Facilities of Rheumatology Department in Indraprastha Apollo Hospitals Delhi, India

The Department of Rheumatology and Indraprastha Apollo Hospital, offers a comprehensive range of clinical Rheumatology services.

A full range of diagnostic facilities, like Radiology, Nuclear Medicines sciences, DEXA scanner (for bone mineral density) and comprehensive Laboratory facilities compliment this service.

Procedures carried out by the faculty include joint and soft tissue injections, minor biopsies, advanced biologic treatments etc.

The Latest in Scoliosis Management for Spine Surgery in Indraprastha Apollo Hospitals Delhi, India

Scoliosis is a term taken from a Greek word meaning crooked. During the 19th Century physicians thought poor posture was the primary cause of scoliosis. Today many modern techniques are available to treat this crippling deformity.

Apollo Hospitals has been the first in the country to introduce Shape Metal Alloys to treat this problem. We asked Dr. Sajan Hegde, Senior Consultant, Orthopedics and Spinal Surgery, Apollo Hospitals about this new procedure for managing scoliosis.

Orthopaedic Treatment and Services at Indrapratha Apollo Hospitals Delhi, India

Joint Replacement:

·         Computer navigated and minimally invasive total knee replacement

·         Unicondylar knee replacement surgery-bone preserving surgery

· Total hip replacement (including alternative bearing surface like including metal on mental, ceramic on ceramic & proxima hip resurfacing)

·         Revision knee and hip replacement surgery

·         Total shoulder replacement

·         Total elbow replacement

·         Finger joint replacement surgery

Spine Surgery:

·         Microdiscectomy

·         Endoscopic Spine Surgery

·         Corrective Surgery for Scoliosis

·         Disc Replacement

·         Comprehensive Management of Spine Injuries

·   Computer Navigation aided Spine Instrumentation and other procedures

Trauma and Fracture Surgery:

·         Traditional fracture fixation using AO swiss implants

·         Advanced plates & screws (AO)-locking comprehensive plates and screws

·         Closed locked intramedullary nails

·         Minimal invasive surgery in fracture fixation

·         Corrective surgery of malunion and non-union fractures

·   Acute fracture management-shaft fractures, intra articular fractures, pelvis and acetabulum fractures and open fractures

Arthroscopic Surgery:

·         Key hole surgery for knee, shoulder, elbow and ankle disorders

·         Arthoscopic cruciate ligament reconstruction

·         Arthoscopic meniscectomy & meniscal repair

·         Arthoscopic synovectomy

·         Arthoscopic removal of loose bodies

·         Arthoscopic adhesiolysis for stiff knees

·         Arthoscopic shoulder stabilisation

·         Arthoscopic rotator cuff repair

·         Arthoscopic subacromial decompression

Pediatric Orthopedics:

·     Deals with all orthopedic disorders in infants, children and adolescents :

·          Trauma –injuries to the growing skeleton

·          Congenital limb deformities- clubfoot, bowlegs, knock-knees, trigger fingers, etc.

·          Hip dysplasias and dislocations (DDH)

·          Bone and joint infections-septic arthritis and osteomyelitis

·   Gait problems and limb length discrepancies- toe walking, stamping, broad base, crouched and scissored gait

·          Cerebral poliomyelitis and meningomyelocode sequelae

·-Multidisciplinary approach, appropriate surgeries when needed followed by focused rehabilitation

State–of–the–art Technology:

Orthopedic Navigation System- Computer Aided Surgery (CAS) CAS has changed the face of spine & orthopedic surgery, by means of more options and better outcomes. Navigation is basically done for:

·         Spine Surgery

·         Trauma Surgery

·         Hip Resurfacing

·         Total Hip Replacement

·         Total Knee Replacement

Benefits:

·         Minimally invasive surgery

·         Higher surgical precision

·         Reduces risks

·         Increase the life of the implant

·         Reduce blood loss

Department of Physiotherapy and Rehabilitation Medicine:

Rehabilitation of people who have undergone orthopedic surgical procedures is vital to the process of restoring a person’s fitness, so that by the end of the course of treatment they are as healthy as ever. A well- equipped and state-of-the-art physiotherapy and rehabilitation medicine department to assist the patients in their optimal rehabilitation, with dedicated professionals to guide the patients in achieving realistic goals.

Department of Accident & Emergency:

Emergency services and emergency department forms the most important & indispensable part of our hospital. The fully developed emergency system focuses on various components of triaging, pre hospital ambulatory services both and and air, trauma systems and management, medical education, training, etc. The Department of Accident & Emergency is operational round the clock, 24 hrs a day, 365 days in a year, and is an essential element in sustaining health of the community. Since it is a highly critical area, patients coming in odd hours, with-a-lots of apprehension and the protocols are organized properly.

Ambulance Services- Land & Air:

Ambulance or rescue services form an integral part of our Accident & Emergency Department. Ambulance is a medium or vehicle for emergency protocols and care, which carries equipment, staff and medicines for optimal and ideal emergency care at the scene and during the period of transportation of the patient to afford maximum and avoid aggravation of his or her condition.

