Prostate Cancer Surgery Best Hospitals in India

Overview-

Prostate cancer is a disease which only occurs in the prostate gland present in the male reproductive 546system and is most common among men over ages 50 years. Mostly are slow growing; however, it can grow quickly if ignored, at first it causes no symptoms but in later stages it can lead to difficulty in urinating, blood in urine or pain in the penis.

 

 

Advanced (metastatic) prostate cancer:-

Advanced or metastatic cancer of the prostate gland is when the cancer has spread beyond the prostate gland to other parts of the body. Prostate cancer is usually diagnosed in the early stages before it starts to spread outside the prostate gland. But in some men, the prostate cancer will be advanced when it is first diagnosed. Advanced prostate cancer can also occur in men who have previously been treated for early or locally advanced prostate cancer but their cancer has come back (relapsed or recurred). Prostate cancer cells can sometimes spread beyond the prostate gland. The cancer cells may travel around the body in the bloodstream or, less commonly the lymphatic system. When these cells reach a new area of the body, they may go on dividing and form a new tumor  called a metastasis or secondary tumor.

The most common places for prostate cancer to spread are to bones such as the spine, pelvis, thigh bone (femur) and ribs. Usually, the cancer cells will spread to a number of different places in the bones rather than to a single site. Sometimes prostate cancer can affect the bone marrow. This is the spongy material that’s found in the center  of most bones. It’s also where the body’s blood cells are made.  Prostate cancer can also spread to the lymph nodes, and occasionally it may affect the lungs, the brain and the liver.

Prostate Cancer Signs and Symptoms:-

Prostate cancer does not normally cause symptoms until the cancer has grown large enough to put pressure on the urethra.

This normally results in problems associated with urination. Symptoms can include:

  • needing to urinate more frequently, often during the night
  • needing to rush to the toilet
  • difficulty in starting to pee (hesitancy)
  • straining or taking a long time while urinating
  • weak flow
  • feeling that your bladder has not emptied fully

Many men′s prostates get larger as they get older due to a non-cancerous condition known as prostate enlargement or benign prostatic hyperplasia.

Symptoms that the cancer may have spread include bone and back pain, a loss of appetite, pain in the testicles and unexplained weight loss.

Risk factors:-

Independent factors include:-

  • Men over 65: prostate cancer is not very common in men under 50.
  • African ancestry: Men of African ancestry have a higher risk of developing prostate cancer. They have about a 60% higher rate of prostate cancer than Caucasian men. Men of African ancestry are more likely to be diagnosed at a younger age and with more aggressive and advanced tumor.
  • Family history: the risk of developing prostate cancer is higher if a first-degree relative (father or brother) has been diagnosed with the disease.A  Men are at the most risk if more than one relative has been diagnosed and if the relatives were diagnosed at a younger age.  The risk doubles if a man′s father had the disease, and if a brother had it, the risk triples; hereditary prostate cancer typically begins among a cluster of relatives before age 55.

Dependent risk factors include:-

  • High-fat diet: a diet high in fat, especially animal fat, may increase the risk of prostate cancer.
  • Exposure to cadmium: Cadmium is a metallic element known to cause cancer and is a possible risk factor for prostate cancer.

Tests and diagnosis:-

 

  • Digital rectal exam (DRE): This is an exam of the prostate via the rectum.  The doctor inserts a lubricated, gloved finger into the rectum and feels the prostate through the rectal wall for lumps, hardness of abnormal areas.
  • Prostate-specific antigen (PSA) test: This test measures the level of PSA in the blood.  PSA is a substance made by the prostate that may be found in an increased amount in the blood of men who have prostate cancer.  PSA levels may also be high in men who have an infection or inflammation of the prostate or BPH (a non-cancerous enlargement of the prostate).
  • Transrectal ultrasound (TRUS): A procedure in which a probe that is about the size of a finger is inserted into the rectum to check the prostate. The probe is used to bounce high-energy sound waves (ultrasound) off internal tissues or organs and make echoes. The echoes form a picture of body tissues called a sonogram. Transrectal ultrasound is used during a biopsy procedure.
  • Biopsy:  The removal of cells or tissues so they can be viewed under a microscope by a pathologist. The pathologist will examine the biopsy sample to check for cancer cells and determine the Gleason score. The Gleason score ranges from 2-10 and describes how likely it is that a tumor will spread. The lower the number, the less likely the tumor is to spread. There are 2 types of biopsy procedures used to diagnose prostate cancer.
    • Transrectal biopsy: The removal of tissue from the prostate by inserting a thin needle through the rectum and into the prostate. This procedure is usually done using transrectal ultrasound to help guide the needle.
    • Transperineal biopsy: The removal of tissue from the prostate by inserting a thin needle through the skin between the scrotum and rectum and into the prostate.

