Our Specialities

Almost all medical super specialities at your service under one roof.  At BLK our sole focus is to cure or offer the best quality of life. We follow the current global standards of care and treatment protocols for each type and stage of diseases. The strategies for early diagnosis, treatment management, rehabilitation, pain relief and terminal care have been established in a comprehensive and multidisciplinary approach for your individual needs. Our doctors have unparalleled expertise in diagnosing and treating all types of diseases and they use the latest technology and the most innovative, advanced therapies to increase your chances of a cure. We have a unified approach to medical care, with teams of doctors and medical assistants work together to guide each patient through diagnosis, treatment and recovery. These teams have a depth and breadth of experience that is unsurpassed. We offer the medical expertise with latest Technology to facilitate correct diagnosis of various ailments for best and shortest road to recovery. Get a closer glimpse of our super specialities with cutting-edge-technology and global experience below.

Excellence of Nuclear Medicine

BLK hospital is equipped with the latest state of art, time of flight PET/CT (GE Discovery 710) with 16 slice CT. The department also has a dual head SPECT-CT Gamma camera installed. With an exclusive thyroid ward, BLK is one of the very few hospitals to have a complete Nuclear Medicine imaging and therapeutic facilities under one roof.

PET/CT imaging has revolutionized many fields of medical diagnosis including oncology, neurology, cardiology, surgical planning and radiotherapy planning. In the field of oncology PET/CT finds its use in every stage of management of patients, from diagnosis to staging to assessing treatment response. With the combination of CT with PET, functional imaging which depicts metabolic or biochemical activity can be precisely aligned or correlated with anatomic imaging. It helps in deciding the mode of treatment to be used for patients by accurately staging the disease in the body. Besides, PET study also helps in assessing treatment response during the chemotherapy and to differentiate between scarring and recurrent disease. It is now being increasingly used for defining tumor volumes for precise targeting and for guided metabolic biopsy. PET/CT can help in early detection of dementias and can help in preventing unnecessary bypass surgeries in heart patients by detecting the viable and non- viable myocardium.

In addition to the above the department also provides treatment of thyrotoxic patients, radiation synovectomy and palliation of intractable bone pain using Strontium-89, Samarium-153 etc.

The Center also offers Y90 Sirspheres / Theraspheres therapy for unresectable liver tumors and as a bridge to liver transplantation

The department of Nuclear Medicine & PET/CT is backed by a highly trained and experienced staff, ensuring global quality standards. We have world class specialists from around the globe and facilitates correct diagnosis of various ailments for best and shortest road to recovery. 

Dr. Alka Kumar

Sr. Consultant & HOD
Nuclear Medicine
MBBS, DRM, DCBNC (USA)  

Dr. Chander Mohan

Director
Interventional Radiology
Radcliff Infirmary,  Oxford, UK 
Rothschild Hospital, Paris, France  

Excellence of Diagnostics Services

BLK Excellence of Diagnostics Services is designed to include all the sub-specialities of high tech laboratory medicine: Histo- and Cyto- Pathology Clinical Biochemistry, Clinical Microbiology, Hematology & Immunohematology, and Molecular Biology, the department of laboratory services provides comprehensive support, expertise, and consultation services that facilitate clinical care in the hospital. While the aforementioned specialities work as independent units, they are integrated under one roof, to ensure uniform and efficient analysis and reporting of test results. Every speciality has highly qualified and reputed faculty and are equipped with state-of-the-art automated systems covering all aspects of laboratory – the pre-analytical, analytical and post analytical phases. The laboratory is housed on the first floor. While it has a very pleasant ambiance, the workflow system adopted in the area provides unhindered environment for testing.

Besides providing accurate and reproducible results in the shortest possible turnaround time, the objectives of the department include: continuous update of equipment and techniques to meet the changing needs and expectations of the health care workers and the society. The department boasts of very well trained and expert faculty who not only provide expert consultative advice on the test results, but also, train medical and paramedical staff, promote academic activities and conduct research in all disciplines’. The department provides short term trainings for specialized laboratory areas like flow cytometry, transplant pathology, etc. and plans to have post-graduate training in pathology (DNB) as well as DMLT/B Sc MLT training courses for technical staff in due course.

Laboratories are conscious of the providing quality services for ensuring accuracy and reliability of each test result. The lab has a well- defined quality management system, including a stringent internal quality control programme, as well as participation in the national and international proficiency testing programmes. These efforts were recognized by the national accrediting body for laboratories in the country, NABL, in the very first year of the operation of the labs, and bestowed the labs with NABL ACCREDITATION which continues till date.

Histopathology & Cytopathology

The department of Histopathology and Cytopathology gives opinion on specimens from Gynecology, Urology, Gastroenterology, Cardiology, Orthopedics, Respiratory Medicine and highly specialized areas such as Neurology, Oncology, and Transplant units. Immunohistochemistry offers updated diagnostic and prognostic applications in the field of oncology. Flow cytometric evaluation of lymphomas is readily available. Frozen section technique allows rapid diagnosis for immediate decisions regarding intra-operative and postoperative patient management. We have an advance immunohistochemical laboratory performing more than 80 diagnostics as well as prognostic markers with proper quality control program in place which assures the reliable and reproducible results in minimal turnaround time.

The Cytopathology service is well equipped. Diagnostic facility is provided for gynecologic and Non -gynaecologic sample in shortest possible turnaround time. Gynaecologic services include pap smear reporting (Bethesda 2001) & outsourced facilities for HPV testing and liquid based thin prep PAP smear. Non-gynaecologic samples include: cytology of fluids, bronchial specimen, CBD brushing, USG guided and CT guided FNA’s. We also do FNA from various superficial sites in lab and bedside.

Clinical Biochemistry

The Department of Biochemistry performs routine and specialized biochemical tests such as tumor markers, therapeutic drug monitoring and hormone assays. The turnaround time is as per the international standards.

Clinical Microbiology

The department of Microbiology has the latest and standardized equipment including BACTEC 9120, Phoenix BD Id/AST, MGIT960, Architect, Minineph, Minividas, etc. for rapid diagnosis of infectious diseases. The department also looks after the hospital infection control programme. Advanced diagnosis of infectious disorders is possible with well-equipped nucleic acid detection techniques.

Haematology

The department of Haematology provides state-of-the-art investigative facility for comprehensive diagnosis of hematological disorders. The department comprises a core laboratory for routine laboratory tests and specialized facilities for study of haemostatic, haemolytic and oncologic disorders. Acid and alkaline eletrophoreses and haemoglobin HPLC are well developed for diagnosis of haemoglobinopathies. Flow cytometry of bone marrow, blood and lymphomas is one of the strengths of this laboratory and serves the needs of the haematopoietic stem cell bone marrow transplant unit.

Molecular Biology

Molecular diagnostic facilities for HLA typing have been standardized and started and other molecular tests including those for infectious diseases and haematological disorders are proposed to be added in due course.

Immunohematology & Transfusion Medicine

The department of Transfusion Medicine is equipped with high end systems to collect and process blood for preparation of components, storage of blood and blood products and for apheresis procedures. Latest techniques are used for immuno-haematological testing, for blood compatibility and for diagnosis. The department also receives samples from outside for work-up of auto and alloimmune haemolytic anemias. The department is committed to ensure availability of safe blood. Stringent quality control practices include testing of a defined number of units of each product for the appropriate parameters. The facility is licensed by Drug controller General India. Blood is collected only from voluntary non-remunerated replacement donors only. The Department provides round the clock service including platelet apheresis and peripheral stem cell harvesting.

Procedures

The Cytopathology section provides services for performing fine needle aspiration cytology testing under local anesthesia for superficial lesions, while hemato-pathology section performs bone marrow aspiration and biopsy procedures within the laboratory premises. In addition, outside sample processing is also done within the laboratories.

