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March 12, 2002, Chandigarh, India
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New surgical technique tested at PGI Chandigarh, March 11 The disease, which is a common problem among new borns in India, with more than 20 to 25 children reporting in hospitals each year, will now be treated using a single one-hour procedure as compared to the earlier treatment which involved two surgical interventions of over three hours, over a period of 6 months to one year. The new technique is also a non-scar treatment as compared to the earlier technique which involved operating twice from the stomach and that would lead to long scars on the child’s body. The disease which involves no peristalisis (the movement of the intestinal nerves which causes fecal matter to move in the intestines and get removed from the body) in either the complete or parts of the intestines as a result of which the child is unable to remove fecal matter from his or her body. Since this is an inborn problem, mostly the disease is identified after conducting barium tests and if needed a colon biopsy. “This technique called ‘single stage neonatal trans anal endo rectal coloanal anastomosis’ is also more cost-effective as compared to the old technique called Duhamel’s procedure,” says Dr Ram Samujh, Associate Professor, Department of Paediatric Surgery, PGI, who did this operation. ‘‘This procedure was first tested in Finland in 1988 and since then it is becoming more and more popular in hospitals catering to neonatal care all over the world. In South India this procedure is already being followed but this is the first time we have tried this in North India,” he says. The earlier procedure involved two major operations. After the first operation called colostomy, the child was discharged after his or her colon was taken out of his body and stools were passed via that route. The child had to live with that and it often led to excoriation. After 6 to 7 months the second operation was done and the intestine joined using one of the three procedures available. Compared to this the present technique involves a single operation which the way it is done does not involve cutting any part of the outer sin of the child. “Needless to say but this procedures has also dramatically reduced the number of days the child has to
remain in the hospital for pre and post-operative care. The cost is as a result less and of course no scars and no second operation,” says Dr Samujh. And for Anita, the mother of this precious child, her first marriage anniversary which also falls today has been the happiest day of her life. A teacher in Ambala, her 21-day-old daughter is specially precious since following her Caesarean she had to undergo a hysterectomy (removal of the uterus) following complications. ‘‘This child is my future’s hope and an answer to all my prayers,” she says. |
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PGI brain drain continues Chandigarh, March 11 According to sources in the PGI, Dr Puneet Verma and Dr Sunil Bannerjee, Assistant Professors in the Department of Cardiology, have offered to resign. While Dr Verma refused to comment on the issue, Dr Bannerjee was not available for comments. Sources say that they are planning to leave the PGI because they are not satisfied with the working of the department. However, there are others who say that they have offered to resign due to personal reasons. Earlier, Dr R. Muralidharan, Associate Professor in the Department of Paediatric Surgery, had resigned, reportedly, after he had not been considered for promotion. Dr K.L. Narsinmhan of this department, who has also not been promoted, is said to have met the PGI Director. Members of the PGI faculty say that, in some cases, assistant professors or associate professors have left as the department heads do not allow them to use sophisticated machines or read papers at conferences. Sources said other than department politics and biases, financial reasons are also a big reason for this brain drain. Dr Ashok Sharma of the Department of Ophthalmology had left the PGI some months ago, only to join one of the city’s private eye clinics. Earlier, Dr Kanwar Mohan of this department, too, had left the PGI for a position in the same hospital. This clinic has been established by Dr Grewal, also a former member of the PGI faculty. Those who have left the PGI in search of better options include senior members of the faculty like Dr Jagmohan Verma and Dr Kalra. Cardiologists and gynaecologists leave the PGI also because they get to make more money in private sector. “Most doctors who leave the PGI get financial success, but money is not the only motive. Where one is not being given his or her due, in spite being competent, there is no choice but to leave,” says a senior member of the PGI faculty. Doctors say that quitting one of the most difficult decisions of their lives. “Why just the PGI, job dissatisfaction is everywhere, but, you have to tell yourself that tomorrow is another day,” they say. |
PEC club win opening match Chandigarh, March 11 Brief scores: PEC Sports Club 155 runs for eight in 22 overs (Anil Sharma 51, Umesh Kaira 38, Harminder Bawa 27, Vaneet Chawla 19 no, Sidharth Sharma 18, Raman Sharma 2 for 27, Sanjay 2 for 29, Anil Chaudhary 2 for 31).
Elite Club: 148 runs for seven (Bhupinder Singh 51 no, Anil Chaudhary 45, Rajinder Singh 28, Raman Sharma 21, Ajay Bhardwaj 2 for 27, Umesh Kaira 2 for 17, Gaurav Sood 2 for 24). In another tie, Sanjeev Rawat with 53 runs enabled the City XI beat Inde Dutch by seven wickets. |
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