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Fortis Flt. Lt. Rajan Dhall Hospital, Vasant Kunj

Fortis Flt. Lt. Rajan Dhall Hospital, Vasant Kunj is a multi-specialty tertiary care hospital, that has played a pivotal role in transforming medical healthcare infrastructure in NCR Region. The hospital has total Seven Center for Excellence for Cardiac Sciences, Orthopedics & Joint Replacement, Renal Sciences, Oncology, Rheumatology, Pulmonology & Critical Care and Bariatric Sciences. With 162 beds and patient centric approach, the hospital aims at providing compassionate patient care with clinical excellence, to achieve a single-minded objective of “Saving and Enriching Lives”.


TECHNOLOGY & INFRASTRUCTURE
1.5 Tesla MRI | State-of-the-art Cath Labs | 180 V Green Laser Machine | Dedicated Level III ICUs | 24x7 available Blood Bank

ACCREDITATIONS
NABH Accredited Hospital I NABL Accredited Lab I NABH Accredited Blood Bank | NABH Accredited Ethics Committee I NABH Certified Nursing Ex

Fortis Flt. Lt. Rajan Dhall Hospital, Vasant Kunj is a multi-specialty tertiary care hospital, that has played a pivotal role in transforming medical healthcare infrastructure in NCR Region. The hospital has total Seven Center for Excellence for Cardiac Sciences, Orthopedics & Joint Replacement, Renal Sciences, Oncology, Rheumatology, Pulmonology & Critical Care and Bariatric Sciences. With 162 beds and patient centric approach, the hospital aims at providing compassionate patient care with clinical excellence, to achieve a single-minded objective of “Saving and Enriching Lives”.


TECHNOLOGY & INFRASTRUCTURE
1.5 Tesla MRI | State-of-the-art Cath Labs | 180 V Green Laser Machine | Dedicated Level III ICUs | 24x7 available Blood Bank

ACCREDITATIONS
NABH Accredited Hospital I NABL Accredited Lab I NABH Accredited Blood Bank | NABH Accredited Ethics Committee I NABH Certified Nursing Excellence I Green OT Certification

ACHIEVEMENTS
• Ranked No. 7 in Delhi’s Best Private Hospitals by The Week Magazine Survey, 2019
• 5000+ successful Knee Surgeries
• Over 1000 successful Kidney Transplants

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New Delhi, 4th February, 2022: A 32-year-old US woman was successfully diagnosed and treated for a  case of Myiasis (human botflies) at Fortis Hospital, Vasant Kunj. The patient visited the Emergency department with complaints of swelling in the right upper eyelid along with redness and tenderness. She also revealed in detailed history that she felt something moving inside her eyelids once in a while since past 4-6 weeks. She had consulted doctors in the United States but the myiasis (botfly) could not be removed and the doctors discharged her on few symptomatic relief medications.

On her visit to India, the patient visited Fortis Hospital, Vasant Kunj, where she was diagnosed and treated by DrMohammad Nadeem, Consultant and Head Emergency Fortis Hospital, ER physician Dr Dheeraj and Dr. Narola Yangar (surgery department). Had the Myiasis not been removed, it could have caused considerable destruction of tissues, resulting in complications such as extensive erosion of nose, face, and orbit. This could have led to rare meningitis and death.

Myiasis burrow into delicate membranes and feed on underlying structures. Such cases have been reported earlier too from tropical and subtropical areas like Central and South America and Africa. In India, such cases have been reported mostly from rural areas particularly in children where the botflies have entered through either nasal opening or musculoskeletal skin lesions.

Dr Mohammad Nadeem, Consultant and Head Emergency Fortis Hospital, Vasant Kunj, said, “It was a very rare case of Myiasis. Foreign bodies taken from the healthy skin route lead to severe morbidity and death. Therefore, these cases need to be evaluated in detail urgently. The US national is a traveler and had a history of visiting the Amazon jungle two months back. Suspecting foreign body from her history of traveling and noticing movements inside her skin, diagnosis was done. Dr Narola Yanger from the Surgery department proactively managed to remove three live human botflies almost of 2 cm in size—one from the right upper eyelid, second one from back of her neck and third from her right forearm. The surgery was completed in 10-15 minutes with all aseptic precautions, without any anesthesia. The woman was discharged on symptomatic prescribed medicines from ER.

