INSTITUTE OF LIVER DISEASES, HEPATO-PANCREATO-BILIARY SURGERY AND LIVER TRANSPLANTATION, MUMBAI The Most Comprehensive Liver Care Programme
Chairman’s Message At Global Hospitals, we measure progress by the number of people in whom we restore the hope of a healthy tomorrow. Keenly focusing on quality, affordability and accessibility, we have established performance benchmarks that are difficult to surpass. We have carved a niche for ourselves in India’s healthcare industry by excelling in areas ranging from diagnosis to multi-organ transplantation, from simple procedures to complex surgeries, international expertise and housing state–of-the-art infrastructure. It is today, a one stop healthcare destination for people across the country.
Dr. K.Ravindranath Chairman & Managing Directore, Global Hospitals Group
Global Hospitals Mumbai is a state-of-the-art tertiary care multi-super specialty and multi-organ transplant facility. A new landmark on the skyline of Mumbai, Global Hospitals is poised to bring to the people of Mumbai, Maharashtra, neighbouring states and international patients the legacy of Global Hospitals Group’s clinical excellence, one of India’s largest multi-organ transplant facilities.
Mr. Manpreet Sohal Chief Executive Officer, Global Hospitals Group
Delivering Excellence in Healthcare Global Hospitals Group is India’s most rapidly growing chains of multi-super specialty, tertiary care hospitals. With over 2000 beds and 9 hospitals located across India, it has excelled in high-end diagnostics, complex surgeries and multi-organ transplantation services, cutting edge research programmes and academics. The Institute of Liver Diseases, Hepato-Pancreato-Biliary (HPB) Surgery and Transplantation at Global Hospitals has earned the reputation of being a healthcare leader of the highest standard in India with the largest multi-organ transplant program, internationally acclaimed team of medical experts, world-class facilities and state-of-the-art technology. Global Hospitals Group delivers excellence in healthcare with utmost compassion.
Delivering Excellence in Hepatology The Department of Hepatology conducts specialty clinics in Mumbai and outreach cities in Western India for: •
Chronic Viral Hepatitis
•
Multi-disciplinary clinic for Transplant
•
Metabolic clinic for Non-Alcoholic Fatty Liver Disease
•
Pediatric & Metabolic Liver Diseases
•
Multi-disciplinary clinic for Liver Cancer
It offers comprehensive state of the art, evidence and protocol based outpatient and inpatient based care for a wide variety of liver diseases including: •
Alcoholic Liver Disease
•
End stage liver disease (ESLD) and Cirrhosis
•
Autoimmune Liver Disease
•
Primary Sclerosing Cholangitis
•
Primary Biliary Cirrhosis
•
Wilson’s Disease
•
Vascular Diseases of Liver including Budd Chiari Syndrome
The team is led by Dr. Samir R Shah. He has trained in Hepatology at the Institute of Hepatology, University College of London. He has been a founding member of national and international hepatology societies and has served on the editorial board of prominent scientific journals. Has been conducted several international clinical trials on new drug development. Dr. Akash Shukla is a consultant Hepatologist and has trained at reputed institutes at Mumbai, Spain and USA, he is known for his pioneering work on Budd Chiari Syndrome. Dr. Parijat Gupte is a consultant Hepatologist having worked at some of the reputed institutes in the city. He has participated in many clinical trials and has published many scientific articles in leading journals. Dr. Vibhor Borkar is a consultant Pediatric Hepatologist trained at some of the most premier institutes of the country, his areas of interest are pediatric liver diseases and portal hypertension. Dr. Mihir Vora is a Clinical Associate in Hepatology is involved with numerous research projects in the department
DELIVERING EXCELLENCE IN HEPATO-BILIARY SURGERY & LIVER TRANSPLANTATION The department specializes in complex HPB surgeries related to the liver, gall bladder and bile ducts and multi-organ transplantation and has dedicated state of the art modular Operation Theatres •
Treatment of end stage liver disease (ESLD) (Cirrhosis) or liver cancer
• • • •
Deceased donor (Cadaveric) liver transplantation including advanced techniques such as split liver transplantation, reduced size liver transplantation and auxiliary liver transplantation Living donor liver transplantation including domino transplantation, swap liver transplantation, dual lobe liver transplantation, ABO incompatible liver transplantation
• Emergency liver transplantation for Acute liver failure • For treatment of primary or secondary liver, gall bladder and bile duct cancers • • • •
Laparoscopic or Open Liver Resections Liver Resections in Cirrhotic Patients Radical liver resection for Gall bladder caner Extended liver resections for Cholangiocarcinomas (bile duct cancer)
• Emergency surgeries for liver trauma • Multivisceral Transplantation • Combined Liver-Kidney Transplantation • Simultaneous Kidney-Pancreas Transplantation • Intestinal / Multi-visceral Transplantation The department has several ‘firsts’ to its credit like the first dual lobe liver transplant, the first dual organ (liver-kidney) transplant, the first ‘swap’ and the first auxillary liver transplant done in Western India.
