Total Hip Joint Replacement and Hip Resurfacing Surgery at World Best Hospitals in Indi

Total hip replacement (THR) is a treatment option for late-stage degenerative hip disease, also known as osteoarthritis or degenerative arthritis. THR is one of the most successful and common surgical procedures in orthopedic surgery. In addition to marked reduction in pain and improvement in sleep, most people regain range of motion, physical ability, and quality of life.

• The hip joint is composed of a ball and socket, with the surface of each covered by cartilage.

• A number of conditions and diseases can cause the cartilage surfaces to degenerate, which in turn leads to pain, stiffness, loss of hip joint range of motion, and disability.

• Surgeons replace both the ball (femoral head) and socket (acetabulum) during total hip replacement surgery

When is it recommended?
Total Hip Replacement is recommended when the patient is suffering from Rheumatoid Arthritis, Osteonecrosis, Injury of the hip joint, or some bone tumors have been diagnosed that are adversely affecting the hip joint. Additionally, if the patient has any of the following conditions then hip replacement is required:

• Hip arthritis (Primary osteoarthritis)

• Secondary osteoarthritis (more common in India)

• Femoral neck fractures with preexisting osteoarthritis

• Femoral neck fracture, Non unions

• Malunited hip socket and ball fractures

• Avascular necrosis(AVN)

• Protrusio acetabuli (deep socket)

• Slipped upper femoral epiphysis

• Perthes disease

• Rheumatoid arthritis

• Ankylosing spondylitis

Types and techniques of Hip Joint Replacement Surgery

There are specifically two types of Hip replacement surgeries, one that is most commonly used is the Total hip replacement surgery and the other one is the semi (half) hip replacement surgery. The surgeons adopt various techniques to do these surgeries.

 

Anterior Hip Replacement Surgery/Operation:
Anterior hip replacement technique is also known as mini anterior approach towards hip replacement. It provides similar results as the traditional hip replacement procedure of replacing worn out bones of the hip joints with prosthetic implants. The only difference in anterior technique is that the method of opening the body to reach for hip joint. It has emerged as a feasible substitute of posterior or traditional approach.

While undergoing the anterior hip replacement operation the orthopedic surgeon uses a small incision that’s approximately 4 inches long; which is located in front of the leg or hip portion, through this approach the surgeon can easily push the muscle aside instead of cutting and making passage through them to reach the hip joint and again reattaching the muscle. This method is considered best because it causes less trauma and damage to the soft tissue, risk of dislocation of new prosthetic implant is lesser and it also allows quick recovery.

Partial Hip replacement surgery
This surgery is also known as semi Arthroplasty. In this procedure the ball that is scientifically called ‘femoral head’ of the worn out or damaged joint is replaced with the prosthetic implant. During this procedure, the socket i.e. the acetabulum is not replaced. Partial hip replacement operations are usually conducted when the patient has fractured or broken his hips or had a traumatic hip injury. This type of hip replacement surgery is not recommended for degenerative arthritis in hip joint. It is also a good technique of semi hip replacement surgery.

Minimally Invasive Hip Replacement surgery
Minimally invasive hip replacement technique is a process through which the orthopedic surgeon can implant the prosthetic components through one or two smaller incisions. Operation using such technique means that there will be a very small scar, less post-operative pain,less loss of blood during surgery and shorter recovery time. Tough the time taken for the surgery may be more. For operation the surgeon may also require some special equipment that may not be available everywhere

Bilateral Hip Replacement Surgery
Bilateral hip joint replacement surgery is a surgery where the surgeons replace and resurfaces both the hips at the same time because of excessive stiffness and arthritic pain. This type of surgery is not common, because arthritis in hips do not usually advances at a same rate. But occasionally, such situations may appear. If there is any major damage along with severe pain because of arthritis in both the hips, then the candidate may be advised to undergo bilateral hip replacement operation

• The best of hip replacement surgeons in India have acquired super specialisation and training in the UK, USA, etc

