Department of Neurosurgery SMS Medical College

The untold story

Institution

• Established 1975 by Prof MG Sareen (sitting extreme left in the picture)

• It Was adjacent to CT ward with 14 beds.

Prof MG Sareen was the fourth resident of Prof Jacob Chandy (First neurosurgeon in India Father of Modern Neurosurgery in India)

Prof. S.R Dharker 1982 – 2006

Prof. R.S. Mittal 2006-2015

Prof. V.D. Sinha Oct 2015-feb 2019

Heads Of Department

Prof D.K. purohit February 2019-july2019

Prof.S.K.Jain July 19 to till date

Prof M.G. Sarin Jan 1975-Nov 1977

Prof PPS Mathur 1949-2012

Dr.S .R. DHARKER • Head of department from 1982 to 2006.

• Principal of SMS medical college from 1999 to 2006.

• Is Regarded as the father of neurosurgery in Rajasthan.

• Under his able guidance and leadership,Mch neurosurgery course was started .

• Most of the faculty members of SMS medical college have been trained by him.

• He is still an active member of neuroclub meetings and various gatherings and is still guiding us in all our endeavours.

Administrative posts held

Post held Name

Principal and HOD Dr S R Dharker

Add. Principal and HOD Dr R S Mittal

Ex-HOD

Dr V D Sinha

Ex- Add. Principal and present HOD

Dr S K Jain

Ex HOD Dr D. K. Purohit

Present day

Spread out over: • BMRC

• BMRC 2 • BMRC 3 • New NSW • Paediatric NSW • NSICU & OT Complex • Neuro rehabilitation

ward

TRAUMA CENTRE

– NS ward 112

– Polytrauma ward 113

– Semi ICU

– ICU

We have a sanctioned bed strength of 224 BMRC 184. TRAUMA 40

Neurosurgery ICU

Operation Theatres

• We have 6 OTs in BMRC and 2 OTs in trauma center.

• One of the largest ICU bed strength of 46 beds (22 beds in BMRC and 24 beds in trauma center)

• Exclusive OT for neuro endoscopy .

Excellent Neurointervention Lab–the way ahead YEAR TOTAL

DSA COILING OF ANEURYSMS

TOTAL TUMOUR/AVM EMBOLISATION

SPINAL AVM/TUMOUR EMBOLISATION

CAROTID STENTING/ANGIOPLASTY

INTRAARTERIAL THROMBOLYSIS

2012 88 2 10 6 0 0 2013 128 4 5 4 1 0 2014 180 23 22 12 4 0 2015 248 48 25 7 6 1 2016 260 52 24 12 6 3 2017 337 51 37 16 7 9 2018 306 71 29 9 10 3 2019 till now

316 112 25 7 14 2

TOTAL 1858 363 177 73 49 17

Experimental Lab

• Inaugurated by the Hon’ble Ex- CM of Rajasthan Vasundhara Raje

• Microscope for training

• Drilling machines

• Micro suturing techniques

• Endoscope training facility

• Fully functional from may 2017

Achievements of department

• In the current year,till now total of 50,058 patient have visited to neurosurgery opd and the total number of IPD patients are 6352.

• For the year 2019, 4252 surgeries were performed.

• Around 1300 neurosurgery cases were done in trauma centre.

• Around 550 endoscopic surgeries are done till now. • Around 316 neuro-intervention cases were done

this year till now and 112 aneurysmal coiling were done in this year.

• We are one of the high volume centers for neurosurgery with respect to in patient admission and out patients treated in Asia.

• We are one of the centres with the highest number of surgeries conducted per year.

• The department initially started M.Ch training programme in 1985 with 2 residents, grown to currently include 14 residents in each year.

• Total of 127 M.Ch students have passed out from the department .

Team Neurosurgery

• Team of 6 units

• 20 consultants

• 37 M.Ch residents

Awards

• Best Paper Award at the 5th National Neurotrauma Conference,

16-18 August 1996,Chandigarh

• Awarded Tetsuo Kanno Best Paper Award at 5th Asian conference of neurological Surgeons, 12-15 January 2004, Jakarta, Indonesia

• Awarded Distinguished Service Award (2006) which recognizes outstanding contribution to medical profession and society at large

• Honored at Health-south Harmarvlle Rehabilitation Hospital RAJMAAI CME (2008), Pittsburg, USA

Dr.V.D.Sinha

Awards

• Awarded Rajasthan Gaurav Award (2012) by Sanskrati Yuva Sanstha

• DOCTOR`S DAY AWARD by Rajasthan Medical Council, Birla Auditorium, for academic and research excellence, Jaipur,1 July,2018.

