Mangaluru : Rare HIPEC Surgery for cancer successfully done at AJ hospital
Mangaluru: Kuntikana’s AJ Hospital and Research Center, which is known for successful management of complex surgeries, has added one more feather in its cap.
A 59-year-old man from Tumkur was treated at a well-known hospital in Bengaluru for a Pseudomonas tumor four years ago, but he again complained the same problem and was suffering from severe pain. When he was examined through a CT scan, it was found that he needs multiple organs treatment. The patient was admitted to AJ Hospital on August 14 after surgical inspection and pre-preparation. The doctor's team, led by cancer surgeon Dr. Vishwanath, performed an 18-hour surgery and successfully removed the tumor.
The surgeon's team included Surgical Gastroenterologist Dr. Rohan Shetty, Dr. Ashwin Alva, Medical Oncologist Dr. Rachan Shetty, and Anesthesiologist Dr. Trivikram Thantri.
The specialty of this surgery:
The patient was subjected to a multiple organ surgery as the disease had spread to the principal organs of the body. This resulted in the removal of a part of the stomach, small intestine, large intestine, and spleen. The outer part of the pancreas had to be eliminated. Besides, peritoneum was also completely removed. It was a complicated surgery that was performed for 18 hours, Dr. Vishwanath informed.
Then the chemotherapy was performed within the stomach at a temperature of 42 degrees for 90 minutes by the Hyperthermic Intraperitoneal Chemotherapy (HIPEC) machine. Delivering hot chemotherapy directly into the peritoneal hole helps in destroying cancer cells that are not visible to human eyes. With chemotherapy given through HIPEC, the medicine will instantly be in contact with the cancer cells, and the side effects can be reduced.
As the HIPEC chemotherapy was given in Mangaluru for the first time, a team of doctors headed by Anastasia division head Dr. Trivikram Thantri kept the patient's condition in constant care. The patient was discharged from the hospital on the 12th day after the patient’s condition was normal.
The surgical procedure through HIPEC equipment has been given for the first time in the Karavali, and it is intended to treat patients with such technique hereafter as well. AJ Hospital has all the technology and expert specialists to treat such deceases.
People do not necessarily need to go to far places for the treatment of such problems. This treatment will be available in Mangaluru for the patients of Kerala and coastal region,
For more details on this surgery, the hospital cancer surgeon Dr. Vishwanath can be contacted on 8123567396.
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Real Madrid fines Valverde and Tchouaméni half a million euros each for altercation
Barcelona (AP): Real Madrid slapped players Federico Valverde and Aurélien Tchouaméni with half-a-million-euro ($588,000) fines on Friday for their altercation during practice.
The massive fines came a day after the midfielders tussled when the team trained. Valverde said in a post on social media on Thursday that no punches were thrown. But Valverde knocked his head on a table and he suffered a small cut that required a brief hospital visit.
On social media, Valverde initially called it a “meaningless fight” with a teammate and said “everything has been blown out of proportion."
His employers, however, considered it a significant enough breach of team discipline to nail both Valverde and Tchouaméni with fines that bite even the bank account of a top soccer player. The half-a-million euro penalties reflect the reputational damage the club was enduring in a chaotic end to a disappointing season.
In a statement, the 15-time European champion said its disciplinary action was concluded after both players expressed to the club “their complete remorse for what happened and apologized to one another.”
Madrid added they also apologized to their teammates, the coaching staff and club supporters, as well as showing their willingness to accept whatever disciplinary action the club deemed “opportune.”
Tchouaméni was back training with Madrid on Friday, two days before they play at Barcelona in a clasico. Madrid has to win otherwise Barcelona will be crowned La Liga champion.
After being notified of the fine, he posted a public apology to the club and its fans on social media.
“What happened this week in training is unacceptable,” Tchouaméni wrote. "I say this while thinking about the example we are expected to set for young people, whether in football or at school.
“Above all, I am sorry for the image we projected of the club.”
Valverde was not at practice due to the head knock.
Both players are set to play in the World Cup next month, with Tchouaméni playing for France and Valverde for Uruguay.
Chaotic end to a poor season
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The run-in between the players, who for seasons have played side by side in Madrid's midfield, came after they argued this week in previous training sessions. But tempers boiled over on Thursday. Spanish media was rife with reports that the players previously disagreed over the club's decision to let coach Xabi Alonso go after just months on the job.
It was not the only altercation involving Madrid players during training this week. Álvaro Carreras confirmed he was in a “minor” incident with a teammate. Spanish media said he and fellow defender Antonio Rüdiger got into a scuffle.
Álvaro Arbeloa, the coach who was promoted from Madrid's reserve team when Alonso was fired in January, will face tough questions on what went wrong inside the changing room when he gives a press conference on Saturday ahead of the clasico at Camp Nou.
Madrid is facing a second consecutive campaign without a major trophy amid rumors in the Spanish media that club president Florentino Pérez is considering bringing back Jose Mourinho to straighten out his underperforming team.