Technology

The BLK Medical laboratories are equipped with state-of-the-art cutting edge technology in the respective areas, from pneumatic chute system for delivery of patient samples, through fully automated analytical systems, to on-line delivery of patient reports, thus, encompassing all the phases of laboratory system – the pre-analytical, analytical and the post analytical phases. The equipment in use in various sections include automated systems for surgical pathology and cytopathology from Thermo Shandon, automated hematology analyzers: Beckman Coulter LH 750, DISSE ESR equipment, BioRad Variant II HPLC system, coagulometers-ACL Elite Pro, Sebia electrophoresis equipment, ELISA system, Flowcytometers BD FACS Calibur, ROCHE & ABOTT platforms for chemistry and immunoassays, BACTEC 9120, Phoenix BD Id/AST, MGIT960, Architect, Minineph, Minividas, and ROCHE PCR platforms, etc. to name a few.

Dr. Veena Malhotra

Senior Consultant and HOD
Histopathology
WHO Fellow at AFIP Washington DC
Certificate by Harvard International
 

Dr. Anil Handoo

Senior Consultant & Director
Pathology
Hematological Medicine (London)
Flowcytometry (Australia)

Dr. Raj Kumar Kapoor

Senior Consultant & HOD
Biochemistry
Life Member of Association of Clinical Biochemists
Life Member of Association of Medical Biochemists

Cyberknife VSI

he BLK CyberKnife Center offers a non-invasive outpatient procedure for the treatment and removal of cancerous and non-cancerous tumors and lesions throughout the body, as well as vascular lesions and functional disorders. A non-surgical, painless, cutting edge technology, the CyberKnife VSI offers patients treatment with significantly fewer complications, and lower risk than open surgery. By delivering high doses of radiation, with extreme accuracy, the CyberKnife VSI procedure provides new hope to patients and their families.

The Doctors and Medical Staff of the CyberKnife Center are among the most experienced in the world with CyberKnife VSI treatments and technology. Under their guidance, the CyberKnife VSI provides the patient with a sophisticated, robotic radio-surgery procedure that is computer-controlled to attack tumors and lesions from virtually any direction or angle with sub-millimeter accuracy. The CyberKnife VSI does not remove the cancer as surgery does, but instead, uses the high doses of focused radiation to destroy tumors and stop the growth of cancer cells.

At the core of the CyberKnife VSI technology is the Synchrony System that continuously and automatically tracks the tumor’s and the patient’s position, including an individual’s respiratory motion. The CyberKnife VSI then uses this information to guide and position the radiation beams to precisely target the tumor while carefully sparing the surrounding healthy tissue.

A team of physicians, physicists, and engineers developed the CyberKnife, coming together to form the company Accuray, Inc. The CyberKnife was first approved by the FDA for intracranial application in 1999, and then received full-body clearance in 2001. Since its inception the CyberKnife has treated in excess of 120,000 patients, at over 230 centers around the world.

The CyberKnife combines two systems: a compact, lightweight linear accelerator mounted on a robotic arm that sends the radiation to the patient; and an image guidance system that tracks the tumor's location within the body - in real time - to direct the radiation to the precise location where it is needed.

The guidance system uses the patient's skeletal structure or implanted radio-opaque markers as a point of reference, continuously re-imaged throughout the entire treatment, re-acquiring the target volume and adjusting the beam within millimeter tolerance up to 100 or more times during each treatment session. In fact, it is the only system that can correct according to the information given while tracking tumor position continually during treatment. The robotic arm that delivers the radiation is so maneuverable that physicians may treat a lesion from up to 1600 non-coplanar targeting angles. This means they may use it to treat tumors and other lesions anywhere in the body without open surgery, including some that were previously untreatable.

To better understand how CyberKnife® works, it is helpful to understand the technology of radiosurgery. Stereotactic radiosurgery (SRS) combines the principles of stereotaxy, or 3-D target localization, with multiple cross-fired beams from a high-energy radiation source to precisely irradiate an abnormal (oftentimes cancerous) lesion within a patient's body. The ideal objective is the destruction of the targeted area without damaging any normal tissue outside of the defined target area. Radiosurgery and conventional radiotherapy are often confused, even among doctors. RADIOSURGERY IN NOT AVAILABLE FROM PRIVATE SECTOR IN FINLAND!

 

Radiosurgery

Radiotherapy

Description

Focused radiation delivered precisely to the target sparing surrounding normal tissue

Large field radiation delivered to the target and surrounding normal tissue

Typical Dose Per Treatment

High dose (~ 6 to 25 Gy per treatment)

Low dose (~ 2 Gy per treatment)

Typical Treatment Duration

1 – 5 treatments

30 – 40 treatments

Would you rather have 4 vs. 40 treatments? Stereotactic radiosurgery differs from conventional radiotherapy in several ways. Because radiotherapy does not achieve the same level of accuracy, normal tissues are protected by administering the radiation dose over multiple sessions (fractions) daily for a period of a few to several weeks. In contrast, radiosurgery utilizes highly destructive doses of radiation administered in one to five (1-5) daily fractions. The key to the success of SRS is its ability to precisely target the tumor, firing these high dose beams from multiple angles to avoid sensitive structures (nerves, sensitive areas of the brain, etc.) even as the tumor moves (due to patient movement, breathing, etc.).  Prior to CyberKnife, the accuracy of SRS relied on the use of a rigid metal frame fixed to a patient's skull, immobilizing the head to prohibit movement and minimize damage to the surrounding healthy tissue. This procedure is very effective, but has considerable drawbacks, including the fact that treatment is restricted to only the head.

The CyberKnife radiosurgery system takes this procedure to the next level, eliminating the need for a head frame and allowing CyberKnife to treat tumors anywhere in the body. Perhaps more importantly, CyberKnife is uniquely capable of providing real time monitoring of the target throughout treatment using an advanced image-guidance system, and is able to detect and correct during treatment for some target motion (e.g. due to small patient movements, breathing, coughing).

Stereotactic radiosurgery has been used for more than 30 years to treat benign and malignant tumors, vascular malformations, and other disorders of the brain with minimal invasiveness.

Safe delivery of these radiosurgical high doses require a different treatment delivery technique than the conventional radiotherapy devices.  Would you rather treatment with 4 high dose treatments for a chance to cure, control growth, or get pain relief vs. 40 lower dose treatments over several weeks?

CyberKnife provides the means to get the highest dose of radiation to the target with continual detection and correction throughout treatments with no pain, no incision, and little to no recovery time or side effects - allowing you to get back to your life.

Radiosurgery vs. Radiotherapy

Targeting tumors that move with respiration.

CyberKnife® Robotic Radiosurgery System

  • Beams move in real-time with 3D target motion
  • Dose delivered continuously throughout the breathing cycle

Conventional Radiotherapy Systems

Limited system mobility requires the beam to repeatedly turn on and off as the target moves through fixed cross-hairs

Ring Gantry Radiotherapy Systems

Delivers high doses of radiation to the entire envelope of target motion – encompassing both healthy and cancerous tissues

Treatment Comparison

There are several devices, modified linear accelerators (linac) systems, in our area that are capable of delivering radiation, but that do not automatically and continuously adapt to tumor motion caused by organ movement or breathing and require more multi week treatment sessions vs. 1-5 sessions or "fractions" with CyberKnife. The number of fractions depends on several factors, including the size of the lesion, location in the body, and your unique treatment plan developed by the multidisciplinary practitioners

  CyberKnife® Gamma Knife® Other Linac Systems(ie., Novalis®, Varian Trilogy®, TomoTherapy®)
Continuously adapts to lesion motion caused by organ movement Yes N/A No
Continuously adapts to lesion motioncaused by breathing (respiratory tracking) Yes N/A Varian Trilogy uses respiratory gating but does not track with radiosurgical precision; other systems do not adapt to breathing
Radiosurgery dedicated Yes Yes No
Also does “conventional” radiotherapy No No Yes
Anatomic area treatable with radiosurgical precision Brain, spine, entire body Brain Brain, possibly other areas, depending upon system
Rigid brain or body frame required for accuracy No Yes Yes
Lesion size limitation No Yes No
Capable of divided treatments to better preserve adjacent tissues Yes No Yes