• State Merit Award-Excellence in Neurosurgery On 15th August 2018 by Chief Minister

Presidential Oration-

• Guidelines for prehospital care in low income countries : Neurotrauma 2016,25th Annual conference of Neurotrauma society of India 12-14th August, 2016,AIIMS,New Delhi

• Preoperative Diffusion Tensor Imaging: A landmark modality for improving outcome in supratentorial intraaxial brain tumors. 2nd Nurse Symposium-September 5-8, 2018, Timisoara | Regional Business Centre (CRAFT)

• From the Printer to the Theatre - 3D Printing Technique: A Stronger Base for Skull Base SKULLBASECON-2019,Skull Base Society off India,10-12,Oct.2019 Coimbatore

Awards

• Awarded GOLD MEDAL during Annual ASI conference 1988

• STATE AWARD for excellent medical services in medical field by

honorable chief minister of Rajasthan in 2017.

• BEST DOCTOR’S AWARD on Doctors Day by Rajasthan Medical

Council by honorable health minister of Rajasthan in 2018.

• Dr. Farooq Abdullah Appreciation Award for publication of

paper entitled: Preoperative Diffusion Tensor Imaging in 2019

by SMS Medical College.

Dr.S.K.Jain

• Excellence in Neurosurgery award on 26th January 2016 by SMS

Medical college.

• Appreciation certificate for organ donation by Organ and Tissue

Donation Project 2017.

• Chikitsa Vibhushan Award on Doctor’s Day, 1st July 2019

• Editor Rajasthan medical journal

• Samaj Ratna Award in 2017 by Rajasthan Jain Sabha.

Dr.S.K.Jain

Awards

• 34 research papers in various National and International Neurosurgical Journals.

• Has written a chapter in the “Ramamurthy and Tandon’s textbook of neurosurgery”

• Conducted Nationwide Neurosurgery academic course for neurosurgery residents in Feb. 2016 under the aegis of NSSI.

• Awarded as “OUTSTANDING FACULTY” in CPC

Dr.D.K.Purohit

Awards

• Awarded International guest scholarship at 122nd Annual congress of German surgeons society, Munich April 2005

• Awarded George Albin International award at congress of neurological Surgeons meeting at Chicago, Oct 2006

Dr.Ashok Gupta

Awards • Course Director of the 1st Certificate Course of Sports

Medicine conducted by Rajasthan Sports Council. Has special passion for sports and is holding posts in various sports bodies such a Vice President of Jaipur Swimming Association, Vice President Jaipur Handball Association and Indoor Cricket Association.

• Published research articles in the field of neurosurgery in esteemed International and National Journals and platform presentations in International and National Conferences

Dr.Manish Agrawal

Awards

• Dr Farooq Abdullah best research paper award 2011-12

• Society for Neuro- Oncology annual meeting Washington DC, USA, Nov 15-18, 2012: travel scholarship

• Awarded third for best microsurgical suturing at AIIMS, New Delhi, 2013

• Awarded for outstanding performance as Asst Prof Neurosurgery and hostel warden on 26th Jan, 2015

Dr.Rashim Kataria

Fellowships Awarded to Faculty Neurovascular and Spine Surgery at Fujita Health University, Japan

Visiting Doctor to the Department of Neurosurgery, ERNST MORTIZ-ARNDT University, Greifswald, Germany.

The Overseas human resources and Industry Development Association(HIDA)-The Training Programme on the Japan –India

Neurosurgical Collaboration Project(ENIN) IN 2016

Prestigious Sugita Fellowship, Nagoya University, Japan

Endoscopic and Minimal Invasive Surgery Training, Stuttgart University, Germany

Skull base fellowship, St. Luke’s hospital, USA

Served at Harvard medical school.

Clinical neurosurgery observorship at Birmingham

Women’s hospital

Children hospital,university of Toronto

Dr.V.D.Sinha

Dr.S.K.Jain

Dr.D.K.Purohit

Endoscopic and Minimal Invasive Surgery Training, Stuttgart University, Germany

Head injury and hemostasis during surgery, Barrow Institute, Arizona, US

Paediatric neurosurgery fellowship,Vancouver,Canada

Endoscopic training,hannover,Germany

Radiosurgery and stereotactic neurosurgery,Austria

Anterior and lateral skull base surgery at AIMS,Kochi

Storz neuroendoscopy at Jabalpur

Endovascular neurosurgery,Zurich,Swizterland

Fellowships by Faculty

Dr.Achal Sharma

Dr.Ashok Gupta

Dr.Ashok Gandhi

Fellowships by Faculty Storz neuroendoscopy,Jabalpur

Neuroendoscopy at university of

Griefswald,Germany

Skull base Fellowship,Japan in 2016

AOTS Training programme at

Tokyo,Japan in 2018

Dr.Rashim Kataria

Dr.Vinod Sharma

Dr.Jitendra Shekhawat

Academic activities

• Regular academic sessions five days a week

• Includes one faculty lecture every week

• There are 35 ongoing projects one by each resident and a monthly meet to assess the progress of the project

• Audio-visual connection between operation theatres and the seminar room where the ongoing surgery can be broadcasted live for teaching purposes

Contribution to Organ Donation

• 157 patients have been contributed to the team

• 65 patients have been successfully optimized and apnea test conducted

• 14 successful organ retrievals have been done.

