Dr.Dilip Kiyawat

Dr.Dilip Kiyawat Dr. Dilip S. Kiyawat works as Neurosurgeon at Jehangir Hospital, Pune, Maharashtra, India. He completed his M.Ch.(Neuro).

He has wide experience working in various fields of Neurosurgery like Brain Trauma, Spine Trauma, Pediatric Neurosurgery.

Need not fear Spine SurgeryA long-held belief in the general population rural and urban is that after spinal surgery, th...
08/08/2023

Need not fear Spine Surgery
A long-held belief in the general population rural and urban is that after spinal surgery, the patient will remain in bed for 4-6 months, unable to walk, most probably paralyzed below the waist, and lose control of his bowel and urinary bladder, passing urine and stools in clothes. Whenever I advise these patients to surgery their knee-jerk reaction in spite of severe pain and disability is denial due to the same fear. Their relatives, friends, or neighbors having no personal experience promptly advise him against surgery on the spine. They all are misguided by word of mouth.
It is important to mention in the interest of these patients that at present surgery on the spine is very safe with the incidence of the dreaded complications below 1%, thanks to an improved understanding of spinal disorders, better imaging of the spine, evolution of surgical techniques, and specialized instruments.
In the past removal of simple disc prolapse involved major surgery with long incisions and invasive procedures leading to postoperative discomfort and slow recovery. Now, the same operation is done with greater precision thanks to a minimally invasive technique using a microscope or endoscope through a < 2 cm incision. The patient goes home walking in a day or two.
Similarly, major surgeries like fixing spinal fractures and dislocations or removal of spinal tumors can be done with greater precision and excellent recovery in a short time.
If the surgeon strongly suggests surgery, it is in the interest of the patient.
One need not fear spine surgery.
Dilip Kiyawat
9822046043 For more info visit us at http://www.drdilipkiyawat.com/latest-update/need-not-fear-spine-/25?utm_source=facebookpage

Give your city a periodic holidayNature is at its best these days thanks to this enforced lockdown. Absence of fumes exh...
21/12/2020

Give your city a periodic holiday

Nature is at its best these days thanks to this enforced lockdown. Absence of fumes exhaled by vehicles and industries, construction work at a standstill, industrial excreta not pouring into rivers, absence of noise and vibrations due to scanty traffic, have transformed our cities and environment. The pollution level is at its lowest. The cities look as though they have been thoroughly washed by nature. The fragrance of freshness in the atmosphere is reminiscent of the 70s and 80s, an entirely new experience for the younger generations who have never seen our cities as beautiful as a young bride any time before. When the lockdown was released for some days we could see the difference in the atmosphere at once, the cities became polluted, dirty, and noisy again.
We go on holiday to enjoy a clean, fresh environment and to distance ourselves from the stress of work. We return rejuvenated with more vigor and freshness gleaming from our faces. Today, our cities are also looking very happy and rejuvenated; appear to have just returned from a long holiday. They have regained what originally belonged to them. The animal life, birds, vegetation, fresh air, pollution-free atmosphere, everything that belonged to this land has now come back without our efforts, in fact, due to lack of them. Many animals and rare birds driven away into hidings by human encroachment, have now found their ways back venturing fearlessly on the roads, a spectacular sight. It was always there but in our quest to ‘progress’ with the world we converted the natural mountains, forests, lakes, and rivers into mountains of concrete structures; forests of industries and vehicles; ponds, nallas of filth and pollution. Our ever-growing population merely adds to these man-made disasters.
Intoxicated with scientific knowledge, man always thought himself superior. His ego made him believe that he could do without anything else, least of all the gifts provided by nature. Nature continued to give us oxygen, water, food, and shelter; but we neglected our symbiotic relationship with it, its animals, birds, insects, rivers, forests, mountains, and air. We forgot that we are wholly dependent on them and not them on us. If anyone of them vanishes from earth our existence would be in danger and not the other way round.
The COVID19 pandemic has taught us many lessons. Foremost among them is imperative to shift our priorities from materials towards staying healthy. In a very short time, we readily sacrificed our pleasure, luxury, work, income, and relationships mainly to remain healthy. We never shun away to have stayed indoors; do all the hard and unpleasant work at home only to say “goodbye” to the deadly virus. Overnight, as a blessing in disguise, a religious precept has at last got recognition that our basic needs are limited and mere acquisition of material goods is pointless. A rethinking is required to draw a different model of living, revalue our needs, and set priorities to create a modified paradigm for living.
Just think of a couple of months from now, when lockdown will be completely lifted. The reappearance of hustle bustle on roads, pollution of air and noise, garbage and filth all around, and sudden disappearance of those rare animals and pretty birds will make us nostalgic about the lockdown days, which we are cursing today. Wishfully, we shouldn’t need lockdown again for this reason, but just a thought to ponder. Can we voluntarily enforce a status of “lockdown”, “stay home”, “be indoors”, whatever you name it, for one week once in a month or so, when all the educational institutes, offices, malls, clubs, shops, construction work, road work, traveling everything which falls under the present lockdown law, would come to standstill. In other words, give a week’s holiday on a regular basis to our overworked environment.
It is time now that we repay our debt to our holy motherland: a periodic rest, some breathing time, allow the eco-system to rejuvenate. Now that we know that we can do without many “essential” things, so far considered “unlivable without”, we can easily adapt to a little trade-off to get a quality environment and allow our overburdened land to recover. Let all the trades, traffic, institutions, malls, and shops come to standstill, ensure that those who can, all work from home where possible just for one week once in a month. A little discomfort would be well compensated with a clean atmosphere for all. Maybe some of us will have less income but don’t we all take holidays, spend time, money just to get to a similar, healthy atmosphere? Despite all the efforts all over the world, governments are unable to ensure pollution-free cities. All the strategies have failed. Why not try giving the city a periodic holiday for the benefit of the whole population?
A preplanned, short-term, periodic lockdown would not be as harsh as that experienced recently. Everybody would be forewarned and prepared. Had it not been for the experience we gained recently, this suggestion would have been dismissed as absurd with grave consequences. Most would have exclaimed: ‘We can’t even dream of this!’ But now, we can confidently profess that nothing significant would be lost in terms of finances, education, and production, since it would be a planned move and in return, we shall rejuvenate our ecosystem on a regular basis.
We have already learned to live with it, some have started liking it too and probably, after some time, most of us would be looking forward to having it; one week's periodic holiday to our city.

