Best Total Knee Replacement Surgery Hospitals in India

The best hospitals for knee replacement surgery in India have a world class and patient friendly infrastructure with the national and international certifications and accreditation. The hospitals have highly advanced technology which helps using the minimally invasive techniques that helps in lesser pain, lesser blood loss and reduced risks of infection, better surgery outcomes and faster recovery. The top Knee replacement surgery hospitals in India are located at Delhi, Ahmedabad, Mumbai, Nagour, Chennai, Bangalore, Noida, Gurgaon, Hyderabad,etc.

The best knee replacement surgeons in India are highly skilled and have a vast experience of working with the best hospitals across the world and many of them have been trained at some of the finest medical institutions across the world.

knee Replacement Surgery

Knee replacement surgery additionally called knee arthroplasty is procedure to switch the weight-bearing surfaces of the knee joint to relieve the pain and disability of osteoarthritis. it should be performed for alternative knee diseases like rheumatoid arthritis and  psoriatic  arthritis. knee 27
The procedure has been proven to assist people come back to moderately difficult activities like golf, bicycling, and swimming. Total knees don’t seem to be designed for jogging, or sports like lawn tennis and athletics (although there actually are people with total knee replacements that participate in such sports).
Knee replacement may be a routine surgery performed on over 600,000 people worldwide annually. Over ninetieth of individuals WHO have had Total Knee Replacement experience associate improvement in knee pain and performance.

Knee Replacement treatment in India

India is the most preferred medical destination by the patients coming from various parts of the world for knee replacement treatment. The reasons include the low cost advantage for knee replacement treatment along with the best quality as catered in the developed nations of US and UK.

List all types of Knee Replacement surgeries offered in India.

  • Knee Replacement
  • Unilateral Knee Replacement
  • Bilateral Knee Replacement
  • Total Knee Replacement
  • Unicondylar Knee Replacement
  • Partial Knee Replacement
  • High Flex Knee Replacement
  • Both Knee Replacement Together
  • Minimally Invasive Knee Replacement
  • Revision Knee Replacement

Who needs a knee replacement surgery?

A knee replacement is major surgery and is mostly preferred if other treatments, such as physiotherapy or steroid injections, haven’t helped in reducing pain or improve mobility. Most common reasons for undergoing this surgery are:

  • Osteoarthritis-This is age related arthritis which develops due to inflammatory breakdown of cartilage of the knee joint.
  • Rheumatoid Arthritis- This is a chronic arthritis which results in soreness and stiffness of the knee joint.
  • Post traumatic Arthritis Caused due to severe knee injury.
  • Hemophilia
  • Gout

How you prepare

An orthopedic surgeon performs knee replacement procedures. Before the procedure, the surgeon takes your medical history and performs a physical examination to assess your knee’s range of motion, stability and strength. X-rays can help determine the extent of knee damage.

Knee replacement surgery requires anesthesia to make you comfortable during surgery. Your input and personal preference help the team decide whether to use general anesthesia, which makes you unconscious, or spinal or epidural anesthesia, which leaves you awake but unable to feel pain from your waist down.

Your doctor or anesthesiologist might advise you to stop taking certain medications and dietary supplements before your surgery. You’ll likely be instructed not to eat anything after midnight before your surgery.

Plan for your recovery

For several weeks after the procedure, you might need to use crutches or a walker. Make arrangements for transportation home from the hospital and help with everyday tasks, such as cooking, bathing and doing laundry. If you live alone, your surgeon’s staff or hospital discharge planner can suggest a temporary caretaker.

To make your home safer and easier to navigate during recovery, consider making the following improvements:

  • Create a total living space on one floor since climbing stairs can be difficult.
  • Install safety bars or a secure handrail in your shower or bath.
  • Secure stairway handrails.
  • Get a stable chair with a firm seat cushion and back, and a footstool to elevate your leg.
  • Arrange for a toilet-seat riser with arms if you have a low toilet.
  • Try a stable bench or chair for your shower.
  • Remove loose rugs and cords.

What you can expect

During the procedure, your knee is in a bent position to expose all surfaces of the joint. After making an incision about 6 to 10 inches (15 to 25 centimeters) long, your surgeon moves aside your kneecap and cuts away the damaged joint surfaces.

After the joint surfaces are prepared, the surgeon attaches the pieces of the artificial joint. Before closing the incision, he or she bends and rotates your knee, testing and balancing it to ensure that it functions properly. Expect knee replacement surgery to last about two hours.

After knee replacement surgery

After surgery, you’re wheeled to a recovery room for one to two hours. You’re then moved to your hospital room, where you typically stay for a couple of days. You might feel pain, but medications prescribed by your doctor should help control it.

During the hospital stay, you’re encouraged to move your foot and ankle, which increases blood flow to your leg muscles and helps prevent swelling and blood clots. You might need to receive blood thinners and wear support hose or compression boots to further protect against swelling and clotting.

The day after surgery, a physical therapist shows you how to exercise your new knee. During the first few weeks after surgery, a good recovery is more likely if you follow all of your surgeon’s instructions concerning wound care, diet and exercise. Your physical activity program needs to include:

  • A graduated walking program — first indoors, then outdoors — to increase your mobility
  • Slowly resuming other household activities, including walking up and down stairs
  • Knee-strengthening exercises you learned from the hospital physical therapist, performed several times a day

Results

  • For most people, knee replacement provides pain relief, improved mobility and a better quality of life. Talk with your doctor about what you can expect from knee replacement surgery.
  • Three to six weeks after surgery, you generally can resume most daily activities, such as shopping and light housekeeping. Driving is also possible at around three weeks if you can bend your knee far enough to sit in a car and if you have enough muscle control to operate the brakes and accelerator.
  • After you’ve recovered, you can enjoy a variety of low-impact activities, such as walking, swimming, golfing or biking. But you should avoid higher impact activities — such as jogging, skiing, tennis and sports that involve contact or jumping. Talk to your doctor about your limitations.

