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Types of Treatments

 

Orthopedics

THE COMMON ORTHOPAEDIC SURGERIES DONE ARE -

 
  • Joint Replacement Surgery
  • Hip Replacement
  • Knee Replacement
 

Joint Replacement Surgery is a surgical procedure in which the damaged or worn parts of the joint are replaced with new artificial parts. Lately, Joint Replacement Surgery has become a commonplace procedure and is one of the most successful elective surgeries done today. The surgery replaces severely damaged cartilage tissue with a prosthesis made of metal and plastic that duplicates the function of the joint. The commonest joints that need replacement are the knee and hip.

 
  • Shoulder Replacement
  • DeQuervain's Tenosynovitis
  • Carpal Tunnel Release
  • Swellings like Ganglions, giant cell tumors of tendon sheath
  • Tendon repairs
  • Tendon grafts
  • Tendon transfers (for paralysis, post traumatic loss of function)
  • Tenolysis
  • Tenodesis
  • Nerve Grafts
  • Neuroma excision
  • Nerve tumors (e.g. schwanomma, neurofibromas)
  • Fracture treatment
  • Non-unions
  • Scaphoid fractures
  • Dislocations
  • Wrist sprains and dislocations
  • Rheumatoid hands
  • Synovectomy
  • Post burns deformity correction
  • Post traumatic deformity correction
  • Bone lengthening
  • Congenital deformity correction
  • Re-implantation
  • Toe-transfers
  • Microvascular flaps
  • Microvascular muscle transfers
 

Cardiology and Cardiothoracic Surgery

The following treatments are available -

 
  • Abdominal or Thoracic Aortic Aneurysm Surgery
  • Cardiac Anesthesiology
  • ASD (Atrial Septal Defect) Closure
  • Coronary Artery Bypass Graft (CABG) Open Heart Surgery
  • Heart Transplant
  • Heart/Lung Transplant
  • PDA (Patent Ductus Arteriosus) Ligation
  • TOF (Total Correction: four abnormality correction)
  • Valve Replacement Surgery
  • VSD (Ventricular Septal Defect) Closure
 

Cosmetic Surgery

  • Abdominoplasty
  • Breast Augmentation
  • Breast Reduction and Uplift
  • Brow Lift
  • Calf Augmentation
  • Chin Augmentation
  • Chemical Peel
  • Collagen Injection
  • Dermabrasion
  • Ear Surgery
  • Eyelid Surgery
  • Face Lift
  • Facial Implants
  • Hair Transplant
  • Lip Augmentation
  • Liposuction
  • Rhinoplasty
 

Dentistry

Some of the common Dental Procedure done -

 
  • Dental Scanning - Intra mouth
  • Whitening of teeth
  • Ceramic caps without gold under microscopic control
  • Prosthesis on the implant
  • Vertical and horizontal bone grafting
  • Gum Grafting
  • Palatal orthodontics
  • Fluoride treatment for children
  • Maxillary surgery
  • Over denture
  • Combined prostheses with milling
 

Oncology

The commonest occurring Cancers with the treatment options are as follows -

 
  • Bladder Cancer
  • Bone Cancer
  • Brain Stem Glioma, Central Nervous System
  • Brain Tumor
  • Breast Cancer Leukemia, Chronic Lymphocytic (CLL)
  • Leukemia, Chronic Myeloid (CML)
  • Leukemia, Eosinophilic
  • Leukemia, T-Cell
  • Liver Cancer
  • Lung Cancer
  • Lymphoma, Hodgkin
  • Lymphoma, Hodgkin, Childhood Cancer
  • Lymphoma, Non-Hodgkin, Childhood Cancer
  • Lymphoma, Non-Hodgkin
  • Pancreatic Cancer
  • Parathyroid Tumor
  • Penile Cancer
  • Pituitary Gland Tumor
  • Prostate Cancer
  • Retinoblastoma
  • Rhabdomyosarcoma
  • Salivary Gland Cancer
  • Head and Neck Cancer
  • Sarcoma
 

Surgery - Surgery involves the removal of cancerous tissue from the body. It is the primary treatment for many types of cancer, and some cancers can be cured with surgery. Surgery can also confirm a diagnosis (biopsy), determine how far a person's cancer has advanced (staging), relieve side effects (such as an obstruction), or ease pain (palliative surgery).

