Believes, Dr. Pradeep Muley, Senior Consultant Interventional Radiologist, Fortis Hospital, Vasant Kunj, in conversation with Ekta Srivastava, Health Technology
What have been the most notable achievements in interventional radiology in the last decade?
Rapid advancements have occurred in the fields of Body & Neuro Interventional Radiology over the last few years, in which patients are treated using minimally invasive techniques. Interventional radiology procedures (pinhole surgery) are highly sophisticated advanced medical techniques that often replace complicated and painful open surgical procedures. They are generally much easier for the patient because they involve no surgical incisions, less risky, almost painless, need just day care / 24 hrs hospitalization and have markedly shorter recovery times. These procedures are usually done under image guidance (Digital subtraction angiography and USG).
Till now only angiography and angioplasty were popular but now the with medical advancements non-surgical treatments by various techniques like brain aneurysm coiling, non operable liver tumor treatment by chemoembolization & RFA, ozone therapy for slip disc & joint pains, treatment of gynecological problems like uterine fibroids, adenomyosis by technique called uterine artery embolization, even opening of fallopian tubes is made possible, varicose vein treatment made easy with very high success rate by radiofrequency ablation, various tumor embolization are some example
Tell us something about Robotic Arms. What changes will these make to the IR?
Due to advancement in medical equipment like digital subtraction angiography, catheters, embolic materials used for embolization, non-surgical treatments have become easy, safe and success rate have gone up. These procedures have become standard and better than traditional open surgeries. Now with this advancement patients who are suffering from uterine fibroids, adenomyosis, varicose vein, varicocele, enlarged prostate (BPH) may not needed an old pain-full traditional surgeries.
What are the benefits of interventional radiology over traditional surgery?
- It is performed under Local anesthesia. Not General anesthesia.
- Requires only a tiny nick in the skin (No surgical incision of abdomen).
- Recovery is shorter than any traditional surgeries.
- Virtually no scar/adhesion formation has been found. But in surgery adhesions are common.
- Needs just one sitting.
- The recurrence of growth is very rare.
- Non-surgical interventional radiological procedure involves virtually no blood loss or risk of blood transfusion.
- Presenting complaint disappear very fast.
- Emotionally, financially and physically – all interventional radiological procedure can have an overall advantage over other procedures for the patient as the organ is not removed or no surgical scar seen.
As the Director of Radiology what major initiatives have you taken so far for the well-being of patients in the hospital?
As head of interventional radiology good quality information regarding patient’s disease helps with making correct choices about surgical and non-surgical treatment.
With access to information, patients become empowered to play a greater role in the decisions that affect their health. To help them make informed decisions about their healthcare. I always encourage communication between patient and doctors in Interventional radiology,
What’s your message to the budding radiologists?
Better understanding to all interventional procedures, equipment, communication, Leadership and Excellence.