Path breaking Trans Oral Video Endoscopic Surgery (TOVES) comes to the rescue of 75 year old ma

New Delhi, 27th January, 2018: Mr. Naseera from Alwar, Rajasthan was a 75 year old man who was suffering from end stage oropharyngeal cancer, which was surgically removed through a path breaking surgery which involved the intricate use of endoscopic tools. Mr Naseera had registered himself with UMEED, an initiative which is focused on providing quality and affordable cancer care. It also provides subsidized treatment for Oral and Breast Cancers to the underprivileged. Through this initiative he met Dr Mandeep S Malhotra, Department of Head Neck & Breast Oncoplasty and his team, comprising of Dr Deepak Jha and Dr Yogesh Jain who were able to end his suffering by performing the first of its kind ‘Trans Oral Video Endoscopic Surgery (TOVES)’.

TOVES is anapproach to treat Oropharngeal Cancers(Cancer of Tonsil and Back of Tongue;Throat) surgically which  involves usage of conventional Endoscopic(Laparoscopic), instruments which are similar to those used for performingLaparoscopic Cholecystectomy, costing about 1/3rd or even less as compared toRobotic Surgery and very less mutilating as compared to open surgery whichinvolves incising the neck and cutting through jaw bone. It involved 2 monthsof improvisation and efforts to make these instruments suitable for Trans oralsurgery. This technique enables the surgeon to stand right at the patient'sHead maintaining the close doctor patients connect. Trans Oral Video EndoscopicSurgery (TOVES) as named by Japanese,  as compared to Robotic Surgery (TORS),has the main benefit  of  bringing down the cost drastically andmaking  this treatment affordable  to  a large section of oursociety, and  also has the advantage of  maintaining the directdoctor patient connect. Surgical techniques like TOVES should be extensivelyevaluated, researched, improvised and applied for the larger benefit of ourpeople as well as across the world. 

Oncompleting the surgery successfully Dr Mandeep said, “Weresearched and studied extensively before we conducted TOVES. Our main aim wasto ensure that the patient gets the same results as what is achieved by roboticsurgery. It wasn’t easy as we had to do two months of intensive preparation andimprovisation to make the TOVES procedure a viable option for the patient. Thebenefit of doing TOVES is that there is a possibility of delivering thebenefits of Transoral approach in substantially less costs for  treatingoropharangeal cancers vis a vis Trans Oral Robotic Surgery(TORS). Surgicaltechniques like TOVES should be evaluated, researched, improvised and appliedfor the larger benefit of people all over the world.” 

Mr.Sandeep Guduru, Facility Director at FHVK said, “When Dr Mandeep and his teamapproached me with this procedure, I was confident that it would be a milestonein the treatment of oral cancer. They have worked hard to conduct thischallenging and innovative surgery, thus creating a treatment option which wasresult oriented and cost effective. I am happy to see so much passion in thedoctors and the medical staff. They have revolutionised cancer treatment forthose who may have previously found it unaffordable, and by doing so have gonebeyond their call of duty to make the impossible possible.” 

On hisrecovery Mr Naseera said, “I was at my wit’s end about what to do. I wasn’t able to affordconventional treatment and therefore I registered myself with UMEED. I hadforgotten how to eat and smile, but it was the team of doctors at FortisHospital Vasant Kunj who brought everything back to my life. The registry throughUMEED helped me immensely as it gave me an inkling of who to approach and whereto seek treatment from. I can proudly say that I am much better, and am ahealthy, successful and living example of TOVES treatment. I was whollydependent on the doctors at Fortis and they delivered their best. I trustedthem and they gave me the treatment I required at a cost I could afford it at.”  

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