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21/Jan/2018

An osteoid osteoma is a benign bone tumor that arises from osteoblasts and tend to be less than 1.5 cm in size, commonly located in long bones, such as the femur and tibia.

While osteoid osteoma can occur at any age, it is more common between the ages of 5 and 25, and nearly three times as likely to affect boys as girls.

Pt, usually children present with night cries, pains… suddenly wake up from sleep and start crying holding the limb…

This pain is relieved by taking ASPIRIN

Symptoms of osteoid osteoma include:

  • Dull, aching pain that comes and goes during the day

  • Sharp pain at night, when your child is at rest

  • Tenderness

  • A limp

Investigation:

X ray – will show the nidus with peripheral ring like sclerosis
MRI/CT – will confirm the diagnosis

RADIO FREQUENCY ABLATION (RFA) is a simple non surgical needle placement in CT guidance in the nidus and burn the lesion under GA and day care admission.

Results are very promising…..
Patient is relieved of the bone pain the same night other than the mild procedural pain.


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21/Jan/2018

Varicose Veins Treatment

Varicose Veins treatment is of two types traditional surgical procedure and the latest invasive non-surgical procedure. Varicose veins are treated by interventional radiologist or by a vascular surgeon. Dr.Sridhar reddy baddam is one of the finest doctors in southern india to treat varicose veins using the latest procedures, sridhar reddy has treated many cases of varicose veins in Hyderabad, Guntur, Vijayawada, Vizag and other parts of Andhra and Telangana.

As explained varicose veins treatment can be either conservative or active. Active treatments can be divided into surgical and non-surgical treatments. Newer methods including endovenous laser treatment, radiofrequency ablation and foam sclerotherapy appear to work as well as surgery for varices of the greater saphenous vein.

Conservative:
Conservative treatments such as support stockings should not be used unless treatment was not possible.

The symptoms of varicose veins can be controlled to an extent with the following:

  • Elevating the legs often provides temporary symptomatic relief.
  • Advice about regular exercise sounds sensible but is not supported by any evidence.
  • The wearing of graduated compression stockings with variable pressure gradients (Class II or III) has been shown to correct the swelling, nutritional exchange, and improve the microcirculation in legs affected by varicose veins. They also often provide relief from the discomfort associated with this disease. Caution should be exercised in their use in patients with concurrent arterial disease.
  • The wearing of intermittent pneumatic compression devices have been shown to reduce swelling and increase circulation Diosmin/hesperidin and other flavonoids.
  • Anti-inflammatory medication such as ibuprofen or aspirin can be used as part of treatment for superficial thrombophlebitis along with graduated compression hosiery – but there is a risk of intestinal bleeding. In extensive superficial thrombophlebitis, consideration should be given to anti-coagulation, thrombectomy, or sclerotherapy of the involved vein.
  • Topical gel application helps in managing symptoms related to varicose veins such as inflammation, pain, swelling, itching, and dryness. Topical application (noninvasive) has patient compliance.

Surgical

Surgeries have been performed for over a century, from the more invasive saphenous stripping to less invasive procedures like ambulatory phlebectomy and CHIVA.

Stripping
Stripping consists of removal of all or part the saphenous vein (great/long or lesser/short) main trunk. The complications include

  • deep vein thrombosis (5.3%),
  • pulmonary embolism (0.06%), and
  • wound complications including infection (2.2%).

There is evidence for the great saphenous vein regrowing after stripping.

For traditional surgery, reported recurrence rates, which have been tracked for 10 years, range from 5–60%. In addition, since stripping removes the saphenous main trunks, they are no longer available for use as venous bypass grafts in the future (coronary or leg artery vital disease)

Other surgical treatments are:

  • Ambulatory phlebectomy
  • Vein ligation is done at the saphenofemoral junction after ligating the tributaries at the sephanofemoral junction without stripping the long saphenous vein provided the perforater veins are competent and absent DVT in the deep veins. With this method, the long saphenous vein is preserved.
  • Cryosurgery– A cryoprobe is passed down the long saphenous vein following saphenofemoral ligation. Then the probe is cooled with NO2 or CO2 to −85o F. The vein freezes to the probe and can be retrogradely stripped after 5 seconds of freezing. It is a variant of Stripping. The only point of this technique is to avoid a distal incision to remove the stripper.

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21/Jan/2018

PAD/Peripheral Arterial Angioplasty/Stenting/Leg Pain is treated or handled using latest peripheral vascular procedures know as no blade, no scar procedures. Hardening of arteries are know as peripheral arterial disease common in diabetic patients also know as Diabetic Foot.

Peripheral Vascular Disease is a very common condition found in the people with the age of 65 and above. Using the latest procedures one can under go the process and can continue their daily works without having a need of being hospitalized. The patient can start doing his work after having a rest of 4hrs.

In hyderabad, right now we have very less number of surgeons who are well trained in handling these kind of procedures. Dr.Sridhar Reddy Baddam is one of the doctor who is a well trained surgeon and under take such kind of procedures in Apollo and other hospitals.

The below video will explain you in detail how the procedure is done:


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21/Jan/2018

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Interventional neurology services launched

THE HINDU Cardiologist A. Purnanand and Dr. K. Lakshmi Sudha Prasanna with the new equipment to treat brain stroke Purna Heart Institute in Vijayawada.

Procedures

Varicose Vein
Uterine Fibroids
Pain Management
Infertility - Varicocele
CT/ USG Guided Biopsy & RFA

Procedures

Carotid Stenting
Stroke / Aneurysm
Diabetic Foot / PAD
Osteoid Osteoma – RFA
Sclerotherapy

Procedures

Deep Venous Thrombosis
Bronchial Arterry Embolization
G I Bleed Embolization
Peripheral Angioplasty
Vertebroplasty
Hepatobiliary Procedures

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