AKUH's Four Innovative Operating Rooms Redefine Healthcare Delivery

AKUH's Four Innovative Operating Rooms Redefine Healthcare Delivery

AKU Unveils 4 Cutting-Edge Operating Rooms: Revolutionizing Surgical Care in Karachi

The Aga Khan University Hospital (AKU) has taken a groundbreaking step in enhancing its surgical capabilities with the unveiling of four brand new, state-of-the-art operating rooms. These cutting-edge facilities promise a new era of surgical precision, patient comfort, and infection control in Karachi.

https://youtu.be/BF4vN8397Wo?t=3

Features that Push the Boundaries:

- Advanced Air Handling and Lighting: Each operating room boasts an isolated room air handling system equipped with HEPA filters. This ensures optimal cleanliness and minimizes the risk of airborne infections, creating a safer environment for both patients and medical staff.

- Cutting-Edge Technology: The rooms are equipped with the latest surgical technology, including advanced lighting systems for optimal visibility during procedures. This allows surgeons to operate with unparalleled precision and accuracy, leading to better outcomes for patients.

- Enhanced Anesthesia Facilities: The upgraded anesthesia facilities within the operating rooms provide unmatched patient comfort and safety. This ensures a smoother and more controlled surgical experience, minimizing stress and potential complications.

A New Chapter in Surgical Excellence:

AKU's commitment to providing world-class healthcare is evident in these new operating rooms. They represent a significant investment in surgical infrastructure and technology, poised to elevate the level of care available to patients. The advanced features not only address patient safety and comfort but also offer surgeons a platform to perform complex procedures with greater precision and confidence.

Investing in the Future:

The opening of these operating rooms marks a significant milestone for AKU and underscores its dedication to continuous improvement and innovation. This investment in healthcare infrastructure will undoubtedly benefit countless patients in the years to come, solidifying AKU's position as a leading provider of medical care in the region.

#otolaryngology #cochlearimplant #deafness #deafnessinnewborns #headndneckcancer #earsurgery #pituitarysurgery #endoscopicsiunssurgery #EARNOSETHROAT #ENT #Cochlear implants in Pakistan #Cochlear implant in Karachi, #Best cochlear implant surgeon #Cochlear implant surgeon in Aga Khan Hospital #Skull base surgeon #Thyroid surgeon #pituitary gland surgeon #Ear surgeon #parotid tumors #best cochlear implant surgeon at Aga khan hospital
https://drakbarabbas.com/akuhs-four-innovative-operating-rooms-redefine-healthcare-delivery/

Video Message - Cochlear Implants Can Help You Hear Again

https://drakbarabbas.com/cochlear-implants-can-help-you-hear-again/

Malignancy Rate in Thyroid Nodules With Atypia

Malignancy Rate in Thyroid Nodules With Atypia or follicular lesion of undetermined significance

Risk of malignancy in BethIII_ainulakbar_peshawar#thyroidnodules
https://drakbarabbas.com/malignancy-rate-in-thyroid-nodules-with-atypia/

Professional Video - Endoscopic Inverted Papilloma of Nose and Paranasal sinuses

https://drakbarabbas.com/professional-video-endoscopic-inverted-papilloma-of-nose-and-paranasal-sinuses/

Professional surgery video on Nucleus 522 Cochlear Implant on a Two Year Old

Professional surgery video on Nucleus 522 Cochlear Implant on a Two Year Old

Cochlear Implant on a Two Year Old Muhammed

Hello everyone, and welcome to this Nucleus 522 Cochlear Implant surgical video. I'm Dr. Akbar Abbas, and today, I'll be guiding you through a cochlear implant procedure on a very special patient, 2-year-old Mohammad. Mohammad was born with profound hearing loss, and this surgery will offer him the exciting possibility of experiencing the world of sound.

https://youtu.be/7t_EK0b7Fes

The Challenge and the Solution:

As you know, profound hearing loss can significantly impact a child's development and communication. Cochlear implants offer a remarkable solution by bypassing damaged inner ear structures and directly stimulating the auditory nerve. In this case, we'll be using the advanced Cochlear Nucleus 522 device.

