10 years at TMH where he held the position of consultant breast cancer surgeon and professor of surgical oncology with over 6000 surgeries for breast cancer done varying from breast conservation to modified radical mastectomy to oncoplastic surgeries like reduction mastopexy, symmetrisation procedures, and therapeutic mammaplasty. His expertise includes conservative surgery for axillary lymph nodes like sentinel node biopsy using radiocolloid and isosulfan blue dye (for early breast cancers) and 4 node axillary sampling (anatomic) that Tata Memorial Hospital pioneered for the country.
KDAH EXPERIENCE
In 2009 he moved to Kokilaben Hospital and till date has performed over 2500 breast surgeries. At Kokilaben Hospital he has an extensive experience in the following
Oncoplastic breast conservation - roundblock, hemi roundblock, single incision therapeutic mammaplasties and E3 grissoti flap oncoplastic surgery for central quadrant tumours.
Skin sparing and nipple areola complex preserving Mastectomies (where the disease doesn't allow breast conservation) with whole breast reconstructions using LD flaps with or without implants/expanders and free Deep Inferior Epigastric Perforator Artery flaps (best suited for Indian women)
Bilateral prophylactic mastectomies with whole breast reconstructions in BRCA 1 and 2 positive patients.
Practice of breast conservation surgery with intraoperative radiation implants (HDR Brachytherapy) that allows completion of RT (accelerated partial breast irradiation) in a week
Sentinel node biopsy using the radioactive isotope and blue dye techniques to avoid unnecessary surgery of the axillary lymph nodes in patients with no involvement of the axillary lymph nodes. This prevents lymphedema in a vast majority of patients.
Microdochectomy/ Hadfields procedures that are diagnostic/therapeutic procedures in the management of patients with blood stained nipple discharge. Cosmetic approaches to treating benign lumps of the breast.