Dr. Dilip Kiyawat
Consultant Neurosurgeon
Jehangir Hospital, Pune
9822046043
dilipkiyawat@gmail.com

Give your city a periodic holidayNature is at its best these days thanks to this enforced lockdown. Absence of fumes exhaled by vehicles and industries, construction work at a standstill, industrial excreta not pouring into rivers, absence of noise and vibrations due to scanty traffic, have transfor...

THE BRAIN LOCKED DOWN FOREVER…The lockdown status, with its uncertainties and futureprojections highlight a resemblance ...
08/06/2020

THE BRAIN LOCKED DOWN FOREVER…
The lockdown status, with its uncertainties and future
projections highlight a resemblance to situations that are close to
what I as a neurosurgeon very often encounter during the
management of patients with severe brain injury.
A 45 years old man is brought to emergency room
unconscious with head injury in a road-accident. Close relatives
wait in the counseling room for the neurosurgeon to come out and
give some satisfactory breaking news. The neurosurgeon’s grim façade spells a serious
verdict “patient has suffered severe injuries to his brain and as a result he is unconscious and
having difficulty in breathing for which ventilator’s support has been started”.
The Neurosurgeon faces a shower of questions, all phrased differently, but hinting at
the same underlying doubt –“When will he open his eyes and start talking?” And, so the
responses from the neurosurgeon were all phrased differently, but all indicated the same
meaning, – “his brain is injured badly, the condition is serious and the first couple of days
(about 48 hours) are crucial, at the end of that period we may gain some insight about the
progress”. The relatives are unable to grasp all that was told, and retire for the day,
optimistically expecting that everything would be alright after 48 hours.
We had a similar situation when our Prime Minister warned the masses that the
corona pandemic is spreading fast and that the condition of India is very serious. On the 22 nd
March 2020 he imposed the Janata Curfew (similar to the entire country being pushed into
ICU for one day). All the countrymen accepted it unwaveringly, expecting the clouds to clear
The way millions of
people are feeling today
due to the corona
pandemic is exactly how
the relatives of a severely
head injured patient feel
when he is being treated
by a neurosurgeon in ICU.
The author compares the
life of a brain injured
victim with that of lock
down victims.