Chemotherapy - Chemotherapy is the use of drugs to destroy cancer cells. Chemotherapy drugs fight cancer by interfering with the growth process of cancer cells, eventually causing the cells to die. Chemotherapy is used to shrink or eliminate the tumor, keep the tumor from spreading, destroy any cancer cells that have spread to other areas in the body, or relieve symptoms. Chemotherapy is called a systemic treatment, because it affects the entire body.

Radiation treatment - Radiation therapy uses high-energy x-rays to destroy cancer cells. Radiation therapy is considered a local treatment, as it only affects one part of the body. The goals of radiation therapy include shrinking the tumor before surgery, keeping the tumor from returning after surgery, eliminating cancer cells in other parts of the body, and relieving pain (palliation).

Biologic therapy - Biologic therapy, also called immunotherapy, stimulates the disease-fighting mechanisms within the body to fight the cancer. Interferon and colony-stimulating factor are two examples of biologic therapy. These substances help restore functioning of the immune system. Researchers are developing specific types of biologic therapy, such as monoclonal antibodies and vaccines.

 

Brain and Spine Surgery Procedures

Spinal Surgery :

  • Microscopic lumbar discectomy or decompression
  • Microscopic anterior cervical discectomy
  • Endoscopic discectomy
  • Spinal decompression with or without fusion
  • Endoscopic fusion of spine
  • Percutaneous Endoscopic Lumbar Discectomy

Degenerative Disc Disease:

  • Minimally-invasive spinal fusion and advanced instrumentation
  • Total disc replacement surgery
  • Spinal deformity correction and stabilization
  • Endoscopic fusion of spine
  • Percutaneous Endoscopic Lumbar Discectomy

Osteoporosis of the Spine:

  • Vertebroplasty
  • Kyphoplasty
  • Spondylolisthesis
  • Posterior spinal instrumentation
  • Curvature within the spine- Scoliosis/Kyphosis
  • Thoracoscopic deformity correction
  • Posterior correction of Scoliosis or Kyphosis with instrumentation

Other Spine Surgeries:

  • Tuberculosis of Spine - Thoracoscopic Spinal Surgery with Para spinal abscess drainage
  • Spine Tumor Surgery
  • Spine Trauma
  • Brain Surgeries
  • Microsurgery for Brain Tumors
  • Endoscopic Brain Surgery
  • Trans Nasal Endoscopic Brain Tumor Removal
  • Skull Base Surgery
  • Brain Trauma Surgery
  • Congenital Cranial Deformity
  • Stereotactic Brain Surgery for Tumor and Functional Neurosurgery
  • Craniofacial Surgery with FMS (Facio-Maxillary Surgery)
  • Brain Surgery for Abnormal Blood Vessels
  • Brain Surgery for Epilepsy
  • Brain Surgery for Removal of Blood Clots
  • Interventional/ Neuro-endovascular Therapy for Cerebro-vascular Diseases and Tumor
 

General Surgery and Endoscopy

Laparoscopy is a procedure where a thin, lighted tube is inserted in your abdomen through a tiny incision. The Surgeon can look through the laparoscope into your abdominal and pelvic cavity and can see whether the Uterus, tubes and ovaries have any pathology. To the end of the laparoscope is attached a video camera, which allows us to view and record the image and thus the terminology Video Laparoscopy. If in case any pathology is found during diagnostic Laparoscopy, the Doctors prefer to do operative Laparoscopy and corrective action at the same sitting so that the patient does not have to undergo another surgical procedure.

 

Some of the common general surgeries and endoscopic procedures

 
  • Laparoscopic/ Open Cholecystectomy for gall bladder stones.
  • Common bile duct (CBD) surgery for common bile duct stones.
  • Open and Laparoscopic inguinal hernia repair
  • Incisional / Umbilical hernia mesh repair.
  • Hiatus hernia surgery (open and laparoscopic fundoplication)
  • Lateral pancreaticojejunostomy for Chronic pancreatitis.
  • Head coring surgery for chronic pancreatitis.
  • Cystogastrostomy/ cystojejunostomy for pseudocysts.
  • Surgery for haemorroids(piles)/ fissure/fistula/abscess.
  • Surgery for Appendix- open and laparoscopic.

