SRINAGAR: A minimally invasive heart surgery was performed at the Super Specialty Hospital (SSH) in Jammu.
Dr Shyam Singh, the Chief Surgeon at SSH, said that heart surgeries through small incisions have evolved over the years and become standardized. “These procedures need expertise and perseverance to make them a routine,” he said after carrying out a Heart Valve replacement procedure on a young female patient with Rheumatic Heart Disease from a far-off village called Chansri, Mughal Maidan Kishtwar.
In this procedure, Dr Singh said, a small incision is made below the right breast to undertake the entire operation, and the fine scar hides in the breast crease and is cosmetic in female patients. The surgery requires less blood transfusion and less pain-relieving medication. The patient was able to move around in the ward the next morning, which is normally not possible in a conventional surgery, Dr Singh said.
Furthermore, the patient had a rare blood group of O negative, and there was minimal blood loss during the procedure, according to Dr Singh.
The surgical team included Dr Shyam Singh, Dr Ishtiyak Ahmed Mir, and Dr Arvind Kohli, while the anesthesia team was headed by Professor and HoD Cardiothoracic Anaesthesia Dr Puja Vimesh, who conducted the per-operative and postoperative management along with Dr Rasmeet Kour, Dr Vikas, Vikas Sharma, Arif, Sonal, and Abhiranjan. Charanjit Singh and Roshan Lal managed the vital parameters of the patient while the patient was on Heart lung machine during operation while theatre scrub sister Angmo helped to carry out the procedure.
Principal GMC Jammu Professor Dr Shashi Sudan lauded the efforts of the Department of Cardiothoracic Surgery and Department of Cardiothoracic Anaesthesiology to make such surgeries possible and routine at SSH Jammu under the Ayushman Bharat Scheme, for which the Patients do not have to pay from their pockets. She further said that the Department of Cardiothoracic and Vascular Surgeons (CTVS) has been routinely doing open heart surgeries for the last two years, and very shortly Bypass surgeries (CABG) shall also be started, which shall be followed by starting Super-speciality DNB CTVS courses.
Dr Sudan said that the department has already applied for DNB Vascular Surgery courses and is most likely to get permission soon. (KNO)
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Cardiologists at NIMS conduct heart surgery without opening chest
Hyderabad: Heart specialists at Nizam’s Institute of Medical Sciences (NIMS) successfully completed a minimally invasive Transcatheter Mitral Valve Replacement (TMVR) heart surgery on a 67-year-old patient.
The procedure was first to be reported to have been carried out in Telangana’s government hospital where the patient was operated on without open-heart surgery.
Doctors said that Devamma hailing from Jagtial district underwent open-heart surgery for mitral valve replacement in 2015 following which she suffered mitral valve blockage which resulted in major health complications.
NIMS cardiologists led by Dr B Srinivas, keeping in mind her medical history and age decided to conduct the procedure through TMVR, a minimally invasive treatment that replaces the damaged mitral valve without open-heart surgery.
During the procedure, a flexible and hollow catheter was inserted through a tiny incision in the groin area, through a local blood vessel, employed to reach the heart and replace the mitral valve.
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London: Millions of lives could be saved by a groundbreaking set of new vaccines for a range of conditions including cancer, experts have said.
A leading pharmaceutical firm said it is confident that jabs for cancer, cardiovascular and autoimmune diseases, and other conditions will be ready by 2030, the Guardian reported.
Studies into these vaccinations are also showing “tremendous promise”, with some researchers saying 15 years’ worth of progress has been “unspooled” in 12 to 18 months thanks to the success of the Covid jab.
Paul Burton, the chief medical officer of pharmaceutical company Moderna, said he believes the firm will be able to offer such treatments for “all sorts of disease areas” in as little as five years.
The firm, which created a leading coronavirus vaccine, is developing cancer vaccines that target different tumour types, the Guardian reported.
Burton said: “We will have that vaccine and it will be highly effective, and it will save many hundreds of thousands, if not millions of lives. I think we will be able to offer personalised cancer vaccines against multiple different tumour types to people around the world.”
He also said that multiple respiratory infections could be covered by a single injection — allowing vulnerable people to be protected against Covid, flu and respiratory syncytial virus (RSV) — while mRNA therapies could be available for rare diseases for which there are currently no drugs, the Guardian reported.
Therapies based on mRNA work by teaching cells how to make a protein that triggers the body’s immune response against disease.
Hyderabad: A 37-year-old man from Husnabad town died on Friday, reportedly of cardiac arrest while preparing to bowl in a local cricket tournament.
Shanigaram Anjaneyulu, a resident of Sundagiri, Chigurumamidi mandal, Karimnagar district, is married and has two children. According to the reports he suffered a cardiac arrest as he was about to bowl and collapsed on the ground.
