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Himachal’s Dr Vivek Bindal performs India’s first robotic surgery on 14-year-old

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India's first robotic surgery by Dr. bindal

Shimla: Himachal Pradesh’s, Dr Vivek Bindal, at Sir Ganga Ram Hospital, New Delhi, performed India’s first robotic surgery on a 14-year-old child and removed a large tumor from his left adrenal gland thus saving his life.

Dr Vivek Bindal hails from Solan and is the son of Rajeev Bindal, the five-time legislator and current Deputy Speaker of the HP Legislative Assembly. He is currently serving as a consultant and coordinator (Robotic Surgery), Institute of Minimal Access, Metabolic and Bariatric.

It is believed that he is the most experienced Robotic and Bariatric Surgeon in South East Asia. He has published many research papers and book chapters in this field in reputed journals.

 

Dr. Vivek Bindal son of Rajiv Bindal

According to doctors, the procedure lasted for two hours and the child was kept in hospital for four days and discharged thereafter, without any blood pressure medication. Before surgery, he was taking three different tablets for blood pressure in high doses.

During this uphill task, Prof. Satish Aggarwal was also present. Experts claim that the surgery is first of its kind in India. Robotic surgery is rarely used on children because of the small size of the abdomen, especially for adrenal tumors, which are deep-seated and adjacent to big blood vessels.

The adrenal gland is a deep-seated gland in the human abdominal cavity above the kidney, adjacent to biggest blood vessels and important organs of our body.

India's first robotic surgery by Dr. bindal

“Pheochromocytoma” is a rare functional tumor of the adrenal gland which leads to very high blood pressure and other medical problems. It is usually removed by open surgery, which entails a big cut and long recovery,  the doctors said.

The child had symptoms like sweating, palpitations, breathlessness and high blood pressure. On investigations, he was found to have a large 8 cm tumor in the left adrenal gland, along with high catecholamine (hormone) levels, suggestive of pheochromocytoma,

said Prof. Satish Aggarwal, department of pediatric surgery, Sir Ganga Ram Hospital.

The child was planned for excision of the tumor by robotic surgery, rather than open surgery.

The location and size of the tumor, its proximity to vital organs like pancreas and major blood vessels, coupled with a small abdominal cavity in a child made it a very challenging and robotic platform was chosen to overcome these problems. The additional benefits of small incisions, minimal blood loss and faster recovery in a child made us proceed with robotics,

said Dr Vivek Bindal.

Experts said the challenge was to maintain blood pressure before, during and after the surgery.

According to doctors, even minimal manipulation of the adrenal tumor during surgery can shoot the blood pressure to alarming levels, while it falls precipitously immediately after removal of the tumor.

The child underwent a successful removal of the left adrenal tumor, which turned out to be 8 cm tumor, stuck to kidney, pancreas, spleen and large intestine, Keyhole robotic surgery was performed and the structures were dissected one by one safely.

The tumor was very vascular and had multiple bold vessels supplying it, arising from renal vessels and aorta. They were isolated and divided in between clips. The tumor was removed in totality without any significant blood loss,

said Dr Bindal.

More About Dr Vivek Bindal

Dr Vivek Bindal is working as Consultant Robotic, Laparoscopic and Bariatric Surgeon at Sir Ganga Ram Hospital, New Delhi. He has a keen interest in Robotic Bariatric (Weight loss) Surgery and has worked and published extensively in this field. He is among the pioneer surgeons in South East Asia to bring Robotic Surgery in the field of Obesity surgery.

Dr Bindal completed his MBBS and MS (General Surgery) from prestigious Maulana Azad Medical College, New Delhi. Thereafter, he did 2-year super speciality Fellowship of National Board (FNB) in Minimal Access Surgery from Sir Ganga Ram Hospital.

Following this degree, Dr Bindal did an advanced fellowship in Robotic Gastrointestinal and Bariatric Surgery from the University of Illinois at Chicago, USA. He also worked as a faculty member in Division of Metabolic & Weight Loss Surgery, Duke University Medical Center, USA.

He has also been trained in Robotic and advanced laparoscopic surgery at centres of excellence around the world including IRCAD (Strasburg, France), International Robotic Training School (Grosseto, Italy), Celebration Health Florida Hospital (Florida, USA) etc.

He has been invited to speak on Laparoscopic, Robotic and Bariatric Surgery in various international and national conferences. He is actively involved in research in Bariatric surgery and is co-PI of many projects involving basic science research.

Misc News/Press Release

Himachal Reports 87 COVID-19 Deaths in 11 Days With a Steep Rise in Cases

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COVID-19 deaths in Himachal pradesh on november 10

Shimla-With nine more COVID-19 deaths on Wednesday, the tally for Himachal Pradesh has jumped to 399. The state is witnessing a surge in November as 87 deaths were reported during the last 11 days. Yesterday’s fatalities included seven males and two females aged between 45 to 87 years. Find the reasons for these fatalities below:

himachal pradesh -Update on covid-19 deaths

Further, according to the state Health Department’s official statistics, 610 new cases of COVID-19 were detected yesterday, of which Shimla reported highest (118) cases, followed by Mandi (116).

