Dr. Srivastava’s short introduction
Dr. Sudhir P. Srivastava has performed over 1300 robotic cardiothoracic procedures — the largest volume in the globe. He is the only medical doctor in the globe to have performed a Quadruple Vessel Beating Heart TECAB (Totally Endoscopic Coronary Artery Bypass) Surgery even though at the University of Chicago in 2007. He has also carried out several ‘first ever’ complicated cardiac procedures in India because November 2011. These first time operations in India were: Robotic Single Vessel Beating Heart TECAB, Robotic Double Vessel beating Heart TECAB, Robotic Myxoma Excision and numerous other hybrid instances. Nowadays he is the only cardiothoracic surgeon in India who performs Totally Endoscopic Coronary Artery Bypass on a beating heart.
The name ‘Robotic Surgery’ appears to suggest that the process is getting performed by a robot…
The name has stuck, but it is truly a misnomer. To call it ‘Robot-Assisted Surgery’ would be much more appropriate. The robotic surgical system serves as an instrument for surgeons, enabling them to be a lot more precise, advancing their approach and enhancing their capability in performing complex minimally invasive surgery. The da Vinci Technique replicates the surgeon’s movements in true time. It cannot perform any type of surgical manoeuvre with no the surgeon’s manage.
How is robotic surgery far more advantageous for individuals?
As opposed to classic strategies of performing surgery, robot-assisted surgery is minimally invasive which signifies smaller incisions of 1-two cm only as compared to conventional surgery where the physique is opened to access the operative field with a 10-12 cm cut. Minimally invasive surgery benefits in lesser discomfort & trauma, lesser blood loss, quicker recovery time & minimal scarring. In reality we send the patient residence in three-five days. The procedure becomes less daunting for old and young alike. Taking into account all these factors, robotic surgery has observed tremendous development and acceptance in the Western Planet providing rise to several rewards for the patient.
In laparoscopic surgery also smaller sized cuts are made as an alternative of large cuts. Then how is Robotic Surgery diverse from laparoscopic and endoscopic procedures?
Robotic Surgery enables surgeons to execute complex surgical procedures that might not be feasible through laparoscopic/endoscopic alternatives. In Robotic Surgery, a surgeon gets a 3D vision of the region that has to be operated upon, and that too magnified up to 10 times a lot more. The instruments we use can be moved the way we move our wrist and there is no tremor even though performing the operation. Laparoscopic procedures, on the other hand, provide surgeons only 2D vision long instruments with no wrist-like motion and no tremor filtration.
Which health-related procedures can be performed making use of robotic help?
Robotic Surgery can be performed for the following specialities: cardiac, thoracic, urology, gynaecology, general, head & neck, orthopaedics and ENT.
What could be the distinction in price among a surgery performed in traditional technique and 1 making use of a robot and will my wellness insurance coverage spend for it?
The expense of Robotic Surgery is 30-40% larger than conventional surgery. Even so, with the positive aspects supplied by Robotic Surgery which includes minimal rehabilitation, much less individual trauma/ side effects & early return to work, in the finish it is general much less costly. The patients who have already opted for this surgical alternative counter that robotic surgery in fact proves to be cheaper overall – from the point of view of the decreased hospital bill and speedy return to an active, productive life. Also, Robotic surgery is billed as Minimally Invasive Surgery & as a result, is covered by health insurance coverage.
What are the elements stopping Robotic Surgery from being integrated into health-related procedures at a more rapidly pace?
High initial capital fees and higher fees of robotic consumables add to the price of every case. There is a steep learning curve for surgeons and operating room teams. The best requirement at this time includes surgeons with eight-ten years of operative expertise and commitment on component of operating area teams. Numerous surgeons don’t want to go through the understanding curve, longer operative time and feasible distinct outcomes in the middle of their surgical careers. Like any new method and procedure, initially there is lack of awareness amongst physicians and patient neighborhood that leads to slower adoption. Even so, when institutions and surgeons have committed themselves to robotic technology, the adoption has been considerably more quickly as witnessed by the worldwide growth of robotic surgery procedures. The quantity of robotic systems in India has elevated from 14 to 22 in a year which signifies that men and women are becoming conscious and there is an enhance in demand for robotic surgery. Nevertheless, the issue in India remains lack of talent in robotic surgery, and surgeons getting capable of utilizing such technology and delivering the necessary final results. There has been no pressure by the main healthcare service providers to bridge this gap. We at ICRS intend to alter this method and make robotic surgery an attainable reality for any physician willing to commit the time to understand these tactics.