• The low cost of Total or Partial Hip Replacement surgery in India is offered without any compromise on quality or

• The success rate in India for Total & Partial Hip Joint Replacement surgery at India’s best hospitals is a phenomenal 99%

• Success rate, which is as high as 99% at the best orthopaedic hospitals in India

• The cost of Hip Replacement surgery in India is amongst the lowest anywhere in the world

If your hip has been damaged by arthritis, a fracture, or other conditions, common activities such as walking or getting in and out of a chair may be painful and difficult. Your hip may be stiff, and it may be hard to put on your shoes and socks. You may even feel uncomfortable while resting. If medications, changes in your everyday activities, and the use of walking supports do not adequately help your symptoms, you may consider hip replacement surgery. Hip replacement surgery is a safe and effective procedure that can relieve your pain, increase motion, and help you get back to enjoying normal, everyday activities.

The most common forms of arthritis which affect the hip joint are the following:

Osteoarthritis : This condition is primarily age-related and generally occurs in individuals over the age of 50, who have a family history of this condition. Osteoarthritis causes the cartilage cushion in the hip to wear away, leading to bone friction and hip pain

Rheumatoid arthritis : This condition causes inflammation of the synovial membrane, which produces the lubricating fluid for the hip joint.

Hip disease during childhood : Some hip diseases suffered during infancy or childhood can result in arthritis in adult life even if the diseases were treated and cured during childhood

Arthritis caused by hip fracture/trauma : Fracture of the hip or severe damage to the ligaments in the hip joint can cause degeneration of the cartilage, resulting in hip pain.

There are two major types of artificial hip replacements – Cemented Prosthesis and the Uncemented Prosthesis. Both types of prosthesis are widely used.

Computer assisted surgery (CAS) / Computer aided surgery/Image guided intervention and Surgical Navigation

Orthopedic surgeons may use computer assisted surgery (CAS) technology, also known as surgical navigation, during total hip replacement procedures to help ensure that the implants are properly aligned to the patient’s unique anatomy. Accurate alignment of the hip components is crucial to the overall function of the new hip joint. Proper alignment may also help the new joint feel more natural, and enable it to potentially last longer. Hip replacement surgery involves replacing the femur (head of the thighbone) and the acetabulum (hip socket) with an artificial prosthesis consisting of three parts: a cup (replacing the hip socket), a metal stem (replacing the neck of the thighbone) and a metal or ceramic ball (replacing the damaged head of the thigh bone and linking the cup and stem together).

CAS technology offers a hip replacement patient several benefits including: –

• With CAS technology, surgeons are able to make precise adjustments to ensure the optimal implant fit, range of motion and joint stability. This may help to reduce joint wear and extend the life of the implant.

• CAS may allow for less invasive techniques which have other potential advantages including: smaller incisions with reduced muscle disruption and decreased rehabilitation time.

• Provides your surgeon with comprehensive data about your anatomy which may help determine proper placement of your joint replacement

• Ability to plan for surgery with a computer generated model of your hip .

• Provides the surgeon with feedback and the ability to correct potential misalignment during the surgery

• Allows for better visualization of anatomy, which is particularly important when minimally-invasive techniques are used.

Total Hip Joint Replacement and Hip Resurfacing Surgery at World Best Hospitals in Indi

World’s Class Technology Available at MyMedOpinion Affiliated Best Cancer Hospitals in India

Most women who have been diagnosed with breast cancer will undergo some form of treatment for the disease. The most favorable course of treatment will depend on a number of factors, including the size and location of the breast tumor, the stage of the cancer, and results of other laboratory tests. This section provides information on the treatment options for breast cancer, discusses how to cope with the side effects of treatment, and addresses important aspects to consider before and after breast cancer treatment.

