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MALLYA HOSPITAL BANGALORE HEART HOSPITAL IN INDIA

India’s first speciality hospital to be awarded the ISO-9001:2000 recognition

Consult the best specialists at Mallya Hospital

Mallya hospital is located in the heart of the Bengaluru city and has grown over the years with substantial increase in bed strength, infrastructure and an assurance of quality patient care with human touch using state-of-the art technology. The multidisciplinary approach to diagnosis and care is designed to have a continuum of safe and high-quality care for patients – all services under one roof.

Mallya hospital has to its credit as the first Multispecialty hospital in the country to received the coveted ISO-9002 certification award which has been recently upgraded to ISO 9001:2008.

Mallya Hospital believes in delivering efficient, safe and affordable medical care through quality management using state-of-the-art technology with excellent Health Care facilities. The Hospital is accredited by the prestigious NABH (National Accreditation Board for Hospitals & Health Care Providers) which is yet another feather in the cap of Mallya Hospital.

In Mallya Hospital “Individual care to deliver the best results – that is what hospital focus at every step”.

Cardiology Departments

Cardiology Center is the heart of Mallya Hospital and amongst the leader for non-invasive and invasive cardiology in the city of Bengaluru, South India. The center has evolved and progressed over the past decade in the field of cardiology in tandem with new emerging technologies and enhanced cardiac care to give heart patients recent modalities of treatment. The hospital has some of India’s best talent of its panel of cardiologists and is equipped to care. Mallya hospital’s world class stature is testified by the fact that it is country’s first multi-specialty hospital to get the ISO 9002 recognition. The heart center annually performs over 500 angioplasties and over 2500 diagnostic Catheterization procedures.

Infrastructure and Facilities in Cardiology:

Department of Cardiology is one amongst the leader for non-invasive and invasive cardiology in the city of Bengaluru. The center has evolved and progressed over the past decade in the field of cardiology in tandem with new emerging technologies and enhanced cardiac care to give heart patients recent modalities of treatment.

Procedures performed:

• Coronary angiograms And Cardiac Catheterization
• Coronary and Peripheral Angioplasty with Stenting.
• Rotational Atherectomy
• Valvuloplasty [Pediatric and Adult]
• Aortic Aneurysm Stent-Grafts.
• Coil Closure of Atrial Septal Defect.
• Permanent Pacemaker Implantation.
• Diagnostic Electrophysiology Study.
• Noninvasive Cardiograph [ECG]
• Holter Monitoring
• Treadmill Test
• Dobutamine Stress Echocardiography
• Transesophageal Echocardiography
• Carotid and Vascular Doppler Study

TMT

The stress test (or exercise test) is one of the most common screening tests used to diagnose the presence of, and the extent of, coronary artery disease. Stress test, sometimes called a treadmill test or exercise test, helps the doctor find out how well your heart handles its workload. This information sheet answers the following regarding having a stress test:

• » Why do I need a stress test?
• » What happens during the test?
• » What is monitored during the test?
• » What equipment is used?
• » Is there a risk?

Holter monitoring

In Holter monitoring (ambulatory electrocardiography) a lightweight, portable monitor records the electrocardiogram for 24 hours while the wearer goes about his or her normal day. This study can be useful in diagnosing abnormal heart rhythm symptoms.

Echocardiography

Echocardiography is a painless, noninvasive test that can be performed at the hospital bedside or as an outpatient procedure. An echocardiogram uses high-frequency sound waves to provide a picture of the contracting heart, its valves and blood flow through the heart.
Tran esophageal echocardiogram (TEE)

Since sound waves travel poorly through bone, lung and thick chest walls, ultrasonic examination may be difficult in certain people. These patients may have a Tran esophageal echocardiogram (TEE), which uses a special probe passed into the esophagus so that an ultrasonic picture of the heart can be obtained without interference from the lungs or ribcage.
Cardiac Catheterization Coronary Angiography

This is a procedure to examine blood flow to the heart and test how well the heart is pumping. A thin plastic tube (catheter) is inserted into an artery in the arm or leg. From there, it is advanced into the chambers of the heart or into the coronary arteries. The Interventional Cardiologist who does this procedure is able to get the information about the pumping ability of the heart muscle and also the freeness of the blood flow in the Coronaries. The block if any in the Coronary arteries is evaluated through this diagnostic procedure.

