Highlights

HighlightsGuy's meeting at London

A Leader & Teacher

  • Unique feat of starting and leading 4 successful and prestigious Urology and Renal Transplantation Programs in India at Sanjay Gandhi Post-Graduate Institute of Medical Sciences (SGPGIMS), Lucknow in 1989, at Apollo Hospital, New Delhi in 1997, Fortis Vasant Kunj Hospital New Delhi in 2007, Medanta, the Medicity in year 2010, and Fortis Escorts Kidney and Urology Institute, Okhla Road, New Delhi in 2016.
  • Initiated Urology training programs at all Institutions of affiliation, M.Ch. Urology at SGPGIMS, Lucknow, and Diplomat National Board (DNB) Urology training program at Apollo Hospital, New Delhi, Fortis Hospital New Delhi and at Medanta, the Medicity.
  • Started 1-year Post Urology training Fellowship courses in Minimally invasive Urology and Renal Transplantation at Medanta and Fortis.

Expertise in Endo-Urology (PCNL) for upper tract

  • First in the country to start Endo-urology program (PCNL and Ureteroscopy) in 1989, while a Faculty member at SGPGIMS, performing both percutaneous access and procedure.
  • Worked with Mike Kellett and Hugh Whitfield, leaders in Endourology during the Institute of Urology Nephrology stint at London, UK during 1995-96.
  • Performed more than 3000 percutaneous nephrolithotomy (PCNL) since 1990.
  • Invited as faculty to almost all National and International Percutaneous Surgery Workshops being held in the country.
  • Performing PCNL in Camp settings, more than ten such procedures in a single day, since 1998, such camps being held every 4 to 6 weeks.

Expertise in Renal Transplantation

  • Executed more than 2500 live related renal Transplants since 1992.
  • Initiated India’s first Laparoscopic Donor Nephrectomy (LDN) program, at Apollo Hospital, New Delhi in 2000, and have one of the largest experience of LDNs.
  • Started the world’s first program of Robotic Recipient surgery under regional hypothermia in 2013 using intra-corporeal hypothermia as International collaboration with Vattikuti Urology Institute, Henry Ford hospital, Detroit, MI.
  • Have been performing more than 250 live related renal Transplantations during one calendar year, one of few such centers in the world.
  • Initiated and established Renal Transplantation program at four different Institutions, at Sanjay Gandhi PGI, Lucknow during early 1990s, at Apollo Hospital, New Delhi in 1997, Fortis Hospital New Delhi in 2007, and at Medanta, the Medicity in year 2010.
  • Incharge of Renal Transplantation program, vascular access and Cadaver harvesting as Honorary Lecturer at Institute of Urology and Nephrology London, UK for one year in 1985-1986, North Thames region, UK.

 

Expertise in Laparoscopic Urology

  • Live demonstrations of full spectrum of all complex laparoscopic reconstructive and Oncologic procedures (during live workshops), like Pyeloplasty, Partial Nephrectomy, Radical Cystectomy and Radical Prostatectomy at most laparoscopic Urology workshops in India.
  • First in India to initiate Laparoscopic Radical Prostatectomy program in 2004 and Laparoscopic Partial Nephrectomy program in 2007.
  • A regular invitee as operating Faculty member to demonstrate Laparoscopic procedures during National and International meetings in India.
  • Have won 10 National Best Video awards on Laparoscopic Video presentations.

 

Expertise in Robotic Urology

  • Headed the busiest Robotic Surgery program in India, performing more than 400 Robotic Urology procedures from 2010 to 2016.
  • Initiated country’s most successful Robotic Nephron Sparing Surgery Program and Early Prostate Cancer Surgery Program at Medanta.
  • Spearheaded world’s first Robotic Renal Transplant program under regional hypothermia at Medanta in 2013.
  • Faculty at Worldwide Robotic Surgery 24 hour event (http://wrse24.org/broadcasts/new-delhi/) organised by Karolinska Institute for EAU as one of leading robotic surgery center from four continents to demonstrate live robotic renal transplantation, robotic partial nephrectomy from Medanta, and Fortis Escorts, India. The selected eight centres for first event were Karolinska (Peter Wiklund, Abolfazl Hosseini), Aalst Belgium (Alex Mottrei), Guys London (Prokar Dasgupta), Verona in Italy (Walter Artibani), New York (Ash Tewari), Florida (Vip Patel), Los Angeles (Indy Gill, Mihir Desai), Seoul (Koon Rha), New Delhi (Rajesh Ahlawat), and Melbourne (Declan Murphy).
  • Invited to perform and mentor live Robotic Renal Transplantation at International events, having demonstrated and help develop the technique at Detroit (USA), Bilbao (Spain), Rome (Italy), Barcelona (Spain), Istanbul (Turkey), Ghent (Belgium) and London (UK).
  • Has been visited by various surgical teams from US, Europe and China to observe and learn his Robotic Renal Transplantation technique.