2
soon. The entire nation was in a state of total bandh (shutdown), an unprecedented successful
total national bandh which perhaps any political party aspiring to call for a bandh in normal
times would be envious of.
A few days later doctors in the ICU informed the relatives that his condition was
worsening since the injuries were deep and wide spread and recovery is unpredictable. The
wife’s anxious questions regarding gaining consciousness and duration of stay in the ICU
were not answered with any confident affirmation from the doctor.
On the national scale also, after two days the PM announced that corona pandemic is
taking a serious turn and we have to follow three weeks of strict discipline, stay quarantined
at home, no going out, businesses and factories closed, no gym, no malls, no restaurants,
devoid of all social pleasures only stay at home and home only; a state of total lock down was
imposed in the country. “Lock down”! A phrase, heard first time being used for a region or
whole country, was destined to become the most commonly used phrase in the coming
months. For most of us so far, it was linked to criminals and prisons only.
In the ICU also, doctors informed that the patient continues to be serious, intracranial
(inside the brain) pressure is increasing, and which needs constant monitoring and ventilator
support. He may remain ICU bound for three to four weeks. “Will he be alright? Will he start
talking after that?” were the curious queries that got sidelined in the midst of medical jargon
explaining challenges in managing such serious patients and uncertainties posed by each
case.
Three weeks passed, people stayed at home, and got used to a new life pattern of
working from home to working for home, self -cleaning, self-cooking, sans restaurants, sans
outside entertainment, sans the luxury of moving outside freely, sans habits that were so
easily adopted unknowingly over the past many years. The common habits of paan, gutaka,

3
smoking, alcohol, and even innocuous pleasures such as fine dining, movies, gym etc. all
receded from ‘essential’ aspects of life to ‘livable-without’ pleasures. For some, what more
they would have achieved by visiting a de-addiction center; time and money saved was a
bonus.
By now, financial impact due to lockdown was visible on millions of people across the
country due to lost jobs and businesses, and was similar to what the family of head injured
victim were facing due to abrupt seize in business on one hand and mounting hospital bills on
the other. Excitement of the family at weaning off the ventilator and starting of nasal tube
feeds was akin to the relaxation in lockdown where people were allowed to go out to get
some essential items. But essentially the lockdown continues, and so also the patient
continues to remain in ICU.
Finally, the locked down was lifted, but only in certain green zone areas. People
were delighted, restricted movements were seen in many parts of the cities. People began to
question when life- as such would return to a state of normalcy. In hospital also the family
was delighted to see him eat some food, communicate with gestures and moving out on a
wheelchair but when would he return to normal life was the lingering question. Thus the
uncertainties continued with both, the head injury victim and locked down victims. The
question of returning to normalcy got rephrased from when to whether.
Experts state that even if the lockdown is completely lifted and the pandemic passes
away, the life, businesses, free and fearless movements, gatherings and enjoyment, work in
offices and factories, attendance in schools and colleges, movements in malls, theatres and
clubs would never again be the same. We will have to learn to live a different life in the post
corona phase.

4
In hospital also the neurosurgeon predicted a similar future for the patient. Even if he
recovers, he will have poor attention, poor memory and dependent life, and certainly will not
return to his business and usual enjoyments. With limited activities he will never be the same
person as before. He will have to learn to live a different life in the post head injury phase.
The brain will be locked down for ever...
Dr Dilip Kiyawat
Consultant Neurosurgeon
Jehangir Hospital, Pune
dilipkiyawat@gmail.com
+91 9822046043. For more info visit us at http://www.drdilipkiyawat.com/latest-update/the-brain-locked-dow/23?utm_source=facebookpage

Brain Surgeon – Dr. Dilip KiyawatThere are numerous types of brain surgery. The type used is based on the area of the br...
04/04/2020

Brain Surgeon – Dr. Dilip Kiyawat

There are numerous types of brain surgery. The type used is based on the area of the brain and the condition being treated. Advances in medical technology have enabled surgeons to operate on portions of the brain without a single incision in or near the head.

Brain surgery is a critical and complicated process. The type of brain surgery done depends highly on the condition being treated. For example, a brain aneurysm can be repaired using a catheter that’s introduced into an artery in the groin. If the aneurysm has ruptured, an open surgery called craniotomy may be used. Surgeons, while being as careful and thorough as possible, treat each surgery on a case-by-case basis.. For more info visit us at http://www.drdilipkiyawat.com/latest-update/brain-surgeon-dr-/22?utm_source=facebookpage

Brain Tumor Surgery Specialist in Pune.Trigeminal Neuralgia SurgeonThe term Trigeminal Neuralgia (TN), has two words wit...
04/04/2020

Brain Tumor Surgery Specialist in Pune.
Trigeminal Neuralgia Surgeon
The term Trigeminal Neuralgia (TN), has two words within it. Trigeminal nerve is one of the (twelve) cranial (head) nerves which has three divisions (ophthalmic, maxillary, and mandibular) supplying to the areas of upper eye-lid to the lower chin. Neuralgia means pain. TN is a disorder of the Trigeminal nerve which presents as facial pain and headache. The pain is characteristically severe, intense, sharp, episodic, periodical, excruciating, stabbing and short lasting.

