Department of CTVS

The department of Cardio-Thoracic and Vascular Surgery is a relatively very young department. Having shifted base from the Tribhuvan University Teaching Hospital to the autonomous Manmohan Cardiothoracic Vascular and Transplant Center, the department has grown not only in the available trained manpower, resources but also in terms of the services offered.

The Department, since its inception has worked with these basic goals:

1)        Providing quality care to the public in the field of Cardio-Thoracic Vascular Surgery so as to bring the services at par with centers elsewhere around the world.

2)        Providing quality education to undergraduates and adequate training opportunities to MS (General Surgery) and MCh residents.

3)        Taking active participation in research in the field.

4)        Fulfilling our Social obligations through the social service department.

 The services provided by the Department every week are:  

  1. The department runs Out Patient clinics in all the three surgical areas. Operative surgical services are provided for all types of Cardiac, Thoracic and Vascular services. A total of 372 major operations  have been performed in the last 12 months ( Cardiac= 146, Thoracic = 68 , Vascular = 141)
  2. The department also provides other specialized endoscopic services like Bronchoscopy, Esophagoscopy and Esophageal dilatation/ stenting.

 

Besides this the Department also runs a separate Breast and Thyroid Unit in the Tribhuvan University Teaching Hospital with 2 OPD sessions and operating session every week.

The department provides a round the clock emergency service for the patients with Cardiac, Thoracic and Vascular services. Being one of very few centers actually providing these services in the valley, vascular and thoracic emergency is a significant part of the proud work conducted in the Department.

Cardio- Thoracic and Vascular Surgery is an ever growing field with newer technologies in diagnosis and patient treatment being added to the armamentarium ever so often. Compared to the rest of the world it is no secret that we lag behind. However conscious effort has been made by the department to try and further develop the capabilities of the Department. In addition to the conventional paediatric and adult cardiac procedures, the department is looking to initiate the minimally invasive cardiac surgeries.

The Department has already started VATS with the modality being in current use for the diagnosis and treatment of pleural, pulmonary and esophageal problems.

A mediastinoscope and rigid bronchoscope to further extend our ability in mediastinal staging of lung cancer and also for the interventional bronchoscopy have been procured and  will be initiated shortly.

Endovascular treatment is another major advance that the department is set to make in the near future.

The commencing of function of the three modular Operating Theatres is expected to greatly add to the capacity of the department to provide faster, better and more effective service to the public. The establishment and management of well equipped and efficient ICU in the center has also been adding to our ability to approach and treat increasingly difficult and challenging cases in all three areas.

In the academic front the Department has attained a significant milestone by the completion of course by the first batch of MCh Cardio-Thoracic Vascular surgery by Dr. Siddarth Pradhan. Conducting regular classroom lectures and bedside teaching for the undergraduates and postgraduates has been a chief duty fulfilled by the department. The topic presentations, Journal club presentations, case discussions and weekly Radio-Thoracic conferences have been providing learning opportunities for the MS/ MCh students. The members of the department have also been expending significant time in the generation, publishing and presentation of the medical data.

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