 

Prostate Cancer Treatment:-

Because prostate cancer often grows very slowly, some men (especially those who are older or who have other major health problems) might never need treatment for their cancer. Instead, their doctor may suggest approaches known as watchful waiting, expectant management, observation, or active surveillance.

Some doctors use these terms to mean the same thing. For other doctors the terms mean something slightly different:

  • Active surveillance is often used to mean watching the cancer closely with PSA blood tests, digital rectal exams (DREs), and ultrasounds at regular intervals to see if the cancer is growing. Prostate biopsies may be done as well to see if the cancer is starting to grow faster.
  • Watchful waiting (observation) is sometimes used to describe a less intense type of follow-up that may mean fewer tests and relying more on changes in a man’s symptoms to decide if treatment is needed.

Surgery for prostate cancer

Surgery is a common choice to try to cure prostate cancer if it is not thought to have spread outside the gland.The main type of surgery for prostate cancer is known as a radical prostatectomy. In this operation, the surgeon removes the entire prostate gland plus some of the tissue around it. A radical prostatectomy can be done in different ways.

Open approaches to prostatectomy

In the more traditional approach to doing a prostatectomy, the surgeon operates through a single long cut (incision) to remove the prostate and nearby tissues. This type of surgery, sometimes referred to as an open approach, is now done less often than before.

  • Radical retropubic prostatectomy: In the retropubic approach, a cut is made in the lower belly (abdomen), as shown in the picture below. The doctor will then remove the prostate and some nearby tissues. He or she can also remove nearby lymph nodes to check for cancer spread.A small tube (catheter) will be put in your penis to help drain your bladder after surgery. The catheter usually stays in place for 1 to 2 weeks while you are healing.

You will probably stay in the hospital for a few days after the surgery, and your activities will be limited for about 3 to 5 weeks.

  • Radical perineal prostatectomy: In the perineal approach, the surgeon makes the cut in the skin between the anus and the scrotum. This approach is used less often because it’s more likely to lead to erection problems and because the nearby lymph nodes can’t be removed. But it might be an option if you aren’t concerned about erections and you don’t need lymph nodes removed. It also might be used if you have other medical problems that make retropubic surgery hard to do.

The perineal approach often takes less time than the retropubic approach, and may result in less pain.A tube for draining urine (called a catheter) will be put into the bladder through the penis to drain urine for 1 to 2 weeks while you are healing.You will probably stay in the hospital for a few days after the surgery, and your activities will be limited for about 3 to 5 weeks.

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Prostate Cancer Surgery Best Hospitals in India

Hip Replacement Surgery Best hospital in India

What Is a Hip Replacement?

Hip replacement, or arthroplasty, is a surgical procedure in which the diseased parts of thehip254 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.

 

Who Should Have Hip Replacement Surgery?

People with hip joint damage that causes pain and interferes with daily activities despite treatment may be candidates for hip replacement surgery. Osteoarthritis is the most common cause of this type of damage. However, other conditions, such as rheumatoid arthritis (a chronic inflammatory disease that causes joint pain, stiffness, and swelling), osteonecrosis (or avascular necrosis, which is the death of bone caused by insufficient blood supply), injury, fracture, and bone tumors also may lead to breakdown of the hip joint and the need for hip replacement surgery.

What Does Hip Replacement Surgery Involve?