PROF. MOHAMED RELA is the Group Director of HPB Surgery and Transplantation at Global Hospitals. He has successfully performed a liver transplantation in a 5 day old child earning him a place in the Guinness Book of World Records. He is also the Head of the Pediatric Liver Transplant program & the Lead Clinician for Hepatobilary and Pancreatic Surgery at King’s College Hospital, London. Dr. Ravi Mohanka is Chief Surgeon and Head of Department of Hepato-Biliary Surgery and Liver Transplant at Mumbai. He has trained and worked at some of the most reputed hospitals in India and USA, including the prestigious Thomas E Starzl Transplantation Institute at the University of Pittsburgh. Dr. Guruprasad Shetty is a consultant HPB & Liver transplant surgeon. Having trained at centers in India and St Marys Hospital, Catholic university of Korea, he has also undergone advanced training in laparoscopic hepatobliary surgery. Dr. Somnath Chattopadhyay is a consultant HPB & Liver Transplant Surgeon. He has trained at Sir Gangaram Hospital, Delhi and University of Pennsylvania, USA. He is in charge of innovative strategies and cutting edge technologies in liver transplantation and multivisceral transplant. Dr Gaurav Chaubal is an Associate Consultant Hepato-Pancreato-Biliary and Transplant Surgeon. He has trained at premier institutes such as All India Institute of Medical Sciences, Tata Memorial Hospital and Duke University Hospital, USA. His interest is in advancing techniques in hepatobiliary malignancies and pancreas and small bowel transplantation.
DELIVERING EXCELLENCE IN LIVER AND TRANSPLANT INTENSIVE CARE Dedicated Liver Intensive Care Unit (LICU) and Transplant ICU (TICU) with state of the art infection control protocols and practices. It is a first of its kind unit providing a multidisciplinary approach to the care of critically ill patients with end stage liver disease, acute liver failure, alcoholic hepatitis, and other complications related to liver diseases. The unit provides dedicated peri and post transplant monitoring of liver transplant patients. Some highlights of the department include: •
Advanced haemodynamic monitoring: •
Transpulmonary thermodilution pulmonary artery catheterization ( PICCO) Flowtrac monitoring
•
Transoesophageal echocardiography
•
Renal Replacement therapy including Continuous veno-venous haemofiltration / haemodiafiltration
•
Management of Acute Liver Failure •
Intracranial pressure monitoring
•
SJvO2 monitoring
•
Plasmapheresis/plasma exchange
•
Management of decompensated chronic liver disease
•
Management of Severe Sepsis/Septic Shock
•
Post Transplant Monitoring of patients
We are extremely fortunate to have the guidance of Professor Julia Wendon, Medical Director and Chief of Liver Intensive Care, Kings’ College, London in setting the standards of Liver Intensive Care
Dr. Vaishali Solao is the chief consultant Intensivist. Having trained at reputed centres at Mumbai and Sydney she is now in charge of the LICU and TICU at the Global Hospitals Mumbai. Her areas of special interests include management of acute liver failure and extra corporeal blood purification measures. Dr. Pooja Warty is a trained anaesthetist who completed her training in UK and Ireland. She has furthered her skills in intensive care in UK and now actively manages the liver intensive care and Dr. Ruhi Kohli is an associate consultant. She completed her training at Mumbai and Russia and has over 9 years experience in critical care medicine. She has 3 years experience in specialised liver intensive care at Global hospital. Dr. Sandeep Seth is a trained anaesthesiologist specialising in advanced intensive care medicine presently working as an associate consultant in liver intensive care. Dr. Vishal Sachde. He is a consultant pediatric intensivist. He has trained in pediatric and neonatal intensive care in India and Australia and is primarily involved with the pediatric intensive care of the department.