You are the Chairman-MD of ICRS (International Centre for Robotic Surgery). What is ICRS all about?
To give you a background, I have been based in the US since the 70s, and was practising there. I have launched robotic surgical programmes in a number of countries like Australia, Korea, China, Thailand and Japan. But it has usually been a dream for me to provide my service through medicine to India. All through my evolution as a surgeon, I was continually teaching fellow colleagues in India, and in 2002, I performed the first robotic surgery in the subcontinent. Considering that then, I have hosted many Indian surgeons back in the US who have been enthusiastic about education. But in order for the programmes to flourish in India, and to utilise the complete talents of several gifted Indian surgeons, there had to be a person on the ground to additional mature their education. In 2010, I set up ICRS in India to give the most advanced surgical practices to sufferers in the Indian subcontinent, and to also teach and train surgeons. ICRS is the only centre in India providing a extensive robotic surgery program. The ICRS consulting team consists of 20 world leaders in the fields of minimally invasive and robotic surgery specialising in Cardiac, Thoracic, Urology, Gynaecology, General Surgery, Head and Neck and Orthopaedics. The combined robotic surgery knowledge of these surgeons is more than 15,000 circumstances — the biggest collective volume in the world.
ICRS has collaborated with Fortis Healthcare to offer onsite surgical expertise to the Fortis network of hospitals. On November 2nd 2012, the initial robotic surgery centre was launched at Fortis Escorts Heart Institute, New Delhi. Fortis ICRS centres will be set up across Fortis hospitals in Mumbai, Gurgaon, Bangalore, Chennai, Kolkata as properly as some tier II cities such as Mohali and Jaipur. Fortis ICRS is a huge step forward towards commitment to delivering the newest in healthcare in terms of cutting-edge technology and very best-in-class healthcare knowledge. The centres will certainly set new paradigm in robotic surgery in India.
ICRS has also collaborated with Asian Heart Institute ‘India’s Highest Accredited Hospital’ and ‘The Ideal Private Cardiac Hospital'( as per a CNBC and The Week survey carried out in 2011) to supply experience and service in robotic cardiovascular surgery in Mumbai and Western India .
My vision is to establish extensive robotic surgery plan right here in India, creating and nurturing talent to make this a longer term reality, and conducting educational forums and seminars to educate the mass on the positive aspects and outcomes of such a program.
What can developments in this field mean to the nation?
Right now, robotic surgery is not regarded as experimental as extremely mature applications are now available planet-wide. Robotic surgery has been practiced for the last 12 years worldwide. Last year around 350,000 robotic procedures have been performed globally. Development in this field would mean a lot of a lot more sufferers can benefit in India utilising this method. This will additional be a boon to the healthcare tourism sector in India.
India was a single of the first nations to recognize the possible of medical tourism and nowadays is the leading destination for international health-related vacationers. Already in 2004, India has received 150,000 medical tourists and this quantity has grown by an impressive 33% by 2008 to 200,000 inbound healthcare tourists. It is estimated that by the year 2015, India will acquire over half a million annual medical tourists annually.
Individuals have realized that they have better options other than receiving local medical treatment and it is their right to check elsewhere and take benefit of the fact that the improvement of the implies of transportation along with the web is turning our globe into a “international village”.
Two key factors for travelling to one more country for health-related treatment is availability of a lot more sophisticated medical technologies with ongoing analysis in the specific field of surgery and reduced healthcare fees as many individuals do not have appropriate healthcare insurance coverage (or any at all) and when in require of surgery, they cannot afford to spend for it in their house nations.
India’s private health-related sector offers the most advance medical treatments and technology obtainable in the world these days. There are 22 robotic systems in different centres across India and a talented pool of surgeons performing robotic surgery in numerous specialities. Additional, in nations like USA and Australia, Robotic Surgery procedures expense anyplace between $ 40, 000 – $ 75, 000 which is roughly 4 occasions a lot more than the cost prevailing in India.