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Best Total Knee Replacement Surgery Hospitals in India

Best Pediatric Heart Surgery Hospitals in India

Pediatric Heart Surgery

The news that your kid needs heart surgery isn’t easy to listen to. we tend to understand that you simply can have several queries and concerns about the surgical process and what you’ll expect.pediatric-cardiac  The expert cardiac surgeons and specially-trained staff at Sacred Heart Children’s Hospital can support your family through every turn.
Our pediatric cardiac surgeons are highly regarded for his or her experience in a very broad vary of congenital repairs.
Your child’s viscus surgery are going to be performed by pediatric cardiac surgeons in one in all the nation’s most advanced surgery centers. Providence Sacred Heart could be a leader within the treatment of heart disease and our extremely trained team offers a wealth of experience in traditional procedures, still as innovative techniques.
As a partner in your child’s cardiac care, we are going to work closely together with your referring physician to help ensure coordinated care throughout your lodge in the hospital and once you come back home.

Why the Procedure is Performed

Some heart defects need repair soon after birth. For others, it is better to wait months or years. Certain heart defects may not need to be repaired.

In general, symptoms that indicate that surgery is needed are:

  • Blue or gray skin, lips, and nail beds (cyanosis). These symptoms mean there is not enough oxygen in the blood (hypoxia).
  • Difficulty breathing because the lungs are “wet,” congested, or filled with fluid (heart failure).
  • Problems with heart rate or heart rhythm (arrhythmias).
  • Poor feeding or sleeping, and lack of growth and development of the child.

Risks for any surgery are:

  • Bleeding during surgery or in the days after surgery
  • Bad reactions to medicines
  • Problems breathing
  • Infection

Additional risks of heart surgery are:

  • Blood clots (thrombi)
  • Air bubbles (air emboli)
  • Pneumonia
  • Heartbeat problems (arrhythmias)
  • Heart attack
  • Stroke

Before the Procedure

If your child is talking, tell them about the surgery. If you have a preschool-aged child, tell them the day before what will happen. Say, for example, “We are going to the hospital to stay for a few days. The doctor is going to do an operation on your heart to make it work better.”

If your child is older, start talking about the procedure 1 week before the surgery. You should involve the child’s life specialist (someone who helps children and their families during times like major surgery) and show the child the hospital and surgical areas.

Your child may need many different tests:

  • Blood tests (complete blood count, electrolytes, clotting factors, and “cross match”)
  • X-rays of the chest
  • Electrocardiogram (EKG, or ECG)
  • Echocardiogram (ECHO, or ultrasound of the heart)
  • Cardiac catheterization
  • History and physical

Always tell your child’s health care provider what medicines your child is taking. Include drugs, herbs, and vitamins you bought without a prescription.

During the days before the surgery:

  • If your child is taking blood thinners (drugs that make it hard for blood to clot), such as warfarin (Coumadin) or heparin, talk with your child’s provider about when to stop giving these drugs to the child.
  • Ask which drugs the child should still take on the day of the surgery.

On the day of the surgery:

  • Your child will most often be asked not to drink or eat anything after midnight the night before the surgery.
  • Give your child any drugs you have been told to give with a small sip of water.
  • You will be told when to arrive at the hospital.

After the Procedure

Most children who have open-heart surgery need to stay in the intensive care unit (ICU) for 2 to 4 days right after surgery. They most often stay in the hospital for 5 to 7 more days after they leave the ICU. Stays in the intensive care unit and the hospital are often shorter for people who have closed-heart surgery.

During their time in the ICU, your child will have:

  • A tube in the airway (endotracheal tube) and a respirator to help with breathing. Your child will be kept sleeping (sedated) while on the respirator.
  • One or more small tubes in a vein (IV line) to give fluids and medicines.
  • A small tube in an artery (arterial line).
  • One or 2 chest tubes to drain air, blood, and fluid from the chest cavity.
  • A tube through the nose into the stomach (nasogastric tube) to empty the stomach and deliver medicines and feedings for several days.
  • A tube in the bladder to drain and measure the urine for several days.
  • Many electrical lines and tubes used to monitor the child.

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Best Pediatric Heart Surgery Hospitals in India

Advanced Breast Cancer Treatment Hospital in India

Overview

Breast cancer is cancer that forms within the cells of the breasts.
After skin cancerSentinel-lymph-node-biopsy-article.__v20048088, breast cancer is that the most typical cancer diagnosed in women within the us. breast {cancer|carcinoma} can occur in each men and women, however it’s far a lot of common in women.
Substantial support for breast cancer awareness and analysis funding has helped improve the screening and diagnosing and advances within the treatment of breast cancer. breast cancer survival rates have increased, and also the range of deaths steadily has been declining, that is basically attributable to variety of things like earlier detection, a brand new personalized approach to treatment and a better understanding of the disease.

Breast Cancer Signs and Symptoms:-

Knowing how your breasts normally look and feel is an important part of breast health. Finding breast cancer as early as possible gives you a better chance of successful treatment. But knowing what to look for does not take the place of having regular mammograms and other screening tests. Screening tests can help find breast cancer in its early stages, even before any symptoms appear.