Dr. S Hukku

Senior Consultant & Chairman
Cyberknife Center
Union Against Cancer (UICC)
Cookridge Hospital: Leeds UK
Japan International Cooperation Nagoya University
New York Memorial Hospital, USA
British Council in St. Bartholomews’ Hospital, London, UK
American Association for Radiation Oncology (ASTRO)
International Atomic Energy Agency (IAEA): Vienna Austria
American Association for Radiation Oncology (ASTRO)
European Society of Therapeutic Radiology & Oncology (ESTRO)

 

  • Memorial Sloan Kettering Cancer Center: New York UA
  • MD Anderson Cancer Center: Houston USA
  • Karolinska Institute: Stockholm Sweden
  • National Cancer Institute: Tokyo Japan
  • Christie Hospital &Holt Radium Institute: Manchester UK
  • Netherlands Cancer Institute (NKI): Amsterdam Netherlands
  • Institute Gustave Roussy: Paris France
  • Charite Hospital: Berlin Germany
  • University of Utrecht: Utrecht Netherlands
  • Cancer Center: Graz Austria
  • University Hospital: Uppsala Sweden
  • University of Pittsburgh: Pittsburgh USA

Dr. Shikha Halder

Senior Consultant
Radiation Oncology
Middlesex Hospital London, UK
Takhashi memorial award, Nagoya Japan

Dr. Neeraj Verma

Cyberknife Center
Radiation Oncology

Center of Excellence for Cancer Management:

Our Cancer center hosts state of the art equipment, facilities and experienced, faculty & staff, which are wholly committed to highly personalized, individual and comprehensive cancer care.

 

  Patient centric focus, multidisciplinary approach, personalized and cost effective solutions with utmost care to all medical needs of the patient, coupled with administrative needs are meticulously looked into by a team of experienced medical and administrative teams. Patients are the focus of everything we do at our Cancer Center and the patient is also informed about the real status of their disease and the all progress of the treatment. Here patients and the family is not alone in their fight.

 

Our mission is to provide the advance patient care, education and research continuous to change the course of cancer care. The close collaboration between our physician, surgeons, Radiologists, Pathologist and other allied specialty is one of our unique strength enabling us to provide the best care available today to the patient as we work to discover more effective strategies to prevent and cure cancer.

We are best known for our leading edge cancer therapies and we take particular pride in the compassion and dedication of our doctors, nurses and other health care staff.

At our Cancer Center sole focus is to cure cancer. We follow the latest standards of care and treatment protocols for each type and stage of cancer. The strategies for early diagnosis, treatment management, rehabilitation, pain relief and terminal care have been established in a comprehensive and multidisciplinary approach for cancer care.

  Our doctors have unparalleled expertise in diagnosing and treating all types of cancer and they use the latest technology and the most innovative, advanced therapies to increase the chances of a cure.

  We have a unified approach to cancer care, with teams of doctors who work together to guide each patient through diagnosis, treatment and recovery. These teams have a depth and breadth of experience that is unsurpassed.

  The hallmark of Cancer Care at BLK Super Speciality is the Tumour Board Clinic. Experts from Medical, Surgical and Radiation Oncology as well as Radiology, Pathology and all concerned allied specialities discuss each Clinic, experts from Medical, Surgical and Radiation Oncology as well as Radiology, Pathology and all concerned allied specialities discuss each case and formulate a multimodality treatment plan for the patients.

  Hence, the treatment plans reflect the combined expertise of many doctors – surgeons, medical oncologists, radiation oncologists, radiologists, pathologists, Interventional Radiologists, neuro- oncologists. This approach ensures that patients who need different therapies to treat their cancer will receive the ideal treatment.

Our surgeons are among the most experienced cancer surgeons in the world. Our surgeons perform all type of cancer surgeries and often use surgical techniques which are aimed at conserving function and organ without compromising overall survival outcomes. Our medical oncologists have a vast experience and often employ immunotherapy, targeted therapy in combination with chemotherapy to more effectively treat cancer.

  They also manage the side effects of chemotherapy ranging from common to rarer ones, so that patients can lead relatively normal lives while receiving chemotherapy.

Radiation Oncologists at BLKCC have pioneered leading technologies and techniques including IMRT, IGRT, Cyber knife which allows higher, more effective doses of radiation to be delivered to tumors while minimizing exposure to surrounding healthy tissue and organs. Our doctors also use radiation therapy with chemotherapy which makes tumor cells more sensitive to the effects of radiation thus enhancing the success of therapy.

  The Hospital is the first hospital in the entire North India to offer PET CT scan and the Cyber-knife facility for most comprehensive Cancer services. Our radiologists use advanced imaging techniques to treat cancer. In addition to MRI and CT, our radiologists offer cutting edge technologies. These include combination PET/CT imaging, which can more accurately detect cancer and pinpoint its exact location in the body.

  At our Cancer Center, pathologists are involved in patient management right from the beginning. They analyze tumor samples to determine a precise diagnosis and the extent of disease even if this information has been collected and reviewed at another institution. In addition, tissues removed during surgery are rapidly evaluated by our pathologists.

Dr. Kapil Kumar

Director of BLK Cancer Center & HOD

Surgical Oncology

Rajiv Gandhi Cancer Research Centre

Oswal Cancer Hospital

International Society of Diseases of Esophagus (I.S.D.E.)             

Dr. Amit Agarwal

Director & HOD

Medical Oncology

Addenbrookes NHS Trust, Cambridge, UK

Churchill and Radcliff Hospital, Oxford, UK

Royal Hospital, Oman

Dr. Dinesh Kansal

Senior Consultant & HOD

Laparoscopy Gynae Surgery Unit

Harvard Medical, Boston, USA

Center of Excellence for Bone Marrow Transplant:

BLK’s BMT center is one of the largest BMT Centers outside North America. BLK’s BMT Centre of Excellence is managed by internationally highly trained faculty and equipped with Ultra- Modern equipment's like Blood Irradiator and NAT Lab. BLK’s -Center for BMT has conducted over 500 transplants in a span of five years with 80%+ Success Rate. BLK’s BMT Center is a stand-alone dedicated facility, equipped with ultra-modern infrastructure and internationally trained, widely experienced faculty. The Centre is supported by state-of-the-art laboratory services and transfusion services, along with a fully equipped radiation oncology unit with facility for total body irradiation. The Centre offers both allogenic and autologous transplant using bone marrow, peripheral blood stem cells and cord blood stem cells for various benign and malignant disorders like Thalassemia, Aplastic Anemia, Leukemia, Lymphomas, Multiple Myelomas and Advanced Pediatric Solid Tumors.

 

The BMT Center is credited with Delhi’s First MUD (Match Unrelated Donor) Transplant

Dr. Dharma Choudhary

Senior Consultant & HOD

BLK Center of Bone Marrow Transplant

Leukemia/ BMT program of British Columbia

Vancouver General Hospital and BC Cancer Agency, Canada   

 

Dr. Anil Handoo

Senior Consultant & Director

Hematology & Flowcytometry

Hematological Medicine (London)

Flowcytometry (Australia)

 

BLK Heart Centre:

BLK Heart Centre provides State of the Art, Fully Equipped Cardiac Care Centre to give comprehensive services to the patients. The entire gamut of services from Diagnostics, Non- Invasive Services, Nuclear Scans, and Latest CT Imaging is available under one roof and World Class Interventional Cardiology, Interventional Radiology and Neuro- Interventional Services are provided without waiting lines. A full range of Cardiac Surgery and Vascular Surgery services complete the therapeutic armamentarium for providing patients with the best in class treatment.

