Dr. Manthan Merja (Patel)
Senior Consultant - Surgical Oncology
Sterling Hospitals, SindhubhavanDr. Manthan Merja (Patel)
Senior Consultant - Surgical Oncology
Sterling Hospitals, SindhubhavanA BriefIntroduction
A Brief
Introduction
Dr. Manthan Merja (Patel) is a Senior Consultant in Onco Surgery with about a decade of experience in surgical oncology. Dr. Manthan earned his MBBS and MS in General Surgery from B J Medical College, Ahmedabad, where he laid a strong foundation in surgical practices. Further advancing his expertise, he completed his MCh in Onco Surgery at the prestigious Gujarat Cancer & Research Institute (GCRI), focusing on complex cancer surgeries and advanced oncological procedures. In addition to his formal education, Dr. Manthan has completed the FARIS Robotic Surgery Fellowship through SRMC Medical College & University, Chennai, in collaboration with the Royal College of Surgeons of Edinburgh via the ARIS association. He has also undertaken the FALS Robotic Surgery Fellowship course, further solidifying his proficiency in cutting-edge robotic surgical techniques. These fellowships have equipped him with advanced skills in minimally invasive robotic surgeries, allowing for precision and improved patient outcomes. Dr. Manthan has also completed a Fellowship in Oncoplastic Surgery under the guidance of Dr. Zoltan Marai in Budapest, Hungary, where he mastered oncoplastic techniques that integrate cancer surgery with reconstructive procedures, achieving both functional and aesthetic benefits for his patients. Additionally, he completed an Advanced Breast Oncoplasty Course from ESSO and is a Certified Tobacco Cessation Specialist, recognized by Gujarat University for a program developed by the iCanCare foundation. Dr. Manthan's areas of expertise encompass a broad spectrum of advanced surgical procedures, including: + Robotic, VATS (Video-Assisted Thoracoscopic Surgery), Laparoscopic, and Advanced Minimal Access Surgeries (MAS) for: * Stomach and Colo-Rectal cancers * Liver, Pancreas, and Biliary tract cancers * Gynecological cancers, including Uterus, Cervix, and Ovary * Urological cancers, such as Kidney, Bladder, and Prostate + Breast Cancer Surgery: * Incorporating revolutionary oncoplastic techniques that combine cancer surgery with plastic surgery principles for optimal outcomes. * Specializing in DIEP (Deep Inferior Epigastric Perforator) microvascular free flap reconstruction, a state-of-the-art method for breast reconstruction post-mastectomy. + Head & Neck Cancer: * Performing advanced oral cancer surgeries using microvascular free flap techniques for comprehensive reconstruction. * Expertise in surgeries for Thyroid, Parathyroid, Larynx, and Sinus cancers, providing meticulous care for complex head and neck conditions. + Other Specialized Procedures: * Chemoport insertion for efficient chemotherapy administration. * Trismus correction surgery, aiding patients with restricted mouth opening due to cancer or other conditions. Dr. Manthan's versatility in handling a wide range of cancers, combined with his expertise in reconstruction, positions him as one of the leading clinicians in surgical oncology.
Areas of Expertise
Areas of
Expertise
Discover Unparalleled Expertise: Where Advanced Technology and Compassionate Care Meet to Deliver Exceptional Healthcare Services
What is Robotic Cancer Surgery?
Robotic Cancer Surgery, also known as Robot-Assisted Cancer Surgery, is an advanced surgical technique that uses robotic systems to assist surgeons in performing complex cancer surgeries with enhanced precision and control. The surgeon operates robotic arms equipped with surgical instruments from a console, guided by high-definition 3D imaging. This technology is commonly used for various types of cancer, including prostate, colorectal, gynecologic, and lung cancers.
When and why do people go for Robotic Cancer Surgery?
People opt for Robotic Cancer Surgery for several reasons:
- Minimally Invasive Approach: Many patients prefer the minimally invasive nature of robotic surgery, which involves smaller incisions, less pain, and quicker recovery.