Using the advanced Cochlear Nucleus 522 device, I employed a standard post-aural approach, carefully dissecting the layers to reveal the underlying temporal bone. A meticulous dissection under the temporalis muscle created a snug pocket for the receiver stimulator, ensuring its long-term stability.

Next, a cortical mastoidectomy exposed the intricate anatomy of the middle ear. With a keen eye, I identified the short process of the incus, a crucial landmark for accessing the round window. Employing a 2mm burr, I carefully created an enlarged facial recess, granting optimal visualization and access to this delicate structure.

The stapedius tendon, responsible for fine-tuning middle ear acoustics, was meticulously preserved. Next, I meticulously drilled the upper lip of the round window, maximizing exposure of the window membrane. Utilizing a specialized pick, I atraumatically opened the membrane, creating an extended opening to minimize cochlear trauma upon electrode insertion.

With steady hands and precise movements, I gently guided the electrode into the scala tympani, ensuring full insertion and optimal neural stimulation. The ground electrode was securely placed beneath the temporalis muscle, completing the electrical circuit.

Finally, I meticulously secured the electrode within the cavity and meticulously closed the surgical site in two layers, utilizing only absorbable sutures beneath the skin to minimize infection risk. A secure head bandage was applied for 24 hours, and Mohammad was comfortably discharged just three hours post-surgery.

The following week, a course of oral antibiotics ensured a smooth recovery. More importantly, Mohammad embarked on a journey of auditory discovery, his brain awakening to the world of sound.

This young conductor now has the instruments to create his own symphony of experiences, guided by the beautiful melodies of life. Each successful cochlear implant surgery reminds me of the profound impact we can have on individuals and their families, restoring not just hearing, but opportunities, connections, and a richer tapestry of life.

This case represents more than just a technical procedure; it's a testament to the collaborative efforts of our entire team, the cutting-edge technology, and the unwavering hope we share in empowering individuals like Mohammad to reach their full potential.

The Hopeful Outcome:

This surgery represents a significant step forward for Mohammad. With successful healing and rehabilitation, he will embark on a journey of discovering the world of sound, opening doors to communication, learning, and social interaction.

Thank you for joining me on this journey. Cochlear implant surgery is a complex yet rewarding procedure, and I'm honored to be a part of Mohammad's story. Remember, this video is for educational purposes only and should not be considered a substitute for professional medical advice.

This is an educational video for students and patients for making informed decisions about their own and others health. The surgery was performed by Dr Akbar Abbas who is one of the best ENT specialist in Karachi, Pakistan. He specializes in otolaryngology, cochlear implants, ear surgery and is one of the few experts on pituitary and head and neck cancer surgery in Pakistan. Presently serving at Aga Khan University Hospital.

#otolaryngology #cochlearimplant #deafness #deafnessinnewborns #headndneckcancer #earsurgery #pituitarysurgery #endoscopicsiunssurgery #EARNOSETHROAT #ENT #Cochlear implants in Pakistan #Cochlear implant in Karachi, #Best cochlear implant surgeon #Cochlear implant surgeon in Aga Khan Hospital #Skull base surgeon #Thyroid surgeon #pituitary gland surgeon #Ear surgeon #parotid tumors #best cochlear implant surgeon at Aga khan hospital
https://drakbarabbas.com/professional-surgery-video-on-nucleus-522-cochlear-implant-on-a-two-year-old/

