Fortis Hospital, Noida

Hi,

I am Dr. Gaurav Bansal, Neurosurgeon, Fortis Escorts Heart Institute & Spine & Neuro Clinic, Delhi, Fortis Hospital, Noida. Today I will talk about the spine pathology. Jismein hum baat karenge ki disc prolapse ya disc khisak jana ya sciatica hai, toh uske aaj kal latest technology kya hai jis se ye tackle ho sake. Today I will be talking about minimally invasive spine surgery. Humein normal tissues ka loos kia bina insan ke andar jana hai aur mariz ki nerve ka pressure lose karna hai. Kyu ye kia jata hai and kis lia sciatica banta hai, mariz ko kyu dikkat shuru hoti hai, iske baare mein aaj baat karenge. Sabse pehle mai aap ko btaunga ki sciatica kyu hota hai. Pairon mein se disc ki taraf jo nus jaati hai agar us par koi bhi pressure aata hai toh us se sciatica hota hai. Ye dabav kayi karan se aa sakta hai. Ismein sabse jyada problem aata hai jab disc khisak jata hai. Ise disc prolapse ya PIVD kehte hain.

Ismein disc jhatake ya fir kharab hoke bahar nikal aati hai. JIski vajaha se pair mein jo nus ja rahi hai usmien jhanjhanahat ya sunpan aa jata hai. Abhi tak sambhav ilaj mein hum mariz ke piche chira laga ke rid ki haddi tak pahuchte the, usko khuli aankhon se dekhte the ki kahan kya problem hai. Jo tukda nus mein asa hota tha use nikalte the. Is process mein normal skin and normal rid ki haddi aur bich ke tissues ko katna padta tha. Tab jaake hum disc tak phuchte the. Aaj ke time mein iski jarurat nahi hai. Humare pass latest technique hai jismein minimally invasive spine surgery di jaati hai. Ismein hum 3-4 mm ki tube dalte the and kuch bhi damage nahi hota tha. Ismein ek durbin pass kia jata hai dekhne ke lia ki kaha disc prolapse hai, jahan tukda hota hai use hum grasper se bahar nikal lete hain. Is se patients ko aram milta hai and kayi marizon ko behoshi ki jarurat hi nahi padti hai. Ise hum stitch less, scarless and painless surgery kehte hain.

Patient khud hi kehta hai ki jo mujhe pain tha ab vo nahi hai. Uske baad mariz ko koi tanka chira kuch nahi lagta. Spine se related kafi galatfamiyan hain ki surgery ke baad patient ko uthne hi nahi dia jata hai, aage puri life kamar mein dard rehta hai, kamar mein kamjoori aa jayegi, ya humein screw lagane padte hain, in sab ki jarurat 90% cases mein nahi padegi. Mariz ko same day hum ghar bhej dete hain and patiet apne ghar pe aram kar sakta hai. Patient ko hum OPD mein examine karne ke baad select karte hain. Agar humein koi problem dekhti hai toh hum MRI karte hain. Agar humein lagta hai ki stitchless surgery se tackle ho sakta hai jo ki 90% possible hai toh hum stitchless surgery hi karte hain. Patient ko hafta 10 din baad OPD mein aake dikhana hota hai. Baki patient ko koi dikkat nahi hoti hai. There is no bed rest needed. Agar kisi ko bhi kamar ya rid ki haddi mein dikkat hai toh aap kisi bhi spine surgeron se mil sakte hain. Aap ko painkillers khane ki jarurat nahi hai. Aaj ke time mein ye minor surgery hai. Iska permanent cure available hai. Islia aap apne karibi Dr se milein aur treatment lein.

Thank You

Hi,

I am Dr. Gaurav Bansal, Neurosurgeon, Fortis Escorts Heart Institute, Delhi, Fortis Hospital, Noida & Spine & Neuro Clinic, Delhi. Today I will talk about brain tumors. Brain tumor ke baare mine logon mein kafi galatfaimiyan hain and darr hai ki ek baar ho jaata hai toh iska koi ilaj sambhav nahi hai. Mai aap ko btana chahunga ki kitni tarah ke brain tumors hote hain, inko kaise hum diagnose karte hain aur kaise iska ilaj sambhav hai? Ye bache aur badhon dono mein ho sakta hai. Age ke hisab se alag alag tarah ke brain tumors dekhe jaate hain. Brain tumors 2 types ke hote hain: benign and malignant. Benign ka matlab hai ki tumor cancer nahi hai. Kisi bhi ganth ko hum tumor kehte hain. Aur cancer ki baat karein to sare malignant tumor hote hain unhein hum cancer kehte hain. Logon mein darr hota hai ki brain tumor ho gaya toh ye cancer hai. But ye galat hai. 90/100 cancer nahi hite hain. Agar cancer bhi hai toh iska ilaj bhi aaj ke time mein possible hai. Agar tumor hota hai toh kisi ko dekhne mein dikkat ho sakti hai, heacdache ho sakta hai, vomiting ho sakti hai. Agar aisa hai toh immediately Dr se consult karein. Isi tarah ke signs and symptoms humein malignant tumor mein milte hain.

Ek baar patient jab Dr ke pass aata hai toh Dr use investigation k lia btate hain. Jismein sabse important hai MRI of the brain. Iske andar humein pata chalta hai ki tumor kaha pe hai and size kya hai, kisi important chiz se kya chipka hua hai ya kisi chiz ko dabba raha hai aur hum kaise surgery ya fir dawayi se kaise thik kar sakte hain. Jab MRI hone ke baad hum diagnosis bana lete hain toh karib 90% tumors hum surgically nikal sakte hain. Unko hum operation se khtam kar akte hain. Bimari thik ho sakti hai. Kafi common hai pituitary adenoma jismein naak se sir ki ek jagah ke bich mein pituitary gland hota hai jo size mein badh jaati hai and tumor ho jaata hai. Iska operation hum naak se karte hain. Bahar koi chira nahi aata aur durbeen se ise nikal dia jata hai. Ye kaafi acha ilaaj hai aur mariz 2-3 din mein ghar ja sakta hai. Isi tarah se baki ke treatment bhi hum navigation se karte hain.

Iske andar exact location of the tumor, brain mein hum dekh sakte hain navigation ke through. Isko hum kam se kam damage ke bina nikal sakte hain. Jo tumor nikalta hai use hum biospy ke lia bhejate hain aur humein pata chalta hai ki ye kis type ka tha. Kya surgery ke baad dubara hone ke chances hain ya nahi. Kya iske baad bhi patient ko koi therapy dene ki jarurat hai like radiotherapy or chemotherapy. Agar cancer hai ya tha toh dene ki sambhavana hoti hai. Otherwise, nahi hoti hai. Iske baad patient 3-4 days tak hospital mein hota hai, uske baad patient apne ghar chala jaata hai. 1-2 months ke baad hum firse MRI patient ka karate hain ki kahin koi growth toh nahi hai aur pura tumor nikala hai ya nahi. Friends, mai aap ko kehna chahunga ki brain tumor ke baare mein jo humne suna hai vo sab sahi nahi hai. Agar aap ko koi bhi query hai toh Dr se milein. Kafi chances hain ki aap ka MRI normal ayega aur agar report mein kuch ata bhi hai toh uska treatment possible hai.

Thank You.