The most common symptom of breast cancer is a new lump or mass. A painless, hard mass that has irregular edges is more likely to be cancer, but breast cancers can be tender, soft, or rounded. They can even be painful. For this reason, it is important to have any new breast mass or lump or breast change checked by a health care provider experienced in diagnosing breast diseases.

Other possible symptoms of breast cancer include:

  • Swelling of all or part of a breast (even if no distinct lump is felt)
  • Skin irritation or dimpling
  • Breast or nipple pain
  • Nipple retraction (turning inward)
  • Redness, scaliness, or thickening of the nipple or breast skin
  • Nipple discharge (other than breast milk)

Sometimes a breast cancer can spread to lymph nodes under the arm or around the collar bone and cause a lump or swelling there, even before the original tumor in the breast tissue is large enough to be felt. Swollen lymph nodes should also be checked by a health care provider.

Although any of these symptoms can be caused by things other than breast cancer, if you have them, they should be reported to a health care provider so that he or she can find the cause.

Because mammograms do not find every breast cancer, it is important for you to be aware of changes in your breasts and to know the signs and symptoms of breast cancer.

Diagnosing breast cancer

Tests and procedures used to diagnose breast cancer include:

  • Breast exam. Your doctor will check both of your breasts and lymph nodes in the armpit, feeling for any lumps or other abnormalities.
  • Mammogram. A mammogram is an X-ray of the breast. Mammograms are commonly used to screen for breast cancer. If an abnormality is detected on a screening mammogram, your doctor may recommend a diagnostic mammogram to further evaluate that abnormality.
  • Breast ultrasound. Ultrasound uses sound waves to produce images of structures deep within the body. Ultrasound may be used to determine whether a new breast lump is a solid mass or a fluid-filled cyst.
  • Removing a sample of breast cells for testing (biopsy). A biopsy is the only definitive way to make a diagnosis of breast cancer. Biopsy samples are sent to a laboratory for analysis where experts determine whether the cells are cancerous. A biopsy sample is also analyzed to determine the type of cells involved in the breast cancer, the aggressiveness (grade) of the cancer, and whether the cancer cells have hormone receptors or other receptors that may influence your treatment options.
  • Breast magnetic resonance imaging (MRI). An MRI machine uses a magnet and radio waves to create pictures of the interior of your breast. Before a breast MRI, you receive an injection of dye.

Staging breast cancer

Once your doctor has diagnosed your breast cancer, he or she works to establish the extent (stage) of your cancer. Your cancer’s stage helps determine your prognosis and the best treatment options.

Complete information about your cancer’s stage may not be available until after you undergo breast cancer surgery.

Tests and procedures used to stage breast cancer may include:

  • Blood tests, such as a complete blood count
  • Mammogram of the other breast to look for signs of cancer
  • Breast MRI
  • Bone scan
  • Computerized tomography (CT) scan
  • Positron emission tomography (PET) scan

Not all women will need all of these tests and procedures. Your doctor selects the appropriate tests based on your specific circumstances and taking into account new symptoms you may be experiencing.

Breast cancer stages range from 0 to IV with 0 indicating cancer that is noninvasive or contained within the milk ducts. Stage IV breast cancer, also called metastatic breast cancer, indicates cancer that has spread to other areas of the body.

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Advanced Breast Cancer Treatment Hospital in India

Best Hip Replacement Surgery Hospitals in India

What Is a Hip Replacement?

Hip replacement, or arthroplasty, is a surgical procedure in which the diseased parts of the hip joint are  removed and replaced with new, artificial parts. These artificial parts are called the prosthesis. The goals of hip replacement surgery include increasing mobility, improving the function of the hip joint, and relieving pain.

About Hip Joint Replacement Surgery

Our hip joint is called a ball and socket joint because of its structure. It is formed by the head of the Femur (thigh bone) and the acetabulum of the pelvis (the hip bone).hip123 The dome-shaped head of the femur for acetabulum. The hip joint is a very strong joint, due to the tight fitting of the bones and the strong surrounding ligaments and muscles. Some conditions may cause severe pain in hip joint and may affect the mobility.

Some of the most common causes for a hip pain are arthritis, Trochanteric Bursitis, Tendonitis, Osteonecrosis, Lumbar Pain, Snapping Hip Syndrome, Muscle Strains, Hip Fracture and Stress Fracture. The most common cause for a Hip Replacement surgery is the arthritis.

Risks of hip replacement surgery

  • Complications of a hip replacement can include:
  • hip dislocation
  • infection at the site of the surgery
  • injuries to the blood vessels or nerves
  • a fracture
  • differences in leg length

Diagnosis
The diagnosis of a hip pain starts with medical history taking by your doctor. Here the doctor tries understanding the cause for pain as well as reviewing any other underlying complaints. Observation of the hip at rest and while standing or walking, palpation (or feeling) of the hip and surrounding structures, testing for range of motion and strength, and checking for sensation and pulses all may be done. Few blood tests may also be ordered.
The most common imaging technique used in the diagnosis of a hip pain is X-ray. Other imaging like CT scan or a MRI scan may also be used.

Type of Total Hip Replacement (THR)

Conventional total hip replacement is a prosthesis that is anchored in the upper part of femur (thighbone).

In a short stem hip replacement, the prosthesis on the femoral side is very small in comparison. It is anchored only in the spongy bone. It is uncemented. This is a bone preserving hip replacement.