Radiation therapy (or radiotherapy) uses high-energy rays to stop cancer cells from growing and dividing. Radiation therapy is often used to destroy any remaining breast cancer cells in the breast, chest wall, or axilla (underarm) area after surgery. Occasionally, radiation therapy is used before surgery to shrink the size of a tumor. A common treatment for early stage breast cancer is breast-conserving therapy. Breast-conserving therapy (BCT) is the surgical removal of a breast lump (lumpectomy) and a surrounding margin of normal breast tissue. BCT is typically followed by at least six to seven weeks of radiation therapy.

Treatment with radiation usually begins one month after surgery, allowing the breast tissue adequate time to heal. Radiation therapy may occasionally be recommended for women to destroy remaining cancer cells after mastectomy (surgical removal of the affected breast) or to shrink tumors in patients with advanced breast cancer.

External Beam Radiation

The most common type of radiation therapy used on women with breast cancer is called external beam radiation. External beam radiation is delivered from a source outside the body on the specific area of the body that has been affected by the cancer. Experts compare the experience of external beam radiation to having a diagnostic x-ray, except that radiation is usually administered for a longer period of time and at a higher dose.

Before radiation therapy begins, the physician will measure the correct angles for aiming the radiation beam at the specific area of the body and make ink marks on the patienta skin. As part of treatment after breast surgery, patients are typically treated with radiation five times per week for at least six weeks in an outpatient clinical setting. Each treatment generally lasts a few minutes; the entire radiation session after machine set-up typically lasts 15 to 30 minutes. The procedure itself is pain-free. While the radiation is being administered, the technologist will leave the room and monitor the patient on a closed-circuit television. However, patients should be able to communicate with the technologist at any time over an intercom system.

Side effects of external beam therapy vary among patients. The most common side effect is fatigue. Fatigue (extreme tiredness) can be especially bothersome in the later weeks of treatment. Patients who experience fatigue after radiation sessions should get plenty of rest and try to maintain an active lifestyle. While many patients can still work and participate in normal activities during radiation therapy, some patients find it necessary to limit their work or activities until treatment has been completed.

Other common side effects of radiation therapy are neutropenia (sharp decrease in white blood cell count) swelling of the breast, a feeling of heaviness in the breast, a sunburn-type appearance of the breast skin, and loss of appetite. These side effects usually disappear after six to 12 months. Near the end of treatment with radiation, the breast skin may become moist. Patients should try to wearing loose fitting clothing and expose the skin to air as much as possible to help the skin heal quickly.

In most cases, the breast will look and feel the same after radiation therapy is completed, though it may be more firm. In rare cases, radiation therapy may cause changes in the breast size. Breasts may become larger due to fluid build-up (seroma) or smaller due to tissue changes. Some women may find that the breast skin is more sensitive after radiation, while others may find that it is less sensitive. Radiation therapy of the axillary (underarm) lymph nodes may cause lymphedema (chronic swelling of the arm) in some women. Women who have radiation to the lymph nodes will usually be instructed on arm exercises and other activities to help prevent lymphedema.

World’s Class Technology Available at MyMedOpinion Affiliated Best Cancer Hospitals in India

Kyphoplasty Surgery in India- Best Spine Surgery Hospital India

What is Kyphoplasty

bart2-BBKyphoplasty is used to treat pain caused by vertebral compression fractures in the spine. Vertebral fractures occur in thousands of people each year. The main cause of these fractures is osteoporosis. Osteoporosis causes bone to lose strength and become more susceptible to fractures. Kyphoplasty should be completed within eight weeks of when the fracture occurs, this is for the maximum probability of restoring the spinal bone to its standard height.

To confirm the presence of a compression fracture following tests needs to be done after a physical examination:

  • Blood tests,
  • Spine x-rays
  • Radioisotope bone scan or
  • MRI

How is Kyphoplasty Performed?

Kyphoplasty is performed under local or general anesthesia. Using image guidance x-rays, two small incisions are made and a probe is placed into the vertebral space where the fracture is located. The bone is drilled and a balloon, called a bone tamp, is inserted on each side. These balloons are then inflated with contrast medium until they expand to the desired height and removed. The balloon does not remain in the patient. It simply creates a cavity for the cement and also helps expand the compressed bone.