Coronary Angioplasty

Coronary angioplasty is a medical procedure in which a balloon is used to open a blockage in the coronary artery which is narrowed by atherosclerosis. The opening of the blocks enables the blood flow to the heart. Atherosclerosis is a condition in which a material called plaque builds up on the inner walls of the arteries. This can happen in any artery, including coronary arteries and such a condition is termed as coronary artery disease (CAD).
Angioplasty is aimed at:

• Improving symptoms of CAD, such a angina and shortness of breath.
• Reduce damage to the heart muscle from a heart attack.
• Reduce the risk of death in some patients

Department of Orthopedics

The department of Orthopedics is a contemporary well equipped department of Mallya Hospital. 24 hours emergency services including managing Accidents and trauma patients are offered. The Department can boast of developed sub-specialties with excellent infrastructure and experienced surgeons to tackle all kinds of orthopaedic problems. The subspecialties include Routine Orthopedic ailments, Arthritics clinic and Back & Neck clinic.

Following are the specialist procedures:

1. Total Hip and Knee replacement
2. Arthroscopy and Ligament repair
3. Poly trauma care and minimally invasive fracture fixation
4. Spine Instrumentation and Vertebroplasty
5. Illizarov Ring fixation and Limb lengthening
6. Sports injury
7. Pediatric deformity correction
8. Geriatric care

The department is supported by the most elaborate intensive care services, a modern Accident and Emergency department, and state of the art Physiotherapy and Rehabilitation department. We have established trauma protocols for the care of the critically injured patients and principles of Advanced Trauma and Life Support System (ATLS) are applied for the prompt and efficient treatment of accident victims
Total Knee Replacement

Osteoarthritis

Osteoarthritis (OA), which is also known as osteoarthrosis or degenerative joint disease (DJD), is a progressive disorder of the joints caused by gradual loss of cartilage and resulting in the development of bony spurs and cysts at the margins of the joints. The name osteoarthritis comes from three Greek words meaning bone, joint, and inflammation.

Description

OA is one of the most common causes of disability due to limitations of joint movement, particularly in people over 50.

OA occurs most commonly after 40 years of age and typically develops gradually over a period of years. Patients with OA may have joint pain on only one side of the body and it primarily affects the knees, hands, hips, feet, and spine. Of all the types of OA, the most common is Arthritis of the Knee.
Arthritis of the Knee

If the Knee is affected by severe arthritis or injury it may be difficult for one to perform simple activities including walking, climbing stairs or sitting comfortably for prolonged periods. One may even feel the pain lying down. About 7 crore Indians are suffering from knee related problems.

Evidence suggests that women have a higher incidence of OA than men, and overall have an incidence of 2.95 per 1000 population, compared with 1.71 per 1000 population in men Osteoarthritis can develop for the following reasons

• Age – degenerative;
• Rheumatoid arthritis or other inflammatory joint disease
• Trauma which can damage the joint surfaces;
• After some birth defects and growth disorders

Why is this problem more prevalent in India

• Squatting/Ground sitting habits
• Climbing stairs
• Indian Toilets
• Obesity
• Heredity

Symptoms

• Pain in and around the Knee joint
• Morning Stiffness (worse on standing & attempting to walk)
• Swelling of Joint, Progressive deformity of legs
• Occasional night pain

Treatment:

The initial treatment includes drugs to reduce pain and inflammation, changing activity levels, using walking support, physiotherapy, and injections. Occasionally, keyhole surgery (Arthroscopy) is advised to clean out any damaged areas. However, if these are not successful in curing the symptoms, a Total Knee Replacement may be considered. This operation resurfaces the knee joint by removing diseased bone and cartilage from the lower end of the thighbone, the upper end of the shinbone and the back of the kneecap (patella). These surfaces are replaced with metal and plastic implants which allow natural knee motion and function and at the same time relieve pain and correct any deformity, enabling one to resume a greater range of normal activities.
KNEE REPLACEMENT (TKR)