Anchorage method can be either cemented or uncemented. Prostheses that are anchored with bone cement are cemented hip replacements. Those prostheses, which rely on natural bony ingrowth for anchorage, are uncemented hip replacement. Natural bone in growth is encouraged by various coatings to the stem.

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Best Hip Replacement Surgery Hospitals in India

Best Prostate Cancer Surgery Hospitals in India

What Means Of Prostate Cancer

Prostate cancer is that the cancer that happens in prostate gland in men. prostate gland is accountable to transfers sperm. it’s one amongst the foremost common kinds of cancer. cost-of-prostate-cancer-treatment-in-indiaThe cancer sometimes grows slowly and confined to the gland whereas it’s going to spread resulting in advanced stage. If the cancer is diagnosed at an early stage, it will be treated with success.

 

 

 

Risk factors for the prostate cancer

Age – Prostate cancer is rare in men under 40 years of age and the risk increases rapidly as a man reaches 50 years of age.
Family history – Men who have a family history of prostate cancer (father or brother)have a higher chance of developing it themselves. The risk is more in case of an effected brother than father.
Genes – Inherited mutated genes form a small number of cases.
Smoking – It can not only increase the chances of prostate cancer but also slightly increase the risk of death due to prostate cancer.
Inflammation and Infections (prostatitis) can also increase the chance of one getting prostate cancer.
High fat diet and obesity have also been shown to put men at high risk of prostate cancer.

Signs and symptoms of prostate cancer.

Frequency – urinating much more often than normal.
Urgency – having a sensation that you need to urinate immediately.
Nocturia – getting up to urinate multiple times during the night.
Hesitancy – difficulty starting the urine stream. Other less common symptoms can be blood in urine, blood with semen, impotence, bone pain in back, hips or ribs and loss of bladder control.

Diagnosis & Tests

How Is Prostate Cancer Diagnosed?

Two initial tests are commonly used to look for prostate cancer in the absence of any symptoms. One is the digital rectal exam, in which a doctor feels the prostate through the rectum to find hard or lumpy areas known as nodules. The other is a blood test used to detect a substance made by the prostate called “prostate-specific antigen” (PSA). When used together, these tests can detect abnormalities that might suggest prostate cancer.

Neither of these initial tests for prostate cancer is perfect. Many men with a mildly elevated PSA do not have prostate cancer, and men with prostate cancer may have normal levels of PSA. Also, the digital rectal exam does not detect all prostate cancers, as it can only assess the back portion of the prostate gland.

The diagnosis can only be confirmed by examining prostate cells under a microscope. This is done by performing a biopsy in a urologist’s office. A small sample of tissue is taken from the prostate for testing and evaluation under a microscope.

Your doctor is likely to discuss your medical history with you. Answering questions about any history of genital or urinary disease in your family can help your doctor make an accurate diagnosis. Your doctor may also ask about any changes in your pattern of urinating.

Prostate Cancer – Treatment

Different doctors are usually involved in the treatment of prostate cancer (urologist, radiation oncologist, medical oncologist). These specialists discuss prostate cancer cases in so call tumor boards.
Several factors will be considered for each patient’s individual treatment plan:

  • size of the tumor
  • whether it is limited to the prostate or has already spread
  • aggressiveness of the tumor
  • age and general life expectancy of the patient
  • other diseases and tumor associated symptoms

Prevention of prostate cancer

No exact method to prevent prostate cancer is known. To lower the risk of prostate cancer one must be watchful of the weight, include fruits and vegetables in diet especially (tomatoes, cruciferous vegetables, soy, beans, and other legumes) or fish, exercise regularly and include Vitamin E supplements in consultation with a medical practitioner.

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Best Prostate Cancer Surgery Hospitals in India

Best Brain Tumor Surgery Hospitals in India

What is Brain Tumor

A brain tumor is a growth of abnormal cells in the tissues of the brain. Brain tumors can be benign, with no cancer cells, or malignant, with cancer cells that grow quickly. cancer123Some are primary brain tumors, which start in the brain. Others are metastatic, and they start somewhere else in the body and move to the brain.

Brain tumors can cause many symptoms. Some of the most common are

  • Headaches, often in the morning
  • Nausea and vomiting
  • Changes in your ability to talk, hear, or see
  • Problems with balance or walking
  • Problems with thinking or memory
  • Feeling weak or sleepy
  • Changes in your mood or behavior
  • Seizures

Doctors diagnose brain tumors by doing a neurologic exam and tests including an MRI, CT scan, and biopsy. Treatment options include watchful waiting, surgery, radiation therapy, chemotherapy, and targeted therapy. Targeted therapy uses substances that attack cancer cells without harming normal cells. Many people get a combination of treatments.

Brain Tumor Treatment

Treatment for brain tumors depends on a number of factors including the type, location and size of the tumor as well as the patient’s age and general health. Treatment methods and schedules differ for children and adults.

Brain tumors are treated with surgery, radiation therapy and chemotherapy. Our doctors also are studying a vaccine for treating a recurrent cancer of the central nervous system that occurs primarily in the brain, known as glioma.

Depending on your needs, several methods may be used. Our team includes neurosurgeons, medical oncologists, radiation oncologists, nurses, a dietitian and a social worker, who work together to provide the best possible care.

Before treatment begins, most patients are given steroids, drugs that relieve swelling or edema. Your may receive anticonvulsant medicine to prevent or control seizures.