The spaces created by the balloons are then filled with PMMA, the same orthopaedic cement used in vertebroplasty, binding the fracture. The cement hardens quickly, providing strength and stability to the vertebra, restoring height, and relieving pain.

Recovery from kyphoplasty

Pain relief wihappyPatientPosesll be immediate for some patients. In others, elimination or reduction of pain is reported within two days. At home, patients can return to their normal daily activities, although strenuous exertion, such as heavy lifting, should be avoided for at least six weeks.

Patients should see their physician to begin or review their treatment plan for osteoporosis, including medications to prevent further bone loss.

Candidates for kyphoplasty

Kyphoplasty cannot correct an established deformity of the spine, and certain patients with osteoporosis are not candidates for this treatment. Patients experiencing painful symptoms or spinal deformities from recent osteoporotic compression fractures are likely candidates for kyphoplasty. The procedure should be completed within 8 weeks of when the fracture occurs for the highest probability of restoring height.

Benefits of Kyphoplasty

Limitations in the traditional treatments of vertebral compression fractures have led to the refinement of such procedures as kyphoplasty. This procedure provide new options for compression fractures and are designed to relieve pain, reduce and stabilize fractures, reduce spinal deformity, and stop the “downward spiral” of untreated osteoporosis.

Additional benefits of kyphoplasty include

  • Short surgical time
  • Only general or local anesthesia required
  • Average hospital stay is one day (or less)
  • Patients can quickly return to the normal activities of daily living
  • No bracing required

Kyphoplasty utilize a cement-like material that is injected directly into the fractured bone. This stabilizes the fracture and provides immediate pain relief, in many cases. Kyphoplasty has the additional advantage of being able to restore height to the spine, thus reducing deformity. After either procedure, most patients quickly return to their normal daily activities

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Kyphoplasty Surgery in India- Best Spine Surgery Hospital India

Advanced Uterine Cancer Treatment in India – Best Cancer Hospital India

Uterine Cancer Treatment in India

Male doctor explaining an X-Ray report to a female patient and her daughter

The uterus, or womb, is part of a woman’s reproductive system. It’s about the size and shape of a hollow, upside-down pear. The uterus sits low in the abdomen between the bladder and rectum and is held there by muscle. It’s joined to the vagina (birth canal) by the cervix, which is the neck of the uterus. The uterus is where a foetus grows.

 

The uterus is made up of two layers:

  1. Myometrium: the outer layer of muscle tissue. This makes up most of the uterus.
  2. Endometrium: the inner layer or the lining of the uterus.

In a woman of childbearing age, the endometrium changes in thickness each month to prepare for pregnancy. If the egg isn’t fertilised, the lining is shed and flows out of the body through the vagina. This flow is known as a woman’s period (menstruation).

When a woman releases an egg from her ovary (ovulates), the egg travels down her Fallopian tube into the uterus. If the egg is fertilised by a sperm, it will implant itself into the lining of the uterus and grow into a baby.

Menopause occurs when a woman no longer releases the hormones that cause ovulation and menstruation. A menopausal woman’s periods stop, and she’s not able to become pregnant. The uterus becomes smaller and the endometrium becomes thinner and inactive.
The most common cancer of a reproductive system of a woman is known as uterine cancer. This cancer starts in cell layers that form the lining of the uterus. This cancer can be detected in its early stage as it causes abnormal vaginal bleeding. The surgical removal of the uterus can cure uterine cancer.

Types of Uterine Cancer :- 

Sarcoma: Sarcoma cancer grows in the supporting tissues of the uterine glands or in the myometrium. This cancer accounts for 2-4% of uterine cancers.

Adenocarcinoma: This cancer is considered as the main type of uterine cancer that grows from the cells in the uterus lining. Endometrial cancer is the other name of this cancer.