 

BLK Heart Centre is equipped with top of the line equipment such as Innova 2100 GE Cath Lab, Bard EP (Electrophysiology) system, St Jude FFR (Fractional flow reserve) system, IABP systems, to enable the highly qualified and experienced team of Interventional cardiologists deliver world class results keeping patient safety at the forefront.

Coronary angiography, heart catheterization to study congenital heart defects, aortography, peripheral and renal angiography are being done routinely. Angiography via the radial route (wrist) is also offered for patient comfort and same day discharge.

 

Coronary angioplasty (PTCA) and stenting, valvuloplasty, closure of heart defects are routinely done. The Cath lab is operational 24 hours, 365 days a year to cater to any cardiac emergency, especially heart attacks. BLK has one of the best heart attack treatment program and it has been awarded recognition for excellence in execution by International forums.

  In addition, therapeutic interventions in other areas of the vascular tree, such as renal angioplasty, iliac, and femoral angioplasty, carotid and vertebral angioplasty are being done at the BLK Heart Centre. Interventions on the aorta for congenital narrowing (coarctation), endovascular treatment of aneurysms of aorta and aortic dissection is also being done.

  BLK Super Specialty Hospital has a fully-fledged and thriving Cardio Thoracic and Vascular Surgery Program. BLK does the full spectrum of operations from the routine to the most challenging.

  The success rate in even high risk surgeries has been excellent and highly comparable to international standards. BLK already has a large inflow of international patients. Morbidity is uniformly low and early discharge is the rule in a majority of cases.

Dr. Ajay Kaul

Chairman & HOD

Cardiothoracic & Vascular Surgery

Over 15000 Cardiac Surgeries

Over 4000 Coronary bypass with total arterial conduits

Over 4000 Minimally invasive Cardiac Surgeries

Over 2000 complex congenital Operations with excellent

Dr. Subhash Chandra

Chairman & HOD

Cardiology

US Medical Licensing examination (USA)

PDF (Brussels, Belgium)

Interventional cardiology, Rouen, France

CRT course: Crossings Brussels, Belgium

Carotid Interventions: Crossings, Brussels, Belgium

Advisory Panel - St. Jude Medical, CRM, USA

Dr. Jasbir Singh Khanuja

Director & HOD

Cardiac Anaesthesia

 

                            

                                                                                                         

Center of Excellence for Orthopedics, Joint Reconstruction & Spine Surgery:

BLK Centre for Orthopedics & Joint Replacement specializes in the treatment of musculo- skeletal system disorders. It is at par with international standards and offers Minimally Invasive Surgery (MIS) for Joint Reconstruction. The Centre is manned by experienced and highly skilled Orthopedic doctors that offer MIS solutions for Total Knee Replacement, Hip Resurfacing, Hip replacement, Unicondylar, Knee Replacement Surgery as well as Replacement of Shoulder and Elbow joints. The center carries out all kinds of limb salvage surgeries and Bone Tumor surgeries, as well as correctional procedures for deformities.

BLK Super Specialty Hospital also offers Sports injury treatments and number of rehabilitation programs. These services include arthroscopic procedures for shoulder, elbow, ankle, knee and hip injuries with dedicated domiciliary rehabilitation and dedicated post- surgery services.

  BLK Hospital provides state-of-the-art-facilities in Knee Replacement, Total Knee Arthroplasty and Joint Replacement surgery. The Center also provides treatment for spinal ailments which includes Minimal Invasive Spine Surgery (MISS), Spinal Fusion Procedures and Mobilization procedures which are delivered with the help of most advanced techniques in the world.

 

BLK’s Highly Recognized Team of Doctors have performed over 3000 Joint Replacements and more than 2000 spinal surgeries. The Center offers comprehensive suite of services ranging from Trauma Care and Joint Replacements to Highly Developed Minimally Invasive (MIS) Surgeries for Joints and Spine.

 

Dr. Pradeep Sharma

Director & HOD

BLK Centre for Orthopaedics

Joint Reconstruction & Spine Surgery

Sindelfingen, Germany

Sentinal Hospital, Los Angeles, U.S.A.

Trauma Fellowship - Davos, Switzerland

Alder Hey Children’s Hospital, Liverpool, U.K.

Royal Liverpool Hospital, U.K.

Queen Mary Hospital, U.K.

Dr. Puneet Girdhar

Director – Spine Surgery

BLK Centre for Spine Surgery

University Hospital of Wales, Cardiff, U.K.

MITLIF,  Singapore General Hospital, Singapore

Knappschafts Krankenhaus, Puttlingen, Germany

AO Trauma, Denver Health Colorado, USA

AO Alumni, Switzerland                                                                         

 

Dr. Pradeep B. Bhosale

Best Arthritis and Joint Replacement Surgeon in Mumbai

Director, Arthritis & Joint Replacement Surgeries

M.S. (Orth.) D.Orth D.N.B.  (New York, USA)

AO Fellow FASIF (Switzerland)

FASIF (Germany)

Exeter (UK)

Wrightington (UK)

Computer Assisted Arthroplasty (Australia)

 

Centre of Excellence for Neurosciences:

Our center offers treatment for complex neurological diseases with best available technology with highly competent professionals. BLK has dedicated neurosurgery operating room, equipped with advanced fully motorized microscopes, cranial and spin al endoscopes, high speed drills, CUSA and many other gadgets for safe outcome of neurological operations. BLK Centre of Neurosciences has a dedicated Neurovascular Cath Lab for various neurointerventions, which is one of the latest sub- specialties in neurosciences. The Neurology department is equipped with latest equipment for both diagnostic and therapeutic procedures like EEG, EMG VEP and offers treatments also for vexed problems like dementia, epilepsy, Parkinson’s disease among others.

The center has subspecialized units for:

  • Advanced Aneurysm Treatment Unit (Aneurysms are treated without cutting open the skull)
  • Minimally Invasive Spine Surgery Unit (Neuro Spine Unit)
  • Neuro- endoscopy Unit
  • Functional Neurosurgery Unit
  • Cyberknife VSI (For treating brain tumors without cutting open the skull)
  • Stroke Unit

Dr. Vikas Gupta

Director & HOD

Neurosurgery

Endovascular neurosurgery

Interventional Neuro-Radiology

Cerebrovascular surgery

Minimal invasive spine surgery

Spine reconstructions

Spine deformity operations

Neuro- oncology

Dr. Atul Prasad

Director & HOD

Neurology                                                                                     

  

Dr. Mohinish Bhatjiwale

Director & Senior Consultant, Neurosurgery

Neurosciences (Neurology and Neurosurgery)                                                                       

 

Centre of Excellence for Digestive & Liver Diseases:

BLK Super Speciality Hospital takes pride in having one of the most advanced Centers for Digestive & Hepatobiliary diseases, Gastro-Intestinal Surgery and Minimal Access & Bariatric Surgery in Asia. The Centre carries out all major GI, Hepatobiliary, Pancreatic procedures and has a very active Bariatric Surgery Program.

  The Liver Transplant and Hepato- Pancreato Biliary Surgery Department has a state-of-the-art facility with the best equipment and the latest infrastructure. The facility boasts of the best and most well equipped Liver Transplant ICU in the country with a separate AHU for each bed, reducing the risk of infection to the minimum.

The team comprises of Surgeons, Gastroenterologists, Intensivists, Anesthetists, Technicians, Counsellors and Specialized Nurses, who have very high level of experience in the management of Gastrointestinal, Hepatobiliary and Pancreatic diseases. Comprehensive treatment for Gastrointestinal, Hepatobiliary and Pancreatic diseases is being offered to patients under one roof.

  The transplant team is the one of the most experienced in the region and has received extensive training in the best centers across the world and has a vast experience in performing and managing liver transplants.