Dr. Rajeev Nayyar, Facility Director, Fortis Vasant Kunj said, “The doctors team led by Dr Mohammad Nadeem adopted the correct line of treatment and pro-actively took out the botflies from the US national’s body. Our team of doctors at Fortis Hospital, Vasant Kunj have always displayed their excellence and commitment to patients. We have always kept patient-centricity and consistent innovation at the core. This has helped us become a leader in innovative surgeries and a provider of responsible healthcare.”

US national said, “I had gone to the Amazon jungle and when I returned, I noticed a bite on my right upper eyelid. It started growing and bleeding. I thought it was a poisonous spider bite. There was a small hole in the middle of the bite, and I saw something coming out of the hole. The doctors in US could not get it out and so I came to Fortis Hospital, Vasant Kunj. The doctors here could take the botflies out without the help of anesthesia. I really appreciate the doctors’ efforts and pro-active approach.”

New Delhi, 6th October 2022: Doctors at Fortis Hospital Vasant Kunj successfully treated a 40-year-old road accident victim from Iraq with cross-leg flap surgery – an over a century old surgical technique – as the newer and more sophisticated ones were not feasible due to the patient’s precarious condition.

The patient, who had undergone three unsuccessful surgeries in Iraq over a period of eight months, was brought to Fortis with acute dislocation of the left knee joint and a severely infected, pus oozing leg. A team of doctors led by Dr Dhananjay Gupta, Director, Orthopaedics & Joint Replacement Surgery and Dr Rashmi Taneja, Director, Plastic & Reconstructive Surgery, thoroughly evaluated the patient. Investigations revealed that the patient’s affected leg had no intact blood vessel due to the multiple injuries, which is necessary for the reconstructive surgeries currently in vogue.

The doctors then decided to perform the cross-leg flap surgery, a technique first described in medical literature in 1854. Typically, a flap surgery involves lifting tissue from a donor site and placing it on the recipient site with an intact blood supply. It was considered the gold standard for the reconstruction of soft tissue defects of the lower limb during its heydays. However, the technique fell into disuse with the advent of the highly sophisticated microvascular techniques, which enable doctors to join or repair damaged blood vessels or nerves.

Sharing more details, Dr Dhananjay Gupta, Director, Orthopaedics & Joint Replacement Surgery, Fortis Vasant Kunj said, “After much deliberation, we decided to adopt a complex, multi-step approach. Though the treatment spanned over five weeks, the outcome is satisfactory. Presently, the patient’s leg is well covered with soft tissue and there is no evidence of infection. The patient has been asked to start walking and he is currently undergoing physio rehabilitation. We hope that once the fracture heals over a period of three months, he will be able to take his full weight on that leg. We have also planned for additional procedures in the future, which may be required.”

Dr Rashmi Taneja, Director, Plastic & Reconstructive Surgery, Fortis Hospital Vasant Kunj said, “This case was challenging because the patient had severe infection and poor bone quality. He was hypertensive and diabetic too. The patient’s two legs had to overlap each other, and he had to be kept in that position for three weeks. So, placing it in a manner where there’s no pressure between the two feet and making sure that there is no bending of the flap while it is taking up the new circulation was challenging and required planning and of course cooperation of the patient. We initially thought of doing a microvascular free flap reconstruction, which involves taking muscle and skin along with the blood vessels from either the back or the abdomen but had to abandon the idea as there was no intact blood vessel in the patient’s leg.”

Mr Yashpal Rawat, Facility Director, Fortis Hospital, Vasant Kunj said, “It is a matter of pride for us to see patients and their families go back happy and satisfied with our services. This was a unique case where an age-old surgical technique was used after a thorough diagnosis. I applaud the team of doctors led by Dr Dhananjay Gupta, Director, Orthopaedics & Joint Replacement Surgery and Dr Rashmi Taneja, Director, Plastic & Reconstructive Surgery, who took a path less trod to treat a complex case, displaying exceptional clinical acumen and commitment to patient-centric care.”

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