The Symptoms of Uterine Cancer include :

  • Unusual Vaginal Bleeding or Discharge
  • Trouble Urinating
  • Pelvic Pain
  • Pain during sexual intercourse
  • Discomfort or pain in the lower abdomen

Diagnosis of  Uterine Cancer

  • Pelvic Exam : Doctor checks your uterus, vagina, and nearby tissues for any lumps or changes in shape or size.
  • Physical Exam : A Thorough Medical History and Physical Examination is done
  • Ultrasound : An Ultrasound device uses sound waves that can’t be heard by humans. The sound waves make a pattern of echoes as they bounce off organs inside the pelvis. The echoes create a picture of your uterus and nearby tissues. The picture can show a uterine tumor. For a better view of the uterus, the device may be inserted into the vagina (transvaginal ultrasound).
  • Biopsy : The removal of tissue to look for cancer cells is a biopsy. A thin tube is inserted through the vagina into your uterus. Your doctor uses gentle scraping and suction to remove samples of tissue. A pathologist examines the tissue under a microscope to check for cancer cells. In most cases, a biopsy is the only sure way to tell whether cancer is present.

World Most Advanced Uterine Cancer Treatment in India

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  • Surgery :During exploratory surgery, oncopathologist, who specialize in tissue study examine the cancer tissue so that gynaeoncologist can determine how much tissue to remove. In most cases, gynaeoncologist will recommend a hysterectomy (removal of the uterus) or a complete hysterectomy (removal of the uterus, fallopian tubes and ovaries). To find out whether the cancer has spread, gynaeoncologist also removes tissue from the lymph nodes near the uterus and other abdominal sites.
  • Chemotherapy : Certain types of chemicals are used for killing the cancer cells. One or more chemotherapy drugs may also be combined. The injection of these drugs can be done either through the mouth or into the veins. Women who are suffering from recurrent or advanced stage of uterine cancer that has spread beyond the uterus are treated with the help of chemotherapy. The drugs then enter into the bloodstream that moves in the entire body for destroying the cancer cells.
  • Radiation therapy : High-energy radiation beams are used in this therapy for killing the cancer cells. Radiation therapy is also recommended for reducing the risk of recurrence after surgery. Also this therapy is also beneficial after surgery for shrinking the tumor so that can be easily removed. This therapy may involve –
    • Radiation given within the body : This involves the placement of a radiation-filled device like a cylinder, small seeds or wires within the vagina for a short duration. This process is known as internal radiation or Brachytherapy.
    • Radiation given through a machine outside the body : This process makes use of machine that is placed outside the body. The radiation is then directed at a specific point in the body and this process is known as external beam radiation.
  • Hormone therapy Gynaeoncologist may recommend progestin (synthetic progesterone) to help stop the cancer from spreading. Patient may take progestin with other medications.
Advanced Uterine Cancer Treatment in India – Best Cancer Hospital India

Robotic Prostate Surgery Hospital in India

Robotic laparoscopy prostatectomy  in India

davinci02Robotic laparoscopyprostatectomy offers several advantages. Although experts do not agree as to whether robotic or open surgery is best, the majority of prostate cancer surgeries  are being done with the laparoscopic/robotic approach, particularly at high volume medical centers that specialize in prostate cancer treatment. The post-operative goals for treating prostate cancer are the same regardless of whether the operation is done with an open or laparoscopic approach.

Less Scaring

The first advantage to robotic surgery is that it is an application of advance technology and is minimally invasive. Instead of having a 5 or 6” incision to the skin and abdominal fascia (See image below, left), patients have a series of small “band-aid” incisions. (On right)

A Shorter Hospital Stay

With smaller incisions, the postoperative pain is significantly less, which means your length of hospitalization is shorter – as is the time to return to usual activity.

After the laparoscopic/robotic prostatectomy patients typically do not require an inpatient hospital stay over one night. Surgery is done in the morning and they typically go home after lunch on the first operative day.

Comparatively, after the open prostatectomy patients spend at least two nights in the hospital primarily for pain control, nausea and difficulty getting out of bed and getting back to an activity level that would be appropriate for them to be discharged home.