Dr. V. P. Bhalla

Sr. Consultant & Director

Institute of Digestive & Liver Diseases

International College of Surgeons

St Marks Hospital, London, UK

Kaohsiung Memorial Hospital Taiwan

Society for Surgery of Alimentary Tract, USA

International Hepato Biliary Pancreatic Association, UK

Society of Surgery of Alimentary Tact, USA    

                                                                                                                                                                        

Dr. Yogesh Batra

 Senior Consultant & HOD

Gastroenterology & Hepatology

European Association of the Study of Liver Disease Madrid, Spain

GI Endoscopy at the University of Hamburg, Germany   

                                                                                                           

                                                                                                                                                                        +

Dr. Deep Goel

Senior Consultant & Director

Bariatric and Advanced Laparoscopic surgery

Gold Medal in MBBS

American College of Surgeons, Chicago, USA

Royal London Hospital, London, UK

Royal College of Surgeons England, London, UK

Mount Sinai Medical School, New York, USA

Bagatelle Hospital, Bourdeaux, France

                                                                                                                                                                        

BLK Centre for Renal Sciences & Kidney Transplant:

BLK Centre of Renal Sciences comprises of the Nephrology & Urology Departments are working together as a cohesive Unit. The Department of Nephrology and Kidney Transplant is equipped with the most advanced dialysis machines and offers round the clock service with facility for Continuous Renal Replacement Therapy (CRRT) for Hemo- dynamically unstable patients and Continuous Ambulatory Peritoneal Dialysis. Isolation rooms dedicated to Hepatitis B/C & HIV patients are at par with high global standards.

The BLK’s Department of Urology and Kidney Transplant is equipped with the latest diagnostic and therapeutic facilities like Uroflowmetry, Ultrasound, Doppler, Lithotripsy and Holmium Laser. The Department has dedicated suites for endoscopic procedures ensuring quality treatment as well as complete privacy and comfortable surroundings. The Department is unique in that from its inception it has provided with the latest Cutting Edge Technology in all subspecialties of Urology like ESWL, Laser surgery, Laparoscopic surgery and Urodynamics.

 

The BLK Center for Renal Sciences and Kidney Transplant is well supported by world standard laboratories and by excellent interdepartmental cooperation from the Departments of Anesthesia, Cardiology, Pathology, Immunology, Radiology and Interventional Radiology.

 

Dr. H. S. Bhatyal

Advisor & Sr. Consultant

Urology & Renal Transplantation         

                                                     

Dr. Sunil Prakash

Sr. Consultant & Director

Nephrology & Renal Transplantation

International Congress of Nephrology at Sydney, Australia

Toronto Western Hospital, Toronto, Canada

University of Missouri, Columbia, USA

International Congress of Nephrology at Berlin, Germany

Peritoneal dialysis, Amsterdam, The Netherlands

Dr. Aditya Pradhan

Senior Consultant

Urology & Renal Transplantation

Robotic Prosatectomy at the Weil Cornell Medical Center, New York, USA

Johns Hopkins Hospital, Baltimore, USA

                                                          

Multiple Sclerosis, CCSVI and Hematopoetic Stem Cell Transplant

What is CCSVI?

CCSVI stands for Chronic Cerebrospinal Venous Insufficiency and has been a vital issue in scientific discussions over the last few years. Recently CCSVI was officially classified as belonging to a group of venous malformations (Congres Union Internationale de Phlebologie, Monte Carlo 2009), and has had its symptoms and methods of treatment described.

CCSVI consists of different pathologies: constrictions, stenosis, mostly located near internal cervical veins (vena jugularis interna) and the azygos vein (vena azygos).

What is MS?

Multiple sclerosis (MS) is a demyelinating disease of the central nervous system, characterized by multifocal damage to the nervous tissue and the ever-changing course. There are periods of remission and exacerbations (relapses) with progressive loss of neurons and deterioration of the central nervous system tissue. Multiple sclerosis was first described by Jean-Martin Charcot in 1868. The incidence depends on the geographic region and ranges from 2 to 150 per 100 000 population in different countries and specific populations. MS affects mostly young adults, with peak incidence between 20 and 40 years of age. Women tend to get sick more often than men.


 

What is the relation between CCSVI and MS?

Hypotheses assuming the relationship between vascular abnormalities and MS have been known for many years:

  • 19th century, first observations – in 1863, Rindfleisch noted cumulation of blood vessels in the center of MS plaques and Charcot observed vascular blockages in MS patients
  • 1934 – T. Putnam suggested a major role of compromised venous drainage of the brain in forming MS lesions as well as inflammatory changes of the central nervous system
  • 1981 – F. A. Schelling proposed venous refluxes as one of the causes of MS

All those studies led to the introduction of endovascular procedures in MS patients – called Liberation Treatment, as first proposed by professor Zamboni in 2009.

Professor Zamboni launched a study to define whether there is a link between CCSVI and Multiple Sclerosis. With the use of Doppler ultrasound, he examined the necks of MS patients and according to data included in his publication, over 80% of patients with a RR (relapsing - remitting) type, more than 90% patients with a SP (secondary - progressive) type, and 90% patients with PP (primary - progressive) type meet the criteria for CCSVI diagnosis and liberation treatment (term proposed by prof. Zamboni). The majority of patients with MS evaluated by the team had stenosis, valve malformations and refluxes.

Drawing on previous experiences with standard coronary angiography procedures, in which balloons were used to restore patency of blocked coronary arteries, and with the cooperation of experienced vascular surgeon Dr Galeotti, they proposed venous angioplasty as a method of CCSVI treatment in MS patients. Prof. Zamboni’s open labeled angioplasty study involved 65 participants and showed significant improvement in neurologic outcome and patients’ quality of life. It has opened doors for further research all over the world and the widespread use of endovascular treatment of CCSVI. The subject still remains open and even controversial, especially the theory that the venous pathology could constitute the primary patomechanism of the autoimmune process.


 

CCSVI Diagnostics

We perform a DOPPLER/ULTRASOUND examination, as well as MRV - Magnetic Resonance examination in order to establish the presence of CCSVI.

These examinations require the implementation of special diagnostic protocols and the use of high quality medical equipment possessing the appropriate diagnostic modules for vascular imaging in areas characteristic for CCSVI and Liberation Treatment.

We use „MyLabVinco" - Premium Echo Doppler Ultrasound System during the examinations. This is the only product designed specifically for the diagnosis of CCSVI available on the market.

CCSVI is a medical condition where deoxygenated blood flow from the veins surrounding the brain and spine is slowed or blocked in its return to the heart. This condition arises mainly from blockage in the internal jugular and/or azygos veins.

CCSVI, Chronic Cerebrospinal Venous Insufficiency, has been recognized recently, thanks to Italian scientist Dr. Zamboni in majority of MS patients.

TECHNICAL SPECIFICATIONS of the Doppler equipment used:

- Premium Echo Doppler Ultrasound System
- QDP Exclusive 3D Doppler Technology for multiple directional flow
- High sensitivity for Venous Low Flows
- CCSVI and VHISS (Venous Hemodynamic Insufficiency Severity Score) analysis, protocol and scoring system
- Dedicated measurements and reports

 

Venography

The final step in the CCSVI diagnostic process is a venography, which produces the most reliable diagnosis of abnormalities in the venous system. It consists of the administration of a contrast agent into the vein via a catheter (inserted in either the femoral or subclavian vein). This allows the most accurate visualization of vascular lesions. This procedure is invasive and therefore entails a risk of complications. Venography precedes any intra-vascular operations. The venography procedure allows for an exact examination and imaging of the venous system, which provides an excellent method of verifying and confirming the presence of any abnormalities detected by Doppler or MRV.

