 Hi friends, I'm Dr. Amrit La Mascarinis Consultant Spine Surgeon at Manipal Hospital Millers Road So today we are here to discuss with three of our guests about their spinal ailments Then our third guest is Mahadev Mahadev had presented with a spinal tumor and he was unable to even walk because of the Tumor which was compressing the spinal cord and he had to undergo a well-planned complex surgery about one and a half years ago and then We had done two surgeries on him every at a gap of about five to seven days Following which he's been completely cured of his spinal tumor and he's doing very well so even he would be giving us his thoughts and his Imports and perspective of his journey before surgery during and after surgery and Yeah, hopefully all our viewers will benefit from it. Our third guest for the day is Mahadev so Mahadev had a very serious problem he was unable to walk for about 20 days or a month some amount of backache and We had diagnosed him to have a tumor in the spine So it was a tumor which was compressing this spinal cord and as a result. He was unable to walk and I would like to Go to He was suffering from one of which is a compressive Tumor which had grown in the spinal canal and was compressing the spinal cord now The the challenge with him was that the tumor was so large it was pressing the spinal cord and going through the foramen of the spine and Going into the thoracic cavity that is to where the lungs are seated and it was like what we call as a Dumbbell kind of a tumor where it and it was so it was not accessible with one surgery So there were two issues. There was a spinal cord Which was compressed which needed to be addressed or there is an individual can't walk and Then there was this massive size of the tumor which had gone into a totally different space a different cavity the lung Plural cavity and was sitting over there, which is not accessible from where we approached the spinal cord So he had to undergo two surgeries, which is a major undertaking Now I So a major surgery is quite a challenge for the patient as well as the family he was the single Bradwinner for his family and so everybody was concerned We went on went ahead with the surgery the first surgery world going from the bag Removing part of the tumor which was pressing on the spinal cord So model ne surgery Adnan, sir, I mean guess will buy improvement Bandita I don't think Adnan, sir, you know Nadeelaik Shorum Adidra. I'm not going to say I'm a little bit. So it took some time one should remember that Just because we do a surgery for somebody who's having weakness in the legs doesn't mean that they will improve immediately Mahadeva was very lucky that he was able to walk two days after surgery But there are some who may take up to six months to a year for them to get back into normalcy You're a necessary Adnan try it said the second surgery in one going through the lung cavity Where we had to take off one rape pull the lungs to the side and go in and remove the rest of the tumor So we did go in remove the entire tumor and then he was Disease free the tumor was completely out of the body But the primary concern there is that of how he does after surgery. It is a risky surgery We go we go very close to the heart We go close to the large the iota and the vena keba Which are the large vessels of the spine here which are just in front of the spine So it's not a surgery which can be done anywhere You have to have the support service cardiothoracic surgeons vascular surgeons a good anesthetic team And a lot of backup with experienced nursing staff and support system and a good ICU care Here at the surgery are Nantra. Yes, you know, yes, but really the surgery and the seven days Seven days, so total one the hot to have neither hot to the other And you know, so sometimes surgeries are not Roses of 24 hours or 48 hours serious surgeries that are people go through a lot of Apprehension or a big surgery they have to stay on for a long time so that they get rehabilitated Sufficiently wait for the lungs to expand when we deal with the tumor surgery We are always concerned about recurrence of sir of the tumor, but today we have done two Sequential MRIs over the period of one and a half years and we have found that there is no Recurrence of the tumor and so he's very happy. He's able to walk. He's a killer Haga These are these are the things that our self just three of our guests have experienced and Like any problem in a human life. It can be very challenging. It can be stressful it takes a toll on the patient as well as the family and one has to take the right kind of treatment at the right time and You must believe that the doctors are doing their best It is even challenging for the whole system though all the people in our hospital are geared towards betterment of the patient's condition and we want all our patients to be happy and Do well after major spine surgeries, but there are a lot of Pathologies are in the spine. There are complex problems. There are simple problems There are simple problems which can Become complex in the future if neglected for example a simple thing like a slip disc can lead to difficulty in walking loss of bladder and bowel function. So one has to address that early. There are complex scoliosis listuses pediatric deformities and Geriatric deformities and problems elderly people can it can be very challenging, but Technology has advanced in a huge way and our concepts in surgery have changed massively There has been a major shift in the way we look at patients We are able to operate upon 85-90 year old individuals. We are able to operate on 22 year old children so Regarding anesthesia there has been a huge change. We have microscopes we have navigation systems we have Endoscopic surgeries which can help in minimal access surgeries which can help in Solving disc problems and other nerve compressions So there is a sea of Options which are available now and so one doesn't need to really worry too much one has to approach it in a systematic manner when it comes to a spinal problem and Plan a surgery well and then a well-executed surgery for the right indication in the right patient Is a show us of a good outcome