If hydrocephalus is present, you may need a shunt to drain cerebrospinal fluid. A shunt is a long, thin tube placed in a ventricle of the brain and then threaded under the skin to another part of the body, usually the abdomen. It works like a drainpipe. Excess fluid is carried away from the brain and is absorbed in the abdomen. In some cases, the fluid is drained into the heart.

Surgery as the way of Treatment

Surgery is normally the exclusion of the cancerous tumor and adjoining tissues during the process of operation. There are several sorts of surgery available for brain cancer, and the most helpful option frequently depends on the phase and malignancy of the brain cancer.

Additional treatment options for high-grade tumors include:

  • Radiation therapy: X-rays and other forms of radiation can destroy tumor cells or delay tumor growth.
  • Chemotherapy: The use of drugs to kill rapidly dividing cells. It can be taken orally or intravenously.
  • Targeted therapy: The focus on a specific element of a cell, such as molecules or pathways required for cell growth, in order to use them as a target.
  • Tumor Treating Fields: (A wearable device) locally or regionally delivered treatment that produces electric fields to disrupt the rapid cell division exhibited by cancer cells by creating alternating, “wave-like” electric fields that travel across their region of usage in different directions. Because structures within dividing cells have an electric charge, they interact with these electric fields.

Diagnosis of Brain Tumor:-

Most of the brain is separated from the blood by the blood-brain barrier (BBB) exerting a limiting control for any substance to pass. Hence, most tracers would be able reach brain tumors only with the disruption of the BBB. The disruption of the BBB (blood-brain-barrier) can be detected by a MRI and CT.

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Best Brain Tumor Surgery Hospitals in India

Best Spinal Fusion Surgery Hospitals in India

Lumbar spinal fusion is surgery to join, or fuse, two or more vertebrae in the low back.

Spinal fusion is major surgery, usually lasting several hours. There are different methods of spinal fusion.

  • Bone is taken from the pelvic bone or from a bone bank. The bone is used to make a bridge between vertebrae that are next to each other. This bone graft helps new bone grow.images (1)
  • Metal implants are usually used to hold the vertebrae together until new bone grows between them.

 

 

Why it’s done

Spinal fusion permanently connects two or more vertebrae in your spine to improve stability, correct a deformity or reduce pain. Your doctor may recommend spinal fusion to treat the following spine problems:

  • Broken vertebrae. Not all broken vertebrae require spinal fusion. Many heal without treatment. But if a broken vertebra makes your spinal column unstable, spinal fusion surgery may be necessary.
  • Deformities of the spine. Spinal fusion can help correct spinal deformities, such as a sideways curvature of the spine (scoliosis) or abnormal rounding of the upper spine (kyphosis).
  • Spinal weakness or instability. Your spine may become unstable if there’s abnormal or excessive motion between two vertebrae. This is a common side effect of severe arthritis in the spine. Spinal fusion can be used to restore spinal stability in such cases.
  • Spondylolisthesis. In this spinal disorder, one vertebra slips forward and onto the vertebra below it. Spinal fusion may be needed to treat spondylolisthesis if the condition causes severe back pain or nerve crowding that produces leg pain or numbness.
  • Herniated disk. Spinal fusion may be used to stabilize the spine after removal of a damaged (herniated) disk.

Risks

Spinal fusion is generally a safe procedure. But as with any surgery, spinal fusion carries the potential risk of complications.

Potential complications include:

  • Infection
  • Poor wound healing
  • Bleeding
  • Blood clots
  • Injury to blood vessels or nerves in and around the spine
  • Pain at the site from which the bone graft is taken

Beyond the immediate risks of the procedure, spinal fusion surgery changes how your spine works by shifting stress from the fused vertebrae to adjacent areas of your spine. This added stress may accelerate the process of wear and tear in the vertebral joints on either side of the fusion, causing further damage and possibly chronic pain.

How you prepare

Preparation before surgery may involve trimming hair over the surgical site and cleaning the area with a special soap or antiseptic. Your doctor will give you specific instructions. Tell your doctor about any medications you are taking. You may be asked not to take some medications before the surgery.

During spinal fusion

Surgeons perform spinal fusion while you’re under general anesthesia so you’re unconscious during the procedure. Surgeons have developed a variety of techniques for performing spinal fusion surgery. The technique your surgeon uses depends on the location of the vertebrae to be fused and the reason for the spinal fusion.

Generally, the procedure involves the following:

  • Incision. To gain access to the vertebrae being fused, the surgeon makes an incision in one of three locations: in your neck or back directly over your spine, on either side of your spine, or in your abdomen or throat so that your surgeon can access the spine from the front.
  • Bone graft preparation. The bone grafts that actually fuse two vertebrae together may come from a bone bank or from your own body, usually from your pelvis. If your own bone is used, the surgeon makes an incision above your pelvic bone, removes a small portion of it and then closes the incision.
  • Fusion. To fuse the vertebrae together permanently, the surgeon places the bone graft material between the vertebrae. Metal plates, screws or rods may be used to help hold the vertebrae together while the bone graft heals.

In selected cases, some surgeons use a synthetic substance instead of bone grafts. These synthetic substances help promote bone growth and speed the fusion of the vertebrae.

After spinal fusion

A hospital stay of two to three days is usually required following spinal fusion. Depending on the location and extent of your surgery, you may experience some pain and discomfort but the pain can usually be well-controlled with medications.

After you go home, contact your doctor if you exhibit signs of infection, such as:

  • Redness, tenderness or swelling
  • Wound drainage
  • Shaking chills
  • Fever higher than 100 F (38 C)

It may take several months for the affected bones in your spine to heal and fuse together. Your doctor may recommend that you wear a brace for a time to keep your spine aligned correctly. Physical therapy can teach you how to move, sit, stand and walk in a manner that keeps your spine properly aligned.

