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NARELA, with its narrow lanes, is an industrial district in the northwestern suburbs of Delhi, the most unusual place to house a clinic that performs bad implant surgeries. But it is here, on the first floor of a building, that the plastic and aesthetic surgery center K D has an operating theater and a patient care service. And if you ask the head of the center who admits that surgeries with bad implants are performed here for about 50,000 rupees each.
In Pitampura, 20 km from the KD Plastic Surgery Center, is the Olmec Plastic Surgery Center. Here, the theater of operation is located in an apartment of the Delhi Development Authority (DDA). This seems to be a busy center since the waiting period for bad implantation is two months. A technician is common to both centers. He has already worked at the Olmec Plastic Surgery Center. Noting how much bad implants are in demand and lucrative surgeries, he decided to create his own store. He now owns the KD Plastic Surgery Center in Narela. What are his medical degrees? Is his clinic certified to do these surgeries? Is there a way to check his background? Are there peers who will testify to his competence?
#ImplantFiles: Large Bazaar of Medical Equipment: Defective Implants, Undercoverous Underworld Surgery
Each is a valid, potentially lethal or deadly question, but you have won do not find it of answers here.
Because nothing illustrates more powerfully what is wrong with the bazaar of medical devices in India than the Indian market boom of bad surgery. Nobody checks the safety of the implants. regulators do not exist; technicians often duplicate surgeons; Shame and stigma prevent patients from reporting the terrible consequences of what went wrong, according to a survey conducted by The Indian Express. On Monday, the Indian Express, in collaboration with the International Consortium of Investigative Journalists (ICIJ), explained how almost every medical device is advertised, sold and surgically implanted into a regulatory system that does not that continually awaken reports from across the country. From coronary stents to pacemakers to knee and knee implants, from pelvic meshes to intrauterine devices.
And how the world's majors encouraged doctors to use gifts to push their products and to persuade patients to pay exorbitant prices Attractive loan schemes.
"There is quackery in the area"
In Pitampura, Dr. Narendra Kaushik, owner of the Olmec Plastic Surgery Center, says that nearly half of his bad implants are " revision surgeries ". He has kept a record of some of these surgeries and the video clips that he shares share a horrifying and horrible account of the insensitive and unregulated way in which bad implant surgeries are performed.
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A video records the removal of an implant. It is fragmented and shows signs of infection and rash around the bad. Another implant removed from a patient shows a collection of mites on the surface, evidence that the initial surgery was performed under extremely unhygienic conditions. The third case mentioned by Dr. Kaushik is the removal of a bad prosthesis – that is what a surgeon had placed in place of the usual silicone or saline implants , of which hundreds are sold in the country each year.
Dr. Kaushik claims to perform 10 to 15 bad implant surgeries each month in his Pitampura clinic, about half of which are transgender patients. "The majority of revision surgeries or corrective surgeries are performed not because of defective implants. They are done because unqualified people perform the surgeries and the implants themselves are accessible to all. In the past five years, the number of bad implant surgeries in India has increased exponentially and I have even noticed a trend in my clinic of buddies sponsoring surgeries for their girlfriends. The problem: there is quackery all around, "he says.
Read: #ImplantFiles – Transgender under the scalpel in the best hospitals and health centers; doubtful clinics
And far from Pitampura, in a clinic of Saket that welcomes the most fortunate, the history of bad implant surgery is no different. Dr. Monisha Kapoor is the owner of this clinic located south of Delhi. According to her, at least five of the 10 bad implant surgeries she's performing are corrective surgeries. "We are correcting more and more bad implant surgeries and several patients have come up with what we call cascading or capsule malformations. People are fooled because today even dermatologists and Ayurvedic doctors practice surgeries with dubious standards in clinics that are multiplying throughout the city and country, "says Dr. Kapoor. [19659008ApatientwhodidnotwantheridentityrevealedrevealedhavingobtainedbadimplantsmadeataGreaterKailash-IIclinicbyareputedplasticsurgeonOfcourseitwasarushedjobforwhichshehadpaid15lakhRsLatershecontactedDrKapoorforrepairwork
#ImplantFiles: ICIJ-Express Survey: Why Implants Have Been Surveyed
"L & # 39; implant had obviously not been placed in the right place and even my husband noticed that it was almost touching my neck.The implant became lumpy, took the form of a little capsule of time to make things worse I've had throbbing pains for weeks. Once I was open at the Saket Clinic for revision surgery, I was shocked to see the collection of pus. A serious infection has occurred, "said the patient at The Indian Express.
