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Dr Dhaval Mistry’s Inspiration, Practice & Aspirations In Surgery

Dr Dhaval Mistry’s Inspiration, Practice & Aspirations In Surgery

BY MILLY MAINA

Dhaval Mistry developed Acute Appendicitis when he was 14 and rushed to the hospital for an emergency appendectomy. An interest in the medical field was then created within him and he was fascinated by a surgeon’s power and responsibility to manipulate a human body to cure it. When he joined medical school, he wanted to be a surgeon and nothing else. Today, he is Dr Dhaval Mistry, a Consultant Laparoscopic and General Surgeon at Mediheal Hospital Parklands.

He has a MBBS and MS (General surgery) from BJ Medical College, Ahmedabad; and fellowship degrees FMAS and FIAGES in minimal invasive (Laparoscopic) surgery.

With more than eight years of practical experience in surgery, Dr Mistry is dedicated to exemplary patient outcomes and following all necessary surgical procedures with the use of latest knowledge, equipment and technology and evidence-based practice. Years of rich surgical practice have equipped him with sufficient knowledge and he is well versed in managing basic and advanced laparoscopic surgeries; open gastrointestinal and hepatobiliary surgeries for benign and malignant diseases; benign and malignant diseases of breast and thyroid; and upper and lower GI endoscopy among others.

Dr Mistry is a life member of the Association of Surgeons of India (ASI), Association of Minimal Access Surgeons of India (AMASI); Indian Association of Gastrointestinal and Endosurgeons (IAGES); Society of American Gastrointestinal and Endoscopic Surgeons (SAGES); and has participated and presented scientific research work and papers in various conferences and workshops in India and internationally.

Prior to joining Mediheal, Dr Mistry was as a Consultant General and Laparoscopic Surgeon in Shalby Hospital-Ahmedabad Anjaney Hospital (Vadodara) and Narayana Hospital and Research Institute, Bharuch in India. We engage him on his journey.

 

You are experienced in a range of basic and advanced surgeries. What skills does a surgeon require to perform such diverse surgeries?

Eagle’s eyes, Horse’s leg, Camel’s belly, Lion’s heart and Lady’s fingers. These are the qualities we were taught to possess to become a surgeon. On top of that, I believe to be able to perform wide varieties of surgeries, one skill that I need to possess is to master my body, mind and spirit. Mastering my body to have fine movements of my hands and hand eye co-ordination to perform a complex task of doing a surgery. Mastering my mind to make a right decision before, during and after a surgery. And mastering my spirit so that I stay humble, compassionate and keep seeking new knowledge and skills to keep progressing in this field.

 

Does surgery for benign and malignant diseases differ and if so, how?

Yes, for sure. Surgery for benign diseases is almost always minimalistic where you remove something or alter normal anatomy that is least necessary. While surgeries for malignant disease are more extensive where not only diseased tissue, sometimes you have to take out normal tissues at risk. However, with advent of new chemotherapies and radiotherapy technologies, even surgeries for malignant disease are getting minimalistic like offering Laparoscopic (key hole) surgeries for cancers in chest and abdomen as well as breast preserving surgeries for breast cancers. At present, it is not applicable to all cancers but we are hopeful for the future.

 

What is the most memorable surgery you have conducted to date and what makes it memorable?

Like many surgeons, my first surgery is the most memorable surgery. I got to do an Appendicectomy when I was an intern under supervision of a resident surgeon. It gave me a high and I felt like I was walking on the air after doing it. There was a sense of some achievement and I am always grateful to the resident surgeon who gave me the opportunity.

 

In addition to operative treatment, surgeons are also responsible for the patient’s preoperative and postoperative management. Describe these two aspects of your work.

A good surgeon needs to be a good physician as well who takes care of the patient before and after surgery. Pre-operative management has two aspects. The first is related to surgery itself where we need to assess whether a surgery is indicated or not and what type will benefit the most out of various options. Second is regarding overall health of the patient where we have to assess if the patient is having any other medical issues and if patient can sustain overall effects of the surgery and anaesthesia. Once we assess these both aspects, patient needs to be explained well about all the risks and benefits involved to get an informed consent.

Post-operative management involves managing pain of the patient adequately and be watchful for any complications related to surgery or patient’s pre-existing medical illness. If any complications arise (which we never wish), we act immediately to minimise their adverse effects on a patient’s health and improve overall outcome.

 

In line with advancements in technology and equipment, how would you say surgery has evolved since you first started your career?

When I started my career, minimal invasive surgery (Laparoscopic/ Key Hole Surgery, Lasers) was not wide spread. It was done by a few and we were not taught how to do them in government facilities where we learn. We had to learn it by various means later on. But today it is more widespread and easily available. Benefits of these modalities are now reaching to more areas and bigger population.

 

What advancement are you looking forward to in medicine and specifically in your field?

Today we have advanced from open surgery to laparoscopic surgery where we make small holes on the body to do surgery. Currently research is ongoing on how to perform natural orifice surgery without cutting the outside body but performing surgery by entering inside the body through our natural orifice like nose, mouth and anus.

Robots are also here to perform surgeries so that we surgeons use more of our mind and less of our body which can improve precision. Although currently confined to small parts of the world, I am sure it is going to be widely available and also here soon.

 

You have participated and presented scientific research work and papers at various conferences and workshops. What is some of the research work you have been involved in?

I am currently part of an international study group working on outcomes of surgery for Oesophageal Cancers. This group is made up of surgeons who performs surgery for oesophageal cancers and we are collaborating our data so that we can improve current standards of practice. Results should be out by next year. I am also working on a case series of mine on surgery to treat Gastro Oesophageal Reflux Disease (GERD) in sub-Saharan Africa set up.

 

What does a typical day for a Consultant Laparospcopic and General Surgeon look like when you are not in surgery?

It starts with seeing my inpatients, patients whom I have operated recently. After inpatient rounds, I do endoscopies in the morning session every day. In the afternoon, I am at my office seeing outpatients. I then see my inpatients again in the evening and finally sign off and go home to see my daughter. Although I am always on call when needed.

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