Media Release
Mangalore, Feb 25: Over the years, KMC Hospital, part of Manipal Health Enterprises has pioneered many new procedures in the country. Establishing another clinical milestone, KMC Hospitals has marveled the fraternity by making the otherwise elaborate and painful knee replacement procedures a ‘day-care’ affair under the leadership of Dr Yogeesh D Kamat, consultant knee and hip surgeon – joint replacement and sports injuries, KMC Hospital.
Hip and knee joint replacement surgeries have universally been accepted as the best of all known surgeries in terms of changing the quality of life by quality adjusted life year (QALY) measurements as certified by WHO. Both hospital stay and complications are reduced with modern techniques ensuring enhanced recovery and complete patient satisfaction. It is not sufficient that patients just return to walking but they should be able to undertake other activities that they desire to make their lives complete.
Hip and knee joint replacement surgeries involve resurfacing of worn out bony surfaces of a joint so as to enable smooth movements. The cut bony surfaces are substituted with prostheses made of metal alloys and tough plastic or ceramic inserts.
Careful examination and a detailed discussion of the patients’ individual problems helps the surgeon select the right type of operation or use one of the new procedures to prevent joint replacement in milder cases of arthritis. Secondly, evidence from the past has shown that any joint surgery will be less successful if there is delay in movement of the joint following operation.
‘Enhanced Recovery’ as the technique is known was originally developed in the western countries as a mechanism to increase turnover for surgeries in high- volume joint replacement centres. The techniques essentially include modifications in anaesthesia and surgical tissue handling so as to give better pain relief and less drowsiness after surgery.
Endorsing this technique is Sheela who underwent a total knee replacement on February 1, 2015. She was able to bend her knee and commence exercises soon as she was awake in the recovery room of theatres. She was assisted to get up 5 hours later and walked to the toilet with a frame for support, while putting full weight on her operated knee. She was also able to climb stairs 2 days after the operation and was discharged on the 4th day. By then she was comfortably able to raise her leg, get up and walk without anyone else’s help and bend the knee beyond 90 degrees.
“When the patients walk on the day of surgery, their confidence rises immensely. Subsequent progress in recovery and function is much quickened. Patients even manage stairs in a couple of days. Both hospital stay and complications like infection and blood clotting in calves (venous thrombosis) that used to be common following joint replacement are much reduced. As joint replacement procedures are planned, we have the opportunity to optimise the patient’s status before the surgery. As total hospital stay can be reduced to five days or less, cost to the patient reduces as well. This is certainly a win – win from all angles,” said Dr Yogeesh D Kamat, consultant knee and hip surgeon – joint replacement and sports injuries, KMC Hospital.
With a personal experience of over 2000 joint surgeries, Dr Kamat was introduced to enhanced recovery protocol four years ago during his fellowship in England. Where he used this technique over the last two years as a consultant in London for about 250 subsequent cases, and is practicing the same in Mangaluru, with comparable early results. He also undertakes pre- and post- surgical scoring of all surgeries, so that the outcome can be objectively benchmarked against published international standards
With the increasing scale of joint replacement operations across our country, it is imperative that dedicated units offering such services incorporate the best standards of care and rehabilitation. Every patient must be able to walk on the day of surgery following a straightforward joint replacement, unless they are having a complex procedure or are medically compromised.
About Manipal Health Enterprises Pvt Ltd
MHEPL is a part of Manipal Education and Medical Group, a leading healthcare provider delivering quality healthcare in India. Operating as ‘Manipal Hospitals’, MHE manages an aggregate of 5,200 beds among 16 hospitals, over 13 locations across 6 states in India and 1 hospital in Klang, Malaysia. The network of hospitals covers all levels of delivery from primary to quaternary care. It has built a significant, committed clinical and healthcare skill pool of 2,000 doctors and 6,000 nurses, paramedics and support staff. Dedicated to its core values of “Clinical Excellence, Patient Centricity and Ethical Practices”, MHE delivers the highest standards of healthcare to its patients.
Manipal Hospitals
As a pioneer in healthcare, Manipal Hospitals is among the largest hospital network in India serving over 2 million patients annually. Its focus is to develop an affordable tertiary care multispecialty healthcare framework through its entire multispecialty delivery spectrum and further extend it to homecare. With its flagship quaternary care facility located in Bangalore, India, 8 tertiary care, 7 secondary care and 2 primary care clinics spread across India and abroad, today Manipal Hospitals successfully operates and manages 5,200 beds. Manipal Hospitals provides comprehensive curative and preventive care for a multitude of patients from across the globe. Manipal Hospitals is first in India to be awarded accreditation by the AAHRPP for ethical standards in clinical research activities. It is also NABL, NABH and ISO certified. Manipal Hospitals is also the most respected hospital company in India and the most patient recommended hospital in India by consumer survey.
For further details, contact:
Kavitha Kini: Ph: 91 9886571641
E-mail: kkini@webershandwick.com