Dr. Srivastava’s brief introduction
Dr. Sudhir P. Srivastava has performed over 1300 robotic cardiothoracic procedures — the largest volume in the planet. He is the only doctor in the world to have performed a Quadruple Vessel Beating Heart TECAB (Totally Endoscopic Coronary Artery Bypass) Surgery although at the University of Chicago in 2007. He has also carried out several ‘first ever’ complicated cardiac procedures in India considering that November 2011. These very first time operations in India have been: Robotic Single Vessel Beating Heart TECAB, Robotic Double Vessel beating Heart TECAB, Robotic Myxoma Excision and several other hybrid instances. Right now he is the only cardiothoracic surgeon in India who performs Entirely Endoscopic Coronary Artery Bypass on a beating heart.
The name ‘Robotic Surgery’ appears to suggest that the procedure is being performed by a robot…
The name has stuck, but it is in fact a misnomer. To call it ‘Robot-Assisted Surgery’ would be far more appropriate. The robotic surgical technique serves as an instrument for surgeons, enabling them to be more precise, advancing their method and enhancing their capability in performing complex minimally invasive surgery. The da Vinci Method replicates the surgeon’s movements in real time. It can’t carry out any sort of surgical manoeuvre with out the surgeon’s manage.
How is robotic surgery much more helpful for individuals?
As opposed to traditional methods of performing surgery, robot-assisted surgery is minimally invasive which implies smaller incisions of 1-2 cm only as compared to traditional surgery where the body is opened to access the operative field with a ten-12 cm cut. Minimally invasive surgery results in lesser discomfort & trauma, lesser blood loss, quicker recovery time & minimal scarring. In truth we send the patient house in three-5 days. The procedure becomes significantly less daunting for old and young alike. Taking into account all these elements, robotic surgery has seen tremendous growth and acceptance in the Western Globe giving rise to several advantages for the patient.
In laparoscopic surgery also smaller cuts are made rather of massive cuts. Then how is Robotic Surgery diverse from laparoscopic and endoscopic procedures?
Robotic Surgery permits surgeons to carry out complicated surgical procedures that might not be feasible by way of laparoscopic/endoscopic options. In Robotic Surgery, a surgeon gets a 3D vision of the area that has to be operated upon, and that as well magnified up to 10 instances far more. The instruments we use can be moved the way we move our wrist and there is no tremor even though performing the operation. Laparoscopic procedures, on the other hand, supply surgeons only 2D vision lengthy instruments with no wrist-like motion and no tremor filtration.
Which healthcare procedures can be performed utilizing robotic assistance?
Robotic Surgery can be performed for the following specialities: cardiac, thoracic, urology, gynaecology, common, head & neck, orthopaedics and ENT.
What could be the difference in cost between a surgery performed in standard strategy and one particular employing a robot and will my well being insurance coverage pay for it?
The cost of Robotic Surgery is 30-40% higher than conventional surgery. Nonetheless, with the benefits presented by Robotic Surgery which includes minimal rehabilitation, much less private trauma/ side effects & early return to perform, in the end it is general much less high-priced. The sufferers who have currently opted for this surgical alternative counter that robotic surgery really proves to be cheaper all round – from the point of view of the lowered hospital bill and speedy return to an active, productive life. Also, Robotic surgery is billed as Minimally Invasive Surgery & consequently, is covered by well being insurance coverage.
What are the factors stopping Robotic Surgery from getting integrated into healthcare procedures at a more quickly pace?
Higher initial capital fees and high costs of robotic consumables add to the price of each case. There is a steep learning curve for surgeons and operating room teams. The excellent requirement at this time involves surgeons with eight-ten years of operative knowledge and commitment on element of operating room teams. A lot of surgeons don’t want to go by way of the studying curve, longer operative time and feasible various outcomes in the middle of their surgical careers. Like any new approach and process, initially there is lack of awareness amongst physicians and patient neighborhood that leads to slower adoption. Nonetheless, when institutions and surgeons have committed themselves to robotic technology, the adoption has been significantly quicker as witnessed by the international development of robotic surgery procedures. The quantity of robotic systems in India has improved from 14 to 22 in a year which implies that people are becoming aware and there is an enhance in demand for robotic surgery. Nevertheless, the difficulty in India remains lack of talent in robotic surgery, and surgeons being capable of using such technology and delivering the necessary final results. There has been no pressure by the significant health-related service providers to bridge this gap. We at ICRS intend to modify this approach and make robotic surgery an attainable reality for any doctor willing to commit the time to understand these methods.