The hip joint is located where the upper end of the femur, or thigh bone, meets the pelvis, or hip bone. A ball at the end of the femur, called the femoral head, fits in a socket (the acetabulum) in the pelvis to allow a wide range of motion.

During a traditional hip replacement, which lasts from 1 to 2 hours, the surgeon makes a 6- to 8-inch incision over the side of the hip through the muscles and removes the diseased bone tissue and cartilage from the hip joint, while leaving the healthy parts of the joint intact. Then the surgeon replaces the head of the femur and acetabulum with new, artificial parts. The new hip is made of materials that allow a natural gliding motion of the joint.

Some surgeons perform what is called a minimally invasive, or mini-incision, hip replacement, which requires smaller incisions and a shorter recovery time than traditional hip replacement. Candidates for this type of surgery are usually age 50 or younger, of normal weight based on body mass index, and healthier than candidates for traditional surgery. Joint resurfacing is also being used.

Regardless of whether you have traditional or minimally invasive surgery, the parts used to replace the joint are the same and come in two general varieties: cemented and uncemented.

Cemented parts are fastened to existing, healthy bone with a special glue or cement. Hip replacement using these parts is referred to as a “cemented” procedure. Uncemented parts rely on a process called biologic fixation, which holds them in place. This means that the parts are made with a porous surface that allows your own bone to grow into the pores and hold the new parts in place. Sometimes a doctor will use a cemented femur part and uncemented acetabular part. This combination is referred to as a hybrid replacement.

How to Prepare for Surgery and Recovery.

People can do many things before and after they have surgery to make everyday tasks easier and help speed their recovery.

Before Surgery

  • Learn what to expect. Request information written for patients from the doctor, or contact one of the organizations listed near the end of this publication.
  • Arrange for someone to help you around the house for a week or two after coming home from the hospital.
  • Arrange for transportation to and from the hospital.
  • Set up a “recovery station” at home. Place the television remote control, radio, telephone, medicine, tissues, wastebasket, and pitcher and glass next to the spot where you will spend the most time while you recover.
  • Place items you use every day at arm’s level to avoid reaching up or bending down.
  • Stock up on kitchen supplies and prepare food in advance, such as frozen casseroles or soups that can be reheated and served easily.

After Surgery

  • Follow the doctor’s instructions.
  • Work with a physical therapist or other health care professional to rehabilitate your hip.
  • Wear an apron for carrying things around the house. This leaves hands and arms free for balance or to use crutches.
  • Use a long-handled “reacher” to turn on lights or grab things that are beyond arm’s length. Hospital personnel may provide one of these or suggest where to buy one.

What Types of Exercise Are Most Suitable for Someone With a Total Hip Replacement?

Proper exercise can reduce stiffness and increase flexibility and muscle strength. People who have an artificial hip should talk to their doctor or physical therapist about developing an appropriate exercise program. Most of these programs begin with safe range-of-motion activities and muscle-strengthening exercises. The doctor or therapist will decide when you can move on to more demanding activities. Many doctors recommend avoiding high-impact activities, such as basketball, jogging, and tennis. These activities can damage the new hip or cause loosening of its parts. Some recommended exercises are walking, stationary bicycling, swimming, and cross-country skiing. These exercises can increase muscle strength and cardiovascular fitness without injuring the new hip.

 

Hip Replacement Surgery Best hospital in India

Best Liver Cancer Treatment Hospital in India

Liver Cancer or hepatic tumor could be a cancer of Liver. There are many varieties differing types|differing kinds} of tumours that may develop within the liver as liver is formed cancer-imageof various cell types. These growths is benign or malignant. Cancerous tumours will begin in liver and spread to alternative areas of your body, through your blood or your lymphatic system. This unfold of cancer is termed metastasis. Tumours can also unfold from alternative components of your body, like from your bowel, breast or lungs, to your liver.

Knowing the signs helps a doctor to create an accurate diagnosis call regarding the cancer stage and its treatment. The below-mentioned factors signal regarding cancer, and if you observe these for a extended period, consult a doctor for treatment.