Professional Video on Tackling Meningitis/Brain Abscess in Bilateral Cholesteatoma

https://drakbarabbas.com/meningitis-brain-abscess-in-bilateral-cholesteatoma/

Professional Video on Tackling Meningitis/Brain Abscess in Bilateral Cholesteatoma

https://drakbarabbas.com/meningitis-brain-abscess-in-bilateral-cholesteatoma/

Successful Resection of Complex Glomus Jugulare Tumor

Successful Resection of Complex Glomus Jugulare Tumor

A young woman, braving the challenges of life in Kabul, found herself facing a formidable opponent - a C2 Glomus Jugulare Tumor. This intricate mass, nestled deep within the skull base near the ear, had begun to encroach on the facial nerve, robbing her of the ability to smile or express emotions effortlessly i.e., facial nerve paralysis. In this critical moment, she sought the expertise of Dr. Abdul Bari and Dr. Akbar Abbas, two accomplished surgeons at Aga Khan University Hospital in Karachi, Pakistan.

The tumor, classified as "C2" based on its location, presented a particularly challenging scenario. It nestled close to vital structures like the sigmoid sinus (a major blood vessel draining the brain) and the jugular bulb (part of the jugular vein). Any misstep during surgery could have catastrophic consequences.

https://youtube.com/shorts/KdRHTp-oFxs

Dr. Bari and Dr. Abbas embarked on a meticulously planned operation, employing the Fisch Type A approach. This highly intricate technique involved creating a wide surgical window, providing a clear view of the tumor and surrounding structures. The sigmoid sinus unfortunately had to be obliterated (blocked) due to the tumor's aggressive nature, necessitating rerouting of blood flow through an alternative pathway.

With utmost precision, the surgeons then tackled the crucial task of separating the internal carotid artery, responsible for supplying blood to the brain, from the tumor itself. This delicate dance required advanced techniques like Jugulare Tumor resection and neuro-navigation, a technology utilizing real-time imaging to guide surgical instruments with pinpoint accuracy.

The ultimate goal was maximal safe tumor removal. While complete removal wasn't always possible, maximizing tumor resection without compromising neighboring nerves and blood vessels was paramount. To promote healing and minimize complications, the surgeons employed a clever technique. They harvested autologous fat and fascia (tissue) from the patient's own abdomen and thigh, carefully filling the cavity left behind by the tumor. This not only filled the space but also promoted tissue growth and reduced the risk of infection.

The surgery, a testament to the surgeons' skill and meticulous planning, proved successful. The young woman, her facial nerve function gradually recovering, was discharged home within a week.

This case serves as a powerful reminder of the importance of:

- Interdisciplinary collaboration: The combined expertise of Dr. Bari and Dr. Abbas, each bringing their unique skillset, played a crucial role in the successful outcome.

- Meticulous surgical technique: Every step, from the initial incision to the delicate nerve dissection, required utmost precision and attention to detail.

- Advanced tools and techniques: Technologies like neuro-navigation and sophisticated microsurgical instruments enabled the surgeons to navigate the complex anatomy with confidence.

This is an educational photo reel/video for students and patients for making informed decisions about their own and others health. The surgery was performed by Dr Akbar Abbas who is one of the best ENT specialist in Karachi, Pakistan. Dr. Akbar Abbas, stands as a leading figure in ENT surgery within Pakistan, offering hope and expertise to countless patients facing similar challenges. He specializes in otolaryngology, cochlear implants, ear surgery and is one of the few experts on pituitary and head and neck cancer surgery in Pakistan. Presently serving at Aga Khan University Hospital.

