Untitled Document

Laparoscopic live donor [LDN] nephrectomy has the advantages of reduced pain and shorter recuperation for the donor without compromising the out come in the recipient. Gill et.al. demonstrated the feasibility of performing LDN in porcine model and thereafter Ratner et.al. reported the first successful human laparoscopic LDN . We started doing LDN at out institute in November 2002.

50 donors were subjected to left nephrectomy and standard transperitoneal laproscopic technique was followed with 3 ports in 7 and 4 in 43 patients.
Donor parameters evaluated were operative time; warm ischemia [WIT] and total ischemia time [TIT]; HCT drop; analgesia required; start of orals; days of hospitalization; post op complications.

Mean age was 44yrs Average WIT was 7 min. [4-11min.] and TIT was 52 min. [39-79 min.]; Average laparoscopy time was 176 min. [90-270min.]; average drop in haematocrit was 3.7% [1-8%] with only one patient requiring transfusion. None of the donors needed conversion to open surgery. Intra operative complications seen were lumbar vessel bleed in 2 and splenic capsular tear in 1. All were managed laparoscopically. Mild surgical emphysema was seen in 2 patients in postoperative period. Average hospital stay was 3 days [2-6 days].

Laproscopic live donor nephrectomy is safe, effective procedure with minimal morbidity for the donor. All the recipients had immediate urine output and good early graft function.


	Awards and Prizes
	Awards and Prizes : Year 2004-2005
	Dr. Mahesh R. Desai:
			Dr. Mahesh R. Desai receiving Dr. B. C. Roy Award for Developing Sub specialty at New Delhi from H E President of India Dr A P J Abdul Kalam.

UROLOGY DEPARTMENT:

	38th Annual Conference of the Urological Society of India held at Ahmedabad from 8th Jan to 11th Jan. 2005.
	Poster Presentation :
	*	I Prize : Poster: Role of Super selective Renal Angioembolisation in Massive bleeding following PCNL: MPUH experience
	-	Dr. Haresh Thummar
	37th Annual Conference of Urological Society of India held at Kochi from 21st to 24th January 2004
	Poster Presentation :
	*	I Prize : Poster: ESWL induced RI changes in Kidney
	-	Dr. Shilpi Tiwari
	14th Annual Conference of West Zone USI to be held at Akola from 3rd to 5th September 2004.
	Video Presentation :
	*	I Prize : Video: Laparoscopic assisted Radical Cystectomy – Our initial experience
	-	Dr. Kishore Wani
	*	II Prize : Video: Laparoscopic Radical Nephrectomy – Extending our Indications!
	-	Dr. Vineet Malhotra



	NEPHROLOGY DEPARTMENT:

	West Zone Chapter of ISN at 7th & 8th August, 2004 at Pune.

	*	I Prize : “CRP, IL-1 ß and TNF± in patients on maintenance Hemodialysis and their correlation with Albumin”
	-	Dr. Manish Dabhi
	*	II Prize : “Comparative Study of Carbon Dioxide as Contrast Vs Iodinated Contrast agents in Abominal Aortography in Dogs”
	-	Dr. Mallikarjun Khanpet


	XXXV Annual Conference of Indian Society of Nephrology at Varanasi on 18th to 20th November, 2004.
	*	I Prize : Outcome of Renal Transplant in Type 2 Diabetics (DM) : A Comparison with matched Non-diabetic (NDM) subjects
	-	Dr. Santosh Durugkar

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PUBLIC AWARENESS : Hello Doctor! at Doordarshan
The greetings came from Gujarat Regional Channel of DOORDARSHAN Network, where in Dr.Mahesh Desai (Chairman Dept. of Urology, MPUH), Dr.Mohan Rajapurkar (Head, Dept. of Nephrology, and MPUH) and Dr.Sishir Gang (Consultant Nephrology, MPUH) were invited to provide information on Kidney Failure and Renal Transplantation. The 30min.program 'Hello Doctor' was telecast on June'6'03.

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Muljibhai Patel Urological Hospital is recognized for International Fellowship Training in Endourology by Endourological Society INC.