Symptoms

Most people don’t have signs and symptoms in the early stages of primary liver cancer. When signs and symptoms do appear, they may include:

  • Losing weight without trying
  • Loss of appetite
  • Upper abdominal pain
  • Nausea and vomiting
  • General weakness and fatigue
  • Abdominal swelling
  • Yellow discoloration of your skin and the whites of your eyes (jaundice) White, chalky stools.

Treatment overview                                           

In cancer care, differing kinds of doctors typically work along to create a patient’s overall treatment set up that combines differing kinds of treatments.. Cancer care groups also include a spread of alternative health care professionals, as well as physician assistants, medicine nurses, social workers, pharmacists, counselors, dietitians, and others.

Treatment options and recommendations depend on several factors:

  • How much of the liver is affected by the cancer
  • Whether the cancer has spread
  • The patient’s preferences and overall health
  • The damage to the remaining cancer-free area of the liver.

When a tumor is found at associate early stage and therefore the patient’s liver is functioning well, treatment is aimed at attempting to eliminate the cancer. The care arrange may additionally include treatment for symptoms and aspect effects, a very important a part of cancer care once liver cancer is found at a later stage, or the patient’s liver isn’t operating well, the patient and doctor should talk about the goals of every treatment recommendation. At now, the goals of treatment could specialize in slowing growth of the cancer and relieving symptoms to improve quality of life.

The various disease-directed treatment options can be grouped according to whether they may cure the cancer or will improve survival but will most likely not eliminate the cancer. Descriptions of the most common treatment options, both disease-directed and those aimed at managing side effects and symptoms, are listed below. Take time to learn about your treatment options and be sure to ask questions about things that are unclear. Also, talk about the goals of each treatment with your doctor and what you can expect while receiving the treatment.

Two types of surgery are used to treat.

  • Hepatectomy :-when a portion of the liver is removed, the surgery is named a hepatectomy. A hepatectomy will be done provided that the cancer is in one a part of the liver and also the liver is functioning well. The remaining section of liver takes over the functions of the whole liver. The liver might grow back to its traditional size at intervals many weeks. A hepatectomy might not be possible if the patient has advanced cirrhosis, even if the tumour is little.

The side effects of a hepatectomy may include pain, weakness, fatigue, and temporary liver failure. The health care team will watch for signs of bleeding, infection, liver failure, or other problems that need immediate treatment.

  • Liver transplantation. Sometimes, a liver transplantation can be done. This procedure is possible only when the cancer has not spread outside the liver, a suitable donor is found, and very specific criteria are met in terms of tumor size and number. These criteria usually are a single tumor 5 cm or smaller or 3 or fewer tumors, all of which are smaller than 3 cm. It is important to understand that the number of donor livers available is very limited, so transplantation is not always an option.

After a transplant, the patient will be watched closely for signs that the body might be rejecting the new liver or that the tumor has come back. The patient must take medication to prevent rejection. These drugs can cause side effects, such as puffiness in the face, high blood pressure, or increased body hair.

Liver transplantation is a particularly effective treatment for people with a small tumor because transplantation removes the tumor and the damaged liver. However, there are few donors, and people waiting for a liver transplant may have to wait for a long time before a liver becomes available. During this time, the disease may get worse. The transplant center will advise you on how long the wait is likely to be and what rules are used to prioritize people on the waiting list.

Diagnosing liver cancer

Tests and procedures used to diagnose liver cancer include:

  • Blood tests. Blood tests may reveal liver function abnormalities.
  • Imaging tests. Your doctor may recommend imaging tests, such as an ultrasound, computerized tomography (CT) scan and magnetic resonance imaging (MRI).
  • Removing a sample of liver tissue for testing. Your doctor may recommend removing a piece of liver tissue for laboratory testing in order to make a definitive diagnosis of liver cancer.
  • Ultrasound test — The ultrasound device uses sound waves that cannot be heard by humans. The sound waves produce a pattern of echoes as they bounce off internal organs. The echoes create a picture (sonogram) of the liver and other organs in the abdomen. Tumors may produce echoes that are different from the echoes made by healthy tissues.
  • MRI — A powerful magnet linked to a computer is used to make detailed pictures of areas inside the body. These pictures are viewed on a monitor and can also be printed.
  • Angiogram — For an angiogram, the patient may be in the hospital and may have anesthesia. The doctor injects dye into an artery so that the blood vessels in the liver show up on an x-ray. The angiogram can reveal a tumor in the liver.
  • Biopsy — In some cases, the doctor may remove a sample of tissue. A pathologist uses a microscope to look for cancer cells in the tissue. The doctor may obtain tissue in several ways. One way is by inserting a thin needle into the liver to remove a small amount of tissue. This is called fine-needle aspiration. The doctor may use CT or ultrasound to guide the needle. Sometimes the doctor obtains a sample of tissue with a thick needle (core biopsy) or by inserting a thin, lighted tube (laparoscope) into a small incision in the abdomen. Another way is to remove tissue during an operation.

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Best Liver Cancer Treatment Hospital in India

Advanced Treatment of Spinal Fusion Surgery Hospitals in India

What is Spinal Fusion ?

The operation of spinal fusion is performed to correct issues related to the little bones of the spine. The fusion is primarily in deep trouble eliminating the pain that has been caused by abnormal motion of the vertebrae.2526

Spinal fusion is essentially performed within the body part region of the spine and is additionally wont to treat pectoral and cervical issues. fusion relieves symptoms of many back issues that includes –

 

 

• Infection
• Degenerative disk disease
• Tumor
• Spondylolisthesis
• Fracture
• Scoliosis
• Spinal stenosis

The basic role of spinal fusion with Instrumentation & Stabilization is to produce further spinal stability whereas setting-up associate surroundings for fusion. numerous types of medical instrumentation devices are developed to assist successful spinal fusion as bones tend to fuse effectively during a stabilised atmosphere with very little motion. Instrumentation may be a style of ingrained medical device that helps fusion set-up by limiting motion at the united phase. Sometimes manufactured from titanium or stainless steel, instrumentation devices usually are available in several shapes & sizes to suit specific set-ups.

Uses of Spinal Fusion

Spinal fusion is performed to treat or relieve symptoms of many spinal problems. The procedure removes mobility between the two treated vertebrae. This may decrease flexibility, but it’s useful for treating spinal disorders that make movement painful. These disorders include:

  • tumors
  • spinal stenosis
  • herniated “bulging” disks
  • degenerative disk disease
  • fractured vertebrae that may be making your spinal column unstable
  • scoliosis (curvature of the spine)
  • kyphosis (abnormal rounding of the upper spine)

spinal weakness or instability due to severe arthritis, tumors, or infections spondylolisthesis (a condition in which one vertebra slips onto the vertebra below it, causing severe pain)

A spinal fusion procedure may also include a diskectomy. When performed alone, a diskectomy involves removing a disk due to damage or disease. When the disk is removed, bone grafts are placed into the empty disk space to maintain the right height between bones. Your doctor uses the two vertebrae on either side of the removed disk to form a bridge (or fusion) across the bone grafts to promote long-term stability.

When spinal fusion is performed in the cervical spine along with a diskectomy, it’s called cervical fusion. Instead of removing a vertebra, the surgeon removes disks or bone spurs from the cervical spine, which is in the neck. There are seven vertebrae separated by intervertebral disks in the cervical spine.

Preparing for Spinal Fusion

Typically, the preparation for spinal fusion is like other surgical procedures. It requires preoperative laboratory testing. Before spinal fusion, you should tell your physician about any of the following:

cigarette smoking, which may reduce your ability to heal from spinal fusion alcohol use any illnesses you have, including colds, the flu, or herpes any prescription or over-the-counter medications you’re taking, including herbs and supplements.

You’ll want to discuss how the medications you’re taking should be used before and after the procedure. Your doctor may provide special instructions if you’re taking medications that could affect blood clotting. These include anticoagulants (blood thinners), such as warfarin, and nonsteroidal anti-inflammatory drugs (NSAIDs), including aspirin and ibuprofen.

You’ll be given general anesthesia, so you’ll need to fast for at least eight hours before your procedure. On the day of surgery, use only a sip of water to take any medications your physician has recommended. Complications of Spinal Fusion.