Treatment & Services in Emergency & Trauma Centre at Indraprastha Apollo Hospitals Delhi, India

When you arrive at the Emergency Department, your first stop is Triage. This is the place where each patient's condition is prioritized, typically by a nurse or doctor, into three general categories. The categories are:

·         Immediately life threatening

·         Urgent, but not immediately life threatening

·         Less urgent

This categorization is necessary so that someone with a life-threatening condition is not kept waiting because they arrive a few minutes later than someone with a more routine problem. Apollo ER receives all patients i.e. Stroke, Heart attack, Polytrauma, Seizures, Poisoning, Gastroenteritis, Febrile illness, foreign body ingestion and many others.

Depending on a patient's specific medical condition, physicians will admit the patient to the hospital, discharge the patient, or transfer the patient to a more appropriate medical facility.

Road Ambulance Services - Local, NCR & Outstation

State-of-Art Cardiac Ambulances (Mobile ICU) equipped with lifesaving equipment and manned by experienced and qualified medical and para-medical personnel are stationed at the hospital in a continuous state of alertness to ensure patients arrive at Indraprastha Apollo Hospitals quickly and safely.

The 1066 Emergency Helpline and the direct Apollo Hospitals ER / Triage Helpline (+91 - 11 - 2692 5888) receive all calls and strive to provide a response time that is among the best in the world.

Air Ambulance – National & International

Saving time is the first step in saving lives. Air Ambulance Services are used when ground transport could endanger a patient's life. They are also indispensable when the patient is in a remote area and time is critical.

Apollo is equipping each of its Hospitals with emergency air ambulance services. Both fixed wing aircrafts and helicopters provide the services. Aviation companies take care of the aviation logistics. Medical aspects like trained personnel, equipment and care are provided by the 1066 emergency services.

Apollo's Air Ambulance services conquer time and distance in emergencies and saves lives. 

24-Hour Trauma response and represents a wide range of experienced and qualified surgeons and all major sub-specialties including:

·         Trauma and Burns Surgery

·         General Surgery

·         Neuro-surgery

·         Orthopedic Surgery

·         Emergency Medicine

·         Cardiothoracic Surgery

·         Obstetrics and Gynecology

·         Anesthesiology

·         Intensive Care

·         Radiology

·         Plastic and Reconstructive Surgery including Reimplantation

·         Hand and Microsurgery

·         Maxillofacial Surgery

·         Pediatric Surgery

·         Ophthalmology

·         Oncological Surgery

·         Vascular Surgery

·         Hyperbaric Oxygen Therapy

·         Gastrointestinal Surgery

Trauma Care areas and support units are always available for trauma patients.

·         Emergency Department

·         Surgery Suites (including a Trauma OT)

·         Critical Care Unit

·         Blood Bank

·         Lab services (NABL accredited)

·         24-hour multi-slice CT scan, 3T MRI and Digital Subtraction Angiography (DSA)

·         Hyperbaric Oxygen Therapy

Rehabilitation Center

Medical Oncology at Indraprastha Apollo Hospitals Delhi, India

The department of medical oncology deals with diagnosis and treatment for the entire gamut of solid tumors. Correct diagnosis and management of cancer is of paramount importance. 
The complete spectrum of Cancers is managed in this specialty including:

·         Leukemia, Lymphoma and Myeloma

·         All types of tumors of Head and Neck, Gastrointestinal, Brain, Lung, Urological (Prostate, Urinary Bladder etc.), Gynecological (Cervical, Ovarian etc.), Breast and sarcomas.

The latest modalities of treatment offered are:

·         Chemotherapy including as a daycare procedure

·         Adjuvant Chemo

·         Neo-adjuvant Chemo

Newer drug formulation Chemo to minimize toxicity in chemotherapeutic drugs Targeted Therapy (biological immunotherapy) is employed. With improved understanding of biology of cancer and genetic makeup of an individual, targeted therapies are improving survival in cancer.

Radiation Oncology at Indraprastha Apollo Hospitals Delhi, India

The Radiation Oncology Department at the Apollo Cancer Institute is equipped with state of the art equipment manned by expert Radiation Oncologists, Medical Physicists and Radiation Technologists. The sophisticated equipment we use for delivering the best in Cancer Care are as follows: 

NovalisTx with Exact Trac: A Special linear accelerator designed for high precision treatments such as Frameless Radiosurgery and Stereotactic Body Radiotherapy, this linear accelerator is equipped with a Beam Shaper, on board Imager, Exactas in Room X-ray and a 6D robotic couch.

The Beam Shaper is a fine multileaf collimator that shapes the radiation beam to match the shape of the tumor, thus protecting the adjacent collimator that shapes the radiation beam to match the shape of the tumor, thus protecting the adjacent normal tissues form the ill effects of radiation.

Treatment accuracy is ensured using the On Board Imager to conduct a cone beam CT or x-rays of the patient, while on the treatment couch, to direct the radiation beam accurately.