"Hospital achieves further aggrandizement. It gets recognized as ISO 9001:2000 certified Institute"





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Laparoscopic Donor Nephrectomy - The MPUH experience
Laparoscopic live donor [LDN] nephrectomy has the advantages of reduced pain and shorter recuperation for the donor without compromising the out come in the recipient. Gill et.al. demonstrated the feasibility of performing LDN in porcine model and thereafter Ratner et.al. reported the first successful human laparoscopic LDN . We started doing LDN at out institute in November 2002. 50 donors were subjected to left nephrectomy and standard transperitoneal laproscopic technique was followed with 3 ports in 7 and 4 in 43 patients. Donor parameters evaluated were operative time; warm ischemia [WIT] and total ischemia time [TIT]; HCT drop; analgesia required; start of orals; days of hospitalization; post op complications. Mean age was 44yrs Average WIT was 7 min. [4-11min.] and TIT was 52 min. [39-79 min.]; Average laparoscopy time was 176 min. [90-270min.]; average drop in haematocrit was 3.7% [1-8%] with only one patient requiring transfusion. None of the donors needed conversion to open surgery. Intra operative complications seen were lumbar vessel bleed in 2 and splenic capsular tear in 1. All were managed laparoscopically. Mild surgical emphysema was seen in 2 patients in postoperative period. Average hospital stay was 3 days [2-6 days]. Laproscopic live donor nephrectomy is safe, effective procedure with minimal morbidity for the donor. All the recipients had immediate urine output and good early graft function.


Trans peritoneal port placement for live donor nephrectomy	Renal hilum seen preoperatively.
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The Impact of Indian Urologist - extract from USI newsletter-March'2003 :


Dr.Mahesh Desai delivering SIU Lecture at 98th American Urological Association at Chicago. Also seen on the dias Dr. Carl Olsson and Dr. Mebust

The 98th AUA was held in McCormic Convention Center. More than 16000 delegates attended it. There were 1879 presentations, which included 121 videos, 11 special scientific sessions and 69 postgraduate/instructional courses. There were more than 18 urologists from India and about 80 Indian urologists from settled in USA. For the 1st time a coveted 'SIU Lecture' was delivered by an Indian urologist, Dr.Mahesh Desai. Dr.Carl Olsson and Dr.Mebust introduced him as "the most outstanding endourologist in the world." AUA Urolithiasis Panel recommends health and economic outcome of treatment. Dr.Mahesh Desai, in his opening remark said, "Stone Free status is global but Economic consideration are very vital." He delivered a spell bounding lecture on stag horn calculus - "Sandwich or Multiple bite-an Asian experience" in 25 minutes. He showed very vividly the importance of complete clearance by one or multiple tracts and stressed that it may need several sittings to clear it totally. This was beautifully illustrated in his last case of a giant stag horn in solitary kidney. It took 11 sessions to render the patient stone free. I was sitting behind Dr.Fuch and Dr.Lingman who complemented him by saying "this will change the entire perspective of treating stag horn calculus world wide." That was indeed a moment for Indian urology………………………………… Dr.Ajit Vaze, M.S., M.Ch., MNAMS Mumbai
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Dr. Sriram Joshi	Congratulations To Dr Sriram Joshi and Dr. Inderbir Gill who are Visiting Professor at Muljibhai Patel Urological Hospital for being declared as Dr B C Roy Award recipients in the Year 2005	Dr. Inderbir Gill

	The Close Collaboration ties between Muljibhai Patel Urological Hospital And Cleveland Clinic Foundation, Ohio, USA includes:
	Joint Collaborative research Projects * Basic Science * Clinical Research Projects Logistical information towards development of advanced subspecialty expertise An exchange program of residents between Cleveland & MPUH

	Dr Andrew Novick, HOD Cleveland Clinic Ohio, USA at the SIU Meeting held during the 38th Annual Meeting of the Urological Society of India.
Dr Mahesh Desai President Elect USI 2005
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	Discussion on Reno Vascular Hypertension