Spinal fusion, like any surgery, carries the risk of certain complications, such as:-

  • infection
  • blood clots
  • bleeding and blood loss
  • respiratory problems
  • heart attack or stroke during surgery
  • inadequate wound healing
  • reactions to medications or anesthesia

Spinal fusion also carries the risk of the following rare complications:

  • infection in the treated vertebrae or wound.
  • damage to a spinal nerve, which can cause weakness, pain, and bowel or bladder problems.
  • additional stress on the bones adjacent to the fused vertebrae.
  • persistent pain at the bone graft site.
  • blood clots in the legs that can be life-threatening if they travel to the lungs.

The most serious complications are blood clots and infection, which are most likely to occur during the first weeks following surgery.

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Advanced Treatment of Spinal Fusion Surgery Hospitals in India

Most Advanced Heart Valve Repair or Replacement Surgery With Best Hospitals in India

Overview

Heart valve surgery is a procedure to treat heart valve disease. In heart valve disease, at least one of the four heart valves that keep blood flowing in the correct direction through your heart doesn’t function properly.

These valves include the mitral valve, tricuspid valve, pulmonary valve and aortic valve. Each544 valve has flaps called leaflets, for the mitral and tricuspid valves, and cusps, for the aortic and pulmonary valves. These flaps open and close once during each heartbeat. Sometimes the valves don’t open or close properly, disrupting the blood flow through your heart to your body.

In heart valve surgery, your surgeon repairs or replaces the affected heart valves. Many surgical procedures may be used to repair or replace heart valves, including open-heart surgery or minimally invasive heart surgery.

Your treatment depends on several factors, including your age, health, the condition of the heart valve that is affected and the severity of your condition.

Your treatment depends on several factors, including your age, health, the condition of the heart valve that is affected and the severity of your condition.

Signs and Symptoms of Heart Failure

In the early stages, Heart Failure may not have any symptoms. In the later stages, the patient may have severe symptoms because the weakened heart is unable to pump enough oxygen-rich blood with each contraction to satisfy the body.

Heart valve surgery risks may include:

  • Bleeding
  • Heart attack
  • Infection
  • Valve dysfunction in replacement valve
  • Irregular heart rhythm (arrhythmia)
  • Stroke
  • Death

Diagnosis for Heart Failure

There is no single test that can diagnose Heart Failure. The patient may have to go some of the following tests –

  1. EKG (Electrocardiogram) – This test is used to measure the heart’s electrical activity. It may show if the patient has had a heart attack or if there is thickening of the walls in the heart’s pumping chambers (ventricles) or if the heart rhythms are abnormal.
  2. Chest X-ray – A chest X-ray shows if the heart is enlarged or if there is fluid in the lungs, or any lung disease.
  3. BNP Blood Test – This test checks the level of a hormone called BNP (B-type natriuretic peptide) that rises in Heart Failure.
  4. Thyroid Function Tests – These tests reveal whether an overactive or an under-active thyroid is responsible for Heart Failure.
  5. Echocardiogram – Echocardiogram enables the doctor to evaluate the size, thickness and pumping action of the heart, as well as evaluate how well the heart valves are functioning. A stress echocardiogram may also be useful in assessing how well the heart is functioning at rest and during exercise.
  6. Coronary Angiography – This test, usually performed along with cardiac catheterization, helps the doctor see the flow of blood to the heart muscle.
  7. Magnetic Resonance Imaging (MRI) – MRI shows detailed images of the structures and beating of the heart, enabling the doctor to assess if parts of the heart are weak or damaged.

How you prepare

Before surgery to have your heart valve repaired or replaced, your doctor and treatment team will explain to you what to expect before, during and after the surgery and potential risks of the surgery.

Your doctor and team will discuss with you concerns you may have about your heart valve surgery. Discuss with your doctor and treatment team any questions you may have about the procedure.

You’ll need to have your hair shaved at the location of your body where the procedure will take place.

Before being admitted to the hospital for your surgery, talk to your family about your hospital stay and discuss help you may need when you return home. Your doctor and treatment team may give you specific instructions to follow during your recovery when you return home.