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Best Liver Cancer Treatment Hospitals in India

What Is Liver Cancer?

The liver continuously filters blood that circulates through the body, converting nutrients and drugs absorbed from the digestive tract into ready-to-use chemicalscancer-image. The liver performs many other important functions, such as removing toxins and other chemical waste products from the blood and readying them for excretion. Because all the blood in the body must pass through it, the liver is unusually accessible to cancer cells traveling in the bloodstream.

 

What causes liver cancer?

Many factors may play a role in the development of cancer. Because the liver filters blood from all parts of the body, cancer cells from elsewhere can lodge in the liver and start to grow. Cancers that begin in the gut often spread to the liver. The ability of the liver to regenerate may also be linked to the development of liver cancers.

How are liver cancers classified?

There are many types of liver tumours, only some of which are cancers. The most important classification is whether the tumours are benign (relatively harmless) or malignant (capable of spreading from the liver and thus more serious)

Benign Tumours 

Hemangioma is the most common type of benign liver tumour. It is an abnormal growth of blood vessels of the liver that begins in the fetus. More than 10% of the normal population has hemanigomas in the liver. Most people with hemangiomas have no symptoms and require no treatment. Some hemangiomas may rarely enlarge and bleed in which case they may require surgical removal.

Hepatic adenomas are benign tumours of liver cells. Most do not cause symptoms and do not require treatment. However, if they are large they may cause pain or blood loss and may need to be removed. Hepatic adenomas occur more frequently in women and seem to be triggered in some cases by the birth control pill or by pregnancy.

Focal nodular hyperplasia (FNH) is a tumour-like growth of several cell types. Although FNH tumours are benign, it can be hard to distinguish them from liver cancers.

Malignant Tumours 

The most common form of primary liver cancer (cancer that starts in the liver) in adults is called hepatocellular carcinoma (HCC). It is a cancer of liver cells. This type of cancer can have different growth patterns. Some begin as a single tumour that grows larger. It may spread to other parts of the liver in later stages of the disease.

Liver cancer may also develop in more than one site in the liver and may grow into multiple tumours. This pattern is most often seen in people with liver cirrhosis.

Another liver cancer is called cholangiocarcinoma. It originates in the small bile ducts which are tubes that carry bile to the gall bladder. Most often, however, when cancer occurs in the liver, it did not start there, but spread to the liver from a cancer that began somewhere else in the body. These types of cancers are named after the place where they began (primary site) and are considered secondary liver cancers or cancer metastases.

What are the risk factors associated with liver cancer?

  • In the absence of chronic liver disease liver cancer is rare. However, in patients with underlying liver disease, liver cancer may be quite common. The exact cause of liver cancer is not known. Scientists have identified many risk factors that can make someone more likely to develop liver cancer:
  • Among those with chronic liver disease, men are more likely to develop liver cancer than are women. The reason for this is unknown.
  • Viral infectionof the liver: Chronic infection with either hepatitis B or hepatitis C may lead to the development of cancer.
  • Certain types of inherited liver disease such ashemochromatosis, which results in accumulation of too much iron in the liver, as well as alpha-1 antitrypsin deficiency, and tyrosinemia can lead to the development of liver cancer later in life.
  • Cirrhosis is the formation of scar tissue in the liver. This can often lead to cancer. Major causes of liver cirrhosis are alcohol use, chronic hepatitis B and C, and non-alcoholic steatohepatitis (NASH). Most causes of cirrhosis are also associated with the development of liver cancer.
  • Alcohol: excessive alcohol use is a known risk factor for development of alcoholic cirrhosis and liver cancer.
  • Obesity increases the risk of liver cancer in those patients in whom it causes liver disease.
  • Tobacco use increases the risk of liver cancer if you already have chronic liver disease.
  • Anabolic steroids: long-term use of anabolic steroids can increase the risk of liver cancer.

What are the symptoms of liver cancer?

In the early stages, liver cancer does not cause symptoms. Some common symptoms of advanced liver cancer include:

  • weight loss
  • loss of appetite
  • abdominal pain
  • jaundice
  • fluid in the abdomen (ascites)

How is liver cancer detected?

Liver-Imaging

  • ultrasound
  • blood testto check for increased levels of alpha-fetoprotein (AFP)
  • computer tomography scan (CT)
  • magnetic resonance imaging (MRI)

Which treatments are used for liver cancer?

In creating your treatment plan, important factors to consider include the stage (extent) of the cancer and the health of the rest of your liver. But you and your cancer care team will also want to take into account the possible side effects of treatment, your overall health, and the chances of curing the disease, extending life, or relieving symptoms. Based on these factors, your treatment options may include:

  • Surgery (partial hepatectomy or liver transplant)
  • Tumor ablation
  • Tumor embolization
  • Radiation therapy
  • Targeted therapy
  • Chemotherapy

Which doctors treat liver cancer?

Depending on your situation, you may have different types of doctors on your treatment team. These doctors may include:

  • A surgeon: a doctor who treats diseases with surgery.
  • A radiation oncologist: a doctor who treats cancer with radiation therapy.
  • A medical oncologist: a doctor who treats cancer with medicines such as chemotherapy.
  • A gastroenterologist: a doctor who specializes in treating diseases of the digestive system, including the liver.

Many other specialists may be involved in your care as well, including nurse practitioners, nurses, nutrition specialists, social workers, and other health professionals.