Less Drugs, More Blood

Patients’ need for postoperative pain medicine and narcotics is also greatly reduced after the laparoscopic/robotic approach compared to open surgery.

Another advantage to robotic surgery is decreased intraoperative blood loss. During traditional open surgery, it is not at all uncommon for patients to lose between 600 cc and 1000 cc of blood intraoperatively given the intense vascularity of the prostate and its surrounding tissues. This entails some significant risk of intraoperative or postoperative transfusion (and secondarily the attendant risk of transfusion) among these patients.

During robotic/laparoscopic prostatectomy, blood loss is usually 200 cc or less, which is very minimal and has a negligible risk of needing a transfusion. This is likely a minor difference as the transfusions are quite safe. However, the small difference among treatment approaches may be quite important to some patients.

Postoperative Catheterization

The third advantage of robotic surgery over open surgery is a reduction in the required postoperative catheterization time. After open surgery, foley catheters are left to drain the urine for usually two or more weeks. After the robotic approach, the catheter typically remains in place 5 to 7 days. The reason for this difference is unclear but may be related to the increased precision and visibility the robotic approach offers and also maybe that a running anastamosis (bringing the bladder neck and urethral sphincter back together) may be done in a water-tight fashion compared to the open approach.

Erectile Function

The fourth advantage of robotic prostatectomy is the (at least theoretical) improved ability to preserve the erectile nerves. During an open prostatectomy through an incision on the anterior abdominal wall, the nerves that provide erection are hidden behind the prostate. The approach taken using the surgical robot, enters the abdomen and the robotic arms are positioned posterior to the prostate with the nerves directly in front of the robotic/laparoscopic camera. In this way, the nerves maybe preserved, primarily because the anatomy can be seen more clearly compared to open surgery.

In addition, the decreased blood loss of the robotic approach improves the intra-operative visibility. As you can imagine, attempting to preserve delicate nerve structures can be quite challenging in the pool of blood versus in a relatively dry surgical field that is expected with the laparoscopic/robotic approach.

Robotic Prostate Surgery 

Usually in conventional approach, surgeons make decisions using tactile and visual cues to identify a phenomenon, which is actually microscopic which is likely to damage nerves or to leave cancer behind. In the Advanced Robotic Technique (ART) surgeons uses a sophisticated mastr slave robot that incorporates 3-D high definition vision, scaling of movement and wristed instrumentation that gives him the ability to perform Prostate excision with minimal risk of leaving the cancer behind and also minimal bleeding and post operative risk of incontinence and impotence.

Neither clinical nor imaging tests are sensitive enough to capture a tumour at T3 stage where it has become locally advanced and a risk for spreading to other body parts. Sometimes it is difficult for surgeons to find a precise plane between the cancer and urinary sphincter or the nerves and err on the side of cancer safety leading to incontinence or Impotence Da vinci robot system minimizes side effects thereby greater control for the patient over urinary discharge i.e. continence and return to normal sexual function after the surgery.

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MyMedOpinion affiliated  Best hospitals in India provide an medical opinion from experienced surgeons and the treatment cost includes companion stay  , surgeon fee, medicines and consumables, nursing care, patient’s food and airport pick up & drop etc. etc. We offer free, no obligation assistance to international patients to find world class medical treatment in India. We offer support and services to facilitate the care you require. We can help you find the best hospital in India

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Robotic Prostate Surgery Hospital in India

Advanced Radiation Therapy for Brain Tumours in India

 

 What are brain tumours?

A brain tumour is an abnormal growth of cells within the brain. It arises from glial cells of the brain, lymphatic tissues, nerves and meninges. Benign brain tumours grow slowly but they can compress adjacent parts of the brain. Malignant tumours grow rapidly and they invade adjacent structures of the brain. Brain tumours are graded according to the nature of cell growth. Grade I and II tumours are grouped as low-grade, whereas grade III and IV are grouped as high-grade tumours. Prognosis is better in low-grade or benign tumours.