In Mandi district, as many as 26 more teachers and some students reportedly tested positive yesterday. The infected also included two doctors of Tanda Medical College, Kangra, and a couple of policemen in Sakoh.

Operation theatre at the Kamala Nehru Hospital, Shimla, was reportedly closed for a week. Similarly, the women police station in Shimla was also closed following the detection of a case.

Further, the state High Court has taken suo moto cognizance of a news report published in an English daily and issued a notice to the government. The news pertained to Indira Gandhi Medical College, which ran out of space for COVID-19 patients in isolation wards.

As per official data, the total for COVID-19 in the state had reached 27418 till yesterday evening (9 pm), of which 5605 were active cases. Mandi district has reported highest 4194 cases, followed by Solan (3958), Shimla (3725), and Kangra (3635).

The state government is barely speaking on the alarming rise in fatalities and its strategy to control it. But Chief Minister, while addressing a public meeting at Sihunta under Bhatiyat Assembly Constituency yesterday, did hail the Prime Minister and claimed that the nation is out of COVID-19 crisis.

“He (PM) has successfully brought the Nation out of Covid-19 crisis,”

Chief Minister said.

HP Health Department COVID-19 Bulletin for November 11, 2020 (9 pm)

 

 

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Himachal Reports 12 COVID-19 Deaths in Single Day, Surge in Cases in Shimla

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Himachal Pradesh COVID-19 deaths till diwali

Shimla-COVID-19 continues to wreak havoc in Himachal Pradesh as a record 12 fatalities were reported on Tuesday. Of the 611 new positive cases yesterday, Shimla reported highest 148 with seven fatalities. The deceased included 11 males and a female aged between 47 to 92 years.  During the last three days, the state has reported 25 fatalities. Find the details regarding the causes of deaths below:

Himachal Pradesh Record COVID-19 deaths

The state government had yesterday decided to close all educational institutes in Himachal for 15 days after over a hundred teachers and students tested positive in schools. The government termed it as a special vocation for students, teachers, and non-teaching staff of all educational institutes.

The capital has witnessed a surge as over 750 cases were reported during the last six days. In the season of festivity and marriages, social distancing and other guidelines issued by the MHA for personal protection are being flaunted, which is only fueling the spread. 

On top of it, the COVID-19 Hospitals in the state have begun to run out of beds for patients in isolation wards. The largest medical facility in the state – Indira Gandhi Medical College & Hospital- was packed to its full capacity, which was only 85 beds. Dr Rajneesh Pathania, Principal of IGMC, confirmed the report. According to media reports, DDU hospital, Shimla, had also run out of space. The government is yet to prepare the make-shift hospitals it had announced a couple of months ago. 

So far, according to the official statistics, the state had reported a total of 26808 cases till yesterday evening (9 pm), and the official COVID-19 death tally had mounted to 390.

HP Health Department COVID-19 Bulletin for November 9, 2020 (9 pm)

Update Himachal Pradesh COVID-19 for november 10, 2020

Featured Image: [email protected]

 

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Amid Alarming Surge in COVID-19 Cases and Deaths, Hospitals Including IGMC Running Out of Space

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covid-19 in himachal pradesh igmc beds full

Shimla– Amid the festive season, Himachal Pradesh is witnessing an alarming surge in COVID-19 cases and fatalities. As a matter of huge concern, the Indira Gandhi Medical College & Hospital, Shimla, has run out of beds in isolation facility and can’t accommodate more patient, unless someone is discharged or dies. There was space for only 85 patients at the hospital, which is full presently.

The DDU hospital, too, is running out of capacity with a surge in cases. Further, make-shift hospitals announced by the state government haven’t seen light of day. IGMC is the largest medical facility of the state and COVID-19 patients in critical condition were referred here.  

The situation could worsen due to the ongoing festive and wedding season. Markets are crowded and people are hardly following social distancing norms in marriages.

Further, yesterday seven people including a 16-year-old girl lost their lives. The decision to open schools seems to be backfiring as hundreds of teachers and several students were found positive for COVID-19 during the past few days. There are speculations that the state government could decide on closing schools for some time in the Cabinet meeting to be held today.

Details regarding the causes of fatalities below:

Himachal Pradesh COVID-19 deaths in november 2020 f

On Monday, five doctors and nine staff nurses at the Shri Lal Bahadur Shastri Government Medical College and Hospital, Nerchowk in Mandi district, tested positive.

Yesterday, the state reported a record 711 confirmed cases with seven fatalities in a single day. Shimla district reported the highest 204 confirmed cases.

The COVID-19 death tally has now mounted to 378, while the total number of cases had reached 26197 till yesterday evening (till 9 pm).

HP Health Department COVID-19 Bulletin for November 9, 2020 (9 pm)

 

Himachal Pradesh covid-19 cases on november 10

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