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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.

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Rs.18 Crore Mandi Shiv Dham Project Tender Allotted for Rs. 36 Crores, Alleges Sudhir Sharma  

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Mandi Shiv Dham Project Tender

Shimla-Chief Minister of Himachal Pradesh, Jairam Thakur, and Mandi Shivdham project, which he claims to be his dream project, has landed in controversy ahead of the polling for the by-polls scheduled to be held on October 30.

AICC secretary and former minister, Sudhir Sharma, on Saturday released a statement in which he alleged HP Tourism Development Corporation of indulging in corruption in allotment of tender for the Mandi Shivdham development project. He alleged that against the sanctioned limit of Rs. 18 crores, the tender for the development of the first phase of the project was granted to a Mumbai-based company “Generic Engineering Construction & Projects Limited” in February this year.

The project involves structural construction of replicas of 12 Jyotirlings, site development etc., as per the tender.

He also said that the Chief Minister himself holds charge of the Tourism Department.

Sudhir also furnished some documents related to the tender allocation to support his allegations.

He further informed that the tenders were first invited for the first phase between November 24 and 25, 2020. At that time, the estimated cost was mentioned to be Rs. 18 crores. Four companies responded to the invitation and participated in the tendering process. However, by February this year, the tender was allotted to the above-mentioned company for Rs. 36 crores.

Sudhir questioned the state government over doubling the cost and asked the Chief Minister to provide the public with an explanation for this.

“This money belongs to the State and it should be spent on public welfare,” Sudhir said in a statement released on Saturday.

He also demanded action against those involved in this alleged act of corruption.

Sudhir further alleged that instead of taking care and undertaking beautification of already existing temples and religious places in Mandi – also known as Choti Kashi- Chief Minister jumped to a new location with his dream project. He also alleged that the government didn’t even obtain forest clearance for this project and several trees were axed.

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Kinnaur: Horrific Tragedy Unfolds as Bodies of 7 Out of 11 Missing Trekkers Recovered, Two Still Missing

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trekkers dead in kinnaur himachal pradesh

Kinnaur-A horrific tragedy is unfolding as bodies of seven trekkers, who had gone missing while trekking from Uttarkashi to Chitkul, were recovered by the teams of Army and ITPB from Lamkhaga Pass in Kinnaur district. Two of them have been rescued alive and were receiving medical treatment. Two trekkers are still missing and feared to be dead.

Most of these persons belonged to West Bengal. 

The rescue team could not lift the bodies due to the bad weather on Thursday as it had to suspend the search and rescue operation. The operation was resumed on Friday. The search operation for the remaining missing persons would be carried out on Saturday. The search and rescue teams found the bodies at an altitude of 5,000 metres.

According to the available information, a total of 17 persons – 11 trekkers and six porters- had left Uttarkashi on October 11 on a trekking expedition that was supposed to conclude in Chikul of Kinnaur district on October 19. However, the weather took a drastic turn and the region witnessed heavy snowfall on October 17 and 18.

While six Nepalese porters were said to have reached Chitkul, the trekkers had decided to stay in temporary tents at Lamkhaga Pass. The porters had informed the police about the stranded trekkers on reaching Chitkul on October 20.

The Deputy Commissioner, Kinnaur, Abid Hussain, confirmed that nine of these trekkers have been found. While two were alive, seven had died. The exact reason for deaths would be ascertained only after the post-mortem. Two trekkers still remain missing. More information is awaited.

It’s pertinent to mention that the Meteorological Department had issued warning of heavy rain and snow on October 18 alonwith an orange alert. 

Following are the details of the bodies recovered and persons rescued alive:

Deceased Persons

  1. Anita Rawat (38) D/o Sh. Jyoti Singh R/o M 95 Harinagar, West Bengal
  2. Tanmay Tiwari (30), S/o Sh R.C. Tiwari, R/o Kishan Nagar, Kolkata 3
  3. Vikas Makal(33) son of Swapan Maikal, Raghabpur Nepalganj, South 24 Parganas, West Bengal
  4. Saurabh Gosh (34) S/o Sushil Ghosh, R/o Nepalganj, South 24 West Bengal
  5. Subhayan Das (28) S/o Kajal Das, R/o 10/1A Nepal Bhatacharia G Streak Kalighat, West Bengal
  6. Richard Mandal (31) From West Bengal
  7. Upender (22) from Uttarkashi

Detail of Missing persons:

  1. Sukenh Manjhi(43) From West Bengal
  2. Gyan Chand (33) from Uttarkashi

Details of Injured Person

  1. Devendra Chauhan, S/o Hariram, R/o Village Gangad, Thana Mary, Uttarkashi. (company guide)
  2. Mithun Dari, S/o Swar Badal Ch Dari, R/o Prasadpur, PostAndhar Manik, South 24 Pargans, West Bengal

 

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HP By-Polls 2021: Silence Period Extended to Three Days

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hp by polls 2021 silence period

Shimla-The campaigning period during Himachal Pradesh by-elections has been fixed from 10 am to 7 pm every day. The silence period has been extended from two days to three days before the closing date of voting, which will start after 6 pm on 27th October 2021.

During the no active campaigning by the candidates or political parties is allowed, and television or any digital media cannot carry any election-related matter.

This information was released by Chief Electoral Officer, Himachal Pradesh, C. Paulrasu. He said that the Election Commission of India has limited the period of campaigning during by-election 2021 in view of the guidelines issued for the prevention of the COVID-19 pandemic.

He has urged all the candidates and political parties participating in the by-elections of Mandi Parliamentary Constituency and Fatehpur, Jubbal-Kotkhai and Arki Assembly Constituencies to comply with these guidelines related to the election campaign.

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