Heart valve replacement:-

If your heart valve can’t be repaired, your doctor may recommend heart valve replacement. To replace a heart valve, your doctor removes the heart valve and replaces it with a mechanical valve or a valve made from cow, pig or human heart tissue (biological tissue valve).

Biological valves often eventually need to be replaced, as they degenerate over time. If you have a mechanical valve, you’ll need to take blood-thinning medications for the rest of your life to prevent blood clots. Doctors will discuss with you the risks and benefits of each type of valve and discuss which valve may be appropriate for you.

A minimally invasive catheter procedure may be conducted to replace certain heart valves. For example, a catheter procedure may be performed to insert a replacement valve into a biological replacement valve in the heart that is no longer working properly.

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Most Advanced Heart Valve Repair or Replacement Surgery With Best Hospitals in India

Most Advanced Pediatric Heart Surgery in India

Pediatric heart surgery.

Heart surgery in children is done to repair heart defects a child is born with (congenital heart defects) and heart diseases a child gets after birth that need surgery. The surgery is needed for the child’s well being.

There are several sorts of heart defects. Some are minor, and others area unit additional serious. pediatric-heart-surgery-1Defects will occur within the center or within the large blood vessels outside the heart. Some heart defects might have surgery right when the baby is born. For others, your kid could also be ready to safely wait for months or years to have surgery.
One surgery could also be enough to repair the heart defect, but typically a series of procedures is required. 3 completely different techniques for fixing congenital defects of the heart in children are described below.

Open-heart surgery is when the surgeon uses a heart-lung bypass machine.

  • An incision is made through the breastbone (sternum) while the child is under general anesthesia (the child is asleep and pain free).
  • Tubes are used to re-route the blood through a special pump called a heart-lung bypass machine. This machine adds oxygen to the blood and keeps the blood warm and moving through the rest of the body while the surgeon is repairing the heart.
  • Using the machine allows the heart to be stopped. Stopping the heart makes it possible to repair the heart muscle itself, the heart valves, or the blood vessels outside the heart. After the repair is done, the heart is started again, and the machine is removed. The breastbone and the skin incision are then closed.

For some heart defect repairs, the incision is made on the side of the chest, between the ribs. This is called a thoracotomy. It is sometimes called closed-heart surgery. This surgery may be done using special instruments and a camera.

Another way to fix defects in the heart is to insert small tubes into an artery in the leg and pass them up to the heart. Only some heart defects can be repaired this way.

The most common heart ailments in children are:

  • Fallot’s tetralogy
  • Ventricular Septal Defect
  • Atrial Septal Defect
  • Valvular defects
  • Aortic stenosis
  • Aortic coarctation
  • Tricuspid atresia

Procedure

There are various techniques to perform pediatric heart surgery, depending upon the heart defect the child is suffering from and the medical condition and age of the patient. Besides, the defects can be inside the heart or in large blood vessels outside the heart. Sometimes, one surgery may be enough to repair the defect, but sometimes a series of procedures are required to completely correct the defect.

Three different techniques are used to fix congenital heart defects in children described as below:

  1. Open-heart surgery is when the surgeon uses a heart-lung bypass machine. It is done under general anesthesia
    • Incision is made through the breastbone (sternum)
    • Tubes are used to re-route the blood through a special pump called a heart-lung bypass machine. This machine adds oxygen to the blood and keeps the blood warm and moving through the rest of the body while the surgeon is repairing the heart.
    • Using the machine allows the heart to be stopped. Stopping the heart makes it possible to repair the heart muscle itself, the heart valves, or the blood vessels outside the heart. After the repair is done, the heart is started again, and the machine is removed. The breastbone and the skin incisions are then closed.
  2. Thoracotomy- Also known as closed heart surgery, during this type of surgery, the incision is made on the side of the chest, between the ribs. This type of surgery is done using special instruments and a camera.
  3. The other technique uses small tubes to be inserted in the heart through an artery in the leg. Only some heart defects can be repaired this way.

Why is the Procedure required?

