- Your association with Narayan Seva Sansthan and experience?
I joined Narayan Seva Sansthan in October 2018.
Previously, I was working with a private hospital in Udaipur for two and a half
years as a Trauma & Deformity Correction Surgeon.
My interest in the field of Deformity Correction
& Reconstructive surgeries started during my post-graduation (M.S.) days
where I had the privilege of learning and training under immensely experienced
surgeons and excellent teachers in the department of Orthopaedics at S.M.S.
Medical College, Jaipur. Afterwards, I did one-year clinical fellowship in
Ilizarov & Reconstructive surgeries at Center for Limb Lengthening and
Reconstruction, Mumbai under Dr. Mangal Parihar where I did focused training in
the field of Deformity Correction surgeries and learnt several methods like
Software Assisted surgeries, Limb Lengthening Surgeries etc.
- How have you brought a
Narayan Seva Sansthan caters to the needs of a large
number of patients with a variety of disabilities or deformities. Personally, I
am inclined towards Bone Deformity Correction surgeries (Congenital &
Acquired) using methods of Osteotomy and Fixation (Internal & External).
With very enthusiastic support from the president of the organization, Mr.
Prashant Agarwal, I have started application of Ilizarov technique at NSS.
Ilizarov technique is a Russian origin method of Deformity Correction Surgery
using metallic rings fixed to the bone with wires and screws. With this device
a large number of complex deformities can be corrected; bones can be re-shaped
to their normal structure, bone length can be increased and the patient can be
restored to his/her functional status. I would like to mention that NSS might
be the only one or one of the very few organizations in the country where this
facility provided absolutely free of cost to the patients.
I have also started using Ortho-SUV system at NSS,
which is a state-of-the-art Multi-Axis, Software Assisted Deformity Correction
System applied over the Ilizarov assembly. This technique helps in correction
of complex multi-dimensional bone deformities with precision.
With these new methods & techniques, we have widened the spectrum of corrective surgeries at NSS which now offers surgical correction & management of many complex and rare bone diseases like Congenital Pseudo-Arthrosis of Tibia, Tibial or Fibular Hemimelias, Radial Club Hand, congenital dislocation of hip, post-traumatic deformity, un-united fractures, short limbs etc.
- How do you ensure that there is no compromise in quality?
surgical execution and follow-up are important to ensure quality of surgical
work and better results. Before taking the patient to the operation theatre,
all the necessary investigations like x-rays, MRI, CT scans or special blood
tests are done. I use Software Simulation for planning corrective surgeries.
This allows better understanding of the problem, helps pre-operative planning
and saves precious surgical time.
of C-Arm imagination is done to ensure accuracy at each step of the procedure.
Strict Asepsis and standard OT protocols are followed to reduce risk of
instruments like Ilizarov frame, plates and rods are available from a number of
manufacturers with varying costs and standards. However, at NSS, we use only
the standard devices and instruments. We provide free-of-cost surgeries but the
quality of equipment, implants, medicines, prostheses etc. is at par with that
provided at private hospitals.
During the follow-ups,
the patient is thoroughly examined and counselled. Required medications is also
provided. Physiotherapy and/or splints/calipers are also provided whenever
- Your vision to carry this forward?
After working at NSS for
six months, I still find myself overwhelmed by the volume and diversity of
patients we receive on daily basis. NSS has a robust record of accomplishment
for the last 25 years but I feel that there is still scope for improvement, which
is what excites me to work with NSS.
All of us who are
working for NSS share the dream of making it a Center of Excellence for
Reconstructive & Rehabilitative surgeries and services. With continued
support from our generous donors, we are consistently increasing our strength
and improving the quality.
I am hopeful that very
soon we may start Spine Deformity Correction surgeries, dedicated hand surgery
unit, reconstructive plastic surgery, neurology clinics etc. In Orthopaedics,
we have already started using the latest technologies in this field and we will
NSS can also be a very
good learning ground for the interested doctors and surgeons. I hope that we direct
the dedicated efforts in conducting workshops, CMEs and fellowships for interested
surgeons and associated professionals pertaining to this field. I have also
started to collect and compile data for research and publication purpose. With
the volume and variety of the patients at NSS, many research papers and
projects can be undertaken here, augmenting our knowledge and reputation.
I wish to see NSS
establish itself amongst the best medical institutions of our country.
- Tell us about your team of doctors and what drives them?
Other senior orthopaedic
surgeons working at NSS are Prof. (Retd.) Dr. A. S. Chundawat, Dr. O.D. Mathur
and Dr. B.R. Shinde. All three of them
are highly experienced surgeons and have retired from prestigious government
posts. Dr. Vaibhav Ghadoliya is the anesthetist at NSS.
gratification of handling challenging cases everyday along with the personal
satisfaction of being able to bring improvement in the quality of life of
patients are the motivating aspects of working with NSS. I feel blessed to be associated with
NSS where I am able to focus in my field of interest. Each day at NSS is filled
with complex orthopaedics problems and challenging surgeries. Nevertheless, at
the end of the day we all carry with us a sense of satisfaction of a job well