You are the Chairman-MD of ICRS (International Centre for Robotic Surgery). What is ICRS all about?
To give you a background, I have been primarily based in the US since the 70s, and was practising there. I have launched robotic surgical programmes in a number of countries like Australia, Korea, China, Thailand and Japan. But it has often been a dream for me to offer my service through medicine to India. All through my evolution as a surgeon, I was continuously teaching fellow colleagues in India, and in 2002, I performed the initial robotic surgery in the subcontinent. Since then, I have hosted numerous Indian surgeons back in the US who have been enthusiastic about education. But in order for the programmes to flourish in India, and to utilise the complete talents of many gifted Indian surgeons, there had to be somebody on the ground to additional mature their education. In 2010, I set up ICRS in India to give the most sophisticated surgical practices to patients in the Indian subcontinent, and to also teach and train surgeons. ICRS is the only centre in India delivering a extensive robotic surgery plan. The ICRS consulting group consists of 20 planet leaders in the fields of minimally invasive and robotic surgery specialising in Cardiac, Thoracic, Urology, Gynaecology, General Surgery, Head and Neck and Orthopaedics. The combined robotic surgery expertise of these surgeons is more than 15,000 cases — the biggest collective volume in the world.
ICRS has collaborated with Fortis Healthcare to supply onsite surgical expertise to the Fortis network of hospitals. On November 2nd 2012, the very first robotic surgery centre was launched at Fortis Escorts Heart Institute, New Delhi. Fortis ICRS centres will be set up across Fortis hospitals in Mumbai, Gurgaon, Bangalore, Chennai, Kolkata as effectively as some tier II cities which includes Mohali and Jaipur. Fortis ICRS is a massive step forward towards commitment to delivering the newest in healthcare in terms of cutting-edge technology and best-in-class health-related knowledge. The centres will certainly set new paradigm in robotic surgery in India.
ICRS has also collaborated with Asian Heart Institute ‘India’s Highest Accredited Hospital’ and ‘The Greatest Private Cardiac Hospital'( as per a CNBC and The Week survey accomplished in 2011) to offer you experience and service in robotic cardiovascular surgery in Mumbai and Western India .
My vision is to establish extensive robotic surgery program here in India, building and nurturing talent to make this a longer term reality, and conducting educational forums and seminars to educate the mass on the benefits and outcomes of such a plan.
What can developments in this field imply to the country?
These days, robotic surgery is not regarded experimental as really mature applications are now obtainable world-wide. Robotic surgery has been practiced for the final 12 years worldwide. Last year about 350,000 robotic procedures had been performed globally. Improvement in this field would imply a lot of far more patients can benefit in India utilising this strategy. This will additional be a boon to the healthcare tourism market in India.
India was one particular of the initial nations to recognize the potential of medical tourism and today is the top location for worldwide medical vacationers. Currently in 2004, India has received 150,000 healthcare vacationers and this number has grown by an impressive 33% by 2008 to 200,000 inbound health-related vacationers. It is estimated that by the year 2015, India will obtain more than half a million annual medical tourists annually.
Sufferers have realized that they have better possibilities other than receiving regional health-related therapy and it is their right to verify elsewhere and take benefit of the reality that the improvement of the implies of transportation along with the world wide web is turning our planet into a “international village”.
Two key factors for travelling to an additional nation for healthcare treatment is availability of much more advanced healthcare technologies with ongoing study in the distinct field of surgery and lower healthcare expenses as numerous patients do not have appropriate medical insurance coverage (or any at all) and when in need of surgery, they cannot afford to pay for it in their house countries.
India’s private healthcare sector delivers the most advance health-related treatment options and technologies obtainable in the world nowadays. There are 22 robotic systems in various centres across India and a talented pool of surgeons performing robotic surgery in numerous specialities. Further, in nations like USA and Australia, Robotic Surgery procedures expense anywhere among $ 40, 000 – $ 75, 000 which is approximately four occasions more than the price prevailing in India.