Despite performing CPR, and calling an ambulance, the people around him could not revive him. He was rushed to the government hospital of Husnabad where he was declared dead by the doctors.
FRANKFURT ― The markets are jittery and inflation still needs taming. Coming together, those two things put the European Central Bank in a real bind.
Fight one fire and it could cause the other to flare. The ECB can keep raising interest rates to try to get inflation under control, but that risks fueling financial market tensions. Conversely, it can give banks some breathing space by slowing its rate-hiking, but that carries the danger of prolonging the region’s economic malaise.
Frankfurt’s official line is that it can do both with no serious consequences. Many economists in the eurozone don’t buy that.
In private, it’s a dilemma that splits the ECB’s decision-makers, and even in public differences of opinion are bubbling to the surface. Here’s what’s at stake:
Why is the ECB raising rates?
The idea is that increasing interest rates subdues inflation because it makes consumers and businesses less likely to borrow ― so that results in reduced spending.
As inflation has started to pick up since last summer, the ECB has raised interest rates at a record pace. They’ve gone from -0.5 to 3 percent as the annual rate of price rises has surged to a eurozone record 10.6 percent inOctober.
The Bank tries to keep inflation at 2 percent so it’s currently way off target.
How this contributed to the crisis
The unpleasant side effect is that with rising borrowing costs (because of higher interest rates), the value of bonds that banks hold usually fall. This gives investors a bad case of the jitters. After the collapse in March of lenders like Silicon Valley Bank and Credit Suisse ― though their problems seemed unconnected ― it was this that prompted concerns they might not be the only institutions with troubles, and fueled contagion fears around the globe.
But Lagarde plowed on regardless
The ECB remained unfazed in the face of emerging banking troubles: It delivered a previously signaled 0.5 percentage-point rate increase in March, less than a week after SVB failed and at a time when Swiss banking giant Credit Suisse was teetering.
Following that decision, ECB President Christine Lagarde stressed that she sees no trade-off between ensuring price stability and financial stability.
In fact, she said the Bank could continue to lift rates while addressing banking troubles with other tools.
The case against
Many economists disagree with Lagarde that the battle for price stability can be pursued without risking financial stability.
The ECB delivered 0.5 percentage-point rate increase in March, less than a week after SVB failed | Patrick T. Fallon/AFP via Getty Images
Claiming so “should be a career-ending statement,” said Stefan Gerlach, chief economist at EFG Bank in Zurich and a former deputy governor of the Central Bank of Ireland. “This is the idea of the ‘separation principle’ of 2008 revisited. That wasn’t a good idea then, and isn’t now either,” he added.
What’s the separation principle?
In 2008, at the start of the financial crisis, as well as in 2011, when the sovereign debt crisis hit, the ECB adhered to the idea that interest rates could be used to ensure price stability at the same time as other measures, such as generous liquidity injections, could ease market tension.
But this just added to the problems and had to be unwound quickly.
This time around, the Portuguese member on the ECB Governing Council, whose country suffered particularly under the consequences of the sovereign debt crisis, is less blasé than Lagarde.
“Our history tells us that we had to backtrack a couple of times already during processes of tightening given threats to financial stability. We cannot risk that this time,” Mario Centeno told POLITICO in an interview.
The case for Lagarde
After the initial fears that troubles could spread across the eurozone, investor nerves have calmed and bank shares started to recover. At the same time, new data showed that underlying inflation pressures kept rising, suggesting that Lagarde and her colleagues were right to stick to their guns ― at least for now.
If that’s the case, March’s interest rate rise ― what Commerzbank economist Jörg Krämer described as “necessary” investment in the central bank’s credibility ― will have paid off.
Market turmoil actually helps
The nervous markets could help the ECB to reach its inflation target without having to raise interest rates as aggressively as previously thought.
Banks tend to slap an additional risk premium on their lending rates which raises the cost of borrowing money for consumers and business. So banks end up doing part of the tightening job for the central bank.
ECB Vice President Luis de Guindos suggested as much in an interview released last month, though he cautioned that it was too early to assess how much impact exactly it may have.
What’s the endgame?
The challenge for the ECB is to strike the right balance. If it doesn’t it risks either the repeat of 2008-style financial troubles or a return to the stagflationary period (low growth on top of high inflation) that roiled the Continent in the 1970s.
If it raises rates too aggressively, bank failures followed by a recession risks forcing the ECB into an interest rate U-turn for the third time, creating massive credibility risks. Conversely, if they don’t hike enough, the central bank may lose a grip on inflation, which is its main mandate.
The only way Lagarde can win is to deliver both price stability and financial stability. In that sense, there is no trade-off ― one without the other just won’t be enough.
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( With inputs from : www.politico.eu )
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