The most advanced healthcare service is now obtainable right here at a fraction of price compared to other countries. And right after getting health-related treatment and recovering, patients are free to keep travelling and get pleasure from a holiday in India and the nations surrounding it as India is positioned in the heart of East Asia.
I strongly think that Robotic Surgery will supply a increase to the already existing healthcare tourism business in India and will bring income and prestige to the nation. We expect a lot of health-related worth trips / tourism facilitators to partner with programs like ours to additional develop awareness internationally and additional boost our reach in healthcare service and science.
What is the very best way to schedule an appointment with you or to get much more details about International Centre for Robotic Surgery?
You can attain us by way of the following mediums:
Call: 9PM IST – 6PM IST: 011 – 47134472
6PM IST – 9AM IST: 9810822348
Email: [email protected]
Go to: www.indiaroboticsurgery.com
Saroj Srivastava, 65, a former diplomat, on whom India’s first ever robotic double vessel bypass process was performed, says, “I was petrified about undergoing a bypass, as it includes opening the chest and cutting the breastbone to access the heart. But then I was told that a robotic bypass includes creating just 4 fingertip-sized incisions in the physique and that, it outcomes in much less blood loss, significantly less discomfort and a lot quicker recovery.” Srivastava decided to go for it and was enjoying breakfast with her loved ones the really next day of the surgery. Discharged just three days later, she says smiling, “I was up and about inside a week’s time. I am glad I opted for it.
The rewards of robotic surgery are not just restricted to the heart. Robotic surgery can be applied in other specialities as effectively. Take for instance, the case of Deepa Vaid,44, who had been suffering from excessive bleeding due to uterine fibroids and was advised to undergo a hysterectomy. Says Vaid, “I was so stressed out.” My husband was suffering from extreme back pain, so I was taking care of my two little ones, my 85 year old mother-in-law and a enterprise all on my own. I had observed my niece undergo laparoscopic hysterectomy. She had so considerably difficulty just altering side and was bed-ridden for over a month. I couldn’t afford such a long recovery time!” So, when her gynaecologist informed her that with robotic surgery, she will not have to go via that ordeal, she was relieved. “It was absolutely nothing significantly less than miraculous!”, she says. ” I was discharged in just two days and was back at operate in a week! There was hardly any blood loss, minimal pain and negligible scarring – and no need to have to even modify the dressing.”
Substantially, robotic surgery is also endorsed by men and women in rural India, like 72 year old farmer Dharampal Singh from Bela village, Haryana. Singh’s son Prahlad who’s a BSF constable recounts, “An open heart procedure would have meant a month or more of bed rest. My father weighed about 115kgs and helping him sit or get up from the bed would have been challenging.” So, right after consulting with BSF physicians, they decided to opt for a robotic bypass. “My father was house in just six days and on his feet quickly after. That also without getting his chest split wide open!” Singh, who has turn into the village celebrity, had a extremely practical cause to go robot. “Is umar me maut se kisko darr lagta hai? Par kaun maheeno bistar pakadkar rehna chahta hai? (Who is afraid of death at this age? But who would want to be bed-ridden for months?), he says.
Be it a septuagenarian or small kids, this new procedure is giving hope to numerous in India. Take the case of one particular year old Aditya Khandelwal from Kota, Rajasthan, who was suffering from Vesico Ureteral Reflux (VUR) – a condition in which the valve among the ureters (the tubes that carry urine away from the kidneys) and the bladder does not function appropriately. Says father Dr. Anish Kandelwal, a basic practitioner, ” For 8 months, he had recurrent infection, high fever and was losing weight. We brought him to Delhi and go for robotic ureteric re-implantation. If we had opted for the open procedure, it would have been quite painful for my tiny boy – particularly the 48 hours following the anaesthesia wears off. It would have taken him at least a couple of months to recover. Also, post operative care would have been quite difficult, as restraining a a single year old from playing and producing sudden jerky movements is difficult. Adds Aditya’s mother, “At no point did I really feel that my son was undergoing a significant surgery. He was playing in his area just two days soon after the operation.” So what made this possible? Robotic Urologist Dr, Anant Kumar, who performed the operation on Aditya explained, “Simple access to little infant structures made the surgery precise and less complicated, which would not have been feasible with rigid laparoscopic instruments.