 

IVUS technology in CCSVI diagnostics and treatment in patients with MS

Intravascular ultrasound (IVUS) is a modern invasive method of diagnostic imaging. By using ultrasounds, IVUS allows more precise vessels anatomy imaging. The primary benefit of IVUS is that it offers a tomographic, 360-degree view of the vessel’s wall from the inside, allowing more complete and accurate assessment than it is possible with the use of venography examination.
Using IVUS in the diagnostics of Chronic Cerebrospinal Venous Insufficiency (CCSVI) allows more accurate assessment of venous pathologies (such as narrowing) and more precise selection of balloon catheters used in the venous angioplasty procedures. In the CCSVI treatment, AMEDS Centrum physicians use high-pressure balloons and cutting balloons.


 

CCSVI Treatment

There are two basic treatment methods, including inserting stents into a vascular system or applying balloon angioplasty which, according to Dr. Zamboni's theory, should stop or radically slow deterioration of the nervous system.

Angioplasty of the cervical venous system is performed using a local anesthetic. It is performed under x-ray control.

During the procedure, the patency (openness) of a treated vein is monitored by injecting the patient with a contrast medium, which allows for the level of the vein's constriction to be evaluated. Constriction of the jugular vein that impairs blood drainage from the brain can be expanded with a balloon catheter and/or stent.

The procedure starts at the femoral vein in the inguinal region. A slider is inserted behind the constriction through a special vena boot. A balloon catheter is then inserted through this guide. Inflation of this balloon causes widening of the venal constraint.

If balloon angioplasty does not expand the vein to an acceptable level, a stent – a steel frame that supports the venal walls - will instead be implemented.

To control the effectiveness of the procedure, a contrast medium is injected. The medium we use is of a coordinate valence type and therefore causes no major adverse effects.

Stents in our CCSVI clinic are inserted only when there is a direct indication present.

What is the CCSVI Liberation with Stem Cell Transplantation

 The CCSVI Liberation Process is termed “Liberation Therapy” because it unblocks the restricted blood flow from the brain, reversing the devastating effects of MS.

In this procedure, the surgeon inserts a balloon into the “stenosed” vein, inflating the balloon, opening it up to make the vein get bigger. If the surgeon assesses that the vein won’t stay opened on its own, they may decide to insert a stent to keep the vein open, to allow blood to flow easily and prevent additional iron build-up within the spinal cord and brain.

The Stem Cell Procedure that is used Adult Stem Cells are harvested thru micro-liposuction, wherein 30 cc of fat will be extracted from a patient’s stomach. From this amount of stomach fat, 200 million adult stem cells will be used. Once the stem cells are separated, it is reintroduced back into the patient’s body, through a catheter or IV drip. As soon as they are inside the body, the stem cells start working to repair the damaged nerves caused by either CCSVI or MS.

Usage of Stem Cells in CCSVI Liberation

The CCSVI- MS Therapy combination is a lot different from the other stem cell treatments. Patients who have undergone this combination process are guaranteed drug-free and goals of treatment does not emphasize in pacifying the symptoms. Rather, it helps in tackling the disease through the physical changes which can cause favorable modifications experienced by the patient.

The purpose of the Liberation Method is to release the pressure on the brain and spinal cord and preventing any further iron build-up. On the other hand, Stem Cell Treatment used in conjunction with CCSVI Liberation Therapy helps in repairing the damages caused by the iron deposits found inside the brain.

Possible Effects of Treatment

Thousands of hopeful patients worldwide had experienced the combination of CCSVI and Stem Cell Therapy. The effects of treatments range widely. Some patients report that after testing, no blockages were found in their veins. However, other individuals describe no significant change while some report dramatic improvements of MS symptoms they have felt.  

In Dr. Zamboni's initial studies, the treatment can benefit the relapsing rather than progressive form of MS. Moreover, 47% of Dr. Zamboni’s patients (in the study) were re-stenosed because of blockages in their veins, 18 months after the procedure.

Dr. Vikas Gupta

Director & HOD

Neurosurgery

Endovascular neurosurgery

Interventional Neuro-Radiology

Cerebrovascular surgery

Minimal invasive spine surgery

Spine reconstructions

Spine deformity operations

Neuro- oncology

Dr. Dharma Choudhary

Senior Consultant & HOD

BLK Center of Bone Marrow Transplant

BMT program of British Columbia

Vancouver General Hospital and BC Cancer Agency, Canada

       

ENT & Cochlear Implant

The ENT department at this hospital is one of the best performing department in terms of patient input, no of surgeries in a month and in terms of daily OPD. The department performs all surgeries related to Ear, Nose, Throat, Head and Neck including Cochlear implant surgery and Auditory Brain Stem Implant. 

The Audiology & Speech therapy dept. has the facilities of both Audiological diagnostics and speech language re/habilitation.

 

Department Highlights

The ENT department at BLK Super Speciality Hospital provides all services like routine OPD, Emergency services and surgeries related to Ear, Nose, Throat and Head and Neck surgery. 

The Ear surgeries performed include Cochlear implantation, Brain-stem implantation, Tympanoplasty, Mytringoplasty, Myringotomy, Stapedotomy, MRM, Radical mastoidectomy, Ossiculoplasty, Facial nerve decompression etc.

The Nose surgeries iperformed include Septoplasty, FESS, CSF rhinorrhea repair, Endoscopic DCR, Endoscopic Orbital decompression, Turbinoplasty etc.

The Throat surgeries include Adenotonsillectomy, UPPP, MLS for vocal polyp, foreign body removal etc.

Head and Neck surgeries include Thyroidectomy, Parotidectomy, Maxillectomy, Thyroglossal cyst removal, Submandibular gland excision, Thyroplasty, Laryngectomy etc by best Ent Specialist in Delhi.  

 

Cochlear Implants:

Deafness is the loss of ability to hear normally. There are two types of deafness - conductive and sensori-neural. These can occur separately or together when it is called mixed loss and one (unilateral) or both ears (bilateral) may be involved to varying degrees from mild to profound. Most cases of nerve deafness don’t respond to treatment and may only be helped with hearing Aids or Cochlear Implants. 

Cochlear Implant Unit at BLK Super Speciality Hospital is amongst the country’s largest centres for this kind of treatment. Along with Cochlear

Implants, BLK Super Speciality Hospital is Asia’s second centre to have regularly started Auditory Brain Stem Implant Surgery, for congenital Aplasia of the Auditory Nerve and in conditions of the Cochlea where Cochlear Implantation is not possible. 

Dr. W.V.B.S. Ramalingam

Senior Consultant & Director

ENT & Cochlear Implant

Memorial Sloan-Kettering Cancer Centre, New York, USA

CO2 Laser surgery, University of Gottingen, Germany

Phoniatrics at University of Freiburg, Germany UICC

Skullbase Surgery at University Hospital of Pittsburg, USA UICC

Head & Neck Surgery at Netherland Cancer Institute, Amsterdam   

                                                                                                                         

Dr. Shomeshwar Singh

Senior Consultant- ENTSurgery

Director- Cochlear Implant Program

DLO - Royal College of Surgeons of England

MD, Cochlear Implant Program, University of London, UK

Otorhinolaryngology, Delaware, USA

Mathews Journal of Surgery, New Jersey, USA

Hospitals, Birmingham, UK

Special Registrar - West Midlands, UK

Birmingham QE Hospitals, UK

Specialist Registrar & Research Fellow, University of London, UK

BCIG - British Cochlear Implant Group

ENT - UK

Dr. Neha Sood

Endoscopic Sinus & Skull Base Surgery

ENT Surgeon at President Estate Clinic

University of Pittsburgh, Pennsylvania, USA

 

Respiratory Medicine, Allergy & Sleep Disorders

The department provides an active patient care service in the following areas: Clinical Pulmonology, Asthma-Allergy, Interventional Pulmonology, Pulmonary function testing and Sleep Disorders Unit.

Patient care is provided by a team of dedicated, highly trained respiratory physicians along with various clinical and support services. Additional support is provided by the, respiratory technicians, physiotherapists and patient counsellors.