No scientific study in India
No scientific study has been conducted in India on the side effects or risks of bad implant surgery, but has had many studies at the # 39; abroad. All over the world, implants are used for augmentation or for bad reconstruction after mastectomy or other bad damage. A third category has now been added – that of "surgical revision" for the correction of the original bad implant surgery.
#ImplantFiles: How the Heart Giant Attached Doctors with Gifts and Patients with Loans
This was in 2006 US Food and Drug Administration (FDA) approved the sale of 39 silicone implants from companies like Allergan and Mentor, claiming that there was no direct link between implantation and cancer. But it was incumbent on companies to participate in a summary reporting program of adverse events with them. Currently, the FDA mentions capsular contracture, bad pain, rupture with deflation and silent rupture among the "complications and adverse consequences" of bad implants. More than a decade after the 2006 FDA report, studies (from 2013 to 2017) found an badociation between bad implants and a systemic disease. Significantly, the FDA's current page on the risks of bad implants indicates that it has not detected any badociation with systemic diseases
but "to eliminate these complications and others, studies will need to be longer and longer than those conducted far … "
A study conducted by ICIJ as part of the implant case survey shows that, to the extent that the FDA MAUDE reports on bad implants (User and Device Facility Experience) regarding bad implants are underway, unwanted reports over the past two years. MAUDE is a database containing reports on medical devices submitted to the FDA.
Data on bad implants show that out of 408 adverse event reports in 2006, this number rose to 4,756 in 2017. Until June 2018, this number had increased. at 8.371. Figures published by the International Society of Aesthetic Plastic Surgery show that India ranked seventh among the top ten countries in 2016 for all bad procedures, including saline implants, lifts and bad reductions as well as removal of bad implants. The total number of bad surgeries recorded in India was 92,960.
No List of Manufacturers
While International Health Opinions on the Sale of Breast Implants Remain Weak, It Is Safe 39, is a largely unregulated field in India. The Central Drugs Standard Organization (CDSCO) does not list any list of Indian or foreign licensed manufacturers who have put their implants on sale in India.
According to major distributors, Mentor and Allergan stopped distributing their products in India because of poor sales. Motiva and Eurosilicone, two companies currently distributing products, together represent an annual turnover of about 1,000 pairs of bad implants. Then there is a huge amount of sales in the "gray zone" with Chinese and Korean products flooding the market.
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AD Mathur, director Myvatec Surgical Systems, distributor for Motiva implants, says: "I'm busy bad implants since 1984 and I can say that the company is growing, but very gradually. "Namita Kumar, who heads Apex Marketing in Bengaluru" We have been treating bad implants for over two decades and the first year we have been We have now sold 500 pairs a year and there is a clear increase in sales Implants are now offered as Valentine's Day gifts, but the problem is that even dermatologists and gynecologists The guidelines must be tightened up urgently. "
Several leading plastic surgeons told The Indian Express that they had approached the question. they were the only members of their fraternity performing surgeries with their Panindian badociations, but no official instructions had been issued. Dr. Manoj Khanna, President of Enhance Clinics and President of the Indian Association of Visual Plastic Aesthetic Surgeons, says, "We have touched on this topic, but at the moment, no legislation is preventing a physician to perform surgery such as bad implantation. "[19659038]
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