The most advanced healthcare service is now obtainable right here at a fraction of expense compared to other countries. And after getting healthcare remedy and recovering, sufferers are free of charge to hold travelling and enjoy a trip in India and the countries surrounding it as India is positioned in the heart of East Asia.
I strongly think that Robotic Surgery will provide a boost to the currently existing healthcare tourism market in India and will bring income and prestige to the country. We anticipate many medical worth trips / tourism facilitators to partner with applications like ours to additional develop awareness internationally and further improve our reach in healthcare service and science.
What is the ideal way to schedule an appointment with you or to receive much more info about International Centre for Robotic Surgery?
You can reach us via the following mediums:
Contact: 9PM IST – 6PM IST: 011 – 47134472
6PM IST – 9AM IST: 9810822348
E-mail: [email protected]
Go to: www.indiaroboticsurgery.com
Saroj Srivastava, 65, a former diplomat, on whom India’s first ever robotic double vessel bypass procedure was performed, says, “I was petrified about undergoing a bypass, as it entails opening the chest and cutting the breastbone to access the heart. But then I was told that a robotic bypass entails generating just four fingertip-sized incisions in the physique and that, it results in less blood loss, much less discomfort and considerably faster recovery.” Srivastava decided to go for it and was enjoying breakfast with her family the quite next day of the surgery. Discharged just three days later, she says smiling, “I was up and about inside a week’s time. I am glad I opted for it.
The advantages of robotic surgery are not just restricted to the heart. Robotic surgery can be applied in other specialities as effectively. Take for example, the case of Deepa Vaid,44, who had been suffering from excessive bleeding due to uterine fibroids and was advised to undergo a hysterectomy. Says Vaid, “I was so stressed out.” My husband was suffering from serious back discomfort, so I was taking care of my two little ones, my 85 year old mother-in-law and a company all on my personal. I had noticed my niece undergo laparoscopic hysterectomy. She had so much problems just altering side and was bed-ridden for over a month. I couldn’t afford such a extended recovery time!” So, when her gynaecologist informed her that with robotic surgery, she will not have to go by way of that ordeal, she was relieved. “It was nothing at all much less than miraculous!”, she says. ” I was discharged in just two days and was back at operate in a week! There was hardly any blood loss, minimal pain and negligible scarring – and no need to even adjust the dressing.”
Substantially, robotic surgery is also endorsed by folks in rural India, like 72 year old farmer Dharampal Singh from Bela village, Haryana. Singh’s son Prahlad who’s a BSF constable recounts, “An open heart process would have meant a month or more of bed rest. My father weighed about 115kgs and assisting him sit or get up from the bed would have been difficult.” So, soon after consulting with BSF medical doctors, they decided to opt for a robotic bypass. “My father was house in just six days and on his feet quickly soon after. That also without having getting his chest split wide open!” Singh, who has turn out to be the village celebrity, had a extremely practical reason to go robot. “Is umar me maut se kisko darr lagta hai? Par kaun maheeno bistar pakadkar rehna chahta hai? (Who is afraid of death at this age? But who would want to be bed-ridden for months?), he says.
Be it a septuagenarian or tiny youngsters, this new process is providing hope to many in India. Take the case of one year old Aditya Khandelwal from Kota, Rajasthan, who was suffering from Vesico Ureteral Reflux (VUR) – a condition in which the valve between the ureters (the tubes that carry urine away from the kidneys) and the bladder does not function correctly. Says father Dr. Anish Kandelwal, a general practitioner, ” For 8 months, he had recurrent infection, high fever and was losing weight. We brought him to Delhi and go for robotic ureteric re-implantation. If we had opted for the open process, it would have been extremely painful for my tiny boy – specifically the 48 hours after the anaesthesia wears off. It would have taken him at least a couple of months to recover. Also, post operative care would have been extremely tough, as restraining a a single year old from playing and producing sudden jerky movements is challenging. Adds Aditya’s mother, “At no point did I really feel that my son was undergoing a major surgery. He was playing in his area just two days following the operation.” So what made this attainable? Robotic Urologist Dr, Anant Kumar, who performed the operation on Aditya explained, “Easy access to small baby structures created the surgery precise and less complicated, which would not have been achievable with rigid laparoscopic instruments.