfort

5. Quicker recovery time

The Department of Interventional Radiology at Sakra world hospital is offering a full range of advanced interventional radiology services. With patient-focused Our department of Interventional Radiology houses state-of-art techniques and facilities such as 3T MRI, 128 slice CT multidetector, 3D&4D ultrasound machines, optical X-ray machines, OPG machines and bone mineral densitometry.

For all routine and emergency imaging services, the interventional radiology department is open 24x 7. The team of radiologists and radiology technologists in the field of radiology has not only general expertise but also experience with subspecialties. Our specialist interventional radiologists are fellowships qualified at some of the best hospitals in the world and are experts in all imaging aspects.

Dr. Dheeraj TiwariSenior Consultant - Interventional RadiologyDNB (Radiodiagnosis), Fellowship in Interventional Radiology,MBBS, NGMC, Kathmandu University, DNB in Radio diagnosis EKO X-Ray& Imaging Institute, Kolkata, FIVR, New Delhi, FIVR, SNUH Seoul, South Korea,IR training, Johns Hopkins University, USA & JapanDepartment - Interventional Radiology

Overview:Dr. Dheeraj Tiwari is an Interventional Radiologist with experience extending over 10 years. He has worked in prestigious hospitals like Medanta- The Medicity Hospital in Gurgaon & Narayana Health Group of Hospitals in Kolkata.

Over the last few years, he garnered extensive experience in body interventions, peripheral interventions and percutaneous interventions treating patients across the country.

He is highly experienced in doing EVLT(Laser Therapy) for varicose veins, Dialysis access repair, SFA plasty, below the knee plasty, Iliac stenting, Fistuloplasty, Central vein plasty, SVC/IVC plasty, multiple endovascular body interventions like; TIPSS, TACE, TARE, BRTO, Embolization for GI bleed, BAE, Uterine fibroid embolization, Prostatic artery embolization for benign prostatic hyperplasia, Transjugular Liver / Kidney biopsy, Renal Angiography & Coiling. Percutaneous Interventions like Liver, lung and renal tumour Ablation using Microwave or Radiofrequency, PTBDs multiple complex drainages and percutaneous core biopsies, PICC line, Permcatheter placement for Dialysis, percutaneous nephrostomies.

Qualification:Ÿ DNB (Radiodiagnosis),

Ÿ Fellowship in Interventional Radiology,

Ÿ MBBS, NGMC, Kathmandu University,

Ÿ DNB in Radio diagnosis EKO X-Ray & Imaging Institute, Kolkata,

Ÿ FIVR, New Delhi,

Ÿ FIVR, SNUH Seoul, South Korea,

Ÿ IR training, Johns Hopkins University, USA & Japan

Our Doctors

Area of Expertise:Ÿ Vascular interventions: Uterine Fibroid Embolisation, Prostatic Artery

Embolization, TIPSS, TACE, TARE, BRTO, Embolization for GI bleed / Portal vein,Splenic embolization, Bronchial Artery Embolisation, SMA stenting HVPG, Transjugular Liver and Kidney Biopsy, Renal Angiography & Coiling and other vascular interventions.

Ÿ Peripheral interventions: EVLT and foam sclerotherapy of varicose veins, SFA plasty, Below the Knee Plasty, Iliac stenting, Dialysis Fistuloplasty, Central vein plasty/ stenting, SVC/IVC plasty etc.

Ÿ Percutaneous interventions: Microwave ablation of Liver / lung or Renal tumours, Biliary stenting, Endobiliary RFA, PTBD, RFA, PCN, biliary and ureteral stenting, SPC, percutaneous gastrostomy, tube changes, tube upsizing, cholecystostomy, Fiducial placement, USG & CT guided biopsies, drainages and other percutaneous procedures.

brain and spine surgeries

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