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Best Prostate Cancer Treatment Hospitals in India

What Means Of Prostate Cancer

Prostate cancer is that the cancer that happens in prostate gland in men. prostate gland isImage result for prostate cancer treatment accountable to transfers sperm. it’s one amongst the foremost common kinds of cancer. The cancer sometimes grows slowly and confined to the gland whereas it’s going to spread resulting in advanced stage. If the cancer is diagnosed at an early stage, it will be treated with success.

Once your doctor determines the stage of your prostate cancer, he can start mapping out a treatment plan. Stage is based on:

  • The size of your tumor
  • How far it has spread
  • The chances of it coming back

Matching the right treatment with your stage isn’t always cut and dry. You might benefit from a combo of a few different approaches. Together, you and your doctor will decide on the best treatment.

There are three different doctors who might be involved in your care:

  • A medical oncologist, who treats cancer
  • A radiation oncologist, who also treats cancer
  • A urologist, who specializes in problems with the urinary tract and male reproductive organs

Here are the stages of prostate cancer along with common treatment options.

Stage I

The cancer is small, and it hasn’t grown outside your prostate. Slow-growing cancers might never cause symptoms or other health problems.


In this stage, your PSA levels and Gleason scores are low, and that’s good. When they’re higher, your cancer is more aggressive. It’s also more likely to come back and require more intensive treatment.

The PSA (prostate-specific antigen) test measures levels of this protein in your blood. Your doctor then determines your Gleason score by looking at prostate tissue cells under a microscope.

With stage I, you should consider the following treatment approaches:

  • Active surveillance. Your doctor tracks your PSA levels. If those levels rise, it might mean your cost-of-prostate-cancer-treatment-in-indiacancer is growing or spreading. Your doctor can then change your treatment. He might also do tests like rectal exams and ultrasounds.

Watchful waiting. This involves fewer tests than active surveillance. Your doctor keeps a close watch on your symptoms. If you’re an older man, or you have other

  • serious health problems, your doctor might opt for this method.
  • Radiation therapy. This kills prostate cancer cells or keeps them from growing and dividing. There are two types of this treatment. The “external” kind uses a machine to aim a beam of radiation at your tumor. With “internal radiation,” a doctor places radioactive pellets or seeds in or next to the tumor — this procedure is also known as brachytherapy.
  • Radical prostatectomy. This is a surgery to remove your prostate and some of the surrounding tissue.
  • Ablation therapy. This treatment uses freezing or high-intensity ultrasound to kill cancer cells.

Stage II

The cancer is much larger, but it hasn’t spread outside your prostate. Your PSA levels and Gleason scores are also higher. Surgery or radiation is often needed to keep it from spreading.

With stage II, you should consider the following treatments:

  • Active surveillance. In this stage, it’s typically used if you’re a much older man or you have other serious health problems.
  • Radiation therapy, possibly combined with hormone therapy. Those are drugs that stop testosterone from helping your cancer cells grow.
  • Radical prostatectomy

Stage III

The cancer has spread beyond your prostate, but it hasn’t reached your bladder, rectum, lymph nodes, or nearby organs.

With stage III, you should consider the following treatments:

  • External radiation plus hormone therapy
  • External radiation plus brachytherapy and possible hormone therapy
  • Radical prostatectomy, often combined with removal of your pelvic lymph nodes. Your doctor might recommend radiation after surgery.

Stage IV

This happens when your cancer has spread to the bladder, rectum, lymph nodes, organs, or bones. Cases of stage IV are rarely cured. Still, treatments can extend your life and ease your pain.

In this stage, you should consider the following treatments:

  • Hormone therapy, which is often combined with surgery, radiation, or chemotherapy
  • Surgery to relieve symptoms such as bleeding or urinary obstruction and to remove cancerous lymph nodes
  • External radiation with or without hormone therapy
  • Chemotherapy, if standard treatments don’t relieve symptoms and the cancer continues to grow. The drugs will shrink cancer cells and slow their growth.
  • Bisphosphonate drugs, which can help slow the growth of cancer in the bone and help prevent fractures
  • The vaccine sipuleucel-T (Provenge), which boosts your immune system so it will attack the cancer cells. This might be used when hormone therapy doesn’t work.
  • Palliative care, which offers you relief from symptoms like pain and trouble peeing

What Are the Symptoms of Prostate Cancer?

There are no warning signs of early prostate cancer. Once a tumor causes the prostate gland to swell, or once cancer spreads beyond the prostate, the following symptoms may happen:

  • A frequent need to urinate, especially at night
  • Difficulty starting or stopping a stream of urine
  • A weak or interrupted urinary stream
  • Leaking of urine when laughing or coughing
  • Inability to urinate standing up
  • A painful or burning sensation during urination or ejaculation
  • Blood in urine or semen

These are not symptoms of the cancer itself; instead, they are caused by the blockage from the cancer growth in the prostate. They can also be caused by an enlarged, noncancerous prostate or by a urinary tract infection.

Symptoms of advanced prostate cancer include:

  • Dull, deep pain or stiffness in the pelvis, lower back, ribs, or upper thighs; pain in the bones of those areas
  • Loss of weight and appetite, fatigue, nausea, or vomiting
  • Swelling of the lower extremities
  • Weakness or paralysis in the lower limbs, often with constipation

Call Your Doctor About Prostate Cancer If:

  • You have trouble urinating or find that urination is painful or different from normal; your doctor should examine your prostate gland to determine whether it is enlarged, inflamed with an infection, or cancerous.
  • You have chronic pain in your lower back, pelvis, upper thighbones, or other bones. Pain in these areas can be caused by different things, including the spread of prostate cancer.
  • You have unexplained weight loss.
  • You have swelling in your legs.
  • You have weakness in your legs or difficulty walking, especially if you also have constipation.