Trigeminal nerve is the largest of twelve cranial nerves. All sensations from the face and mouth are covered by the Trigeminal nerve. One of the branches of the Trigeminal is often injected by your dentist while working on your dental cavity.
Brain Tumor Surgery Specialist in Pune. For more info visit us at http://www.drdilipkiyawat.com/latest-update/brain-tumor-surgery-/21?utm_source=facebookpage

Brain Tumor Surgery Specialist in Pune.Specialists who treat brain tumors include neurosurgeons, neuro-oncologists, medi...
04/04/2020

Brain Tumor Surgery Specialist in Pune.

Specialists who treat brain tumors include neurosurgeons, neuro-oncologists, medical oncologists, and radiation oncologists. In addition to the specialist, your treatment team may include other professionals such as a nurse, dietitian, mental health counselor, social worker, physical therapist, occupational therapist, and/or speech therapist.
Brain Tumor Surgery Specialist in Pune For more info visit us at http://www.drdilipkiyawat.com/latest-update/brain-tumor-surgery-/20?utm_source=facebookpage

Brain Tumor Surgery Specialist in Pune.Brain tumor treatment depends on a number of factors, including the type, locatio...
04/04/2020

Brain Tumor Surgery Specialist in Pune.

Brain tumor treatment depends on a number of factors, including the type, location, size, and grade of the tumor, as well as the age and health of the patient. Your doctor can present your treatment options and tell you what to expect from each one.

Brain Tumor Surgery Specialist in Pune For more info visit us at http://www.drdilipkiyawat.com/latest-update/brain-tumor-surgery-/19?utm_source=facebookpage

Brain Surgeon – Dr. Dilip KiyawatThere are numerous types of brain surgery. The type used is based on the area of the br...
04/04/2020

Brain Surgeon – Dr. Dilip Kiyawat
There are numerous types of brain surgery. The type used is based on the area of the brain and the condition being treated. Advances in medical technology have enabled surgeons to operate on portions of the brain without a single incision in or near the head.

Brain Surgeon in pune. For more info visit us at http://www.drdilipkiyawat.com/latest-update/brain-surgeon-dr-/18?utm_source=facebookpage

Brain Surgeon Brain surgery is a critical and complicated process. The type of brain surgery done depends highly on the ...
04/04/2020

Brain Surgeon

Brain surgery is a critical and complicated process. The type of brain surgery done depends highly on the condition being treated. For example, a brain aneurysm can be repaired using a catheter that’s introduced into an artery in the groin. If the aneurysm has ruptured, an open surgery called craniotomy may be used. Surgeons, while being as careful and thorough as possible, treat each surgery on a case-by-case basis.. For more info visit us at http://www.drdilipkiyawat.com/latest-update/brain-surgeon-brai/17?utm_source=facebookpage

The condition of a brain aneurysm does not result in any symptoms and are usually discovered at the time of some other t...
16/07/2018

The condition of a brain aneurysm does not result in any symptoms and are usually discovered at the time of some other tests for an unrelated condition.

12/07/2018

not available in Jehangir hospital OPD on this saturday

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SPINE SURGEON IN PUNE

Dr. Dilip S. Kiyawat works as Neurosurgeon at Jehangir Hospital, Pune, Maharashtra, India. He completed his M.Ch.(Neuro). He has wide experience working in various fields of Neurosurgery like Brain Trauma, Spine Trauma, Pediatric Neurosurgery, Brain and Spine Tumors and Surgeries for Back Pain etc. He has also experience in Stem Cell Therapy in various Neurological conditions. He is a Panel Consultant of Ruby Hall Clinic and Poona Hospital.

Spine surgery is usually performed as open surgery. This entails opening the operative site with a long incision so the surgeon can view and access the spinal anatomy. However, technology has advanced to the point where more spine conditions can be treated with minimally invasive techniques. Minimally Invasive Spine Surgery does not involve long incisions, open manipulation of the muscles and tissue surrounding the spine is avoided, therefore, leading to shorter operative time. In general, reducing intraoperative manipulation of soft tissues results in less postoperative pain and a faster recovery.