The following types of brain tumours are seen commonly:

In children: Juvenile pilocytic astrocytoma, craniopharyngioma, medulloblastoma, brainstem glioma and germ cell tumours.

In adults: Astrocytoma, oligodendroglioma, ependymoma, meningioma, vestibular schwannoma and lymphoma. Cancers from other parts of the body can also spread to brain.

What are the common symptoms of brain tumours?

* Headaches, usually in the morning

* Vomiting

* Convulsions or seizures

* Weakness in limbs

* Loss of balance while walking

* Altered speech or vision

* Altered behaviour

* Loss of orientation

* Memory lapses

How are brain tumours diagnosed?

* Imaging: CT scan or MRI scan of brain is commonly performed.

* Biopsy: A piece of tumour is removed for examination by open surgery or in stereotactic fashion using rigid frame to fix skull and localizing tumour under guidance of CT scan or MRI.

 How are brain tumours treated?

 Brain tumours are treated by surgery, radiation therapy or chemotherapy, or a combination of these. The choice of treatment depends upon the age of the patient, type of tumour, its location, size and grade.

* Surgery: Maximum safe resection of the tumour or at least a biopsy is the standard goal of surgery.

* Radiation therapy: Radiation kills tumour cells with high energy X-rays, gamma rays or protons. It is usually started after surgery and given over 5-6 weeks.

* Chemotherapy: Chemotherapy is the use of drugs to kill cancer cells. It is given orally or through veins. It is given concomitantly with radiation therapy in high-grade tumours. It is also given in recurrent brain tumours after failure of initial treatment.

What are the advances in radiation therapy of brain tumours?

* 3-Dimensional Conformal Radiation Therapy (3D-CRT) and Intensity Modulated Radiation Therapy (IMRT):

CT scan and MRI are used to delineate the tumour and computers are used for radiation planning. Only the tumour and the high-risk region surrounding the tumour is radiated, avoiding radiation to the normal structures in the brain.

* Stereotactic Radio-surgery (SRS) and Stereotactic Radiotherapy (SRT): Highly precise immobilization and image guidance system is used for treatment of selected brain tumours. High dose of radiation is delivered only to the tumour with very minimal spillage of dose to the rest of the sensitive brain structures. Stereotactic radiotherapy is preferred in children. Stereotactic radio-surgery delivering high-dose of radiation in single or a very few sessions is performed in adults with tumours such as metastatic residual glioma, meningioma and schwannoma. Novalis-Tx and Cyberknife are advanced machines to deliver such high-precision therapy.

* High-definition Rapid Arc: This is the latest software advancement in radiation planning technology. Radiation is delivered in continuous fashion moving the machine head and its small components simultaneously around the patient’s head targeting the tumour by infinite small radiation beams. Radiation treatment with such a technique is highly precise and fast. This is preferred in children and elderly patients who cannot lie on treatment couches for long periods.

* Proton beam therapy: Proton therapy avoids spillage of radiation dose to the surrounding brain. It is preferred in children as well as in patients with recurrent tumours who have received radiation therapy earlier.

Advanced Radiation Therapy for Brain Tumours in India

Benefits of Minimally Invasive Valve Surgery at Top Heart Hospital in India

Heart Valve Repair

heart surgeryHeart valve repair is a surgical or minimally invasive procedure that corrects a heart valve that is not functioning properly. Heart valve repair usually involves the heart valve leaflets that open and close to pump blood through the heart.

Your cardiac surgeon shall investigate and advise if repairing your heart valve is the best way to treat your heart valve disease.

Heart Valve Replacement

When valve repair shall not be of help, replacing your damaged heart valve may be the most effective treatment for your condition. Also known as Heart Valve Replacement, Aortic Valve Replacement, is a cardiac surgery procedure in which the damaged heart valve is replaced with a new valve. This valve can be a tissue valve taken from some other body, or may be of animal or an artificial or prosthetic valve.