Diagnosis & Tests

How Is Prostate Cancer Diagnosed?

Two initial tests are commonly used to look for prostate cancer in the absence of any symptoms. One is the digital rectal exam, in which a doctor feels the prostate through the rectum to find hard or lumpy areas known as nodules. The other is a blood test used to detect a substance made by the prostate called “prostate-specific antigen” (PSA). When used together, these tests can detect abnormalities that might suggest prostate cancer.

Neither of these initial tests for prostate cancer is perfect. Many men with a mildly elevated PSA do not have prostate cancer, and men with prostate cancer may have normal levels of PSA. Also, the digital rectal exam does not detect all prostate cancers, as it can only assess the back portion of the prostate gland.

The diagnosis can only be confirmed by examining prostate cells under a microscope. This is done by performing a biopsy in a urologist’s office. A small sample of tissue is taken from the prostate for testing and evaluation under a microscope.

Your doctor is likely to discuss your medical history with you. Answering questions about any history of genital or urinary disease in your family can help your doctor make an accurate diagnosis. Your doctor may also ask about any changes in your pattern of urinating.

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Best Prostate Cancer Treatment Hospitals in India

Best Breast Cancer Surgery Hospitals in India

Surgery is a common treatment for breast cancer, and its main purpose is to remove as much of the cancer as possible. There are different types of surgery. You may have a choice about which type to have.Sentinel-lymph-node-biopsy-article.__v20048088 Or your doctor may recommend a certain operation based on your breast cancer type and your medical history. It’s important to know about your options so you can talk about them with your doctor and make the choice that is right for you.

Most women with breast cancer have some type of surgery as part of their treatment. Depending on the situation, surgery may be done for different reasons. For example, surgery may be done to:

  • Remove as much of the cancer as possible (breast-conserving surgery or mastectomy)
  • Find out whether the cancer has spread to the lymph nodes under the arm (sentinel lymph node biopsy or axillary lymph node dissection)
  • Restore the breast’s shape after the cancer is removed (breast reconstruction)
  • Relieve symptoms of advanced cancer.

Types of surgery

There are many different types of surgery for breast cancer. The type you have depends on:

  • the size of the cancer
  • where the cancer is in your breast
  • the size of your breasts
  • your personal wishes and feelings

Surgery to remove breast cancer

There are two main types of surgery to remove breast cancer:

  • Breast-conserving surgery (also called a lumpectomyquadrantectomypartial mastectomy, or segmental mastectomy)  in which only the part of the breast containing the cancer is removed. The goal is to remove the cancer as well as some surrounding normal tissue. How much of the breast is removed depends on the size and location of the tumor and other factors.
  • Mastectomy – in which the entire breast is removed, including all of the breast tissue and sometimes other nearby tissues. There are several different types of mastectomies. Some women may also get a double mastectomy, in which both breasts are removed.

Surgery to remove nearby lymph nodes

To find out if the breast cancer has spread to axillary (underarm) lymph nodes, one or more of these lymph nodes will be removed and looked at under the microscope. This is an important part of figuring out the stage (extent) of the cancer. Lymph nodes can be removed either as part of the surgery to remove the breast cancer or as a separate operation.

The two main types of surgery to remove lymph nodes are:

  • Sentinel lymph node biopsy (SLNB)  in which the surgeon removes only the lymph node(s) under the arm to which the cancer would likely spread first. Removing only one or a few lymph nodes lowers the risk of side effects from the surgery.
  • Axillary lymph node dissection (ALND) – in which the surgeon removes anywhere from about 10 to 40 (though usually less than 20) lymph nodes from under the arm. ALND is not done as often as it was in the past, but it might still be the best way to look at the lymph nodes in some situations.

Surgery for advanced breast cancer.

Although surgery is very unlikely to cure breast cancer that has spread to other parts of the body, it can still be helpful in some situations, either as a way to slow the spread of the cancer, or to help prevent or relieve symptoms from it. For example, surgery might be used:

  • When the breast tumor is causing an open wound in the breast (or chest)
  • To treat a small number of areas of cancer spread (metastases) in a certain part of the body, such as the brain
  • When an area of cancer spread is pressing on the spinal cord
  • To treat a blockage in the liver
  • To provide relief of pain or other symptoms

If your doctor recommends surgery for advanced breast cancer, it’s important that you understand its goal—whether it’s to try to cure the cancer or to prevent or treat symptoms.

Which treatments are used for breast cancer?

There are several ways to treat breast cancer, depending on its type and stage.

Local treatments: Some treatments are called local therapies, meaning they treat the tumor without affecting the rest of the body. Types of local therapy used for breast cancer include:

  • Surgery
  • Radiation therapy

These treatments are more likely to be useful for earlier stage (less advanced) cancers, although they might also be used in some other situations.

Systemic treatments: Breast cancer can also be treated using drugs, which can be given by mouth or directly into the bloodstream. These are called systemic therapies because they can reach cancer cells anywhere in the body. Depending on the type of breast cancer, several different types of drugs might be used, including:

  • Chemotherapy
  • Hormone therapy
  • Targeted therapy

Many women will get more than one type of treatment for their cancer.

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Best Breast Cancer Surgery Hospitals in India