Most Advanced Heart Valve Replacement Surgery in India

What is Valve Replacement Surgery?

Heart valve replacement surgery is a procedure by which surgeons remove a damaged heart valve and substitute it with grafts or parts from body tissues or with synthetic heart valves to restore the normal functioning of the heart.valve-replacement13

Heart valve replacement surgery is done under general anaesthesia and takes about four to five hours. The surgery is done either as an open-heart surgery where in the patient is put on a heart lung machine or rarely as beating heart surgery without the use of heart lung machine, while the patient’s heart is normally beating.

There can be various reasons for heart valve replacements like:

  • Mitral valve regurgitation is a condition where the oxygenated blood flows backwards into the lungs as opposed to flowing through. Patients have angina arrhythmia and shortness of breath.
  • Narrowed valve is one more reason for valve replacement in cases like aortic stenosis or mitral stenosis.
  • When the valve is leaky, like in aortic regurgitation or aortic insufficiency, the condition requires valve replacements. Left untreated it may lead to heart failure.

Valve defects can be congenital that is a birth defect or can be a result of degenerative mechanism. Other causes for valve damage can be infections such as bacterial endocarditis or ischemic heart disease.

Aortic and mitral are the most commonly replaced valves whereas pulmonary and tricuspid are not commonly replaced. The replaced valves can be made either of tissues from animals or humans and mechanical valves made of man-made material.

  • Tissue valve where animal or human donor is used
  • Mechanical valve is made of durable materials

What is the Diagnosis for Valve Replacement Surgery?

The following tests may be done to conclude and diagnose valve diseases

  • Echocardiography
  • Transesophageal echocardiography
  • Cardiac catheterization (also called an angiogram)
  • Radionuclide scans
  • Magnetic resonance imaging (MRI)

Procedure of Heart Valve Surgery

Heart valve surgery means repair or replacement of the diseased valves. In the surgery, some valves are repaired or mended to do its work properly. Replacement means removal of the diseased valves by a new valve. The procedures of heart valve surgery are :

  1. Valve Repairing : In the valve repair surgery, a ring is sewn around the opening of the valve to make tighter. The surgeons may cut the other parts or may separate and shorten it to help the valve open and close right.
  2. Valve Replacement : Sometimes by mending the valves, it is not possible to cure the unhealthy valve, and then replacement is required to get back its normal function. A prosthetic valve is used to replace. There are two types of prosthetic valves.
    1. Mechanical valves : These types of valves are made from man-made materials. While heart surgeons’ use this valve, lifetime therapy with an anticoagulant is prescribed to the patient.
    2. Biological (tissue) valves : The surgeons take biological valves from pig, cow or human donors. The longevity of biological valves is less than the mechanical valves.

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Most Advanced Heart Valve Replacement Surgery in India

Minimally Invasive Cervical Discetomy Spine Surgery in India

What is Cervical Discectomy?

Cervical Spine Surgery is a procedure to eliminate or reduce pain, weakness, numbness of the cervical spine. Cervical refers to the neck portion of our body. We often tend to ignore neck pain but if not taken care of, it may cause serious damage to the cervical region.

Who may require Cervical Discectomy ?

Those patients who suffer from persistent neck pain, one or both arm pain and weakness, instability while walking and lack of bowel and bladder control in spite of taking conservative treatment methods such as rest, medication, physical therapy are ideal candidates for this procedureconditionsanterior-cervical-discectomy-and-fusion-acdf.

The disc may herniate backwards to compress upon the cord or it may bulge sideways to compress upon the nerve. Cord compression may lead to numbness and weakness of both arms and in severe case may affect the bowel and bladder function. This procedure aims to remove the complete disc or its fragments in order to relieve compression of the cord or nerve and restore their function.

Minimally invasive cervical discectomy surgery in India

Cervical discectomy is a surgical procedure which relieves compression on the nerve roots and/or the spinal cord because of a herniated disc or a bone spur. This procedure involves making an incision on the front side of the neck (anterior cervical spine), followed by the removal of disc material and/or a portion of the bone around the nerve roots and/or spinal cord to relieve the compression on neural structures and provide them with additional space.

Cervical discectomy is also referred to as decompressive spinal procedure as the surgeon removes compression on nerve roots by removing the total or a part of the disc and/or bony material that is causing pain. Your surgeon may choose a minimally invasive approach based on your condition and the specific surgical goals.

Minimally invasive cervical discectomy involves a small incision(s) and muscle dilation to separate the muscle fibers surrounding the spine, unlike conventional open spine surgery which requires muscles to be cut or stripped.

The advantages of Minimally invasive cervical Discectomy surgery :

  • Maintaining normal neck motion
  • Reducing degeneration of adjacent segments of the cervical spine
  • Eliminating the need for a bone graft
  • Early postoperative neck motion
  • Faster return to normal activity

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Minimally Invasive Cervical Discetomy Spine Surgery in India

Disc Nucleoplasty Surgery in India

Nucleoplasty is a minimally invasive procedure designed to treat back pain or leg pain caused by contained disc herniations. It works by decompressing the nucleus of the disc. Similar to letting air out of a tire, removing tissue from the center of a disc causes a reduction of pressure within the disc.thumb_280_220_disc_nucleoplasty_resizedn2dh This in turn leads to a reduction in the pressure that the disc applies to other parts of the body, such as nerve roots or the spinal cord.