#otolaryngology #cochlearimplant #deafness #deafnessinnewborns #headndneckcancer #earsurgery #pituitarysurgery #endoscopicsiunssurgery #EARNOSETHROAT #ENT #Cochlear implants in Pakistan #Cochlear implant in Karachi, #Best cochlear implant surgeon #Cochlear implant surgeon in Aga Khan Hospital #Skull base surgeon #Thyroid surgeon #pituitary gland surgeon #Ear surgeon #parotid tumors #best cochlear implant surgeon at Aga khan hospital
https://drakbarabbas.com/successful-resection-of-complex-glomus-jugulare-tumor/

Thyroid Gland: Rare Case of Foreign Body Migration

Abstract: We report an unusual case of an ingested foreign body in 26 year old female that perforated the esophagus and penetrated the thyroid gland. A neck exploration was done to remove the foreign body. In literature various cases have been described where foreign bodies ingested were lodged in the upper aero digestive tract, but only few of these foreign bodies perforate the oesophagus and an even fewer migrate extraluminally. If untreated, they may result in life threatening suppurative or vascular complications. Exploration of the neck/thyroid gland via an external approach to remove the foreign body is the recommended treatment.

Details

We present a noteworthy case involving a 26-year-old female who ingested a foreign body, resulting in a rare occurrence of esophageal perforation and subsequent penetration of the thyroid gland. Given the complexity of the situation, a thorough neck exploration was undertaken to carefully extract the foreign object.

While existing literature does document instances of foreign bodies being lodged in the upper aerodigestive tract, it is relatively uncommon for such objects to lead to esophageal perforation, and an even smaller number migrate extraluminally.

It is crucial to note that untreated cases of esophageal perforation from ingested foreign bodies may give rise to severe, life-threatening complications, including suppurative or vascular issues. Recognizing the potential gravity of such situations, prompt intervention becomes paramount. In this particular case, the recommended approach involved a meticulous exploration of the neck and thyroid gland, utilizing an external approach to ensure the safe and effective removal of the foreign body.

This case underscores the importance of vigilance in managing ingested foreign bodies, as well as the necessity for a comprehensive understanding of the potential complications that may arise. The success of the external approach in this instance reinforces its merit as a preferred method for addressing such intricate cases, emphasizing the significance of timely and appropriate medical intervention to safeguard patient well-being.

Migrating_foreign_body_in_the_thyroid_gland_an_unu#foreignbody #perforatedesophagus #thyroidgland
https://drakbarabbas.com/unusual-case-of-foreign-body-in-the-thyroid-gland/

Professional Video on Allergic Fungal Sinusitis and Endoscopic Sinus Surgery

https://drakbarabbas.com/endoscopic-sinus-surgery-for-allergic-fungal-sinusitis/

3--What's the right age for cochlear implant surgery? کوکلیئر امپلانٹ سرجری کے لیے صحیح عمر کیا ہے?

3--What's the right age for cochlear implant surgery? کوکلیئر امپلانٹ سرجری کے لیے صحیح عمر کیا ہے?

کوکلیئر امپلانٹ سرجری کے لیے صحیح عمر کیا ہے? عوامی آگاہی ویڈیو

پیدائشی طور پر سماعت سے محروم بچوں کے لیے کوکلیئر امپلانٹیشن کی بہترین عمر زندگی کے پہلے دو سال ہیں

میرا نام ڈاکٹر سید اکبر عباس صاحب اور میں ایک ای این ٹی سرجن ہوں

https://youtu.be/6Hzg1ZkGMrU

What's the right age for cochlear implant surgery? کوکلیئر امپلانٹ سرجری کے لیے صحیح عمر کیا ہے?

.اج یہ جاننے کی کوشش کرتے ہیں کہ یہ کیوں ضروری ہے اپ کو یہ جان کر شاید خوشگوار حیرت ہوگی کہ بچہ جب ماں کے پیٹ میں ہوتا ہے تو وہ اپنےاس پاس کی اوازیں سن سکتا ہے اور ان اوازوں پر ری ایکٹ بھی کرتا ہے.