Through clinical expertise and advanced technology, patients with respiratory diseases shall feel a renewed sense of confidence and ownership for their lives.

Departmental Highlights:

  • Advanced Respiratory Care with latest cutting edge technology
  • Excellent Team: Respiratory physicians / experts trained in premier institution in India & abroad, with dedicated supporting staff
  • Technology Partners: Olympus, Fujinon, Respironics, Phillips, Spiro Air (Morgan)
  • Academics: Participates in national and international meetings to present papers and deliver lectures. Department conducts journal clubs, seminars, workshops and symposium.

Respiratory Care Services Offered:

  • Interventional Pulmonology: Video-assisted Flexible Bronhcoscopy with facilities for TBLB/TBNA/Foreign body removal/ diagnostic and Therapeutic Interventions
    • Bronchoscopic Electrocautery: Various instruments like Hot Forceps, Snare, Knife powered by cautery can be used for diagnosing and treating endobronchial (with in the airways) obstructive lesions like lung cancers, benign tumors, tracheo-bronchial stenosis and subglottic stenosis.
    • Bronchoscopic Argon Plasma Coagulation (APC) is the application of heat produced by argon gas to coagulate nearby tissue without touching it to stop bleeding.
    • Bronchoscopic Laser ablation is the application of laser beam to remove trachea-bronchial tumors, subglottic stenosis, trachea-bronchial stenosis management with high degree of precision.
    • Tracheo-bronchial stenting is done for central or peripheral airway obstruction caused by cancers or benign diseases like tracheal, sub-glottic stenosis and trachea-oesophageal fistula (communication between wind pipe and food pipe). In this procedure a stent can be placed inside the airway to keep the airway open, which can be done easily through the bronchoscope with a considerable improvement in quality of life of non-surgical patients.
    • Rigid Bronchoscopy for diagnostic and therapeutic purposes including foreign body removal, tumor removal and stenting in those patients not amenable for fibreoptic bronchoscopy
  • Pleural Aspiration: This is a procedure wherein fluid accumulated outside the lungs in the chest cavity is taken out using a plastic cannula/needle for diagnosis of pleural diseases as well as therapeutic benefit when a large amount of fluid is causing respiratory embarrassment.
  • Chest Tube/ Intercostal Drain: Various diseases involving the pleura (covering of lungs) cause accumulation of fluid/ pus/ air in the chest cavity. This compresses the lungs and has to be drained. A thin tube or a pigtail needs to be put in the chest cavity to drain this collection. This procedure can also be performed under ultrasound guidance when fluid is thick. Also the cavity can be sealed after the collection is drained to prevent re-accumulation in case of air of rapidly collecting fluid in cases like malignancy, liver and kidney diseases
  • Medical Thoracoscopy / Pleuroscopy: There is potential space between the lungs and chest covered with thin film known as pleura, which some sometimes becomes a space for fluid, pus, blood and air collection. Medical thoracoscopy is a procedure to examine the pleural space (inside the chest) using an endoscope like device, called a thoracoscope, through a little hole (about 1-2 cm) in the chest. During the procedure, samples are taken for establishing diagnosis of pleural disorders in the form of biopsies from the pleura (the covering of lungs and chest wall) and fluid. The procedure is done under mild sedation (not general anaesthesia) and local anaesthesia. The total duration of the procedure is around 30-45 min. The same sitting can also be used therapeutically for pleurodesis in cases of effusions due to cancer
  • Pulmonary Hypertension: Diagnosis and Management including right heart catheterization (PA Catheter)
  • Pleural Procedures: Diagnostic & Therapeutic including pleural pigtail insertion and medical thoracoscopy
  • Sleep Disorders Unit: Advanced Alice 4 Respironics [ Phillips] - We offer the most comprehensive range of inpatient and outpatient services for the evaluation, treatment and education of patients with sleep disorders. Sleep disorders include sleep disordered breathing, obstructive sleep apnea, snoring, obesity hypoventilation syndrome, parasomnias, REM disorders, leg movements disorders and insomnia. We run a dedicated Snoring and sleep apnea clinic for such patients during which sleep problems are dealt in compassionate manner including counseling of their disease and discussion of treatment options. Our sleep studies are very thorough with measurements of brain waves, respiratory pattern and leg movements for example and are fully attended by sleep technologists.
    • Overnight Diagnostic Polysomnogram (PSG) or Sleep Study This is the most common type of sleep study, primarily used to diagnose sleep apnea and parasomnia.
    • Positive Airway Pressure (PAP) Titration Sleep Study with either Continuous Positive Airway Pressure (CPAP) or BiLevel Positive Airway Pressure (BIPAP) The sleep study is used to determine the necessary PAP pressure required to abolish the sleep apnoea and to determine effectiveness of PAP therapy.
    • Multiple Sleep Latency Tests to assess daytime sleepiness
    • Maintenance of Wakefulness Testing to objectively determine ability to stay awake
  • Non Invasive Ventilation: The purpose of ventilation is supporting the respiration. This can be achieved by an invasively by a ventilator connected to an endotracheal tube, going to the central airways from the mouth. Or this can be achieved non-invasively with positive pressure devices like the BiPAP, which are machines with motors generating airflow at high pressure delivered to the patients through a face mask. This is very useful for patients who are sufficiently initiating their breathing and need support. It can be very useful for certain patients for symptomatic relief and even avoiding a ventilator.
  • Pulmonary Function Testing (PFTs): (Spirometry with diffusion and lung volume studies) - Pulmonary function tests are a group of tests that assess the functional status of the lungs and give us information about the likely cause of breathlessness. It measures how well we can inhale and exhale air and how well the gases such as oxygen move from the atmosphere into the body's circulation. PFT's are performed by our trained technicians in the PFT lab.

 

 

Pulmonary function tests are done to:

- Diagnose diseases such as asthma, bronchitis, ILD and COPD
- Find the cause of shortness of breath § Check lung functions before surgery
- Measure progress in disease treatment § Assess the effect of medication
- Measure whether exposure to chemicals at work affects lung function. 

  • Allergy: Comprehensive allergy diagnosis and management including Anti IgE therapy.
  • Department routinely manages patients with Pneumonia, tuberculosis, respiratory failure (I & II), asthma, COPD, Sarcoidosis, ILD, Pleural effusion, pneumothorax, Pulmonary embolism, Pulmonary edema, ALI & ARDS, sleep disorders like obstructive sleep apnea, central apnea, lung Cancers and other pulmonary disorders.
  • Bronchoscopic Cryotherapy is the application of extreme sub degree temperature probe to take superior endobronchial biopsies without bleeding, trachea-bronchial tumor removal and stenosis management
  • Pulmonary Rehabilitation: This is an important component for patients with chronic respiratory diseases eg. Asthma, COPD, Interstitial Lung diseases and patients who are discharged from ICU with respiratory problems. These patients, despite maximal medical therapy, complain of bothering symptoms and unable to live with good quality of life. For this a comprehensive pulmonary rehabilitation package will be available. This package involves consultation with respiratory physician, lung function tests and 6-week physiotherapy schedule.

