Dentistry & Maxillofacial

A professional WWE wrestler sustained a knee injury during a wrestling bout while on tour in India, resulting in acute pain, instability, and inability to continue performance. Clinical and radiological evaluation confirmed an anterior cruciate ligament (ACL) tear along with a concomitant meniscus injury.

He was evaluated by the orthopaedic team, led by Dr. Brajesh Koushle, and was advised to undergo surgical intervention to restore knee stability and enable early return to high-impact activity. Given the functional demands of a professional athlete, a minimally invasive, precision-driven approach was planned.

The patient underwent arthroscopic ACL reconstruction using an advanced Xiros ligament system, along with an all-inside meniscus repair. The procedure was performed using keyhole techniques, ensuring minimal tissue disruption and optimal anatomical restoration.

Postoperatively, the patient showed rapid recovery. Early mobilisation was initiated, and he was able to bear weight and walk on both limbs from the very next day. With structured rehabilitation, he is on track for a timely return to professional wrestling within a few weeks.

Treatment By:
Dr. Brajesh Koushle and Team

A 59-year-old female from Comoros presented with severe bilateral knee dysfunction and associated implant-related complications. She had a Grade 3 valgus deformity with advanced osteoarthritis, a failed primary total knee replacement of the left knee, and significant implant impingement at the left ankle, resulting in marked pain and restricted mobility.

She was evaluated by the orthopaedic team at Yashoda Medicity led by Dr. Brajesh Koushle and Dr. Gaurav Thakral, at Yashoda Medicity. Given the complexity of her condition and functional limitations, a comprehensive surgical plan was formulated. 

The patient underwent primary total knee replacement of the right knee, revision total knee replacement of the left knee, and removal of the impinging implant from the left ankle in the same sitting. The surgery was successfully completed with meticulous intraoperative management.

Postoperatively, the patient showed excellent recovery. Early mobilisation was initiated, and she was able to stand and walk from the first post-operative day. She was discharged in a stable condition, walking unassisted and with significant improvement in functional outcomes.

Treatment By:
Dr. Brajesh Koushle, Dr. Gaurav Thakral, and Team

A 65-year-old female, a known carcinoma colon survivor, presented with altered sensorium, severe headache, diplopia, and worsening vision.

On arrival, she was drowsy, disoriented, with gaze palsy, hemianopia, and significantly elevated blood pressure. MRI brain revealed a large left occipital tumor with acute haemorrhage, requiring emergency intervention.

She underwent urgent craniotomy with total tumor excision and evacuation of the hematoma. The surgery was completed successfully.

Post-operatively, she showed rapid and remarkable recovery, with significant improvement in neurological status. She was discharged in four days and, at one-week follow-up, was walking independently with restored clarity of vision and no headache.

Her recovery was exceptional for the extent of pathology and age, with neurological improvement far exceeding expected timelines.

Treatment By:
Dr. Rajinder Kumar

A 27-year-old patient diagnosed with advanced-stage T-cell lymphoma presented for specialised evaluation and management. Given the aggressive nature of the disease, a detailed clinical assessment and a structured treatment plan were undertaken by the expert team.

The patient was treated with high-dose chemotherapy followed by an autologous stem cell transplant, a well-established approach for managing advanced hematological malignancies. The treatment was carried out under the expertise of Dr. Nivedita Dhingra, Director & Head – Hematology, Hemato-Oncology and Bone Marrow Transplant (Adult & Pediatrics), along with Dr. Karuna Jha, Senior Consultant – Hematology, Hemato-Oncology and Bone Marrow Transplant (Adult & Pediatrics), supported by the dedicated BMT team.

The treatment protocol was designed to achieve optimal disease control while ensuring patient safety. High-dose chemotherapy helped target and eliminate malignant cells, followed by stem cell reinfusion to restore healthy bone marrow function.

The patient responded well to the treatment and was closely monitored throughout the recovery phase, demonstrating a stable clinical course post-procedure.

This case highlights the importance of a protocol-based, multidisciplinary approach in managing rare and complex lymphomas, combining clinical expertise with advanced transplant capabilities to achieve effective outcomes.

Treatment By:
Dr. Nivedita Dhingra & Dr. Karuna Jha

A 78-year-old male patient presented with difficulty in swallowing and a small growth at the base of the tongue. Initial evaluation, including biopsy and imaging, confirmed a malignancy involving the tongue along with an affected lymph node in the neck.

As part of routine staging, a whole-body scan revealed an additional lesion in the upper lobe of the lung with associated chest lymph nodes. Further evaluation confirmed this to be a second, unrelated primary cancer. This rare presentation of two simultaneous primary cancers required a carefully coordinated and highly specialised treatment approach.

After a detailed assessment by a multidisciplinary team, a comprehensive treatment plan was developed with curative intent. The patient was treated using advanced adaptive radiotherapy, a technique that allows real-time adjustments to radiation delivery based on daily imaging and anatomical changes, ensuring high precision and safety.

Both cancers were treated concurrently. The lung and chest lymph nodes received a planned course of radiation over six weeks, while the tongue and neck region were treated over seven weeks. Each session was guided by high-resolution imaging, enabling accurate targeting of the tumours while preserving surrounding healthy structures. The patient completed the treatment successfully with good tolerance. He showed a steady recovery and continues to remain stable on follow-up.

This case highlights the power of advanced radiation technology and multidisciplinary expertise in managing rare and complex cancer presentations.
 

Treatment By:
Dr. Gagan Saini

A 55-year-old woman diagnosed with advanced high-grade serous ovarian cancer presented after completing three cycles of neoadjuvant chemotherapy. She had responded well to treatment, with imaging showing significant disease resolution and tumour markers returning to normal levels. Following a comprehensive evaluation, she was planned for interval debulking surgery combined with Heated Intraperitoneal Chemotherapy (HIPEC).

After detailed counselling and preoperative optimisation, the patient underwent surgery under the care of the expert team. A meticulous cytoreductive procedure was performed to remove all visible disease, followed by the administration of HIPEC, a targeted chemotherapy delivered directly into the abdominal cavity using specialised equipment over a controlled duration. The entire procedure was carried out with precise monitoring and a highly coordinated approach.

Postoperatively, the patient was closely monitored with a structured care protocol, including optimal fluid management and regular assessment of clinical parameters to support recovery.

The patient demonstrated a smooth and steady recovery and was discharged in stable condition on the eighth postoperative day. She continues to do well on follow-up.

This case marks a significant milestone as one of the successful HIPEC procedures performed at Yashoda Medicity, highlighting the team’s expertise in delivering advanced oncological care with precision and safety.

Treatment By:
Dr. Satinder Kaur, Dr. Hemlata Garg, and Dr. Ipshita Sahoo