دماغ کے مختلف حصے مختلف فنکشنز کے لیے مختص ہیں اسی طرح سماعت کا حصہ جو ہے وہ سماعت کے فنکشن کے لیے مختص ہے جسے ہم ورنکیزیریہ کہتے ہیں اس تک انپٹ بہت ضروری ہے

یعنی اوازیں اس ایریا تک پہنچیں گی تو یہ حصہ گرو کرتا ہے اور اپنا کام اچھے طریقے سے انجام دیتا ہے اگر اس ایریا تک کان کے ذریعے اوازیں نہ پہنچے اور یہ عمل شروع کے چند سالوں میں اگر نہ شروع ہو تو یہ ایریا اپنی کارکردگی کھو دیتا ہے اور اپنی افادیت بھی کھو دیتا ہے اس چیز کو ہم نیوروپلاسٹسٹی بھی کہتے ہیں یعنی کہ دماغ کی وہ صلاحیت جو وہ اپنی اس پاس کی اوازوں سے اپنے اپ کو بہتر کرتا ہے اور اگر یہ اوازیں نہ پہنچے تو وہ اپنی کارکردگی کھو دیتا ہے

دماغ میں یہ حیران کن صلاحیت موجود ہے کہ وہ اپنی صلاحیتوں کو بڑھا بھی سکتا ہے اور گھٹا بھی سکتا ہے یہی نیوروپلاسٹیسٹی بچوں کے لیے کوکلیئر امپلانٹیشن میں بہت ضروری ہے

پہلے دو سال میں جب بچہ اپنےاس پاس گھر میں رشتہ داروں دوستوں عزیزوں کی اوازیں سنتا ہےاور ان سے زبان سیکھتا ہے یہ عمل انتہائی ضروری ہوتا ہے اگر شروع کے دو یا تین سال تک یہ اوازیں ان کے کان تک نہ پہنچے اور وہ اپنے اپ کو زبان سیکھنے سے محروم رکھے تو اس کے بعد کوکلیئر امپلانٹیشن کے نتائج اتنے خاطرخواه نہیں رہتےتو ہم سٹرونگلی ریکمنڈ کرتے ہیں کہ شروع کے دو سالوں میں کوکلیئرایمپلانٹیشن کر لینی چاہیےاور اگر نہ ہو پائے تو شروع کے تین چار یا پانچ سال تک بھی ہم کرتے ہیں لیکن اس کے نتائج اس طریقے سے نہیں اتے جس طرح شروع کے دو سال میں اتے ہیں

بہت سارے ملکوں میں کرائٹیریاز ہوتے ہیں جسے ہم ون تھری سکس کرائٹیریا (1-3-6 ) بھی کہتے ہیں یعنی کہ پہلے مہینے میں بچے کی نیو نیٹل ہیرنگ سکریننگ ہو جانی چاہیے یعنی کہ وہ سکریننگ جو پیدائشی طور پر جاننے کی کوشش کرتی ہے کہ بچہ سنتا ہے یا نہیں سن پاتا اور اگر بچہ نہیں سن پاتا تو پھر تین سے چھ مہینے کے درمیان تمام تشخیص کر کے اس کو کوکلیئر امپلانٹیشن کے لیے لائن اپ کر لینا چاہیے

اپ کا بہت بہت شکریہ

#otolaryngology #cochlearimplant #deafness #deafnessinnewborns #headndneckcancer #earsurgery #pituitarysurgery #endoscopicsiunssurgery #EARNOSETHROAT #ENT #Cochlear implants in Pakistan #Cochlear implant in Karachi, #Best cochlear implant surgeon #Cochlear implant surgeon in Aga Khan Hospital #Skull base surgeon #Thyroid surgeon #pituitary gland surgeon #Ear surgeon #parotid tumors #best cochlear implant surgeon at Aga khan hospital
https://drakbarabbas.com/3-whats-the-right-age-for-cochlear-implant-surgery-%da%a9%d9%88%da%a9%d9%84%db%8c%d8%a6%d8%b1-%d8%a7%d9%85%d9%be%d9%84%d8%a7%d9%86%d9%b9-%d8%b3%d8%b1%d8%ac%d8%b1%db%8c-%da%a9%db%92-%d9%84%db%8c/