Dr. Vikas Maurya

Critical Care & Respiratory Medicine

American College of Chest Physicians, USA

EDARM: European Diploma in Adult Respiratory Medicine, The Netherlands

FCCP: Fellow, American College of Chest Physicians, USA

EDIC: European Diploma in Intensive Care, Chelsea Hospital, London (UK)

American College of Chest Physicians (ACCP), USA

European Respiratory Society (ERS)

Society of Critical Care Medicine (SCCM), USA

European Society of Intensive Care Medicine    

                                                                                                                                                                                                                          

Dr. Puneet Khanna

Respiratory Medicine, Allergy and Sleep disorders

European Respiratory Society (ERS)

European Society of Intensive Care Medicine (ESICM)

Respiratory Institute, Cleveland Ohio, USA

American College of Chest Physician (FCCP), USA

Society of Critical Care Medicine (SCCM), USA

European Diploma in Intensive Care (EDIC)

Australia Department of Intensive Care Medicine

Instructor by American Heart Association

College of Intensive Care Medicine (Australia)

Joint Faculty of Intensive Care Medicine, AUSTRALIA                                                                                                                

Dr. Sandeep Nayar

Senior Consultant & HOD

Respiratory Medicine  

                                                                                                 

IVF

BLK centre of excellence for IVF & Infertility is well known for high success rates of treatment, largest and unique donor database, friendly and helpful staff of professionals with personal approach to every couple.  State-of-the-art equipment and technology as well as the latest and most successful procedures make BLK center of excellence for IVF & Infertility the most modern reproductive center in the region. Expert team of doctors, embryologists, nurses and coordinators has many years of experience in India and abroad. Very high conception rates are the best proof of their expertise. BLK centre of excellence for IVF & Infertility offers world class ICSI Infertility Treatment and IVF treatment at very affordable costs.

 

Infertility affects one in six couple. There are about 60-80 million infertile couples worldwide and the rate is increasing. Some patients spontaneously achieve pregnancy but others at some stage experience difficulty in achieving conception and these patients need some kind of assistance in getting pregnant. There is about 3-5% probability of achieving pregnancy in one menstrual cycle this is called Fecundability, fecundity is the probability that a single cycle will result in a live birth. It is estimated that out 100 couple with female partner's age less than 35 years, approx. 80-85% will achieve pregnancy within the first year of unprotected intercourse, 90% will conceive within 18 months and about 95% will conceive within two years. The remaining 5% rarely achieve pregnancy without some form of assistance.

Infertility may be defined as an inability to achieve pregnancy within 2 years of having unprotected intercourse, though some clinicians prefer this time limit to be 1year. Women who are more than 35 years should consult an expert after 6 months of contraceptive free sexual intercourse when it has not resulted in pregnancy. This difference in the time limit is owing to the declining egg quality with increasing age. In some couples the fertility is impaired to some extent but not completely, these patients may conceive in 3rd year or subsequently without any assistance as there is a delay these patients are called sub fertile. While, sterility is an absolute state of inability to conceive.

The cause of infertility could be in either of the partners (Male factor-35%, Female factor-40%) or in 10-15% both partners may be infertile or sub fertile. sometimes each could be individually fertile but as a couple may need assistance to achieve pregnancy the causes could be immunological or genetic, this is called Combined infertility. While in about 10%, the fertility evaluation shows no abnormality, these patients are likely to have problems which are not diagnosed by current available investigations, this is termed unexplained infertility.

Specialized Services:

  • Investigations of Infertile couple
  • Fertility Enhancing Laparoscopic surgeries
  • Management of Male factors Infertility
  • Management of female factors Infertility
  • Intra Uterine Insemination (IUI)
  • In vitro fertilization (IVF)
  • Intra Cytoplasmic Sperm Injection (ICSI)
  • Laser Hatching
  • Embryo Freezing (Slow Freezing & Vitrification)
  • Blastocyst culture
  • Oocyte freezing
  • Egg Donation
  • Embryo Donation
  • Sperm donation
  • Surgical sperm retrieval for Azoospermia
  • Electro ejaculation followed by IUI/ ICSI
  • Surrogacy
  • Cryo preservation prior to Cancer treatment

Dr. Aanchal Agarwal

Sr. Consultant

IVF & Infertility Treatment

MBBS, DGO, DNB, FNB, MNAMS  

 

Dr. Soma Singh

Consultant

IVF & Infertility Treatment

MBBS, MS, DNB, FNB 

 

Dr. Dinesh Kansal

Senior Consultant & HOD

Gynaecology & Obstetrics

Harvard Medical, Boston, USA

 

Minimally Access Bariatric Surgery

The Division of Bariatric and Advance Laparoscopy Surgery is a part of the BLK Centre for Digestive & Liver Diseases. The treatment ethos of the Division is to provide compassionate holistic care at an affordable cost. It provides cutting edge advanced laparoscopic surgery for the treatment of OBESITY (BARIATRIC SURGERY) and GASTOINTESTINAL CANCERS.

The world renowned faculty is vastly experienced and trained at some of the best centers internationally. The division now occupies the pride of place amongst all centers providing advanced laparoscopic surgery in northern India. Numbers have grown exponentially and the departmental experience in Bariatric Surgery stands at more than 600 sleeve gastrectomies and over 100 gastric bypass operations. It now is perhaps the busiest and most preferred Bariatric Surgery Centers in Northern India.

In addition to Bariatric Surgery the Division also offers advanced laparoscopic surgery for cancers of the Gastro Intestinal tract covering cancers of the Esophagus, Stomach, Colon, Rectum, Pancreas, Spleen, Liver and Gall Bladder.

Dr. V. P. Bhalla

Sr. Consultant & Director

Institute of Digestive & Liver Diseases

International College of Surgeons

St Marks Hospital, London, UK

Kaohsiung Memorial Hospital Taiwan

Society for Surgery of Alimentary Tract, USA

International Hepato Biliary Pancreatic Association, UK

Society of Surgery of Alimentary Tact, USA   

Dr. Ravindra Vats

Consultant

Bariatric and Advanced Laparoscopic surgery

Bariatric Surgeon

Laparoscopic & Open GI Surgery 

 

Dr. Deep Goel

Senior Consultant & Director

Bariatric and Advanced Laparoscopic surgery

Gold Medal in MBBS

American College of Surgeons, Chicago, USA

Royal London Hospital, London, UK

Royal College of Surgeons England, London, UK

Mount Sinai Medical School, New York, USA

Bagatelle Hospital, Bourdeaux, France

BLK Centre of excellence for Plastic, Cosmetic and Trauma Surgery:

This BLK Centre of excellence provides a broad spectrum of plastic surgery services, including Craniofacial surgery, Hand and Microvascular surgery, Reconstructive surgery including Post Trauma and Post Cancer defects of the Head and neck, Breast, Trunk and Extremities, Pediatric plastic surgery, and Aesthetic or Cosmetic Plastic Surgery.

  BLK’s comprehensive Plastic Surgery team is nationally recognized as a leader in Burns, Craniofacial, Hand and Microvascular, Reconstructive and Cosmetic plastic surgery. The Team also treats congenital pediatric conditions such as clefts of lip / palate, urogenital deformities like Hypospadias and other congenital facial and body deformities.

Trauma Care Team is specialized in dealing with Facial fractures and Microvascular Replantation of amputated parts of the body like hands, fingers, ear, nose, penis etc.

  Burn Care Center provides comprehensive care for burn victims in state of art Intensive Care Unit.

  Aesthetic center is one of its kind in the country providing comprehensive facility for aesthetic medicine and cosmetic surgery under one roof.

  BLK’s highly reputed team of Surgeons are also performing cutting-edge research which is leading to improved patient care within throughout the world.

 

Dr. Lokesh Kumar

Director & HOD

Head, Microvascular & Aesthetic Surgery

International College of Surgeons Chicago, USA

                                                                                                   

Dr. Avtar Singh Bath

Sr. Consultant & Head

Division of Plastic &   Reconstructive Surgery

Gold Medal for standing first in Anatomy - 1968

Brilliant Student Scholarship - 1969 to 1971

Chief of Army Staff Commendation - 1986 and 2000

National Travelling Fellowship Plastic Surgery by APSI - 1988

Ethicon Fellowship Cosmetic Surgery by APSI - 1996

Awards by President of India

Sena Medal – 2004

Vishisht Seva Medal - 2007

APSI Visiting Professor Plastic Surgery 2007

“Doctor of the Year” award for year 2012

Dr. Anil Murarka

Senior Consultant

Craniofacial Surgery

Craniofacial Surgery (Australia)

Aesthetic, Burns & Craniofacial Surgery

                                                                          

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