- Precision in Complex Cases: For cancers located in challenging or delicate areas, such as the prostate or near critical nerves and blood vessels, robotic surgery offers the precision needed to remove tumors effectively while sparing healthy tissue.
- Shorter Recovery Time: Patients seeking to return to their normal activities faster often choose robotic surgery due to its associated shorter hospital stays and recovery periods.
- Reduced Complications: The enhanced precision reduces the risk of complications, such as infections and blood loss, making it a safer option for many patients.
What makes Robotic Cancer Surgery different from other treatment options?
Robotic Cancer Surgery stands out from other treatment options due to several key features:
- Enhanced Visualization: The robotic system provides a magnified 3D view of the surgical area, allowing the surgeon to see tissues and structures in greater detail than with traditional or laparoscopic surgery.
- Increased Dexterity: Robotic instruments can mimic and enhance the movements of the surgeon’s hands, providing greater range of motion and the ability to make more precise movements than human hands can alone.
- Reduced Trauma: Compared to open surgery, robotic surgery requires smaller incisions, leading to less trauma to the body, reduced scarring, and faster healing.
- Higher Accuracy: The precision of robotic systems minimizes the margin of error, particularly in critical surgeries, such as nerve-sparing prostatectomies, where preserving function is essential.
- Tailored to Individual Needs: Robotic surgery can be used for a wide range of cancer types and can be tailored to the specific needs of each patient, providing a personalized approach to cancer treatment.
How does life change after Robotic Cancer Surgery?
Life after Robotic Cancer Surgery can be positively impacted in several ways:
- Faster Recovery: Patients often experience a quicker return to normal activities due to reduced pain and shorter hospital stays, allowing for a smoother postoperative period.
- Improved Quality of Life: With the potential for better surgical outcomes and fewer complications, patients may enjoy a higher quality of life post-surgery, with less disruption to daily life.
- Reduced Long-Term Side Effects: The precision of robotic surgery helps in sparing healthy tissues, which can lead to fewer long-term side effects, such as incontinence or impotence, especially in procedures like prostate cancer surgery.
- Better Aesthetic Outcomes: Smaller incisions mean minimal scarring, which can have psychological and aesthetic benefits, contributing to improved self-esteem and body image.
- Ongoing Surveillance: Post-surgery, patients will have regular follow-ups to monitor their recovery and ensure there are no signs of cancer recurrence, providing a comprehensive care approach.
Overall, Robotic Cancer Surgery offers a modern, effective, and patient-friendly option for treating various cancers, combining the benefits of advanced technology with the expertise of skilled surgeons.
Breast Oncoplasty is an advanced surgical technique that combines the principles of cancer surgery and plastic surgery to remove breast tumors while preserving or improving the breast's appearance. It involves the resection of cancerous tissue (lumpectomy or partial mastectomy) followed by reconstructive techniques to reshape the remaining breast tissue. The goal is to ensure complete cancer removal while achieving a more aesthetically pleasing and natural breast contour.
When and why do people go for Breast Oncoplasty?
People opt for Breast Oncoplasty primarily for the following reasons:
- Breast Cancer Treatment: It is commonly chosen by women diagnosed with early-stage breast cancer who are eligible for breast-conserving surgery.
- Aesthetic Concerns: Patients who are concerned about the cosmetic outcomes of traditional breast cancer surgery may prefer oncoplasty to reduce the risk of breast deformity or asymmetry.
- Psychological Well-being: Many women choose Breast Oncoplasty to minimize the emotional and psychological impact of breast cancer surgery, maintaining a positive body image.
- Better Surgical Outcomes: It offers a balance between oncological safety and aesthetic outcomes, providing a comprehensive approach to breast cancer treatment.
What makes Breast Oncoplasty different from other treatment options?