Knee replacement was developed following the success of hip replacement and much of the pioneering work was done in Britain. The early knee replacements in the 1970s and 80s were fairly basic and the results were mixed. Improvements in surgical materials and techniques have greatly increased the techniques have greatly increased the effectiveness so that knee replacement surgery today has a high rate of success in relieving pain and restoring mobility. 95 out of every 100 procedures can be confidently predicted to be successful and, even at 10 to 15 years after the operation, will still be giving good service. Some knee replacements have lasted 25 years
Common Post-Operative (TKR) Course

• Day 1-Standing, bending and sitting out in a chair May take a few steps with help.
• Day 2-Walking (with aids)
• Day 4/5-Stair climbing
• Day 5-7-Home (with 2 walking sticks).
• Week 6-Walking unaided (or 1 stick) Driving
• Week 10-12-Full recovery

Last but not the least, these surgeries are best done by experienced and trained Orthopedic surgeons at hospitals with clean air O.T (Laminar flow) and other associated specialists who can manage conditions like diabetes, hypertension & other associated medical problems under the same roof as these commonly co-exist with arthritis. We routinely perform Total Knee Replacement surgeries at our hospital with high success rates. With the latest imported artificial knee, patients are now able to lead near normal lives.

Department of Onco Surgery

Surgical oncology is a division of Oncology dealing with surgical management of cancers. Surgery was the earliest and most time-tested treatment modality for wide range of cancers. Most solid tumours require surgery as a main part of their treatment to achieve meaningful results and cure. Over the decades it has evolved as one of the most important surgical specialities.

Surgical management of cancers requires extensive and complicated procedures, which are technically challenging and time consuming. The main aim of most of these procedures is to achieve a tumour free zone in the operated area. Technical advances and improved pre and postoperative care has made most of these surgeries safe and effective. Most of the advances in the recent times include minimally invasive approaches to remove cancerous tumours, organ conserving approaches, which result in better postoperative function and advanced reconstructive procedures to achieve superior cosmetic results.

The main cancers, which require the services of surgical oncology division are, Head and Neck cancers, Breast cancers, Gastro Intestinal cancers, Thoracic malignancies, Genito-urinary malignancies, Soft tissue and bony tumors and Nervous system tumors, which include brain and spinal cord.

Facilities at our Hospital augmenting the surgical oncology services:

Diagnostic and therapeutic endoscopies and minimally invasive surgery

Frozen section and other pathology services

Specialised surgical intensive care unit

Blood bank with facilities for blood component therapies

Micro vascular reconstructive and prosthodontic support

Neuro Surgery

The Neuro surgery department at Mallya Hospital offers comprehensive and multi disciplinary care for all Brain and Spinal ailments. Prompt neuro critical care, polytrauma management, state of the art, micro in neuro surgery with high speed neuro drill system, effective post operative care and supervised neuro rehabilitation are the hallmarks of neuro surgery division in Mallya Hospital.

Infrastructure and Facilities available:

Neuro Surgery

1. Trauma Service
2. Spine Services
3. Brain Surgery.

Trauma Service

1. Resuscitation in A & E department
2. Neuro critical care.
3. Operation theater

1. Complex
2. Poly trauma cases
3. Post op care
4. Rehabilitation

Spine Service

1. lumbar and cervical disc surgeries
   1. Standard laminectomies
   2. Micro Discectomies
   3. Disc replacement surgery
2. Spine stabilization surgeries
3. Spine tumor surgery
4. Vertebroplasty and kyphoplasty

Brain Surgeries

1. Surface tumors
2. CNS infections
3. Aneurysm surgery
4. Paediatric neuro surgery.

Future Program

• Neuro Endoscopy
• Stereotactic surgery.

Department of Gastroenterology

Mallya Hospital’s 24/7 services of Gastroenterology is a super specialty that involves management of patients suffering from disorders of digestive system and liver. These patients may be suffering from simple problems like indigestion or dyspepsia, constipation, pain in the abdomen, jaundice, diarrhea or difficult problems like blood in the vomiting or stools, liver cirrhosis, swelling abdomen, bile duct stones, cancers of gall bladder, pancreas, food pipe, stomach or intestine. Our patients are cared for by teams of physicians with broad expertise in all forms of gastroenterological and hepatobiliary diseases.