DELIVERING EXCELLENCE IN LIVER ANAESTHESIOLOGY Global Hospitals Mumbai has an exclusive team of HPB and Liver Transplant Anaesthesiology with Consultant Anaesthesiologists who are dedicated to providing state-of-the-art services to patients undergoing complex HPB surgery and liver transplantation. The team works at all stages of the patient journey providing seamless integration through preoperative assessment, intra-operative management and postoperative care. They also work very closely with our Hepatologists and Intensivists and participate in daily multi disciplinary team meetings where they familiarize themselves with the patient’s details even before the patient comes for a pre-operative assessment.
Dr Anil Parakh is the head of the department of anaesthesiology. He has a career spanning more than 20 years. His area of interest is perioperative pain management and chronic pain management. Dr Vasundhara Atre having more than 22 years of experience in the field is a senior consultant HPB & Liver transplant anesthesiologist. Her special interests include Enhanced Recovery After Surgery (ERAS), medical journalism, telemedicine and quality. . Dr Ameya Panchwagh is a consultant anaesthetist. He has completed his post doctoral training in Liver anaesthesia at Medanta Hospital, Gurgaon. His area of special interest includes regional anaesthesia. Dr Vaishali Kulkarni is a consultant anaesthetist with more than 15 years of experience. Her area of interest is liver anaesthesia and regional anaesthesia. Dr Chitra Sarma has completed the post doctoral fellowship in solid organ transplant anaesthesia and is now a clinical associate in the department. Dr Ambreen Sawant is a clinical associate with the department of Liver anesthesia.
DELIVERING EXCELLENCE IN LIVER RADIOLOGY The Institute has set a trend by having the first exclusive team of doctors dedicated to HPB and Liver Transplant Radiology. It is equipped with latest state-of-the-art technology in Digital Radiology, Ultrasound and Doppler studies, DEXA, Dual Energy 64-slice CT scan and 3T MRI with Elastography with a dedicated cath lab suite. HPB Imaging • Detailed assessment of liver steatosis by MR fat fraction • Comprehensive pretransplant liver donors work up • Non-invasive delineation of biliary anatomy on MRCP • Multiphasic CT evaluation for detailed assessment of anatomy and liver volumetry • Assessment of liver tumors by dynamic CT & MRI with advanced diffusion techniques • Assessment of liver fibrosis by MR Elastography • Contrast ultrasound • Standardised post transplant imaging • R2* imaging for estimating hepatic iron overload • Comprehensive screening of cirrhotics for progression of fibrosis/early HCC and treatment response HPB Intervention •
Image guided aspirations and drainage catheter insertion
•
Percutaneous image guided biopsies
•
Radiofrequency ablation (RFA), TACE and TARE for HCC and alcohol ablation of tumors.
•
Bilary interventions
•
TIPSS
•
PVE and other vascular interventions
Dr Satish Gaitonde is the head of the department of diagnostic radiology. His area of expertise is non vascular, ultrasound guided interventional procedures. Dr Sona Pungavkar is a consultant radiologist with special interest in MR imaging and MR spectroscopy. Dr Parul Garde is a consultant radiologist and has special interest in cardiac imaging, onco imaging with special focus on liver and hepato-biliary system and CT guided biopsies. Dr Rashmi Badhe is a consultant radiologist specializing in cross sectional imaging and liver transplant imaging. Dr Ashlesha Udare is a junior consultant having specialized in abdominal and transplant imaging. Dr Ritesh Dholu is a junior consultant with special interest in whole body imaging.
GLOBAL Emergency Care Call: 67670202 / 0212 35, Dr. E. Borges Road, Hospital Avenue, Opp. Shirodkar High School, Parel, Mumbai - 400 012.www.globalhospitalsindia.com