Heart valve repair or replacement can be done for one single valve or more than one depending upon the condition of your valves.

Valve replacement Surgery procedure

Bypass-Gastric-Morbid-Obesity-SurgeryThe patient is put under general anaesthesia and connected to the heart lung machine. This machine takes over the pumping, circulatory, and respiratory functions of the heart and lung till the surgical procedure is going on.

The valves are accessed by cutting open the rib cage and accessing the heart directly. The old valves are sliced from their attachments and new valves are put in their place. The new valves may be obtained from a cadaveric donor, or an animal (pig) or it may be made of a nonreactive inert material.

The patient needs to be given anticoagulants or immunosuppressive to clotting of blood or rejection of organ. The prognosis of this surgery is good. It is many a time a life-saving and life extending surgery.

Types of Heart Valve Replacement:

Open-heart valve replacement surgery It is a surgical procedure wherein the patient’s heart is exposed in the operation theatre and surgery is performed on the internal structures of the heart. During the surgery, the patient is placed on a heart-lung machine that allows blood to flow through the heart while the surgery is being performed.

Minimally Invasive Heart Surgery Minimally Invasive Heart Surgery, also known as Keyhole surgery, is performed by making small incisions of about 3 to 4 inches in the heart muscle, through specialized surgical instruments. In most cases, minimally invasive heart surgery focuses on Mitral valve repair, Aortic valve repair and Tricuspid valve repair.

Valvuloplasty : It is a technique wherein the stiff aortic valves are treated with the help of a balloon catheter. The balloon is positioned in the aortic valve and subsequently inflated to expand the size of the valve, leading to improved blood flow.

Double and Triple Valve repair and replacement in India

Double valve repair and replacement procedure aims at correcting or replacing both these damaged valves (aortic & mitral together) with new functional valves. This is done through the open heart surgery. Triple valve replacement repair and replacement means repair or replacement of three valves of the heart.

Benefits of Minimally Invasive Valve Surgery in India

Minimally invasive mitral valve repair is performed through a two-inch keyhole incision on the side of the chest. The port access technique is a step ahead in that the incision is even smaller and the whole operation is video-directed, whereas in non-port access minimally invasive mitral valve surgery, the operation is done by direct vision.

The minimally invasive approaches avoid an incision in the breastbone (sternotomy) and have several benefits like:

  • Less pain
  • Shorter stay in hospital. Hence, patients return to work and everyday activity sooner after surgery.
  • Less bleeding
  • Fewer chances of infection as the incision is smaller
  • Cosmetic benefits

FAQ’s Cardiac Valve Replacement Surgery in India

What is the cost of Cardiac Valve Replacement Surgery?

Cardiac Valve Replacement Surgery is amongst the lowest in the world. The Cardiac Valve Replacement Surgery is about 20% of the cost in the USA. The low Cardiac Valve Replacement Surgery  is without any compromise on quality or success rate

What to expect after heart valve surgery

The normal recovery time after a heart valve surgery is usually four to eight weeks, and may be shorter after minimally invasive surgeries.

How experienced are cardiac surgeons in India at handling complex heart surgeries?

The translation of academic excellence into outstanding medical results happens only with practice and experience. Indian doctors acquire a great amount of experience over a very short period of time because of the large number of patients requiring cardiac treatment in India.

Do surgeons perform advanced heart surgeries in India?

Cardiac surgeons in India are experts at performing advanced procedures like Heart Transplants, Robotic Cardiac Procedures, Totally Endoscopic Coronary Artery Bypass Surgery (TECAB), Minimally Invasive Direct Coronary Artery Bypass Grafting (MIDCAB), Off-Pump Coronary Artery Bypass Grafting (OPCAB), complex mitral valve repairs, etc.

What success rates can one expect in India from cardiology hospitals?

It is quite amazing that Indian hospitals are able to offer a combination of extremely low cost cardiac treatment in India along with extremely high success rates as well.

Benefits of Minimally Invasive Valve Surgery at Top Heart Hospital in India