Department of Gastroenterology is providing outpatient, inpatient and endoscopic service to the society. Service is provided 24 hours and tackles various kinds of Gastroenterology emergency cases requiring diagnostic and therapeutic endoscopic procedures.
Facilities/services:

1. Gastroscopy (OGD):- Procedure enables to study the upper gastrointestinal tract esophagus- stomach – duodenum

2. Colonoscopy:- Procedure enables to study the lower Gastrointestinal tract entire colon including the last portion of the small intestine.

3. ERCP: – Endoscopic method of studying the biliary tree and Pancreatic tree. This procedure helps in various pancreatico- biliary diseases like Biliary stones, pancreatic stones, Biliary-pancreatic cancer and placement of an artificial tube (Stent) to reduce Obstructive jaundice.

4. Capsule Endoscopy: – Evaluates small intestine which cannot be assessed by Gastoscope and Colonoscope.
NOTE

(Following information will appear only on clicking the CT information on the link)

Man has been fascinated since long to view the milieu interior of gastrointestinal tract. We have advanced video endoscopes, which can permit viewing of esophagus, stomach, and duodenum with a traditional gastroscope. Likewise the entire large intestine and part of terminal ileum can be scanned to a great detail by using colonoscope. Detection and treatment of various upper GI and lower GI lesions including tumors, ulcers and bleeding lesions has been simplified with endoscopic methods.

However, the small intestine is difficult to study by endoscopic methods due to the enormous length (14 feet) and anatomic feature (loosely supported and looped structure on the mesentery). Push enteroscopy can examine part of jejunum and a double balloon technique can examine almost the entire small bowel. However endoscopic examination with these techniques is very cumbersome (can take up to 4 hrs), with inadequate information and is not patient friendly. These difficulties with traditional flexible instruments propelled the development of a technological marvel; an endoscope that could make its way through the 14 feet of small bowel. A pill sized camera with sufficient battery life to image the entire small intestine- Capsule endoscope.

This unique video capsule is 11×26 mm n size and weighs less than 4 grams. The device captures two images per second and has a battery half-life of 8 hours.

After a overnight fasting, patient swallows the capsule which travels through the GI trace by means of peristalsis. Images are transmitted by digital radio frequency communication channel to an external data recorder unit. The data recorder is tied around patient like a Holter monitor. Patient can continue normal activities during the entire procedure, which can be done as a ambulatory procedure. The data recorder is then connected to a dedicated computer for analysis. The non-invasive nature of capsule endoscopy makes it an attractive option over traditional endoscopy, as it requires little preparation, with no need for sedation. The procedure does not cause any discomfort to the patient and provides a more physiologic view of small intestine

Capsule endoscopy has been found to be superior to CT scan or MRI, for detection of small bowel lesions like tumors, ulcerations secondary to NSAIDs, vascular malformations, diverticulae etc. In patients with bleeding from small intestine, capsule endoscopy has been shown to be as accurate as intraoperative enteroscopy and superior to angiogram and tagged RBC nuclear scan. Capsule endoscopy has been shown to change patient management in up to 75% of cases with GI hemorrhage from small bowel. Now the last frontier in luminal endoscopy (visualization of small bowel) has also been conquered with this mega invention.

Capsule endoscopy has been introduced for the first time in Bengaluru recently and is available in Mallya Hospital. It has already helped us in diagnosing patients with obscure GI hemorrhage, which has shown to have a small bowel angio-dysplasia after nuclear scan and other routine investigations were not contributory.

5. Colonoscopy Ltd.

6. Colonoscopy Total

7. Colonoscopy Polypectomy

8. Esophageal Dilatation

9. Esophageal Dilatation

10. Foreign Body Removal

11. Gastroscopic Polypectomy

12. Gastroscopic Diagnostic

13. Gastroscopy

14. Nasojejunal Tube Placement

15. Pneumatic Dilatation

16. Sigmoidoscopy

17. Sigmoidoscopy Polypectomy

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