If the following warning signs are found in children, it indicates that a surgery is required:

  • Blue or gray skin, nail beds and lips. These symptoms indicate that there is not enough oxygen in the blood (hypoxia).
  • If the child has difficulty in breathing because the lungs are “wet,” congested, or filled with fluid (heart failure).
  • If there exists problems in heart rhythm (arrhythmias) or heart rate.
  • If there is lack of growth and development of a child. And the child is not able to sleep and eat properly.

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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Most Advanced Pediatric Heart Surgery in India

Best Brain Cancer Treatment Hospitals in India

A brain tumor or cancer grows once irregular cells are formed inside the region of brain. There are mainly 2 varieties of tumors like cancerous tumors and non-cancerous tumors. Cancerouscancer123 tumors could also be categorized into primary tumors that grow inside the brain itself and such tumors that spread from some totally different part recognized as brain metastasis tumors. all types of brain tumors will produce symptoms and signs that vary in keeping with the regions of the brain involved. Brain Cancer may be a illness which can be diagnosed and analysed with a thorough remedial examination. It doesn’t refer a schedule sickness since for the most conditions, it’s terribly deadly. it always happens once one form of the brain tissue loses its general options and transforms and begins multiplying to formulate an irregular lump of cells called tumor. nevertheless, not all sort of brain tumors is cancerous. Non cancerous brain tumors don’t have any threat and should be with success separated.

Types of Brain Cancer

  • Central nervous system (CNS) lymphoma
  • Schwannoma
  • Acoustic neuroma
  • Chordoma
  • Ptic nerve glioma
  • Astrocytoma
  • Pituitary neuroectodermal
  • Ganglioneuroma
  • Brain stem glioma
  • Pineal tumors
  • Meningioma
  • Primitive neuroectodermal
  • Medulloblastoma
  • Mixed glioma
  • Craniopharyngioma

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.

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.

Treatment for Brain Cancer

There are various methods undertaken by the doctors as treatment methods. However, some of them are mentioned here. Effective treatment for brain cancer must be personalized for each and every patient. Treatment schedules are depended on the victim’s brain-tumorgeneral health condition and age as well as the location, malignancy, type, size, and phase of the cancerous tumor. In most of the cases of brain cancer, radiation, surgery, and chemotherapy are the major kinds of treatment. Frequently, more than one treatment type is applied. India has come the best destination for Brain Cancer Treatment now a days due to availability of Most Advanced Technology & highly skill team of doctors, surgeons & para medical staff. One can gets best Brain Cancer Treatment in India very affordable Rates and assists you in facilitating you further lowest treatment cost for best medical treatment you are looking for.

The patient, family, and friends will have many questions about the tumor, the treatment, how treatment will affect the person, and the person’s long-term outlook (prognosis). So, everyone take needed precaution. Love and support is also needed.

Treatment for Brain Cancer

There are various methods undertaken by the doctors as treatment methods. However, some of them are mentioned here. Effective treatment for brain cancer must be personalized for each and every patient. Treatment schedules are depended on the victim’s general health condition and age as well as the location, malignancy, type, size, and phase of the cancerous tumor. In most of the cases of brain cancer, radiation, surgery, and chemotherapy are the major kinds of treatment. Frequently, more than one treatment type is applied. India has come the best destination for Brain Cancer Treatment now a days due to availability of Most Advanced Technology & highly skill team of doctors, surgeons & para medical staff. One can gets best Brain Cancer Treatment in India very affordable Rates and assists you in facilitating you further lowest treatment cost for best medical treatment you are looking for.

The patient, family, and friends will have many questions about the tumor, the treatment, how treatment will affect the person, and the person’s long-term outlook (prognosis). So, everyone take needed precaution. Love and support is also needed.

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.

Best brain cancer hospitals in India are as follows:

  • Artemis Hospital, Gurgaon
  • Fortis Memorial Research Institute, Gurgaon
  • Fortis Memorial Research Institute, Chennai
  • Fortis Memorial Research Institute, Bangalore
  • Jaypee Hospital, Noida

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Best Brain Cancer Treatment Hospitals in India