Breast Oncoplasty stands out from other breast cancer treatment options due to the following factors:
- Combination of Techniques: Unlike traditional lumpectomy, Breast Oncoplasty integrates reconstructive techniques immediately after tumor removal, addressing both the cancer and cosmetic concerns in a single surgery.
- Customization: The surgery is highly personalized, with techniques tailored to the size, location of the tumor, and the patient’s breast size and shape.
- Improved Aesthetic Results: It focuses on maintaining or enhancing the breast's appearance, reducing the risk of visible deformities, scarring, or asymmetry often associated with standard breast cancer surgery.
- Broader Tumor Resection: Oncoplasty allows for the removal of larger tumors while still maintaining a good cosmetic outcome, potentially reducing the need for mastectomy.
- Reduced Need for Secondary Surgeries: By combining cancer and reconstructive surgery, patients may avoid the need for additional procedures or implants, as the reconstruction is done concurrently.
How does life change after Breast Oncoplasty?
Life after Breast Oncoplasty often improves in several ways, though it also involves a recovery process:
- Enhanced Self-Confidence: Patients typically experience improved body image and self-esteem due to the preservation of the breast’s natural appearance.
- Effective Cancer Treatment: Oncoplasty ensures that cancerous tissue is effectively removed, offering peace of mind and a path to recovery.
- Recovery and Rehabilitation: Patients may require a few weeks to recover from the surgery, during which they may experience swelling, bruising, and discomfort. Physical therapy may be recommended to restore full mobility.
- Ongoing Monitoring: Regular follow-ups and mammograms are necessary to monitor for any recurrence of cancer.
- Quality of Life: With both the cancer effectively treated and the aesthetic outcome preserved, many patients report a higher quality of life, feeling more comfortable and confident in their daily activities and social interactions.
Breast Oncoplasty offers a comprehensive approach to breast cancer treatment, providing both oncological safety and cosmetic satisfaction, which can lead to a more positive recovery experience.
Microvascular Free Flap Surgery is a complex reconstructive surgical technique used to repair and rebuild areas of the body after trauma, tumor removal, or other significant tissue loss. It involves transferring tissue—such as skin, fat, muscle, or bone—from one part of the body (the donor site) to another (the recipient site). The transferred tissue, or "flap," is connected to blood vessels at the recipient site using microsurgery techniques to ensure proper blood flow and tissue viability.
When and why do people go for Microvascular Free Flap Surgery?
People typically undergo Microvascular Free Flap Surgery for several reasons:
- Reconstructive Needs Post-Cancer: It is often used after the removal of tumors, particularly in areas like the head, neck, breast, or limbs, where large amounts of tissue may need to be replaced.
- Trauma Repair: Individuals who have suffered significant injury or trauma may require this surgery to reconstruct damaged areas.
- Complex Wound Closure: It is used when conventional wound closure methods are inadequate due to the size or complexity of the wound.
- Function Restoration: To restore function in areas where critical tissue structures have been lost, such as in the case of jaw or limb reconstruction.
- Aesthetic Improvement: To improve the appearance and structure of a damaged area, aiding in physical and psychological recovery.
What makes Microvascular Free Flap Surgery different from other treatment options?
Microvascular Free Flap Surgery is distinguished from other treatment options by several key aspects:
- Tissue Viability: Unlike skin grafts or local flaps, free flaps are completely detached from their original blood supply and reattached to the recipient site, allowing for the transfer of large amounts of tissue.
- Precision: The use of microsurgery allows for precise reconnection of small blood vessels, ensuring the survival of the transplanted tissue.
- Versatility: It can transfer various tissue types (skin, muscle, bone) depending on the specific needs of the patient, offering a tailored approach to complex reconstruction.
- Durability and Functionality: Free flaps provide durable, well-vascularized tissue that can support long-term functionality and structural integrity in the reconstructed area.
- Comprehensive Reconstruction: It enables comprehensive reconstruction in a single surgical procedure, reducing the need for multiple surgeries.