Contributions to Department Started Mch neurosurgery course

Developed Neurosurgery Department at SMS medical college

Developed state of art NeuroSurgery ICU and OT complex at Bangar Hospal

Developed New neurosurgery ward at Bangar Hospital

Established Neuro-rehabilitation ward

Pediatric ward

Experimental lab for neurosurgical trainees.

Developed new teaching area for academic activities

Audio-visual transmission from OT

Established New Senior Boys hostel

Contributed to the set up of e-lecture theatre

Prof. S. R. Dharker

Prof. R. S. Mittal

Prof. V. D. Sinha

Senior Boys Hostel and e-Lecture Theatre

Publications and books • Around 500 publications for the department by

various faculty members in national and international journals.

• Chapters in books by the faculty.

Prehospital care in traumatic brain injury (Pattern of reporting and practices for the management of traumatic brain injury)

Challenges in Neurotrauma management in India and rapidly growing developing countries

(Oxford publication)2019

Pre-hospital care - Indian TBI guidelines by National Neurotrauma Society of India

Nonmissile Penetrating Head Injuries in penetrating injuries; Missile Injuries of the Brain, Spine and peripheral Nerves; Second edition Dr H. Bhatoe.

On Brain Abscess in Ramamurthy and Tandon

Conferences hosted

• NSI Annual conference 1997

• 6th Annual National Conference of Neuro Spinal Surgeons

Foundation of India SPINE 2006

• International Symposium on Thoracolumbar spinal diseases 2008

• 18th Annual Conference of National NTSI in 2009

• NSI Annual conference 2010

• 2nd NSSI conference- 2013

• 5th Asian Australasian Society of Neurological Surgeons' Neurotrauma Committee & 2nd WFNS-Military Neurosurgeons Meeting 2015, Jaipur || October 9 - 11, 2015.

• National Skull base conference, 8-11. Sept. 2016

• 67TH Annual Conference of Neurological Society of India, 13-16th December,2018, Jaipur, Rajasthan, India

Workshops held by the Department

• Cadaveric spine instrumentation workshop 2006 and 2009

• Live workshop on CV Junction Surgery Oct 2015

• Live workshop & CME on Neurovascular intervention Feb 2016

• Live workshop on Endoscopic Skull Base Neurosurgery Sep 2016

• CME on Neurovascular intervention (aneurysmal coiling and AVM embolization), 22nd February, 2016 at S.M.S. Medical College, Jaipur –India

• Asian Australasian society of Neurological Surgeons, Education Course and Minimally invasive live neurosurgery workshop;2-3 march 2019

• Number of teaching programmes organized under NSSI- 13

Public Awareness Programmes

• Traffic awareness and road safety rally in 2009

• The flag bearer was Prof. Graham Teasdale who invented the Glasgow coma scale( GCS)

• Pre –hospital care: 5th Asian Australasian Society of Neurological Surgeons' Neurotrauma Committee & 2nd WFNS- Military Neurosurgeons Meeting 2015, October 9 - 11, 2015, Jaipur, India.

• Public awareness –Road safety and pre-hospital care; SMS S Hospital Auditorium-23. Nov. 2016.

• Road Safety-Short film was released “ANMOL JEEVAN” (Humara Aur Aapka) on 04.11.2017 by Transport & PWD and Industry Minister of Rajasthan.

International Faculty who Visited the Deptt

MG Yasargil

Schniederman Shakir husain

Henry Schroeder

Peter Riley

Franco Servadei

International Visiting Faculty

Talk Of The Town

State Award

Awarded state award for excellent services in

medical field by honourable chief minister of

Rajasthan in 2017

Awarded state award for excellent services in

medical field by honourable chief minister of

Rajasthan in 2018

Chairman of Neurotrauma Committee Asian Australasian Society of Neurological Surgeons

Chairman-WFNS Neurorehabilitation and Reconstructive neurosurgery Committee

Neurosurgery Representation at International Level

WFNS EC- Neurotrauma Committee Executive member The Asian Conference of Neurological Surgeons, Japan

Neurosurgery Representation at International Level

with Prof. Tetsuo Kanno, at Fujita University

with Prof. Jun Yoshida, Nagoya University, Japan

Novel ongoing project

• Initially 3D model technique was used for CV junction surgery and considering the ease of surgery and reduced complication rate we have expanded our use of technique for

• Cranioplasty models

• Complex skull base tumours.

• Aneurysmal surgeries.

Future planning……..

We hope to start

1. Surgery for epilepsy

2. Functional Neurosurgery

3. Stereotactic Neurosurgery