Ahmedabad: Dr Vikram Shah, founder, chairman and managing director of Shalby Hospitals, claims to have revolutionised total knee replacement (TKR) surgery with the ‘0’ zero technique.
The ‘zero technique’ is a TKR surgery procedure with the minimum of every invasive step. It is done with a minimal incision and minimum exposure. This results in the minimum of surgical time, exposure, hospital stay, drugs, side effects, blood loss, stress on patients and relatives and so on.
According to Dr Shah, earlier in 1994, when he founded Shalby Hospitals, a TKR patient had to stay in hospital for 15-20 days after surgery. The surgery took about 2.5 hours. Dr Shah claims to have brought this down to 5 days of stay and 30 minutes of surgical time in 2007.
Now with the ‘zero technique’, says Dr Shah, the surgery time has been reduced to about 8 minutes, a revolution in surgical history. The ‘zero technique’ involves prior planning like implant selection, planning surgical techniques, anaesthesia, analgesia and patient counselling.
“Most patients can be operated by the ‘zero technique’, but patients who are obese, have severe knee deformity or have metabolic problems need thorough evaluation before surgery,” cautions Dr Shah.
Why the name, ‘0’ zero technique? “Because everything comes to almost at ‘0’ level, be it surgery time, method, recovery, hospital stay, drugs, blood loss, patient and relatives’ mental stress etc. Even the need for blood transfusion is minimized,” explains Dr Shah.
Dr Shah also claims to be the first to incorporate ‘Class100’ operating rooms with laminar airflow and HEPA filter systems in India. These reduce the infection rate. Later, he invented the ‘OS’ needle, which cuts through both bone and soft tissue and saves time during surgery.
The future? Says Dr Vikram Shah: “I want to make TKR a day care procedure!”