How does life change after Microvascular Free Flap Surgery?
Life after Microvascular Free Flap Surgery can involve significant improvements, but it also requires a recovery period and adjustment:
- Restoration of Function: Many patients experience a significant improvement in the function of the affected area, whether it's chewing, speaking, or moving a limb.
- Enhanced Appearance: Reconstructed areas often appear more natural and symmetrical, which can boost self-esteem and confidence.
- Recovery Time: Recovery can take weeks to months, depending on the extent of the surgery and the patient’s overall health. Physical therapy may be required for optimal functional recovery.
- Monitoring and Care: Patients need to monitor the healing process carefully, as the success of the surgery depends on the proper revascularization of the flap. Regular follow-ups with the healthcare team are essential.
- Quality of Life: Overall, the surgery can significantly improve the quality of life, allowing patients to return to normal activities, work, and social interactions.
Patients considering Microvascular Free Flap Surgery should consult with a specialized surgeon to discuss the potential benefits, risks, and what to expect during the recovery process.
Video-assisted thoracoscopic Surgery (VATS) is a minimally invasive surgical technique used to diagnose and treat problems in the chest, including the lungs and surrounding structures. During VATS, a thoracoscope (a thin, flexible tube with a camera and light) and surgical instruments are inserted through small incisions in the chest. This allows surgeons to view the chest cavity on a video screen and perform procedures with minimal disruption to the body.
When and why do people go for VATS?
People undergo VATS for several reasons, including:
- Lung Cancer Treatment: VATS is commonly used for the removal of lung tumors, offering an alternative to open chest surgery (thoracotomy).
- Pleural Effusion Management: It is used to drain excess fluid in the pleural space and to perform pleurodesis to prevent fluid buildup.
- Lung Biopsy: VATS allows for the removal of lung tissue samples for diagnosing conditions such as cancer, infections, or interstitial lung disease.
- Pneumothorax Treatment: It can repair a collapsed lung and prevent recurrences by removing or sealing the source of the air leak.
- Mediastinal Tumors: VATS is used to remove tumors located in the mediastinum, the central part of the chest cavity.
Patients opt for VATS because it is less invasive, has a shorter recovery time, and typically results in less pain compared to traditional open surgery.
What makes VATS different from other treatment options?
VATS differs from other treatment options in several key ways:
- Minimally Invasive: VATS requires only small incisions, reducing trauma to the chest wall, muscles, and ribs compared to open surgery.
- Reduced Recovery Time: Patients typically experience a quicker recovery and shorter hospital stays due to the less invasive nature of the procedure.
- Lower Risk of Complications: There is a reduced risk of infection, less postoperative pain, and decreased likelihood of complications like prolonged air leaks.
- Enhanced Visualization: The video camera provides a magnified view of the chest cavity, allowing for precise surgical manipulation and better outcomes.
- Versatility: VATS can be used for a variety of thoracic conditions, making it a versatile option for both diagnostic and therapeutic purposes.
How does life change after VATS?
Life after VATS generally improves in several ways, though the recovery experience can vary:
- Faster Recovery: Due to the minimally invasive approach, patients often return to their normal activities more quickly than those who undergo traditional open surgery.
- Less Pain and Scarring: The small incisions result in less postoperative pain and minimal scarring, contributing to greater comfort during recovery.
- Improved Lung Function: For many, VATS resolves issues that were impairing lung function, such as removing tumors or fluid, leading to improved breathing and overall health.
- Regular Follow-ups: Ongoing monitoring through imaging and check-ups is essential to ensure that the underlying condition has been effectively treated and to detect any potential recurrences early.
- Enhanced Quality of Life: Many patients report a significant improvement in their quality of life after VATS, particularly in terms of mobility, breathing, and returning to daily activities without the burden of chest discomfort or disease symptoms.
VATS offers a modern, less invasive alternative to traditional thoracic surgery, with numerous benefits that make it a preferred option for many patients and conditions.
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