 

 

Candidates for Disc Nucleoplasty :-

If you have back or leg pain from a contained disc herniation or protrusion that does not respond to less invasive or more conservative therapies, you might benefit from a nucleoplasty procedure. Most back or leg pain from a contained disc herniation or protrusion gets better on its own in the first month or two, so typically physicians do not consider nucleoplasty until at least a month after the onset of back or leg pain. Also, if your back or leg pain is not severe enough to limit your activities, you probably should not have nucleoplasty.

How does the Disc Nucleoplasty procedure work?

The procedure is generally performed on an outpatient basis using a gentle, relaxing medicine and local anesthetic. The technique is as follows:

  • Cannula  insertion

After the doctor injects some anesthetic to numb the area where the incision is to be made, he inserts a thin needle known as a cannula through the back and into the herniated disc. He uses an X-ray imaging technique to guide the placement of the cannula.

  • Treating Disc Nucleus

A small radiofrequency probe is inserted into the disc through the cannula. The device sends pulses of radio waves to dissolve small portions of disc nucleus. Since the doctor removes enough disc material to reduce the pressure inside the disc, the spine regains stablilty.

  • Relieving from Herniation

The hollow created enables the disc to reabsorb the herniation. The surgeon uses heat to seal the disc.  

  • Post-surgery recovery

After the physician removes the treatment equipment, the insertion area is covered with a small bandage. Since no muscles or bone are cut during the procedure, recovery is fast. The patient may need a day’s bed rest after the procedure and some physical therapy, and is ready to return to normal daily activities within one to six weeks.

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Disc Nucleoplasty Surgery in India

Lung Cancer Treatment in India

What is Lung Cancer?

Lung cancer is a type of cancer that begins in the lungs. Your lungs are two spongy organs in your chest that take in oxygen when you inhale and release carbon dioxide when you exhale. People who smoke have the greatest risk of lung cancer. The risk of lung cancer increases with the length of time and number of cigarettes you’ve smoked. If you quit smoking, even after smoking for many years, you can significantly reduce your chances of developing lung cancer.lung-cancer-treatment-in-india

Lung cancer is the uncontrolled growth of abnormal cells in one or both lungs. These abnormal cells do not carry out the functions of normal lung cells and do not develop into healthy lung tissue. As they grow, the abnormal cells can form tumors and interfere with the functioning of the lung, which provides oxygen to the body via the blood.

Types and Staging of Lung Cancer

There are two major types of lung cancer, non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC). Staging lung cancer is based on whether the cancer is local or has spread from the lungs to the lymph nodes or other organs. Because the lungs are large, tumors can grow in them for a long time before they are found. Even when symptoms—such as coughing and fatigue—do occur, people think they are due to other causes. For this reason, early-stage lung cancer (stages I and II) is difficult to detect. Most people with lung cancer are diagnosed at stages III and IV.
Non-Small Cell Lung Cancer

Non-small cell lung cancer accounts for about 85 percent of lung cancers. Among them are these types of tumors:

  • Adenocarcinoma is the most common form of lung cancer in the United States among both men and women.
  • Squamous cell carcinoma (which is also called epidermoid carcinoma) forms in the lining of the bronchial tubes.
  • Large cell carcinomas refer to non-small cell lung cancers that are neither adenocarcinomas nor epidermoid cancers.

    Stages of Non-Small Cell Lung Cancer

  • Stage I : The cancer is located only in the lungs and has not spread to any lymph nodes.
  • Stage II : The cancer is in the lung and nearby lymph nodes.
  • Stage III : Cancer is found in the lung and in the lymph nodes in the middle of the chest, also described as locally advanced disease. Stage III has two subtypes:
    • If the cancer has spread only to lymph nodes on the same side of the chest where the cancer started, it is called stage IIIA.
    • If the cancer has spread to the lymph nodes on the opposite side of the chest, or above the collar bone, it is called stage IIIB.
  • Stage IV : This is the most advanced stage of lung cancer, and is also described as advanced disease. This is when the cancer has spread to both lungs, to fluid in the area around the lungs, or to another part of the body, such as the liver or other organs.

Small Cell Lung Cancer
Small cell lung cancer results from smoking even more so than non-small cell lung cancer, and grow more rapidly and spread to other parts of the body earlier than non-small cell lung cancer. It is also more responsive to chemotherapy.
Stages of Small Cell Lung Cancer

  • Limited stage : In this stage, cancer is found on one side of the chest, involving just one part of the lung and nearby lymph nodes.
  • Extensive stage : In this stage, cancer has spread to other regions of the chest or other parts of the body.

What Treatment Options are available for Lung Cancer?
There are a variety of surgical and non-surgical treatment options for lung cancer. Early stage lung cancer can be treated surgically by removing the malignant area in a procedure called a lobectomy.  The most advanced and least invasive approach to lung cancer surgery, called VATS lobectomy.
Non –surgical options include stereotactic body radiation therapy which delivers high doses of radiation to the lung tumor.

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

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Lung Cancer Treatment in India