 

Pioneering and disseminating Robotic Renal Transplantation under regional Hypothermia

 

  1. The Background

Renal Transplantation is traditionally performed by open surgical method, unchanged since last 60 years. Patients requiring kidney transplant are prone to infections and are in frail health. There are dreaded surgical complications following open surgery, like wound infection and collections. Theoretically, a Minimally Invasive Kidney Transplant (MIKT), laparoscopic or robotic, would avoid open cutting incision, reduce complications and speed recovery, as has been proved in every other surgical field so far. In past, attempts at MIKT met with limited success due to limited range of movements with laparoscopic instruments and non-uniform and non-standardized approaches. It was also observed that there is slower recovery of kidney function during such attempts, which was attributed to the failure to keep the transplanted organ at desired lower temperature during surgery.

Idea of Robotic Renal Transplantation with hypothermia (maintaining low temperature of the organ during procedure) was conceived in 2012 in a collaborative meeting of Vattikuti Urology Institute, Henry Ford Hospital, Detroit, and Medanta Vattikuti Institute, Medanta, India. There were only two case reports of Robotic Renal Transplantation in literature at that time. The technique for hypothermia was mastered and standardized at Henry Ford Hospital, Detroit. After planning the steps, initial laboratory studies were done at Ohio State University, Columbus, Ohio. Dr. Ahlawat and team conducted successful phase 1 clinical trial of Robotic Renal Transplantation with hypothermia, the first world over, at Medanta Hospital, India, in Jan 2013 after the necessary Institute Review Board and Ethical Committee clearances. Results were gratifying and comparable to the open surgery gold standard, and published in literature.

  1. Disseminating Robotic Kidney Transplant around the world

  • A faculty for Worldwide Robotic Surgery 24 hour eventon Feb 16 and 17, 2015 http://wrse24.org/broadcasts/new-delhi/ as one of eight robotic surgery centre from four continents to demonstrate live robotic renal transplantation from Medanta, India. The selected eight centers were Karolinska (Peter Wiklund, Abolfazl Hosseini), Aalst Belgium (Alex Mottrei), Guys London (Prokar Dasgupta), Verona in Italy (Walter Artibani), New York (Ash Tewari), Florida (Vip Patel), Los Angeles (Indy Gill, Mihir Desai), Seoul (Koon Rha), New Delhi (Rajesh Ahlawat), and Melbourne (Declan Murphy).
  • Invited as Faculty for live demonstration of technique of Robotic Renal Transplantation at
  • A Chapter and reference on Robotic Renal Transplantation has been included in text books
    • “Atlas of Transplantation”, edited by Prof Ernesto Molmenti.
    • “Campbell’s Urology”, considered the Bible of Urology.
    • Smith’s Text Book of Endourology
  1. Visited by teams from around the world to observe and learn the technique

  • A transplant team consisting of Drs. Yoshida and Kim from Henry Ford Hospital visited Medanta to observe Robotic Renal Transplants in March 2014. Three successful such cases have, subsequently, been performed during May 2014 by the transplant team at Henry Ford Hospital, USA, led by Dr. Ahlawat.
  • Ernesto P. Molmenti, Vice Chairman and Transplant Surgeon at North Shore University Hospital, NY) visited Medanta in June 2014 with his team to observe the technique.
  • Jonathan Olsburgh and Dr Nizam from Guys Hospital, London visited Medanta with other team members in November 2014.Guy's2
  • Alberto Breda, MD, Cheif of the Kidney Transplant Surgical Team, Consultant in Oncologic Urology and Minimally Invasive Surgery, and Dr L Gausa from Department of Urology, Fundació Puigvert, Barcelona, Spain visited Medanta in June 2015 to observe the technique.breda
  • Antonio Alcaraz, chairman and professor at University of Barcelona visited Medanta in June 2015 to observe the technique.antonio alcaraz 2015
  • Puneet Sindhwani, Director, Renal Transplantation visited in May 2015 to observe Robotic Renal transplantation from Oklahama Health Sciences Center, USA.US
  • Dr Volkan Tugcu with his team from Bakirkoy Dr. Sadi Konuk Hospital, Istanbul, Turkey visited Dr Ahlawat in Nov 2015 to observe Robotic Renal Transplantation.Turkish delegation 2015
  • Chinese delegations of transplant surgeons visited in Sep. 2015, Mar 2016 and Jan 2017 to observe the technique.China
  • Dr Neal Banga and Dr Ravi Barod from Royal Free London Hospital visited Dr Ahlawat in Oct 2016 to observe Robotic Renal Transplantation.neal and ravi
  • George Rofaiel, MD, Surgical Director of Transplant Services, Fort Worth Transplant Institute, Texas in Oct 2016.
  • Dr. G Siena visited from Italy in Nov 2016
  • Dr Sananda Bag, Yashoda Hospital and Dr Suri Babu from Secundrabad, and Dr Ashiq Raval from Jaslok Hospital, Mumbai visited as group in Nov 2016. hyderabad