The 6D robotic couch addresses shifts in position, linear as well as rotational such as pitch, roll and yaw.

The Exactrac in room x-rays with automated matching are a special feature of NovalisTx. Clinac ix Silhouette, HDR brachytherapy from Bebig, Eclipse and iPlan treatment planning computers, AIO Patient Immobilization System and the Radio-Frequency Ablation (RFA) complete the spectrum of technology required for precision radiotherapy.

Surgical Oncology at Indraprastha Apollo Hospitals Delhi, India

The discipline is managed by site specific specialists in the areas of:

·         Breast cancer

·         Mammographic localization of small microscopic lesions and sentinel node biopsy.

·         Colorectal cancers

·         Endocrine tumors & Neuroendocrine tumors

·         Tumors of the Stomach, small intestines, Pancreatic tumors, hepatic tumors and tumors of the gall bladder

·         Head and neck tumors

·         Tumors of the Brain and spine

·         Soft tissue and bone tumors

·         Limb conserving surgery in bone tumor and soft tissue tumor

·         Plastic and reconstructive surgery including Micro vascular reconstruction of flap

·         Thoracic surgical oncology

·         Thoracoscopic & Laparoscopic surgery in staging and diagnosis

·         Urologic and gynecological oncology

·         Extensive resection of hepatic and lung tumor

·         Robotic surgery

Cancer Institutes (Cancer Care) at Indraprastah Apollo Hospitals Delhi, India

Apollo Cancer Institute at Indraprastha Apollo Hospitals is a comprehensive multidisciplinary institute. It brings inthe latest technology with the most competent and highly skilled health care professionals under one roof.

Apollo Cancer Institute has the unique advantage of not only being a standalone cancer unit but also having themost modern backup from all super specialists and diagnostics. The institute offers the following facilities:

Cancer Screening Programme

To bring about early detection of cancer these screening programmes have been devised. One out of fourteen men/women will get affected by cancer in their lifetime.

It can come anytime to anyone. Early detection can ensure prevention and/or cure in most of cases. Robotic Surgery Benefits of the da Vinci Surgical System: da Vinci Robotic Surgical System is a new technology to perform complicated surgeries with greater ease and precision in regions of the body which are difficult to access by conventional open surgery.

Robotic technology employs fine operating instruments which simulate the motion of the human wrist. Hand motions are scaled through a computer interface to eliminate tremor allowing for incredibly precise maneuvers.

On the patient's end, the robot's arms are fitted with 5 to 12 millimeter surgical instruments and a small camera scope that provides a detailed view of the patient. Seated only a few feet away from the operating table, surgeons view the patient's anatomy through a screen that produces a THREE DIMENSIONAL image magnified ten times.

The robot that operates on the patient is controlled by this expert surgeon who carefully maneuvers a pair of knobs to control the instruments. By using the da Vinci system, surgeons are able to avoid making large incisions.

Because there are several small incisions, instead of a single large opening, Patients usually realize a number of benefits that include:

·         Shorter hospital stay

·         Less pain

·         Quicker recovery

·         Reduced chance of infection and other complications

·         A quicker return to normal lifestyle

·         Less scarring

·         Less bleeding and reduced need for blood transfusion

·         Decreased inflammation of body tissue

Robotic Surgery is indicated in wide variety of surgeries including complicated cancer surgeries e.g. Urological (cancer of prostate, cancer of the urinary bladder and cancer around the kidneys), Thoracic (Cancers of the lungs & Cancers of the chest region like thymoma), Gynecologic (cancer of uterus, cancer of ovary),Pelvic, Gastrointestinal (Cancers of the Stomach, Cancers of the Pancreas as well as Gall bladder), and head and neck surgeries.

It can also be used for Chemoembolization of liver tumors and sarcomas. Paediatric Oncology and Haematology Successful treatment of children with cancer is one of the biggest achievements of modern medicine. Over 75% of children with cancer can be cured completely.

The pediatric oncology unit at Indraprastha Apollo Hospitals strives to get the best outcomes for these children with treatments delivered in a child friendly environment. There are comprehensive treatment facilities for pediatric hematology and oncological disorders. Treatment is given as per the protocols currently buffering best outcome for individual diseases.

This service is backed by the state of art facilities from radiation oncology and surgical oncology including pediatric neurosurgery. as well as pediatric, orthopaedics. There is a dedicated Thalassemia unit for patients with Thalassemia major.

Multispecialty Thalassemia clinic also caters to all patients suffering from Thalassemia in a holistic way. For more details contact 011-29871170 or 011-29871171 Bone Marrow Transplant Programme The blood and marrow transplant unit is offering allogeneic and autologous bone marrow transplant to children and adults with malignant and non-malignant conditions.

The diseases that are routinely treated are leukemia, lymphoma, neuroblastoma, thallesemia , a plastic anaemia and other immune deficiency and storage disorder. A six bedded HEPA – filtered laminar airflow unit and state-of-the-art stem cell processing unit backed by excellent laboratory services compares with the international standards of care.