Diagnostic endoscopies for:

 
  • Acid peptic disease
  • Colon cancer
 

Ophthalmology

Some of the common eye procedures done -

 
  • Eye Lasik Refractive Packages
  • Lasik Eye Surgery
  • Eye Care Treatment
  • Lasik Treatment
  • Refractive Surgery
  • Laser Refractive Surgery
  • Refractive Eye Correction Package
  • Vision and Eye Care
  • Eye Refractive Care Packages
 

Infertility (IVF) Treatment female and male infertility

  • Insemination - IUI
  • In vitro fertilization - IVF
  • Intracytoplasmic sperm injection - ICSI
  • Assisted hatching
  • IVF with blastocyst transfer
  • Donor sperm insemination
  • Egg donation - IVF using donor eggs
  • Laparoscopy for infertility
  • Hysteroscopy for infertility
  • Induction of ovulation for infertility
  • Ovarian stimulation
  • Tubal surgery for damaged or blocked fallopian tubes
 

WEIGHT loss Treatments(surgical)

Deciding to get weight loss surgery isn't easy. And after making the decision to do it, there are still many different procedures to choose from. The best one for you depends on a lot of things: your goals, your surgeon's preference, your current health, and of course, Financial. Choosing a specific surgical approach will require a lot of thought and discussion with your doctor. But here's some basic information to get you started.

 

Restrictive and Malabsorptive Weight Loss Surgeries:
There are two basic types of weight loss surgery -- restrictive surgeries and malabsorptive/restrictive surgeries. They help with weight loss in different ways.

  • Restrictive surgeries work by physically restricting the size of the stomach and slowing down digestion. A normal stomach can hold about 3 pints of food. After surgery, the stomach may at first hold as little as an ounce, although later that could stretch to 2 or 3 ounces. The smaller the stomach, the less you can eat. The less you eat, the more weight you lose.
  • Malabsorptive/restrictive surgeries are more invasive surgeries that work by changing how you take in food. In addition to restricting the size of the stomach, these surgeries physically remove or bypass parts of your digestive tract, which makes it harder for your body to absorb calories. Purely malabsorptive surgeries -- also called intestinal bypasses -- are no longer done because of the side effects.

Specific Types of Weight Loss Surgery:
There are many different surgical procedures for weight loss, and each has several variations. Here's a general overview of the approaches your doctor might recommend.
Adjustable Gastric Banding -

  • What is it? Gastric banding is among the least invasive weight loss treatments. This surgery uses an inflatable band to squeeze the stomach into two sections: a smaller upper pouch and a larger lower section. The two sections are still connected; it's just the channel between them is very small, which slows down the emptying of the upper pouch. Gastric banding physically restricts the amount of food you can take in at a meal. Most people can only eat a ½ to 1 cup of food before feeling too full or sick. The food also needs to be soft or well-chewed.There are several brands of adjustable gastric bands available. They include LAP-BAND and REALIZE.
    Pros - The advantage to gastric banding is that it's simpler to do and safer than gastric bypass and other operations. It's routinely done as minimally invasive surgery, using small incisions, special instruments, and a tiny camera called a laparoscope. Recovery is usually faster. You can also have it reversed by surgically removing the band. Because the band is connected to an opening just beneath the skin in the abdomen, it can be easily loosened or tightened in the doctor's office. To tighten the band and further restrict the stomach size, more saline solution is injected into the band. To loosen it, the liquid is removed with a needle.
  • The Cons. People who get gastric banding often have less dramatic weight loss than those who get more invasive surgeries. They may also be more likely to regain some of the weight over the years.
  • The Risks. The most common side effect of gastric banding is vomiting, a result of eating too much too quickly. Complications with the band aren't uncommon. It might slip out of place, or become too loose, or leak. Sometimes, further surgeries are necessary. As with any surgery, infection is always a risk. Although unlikely, some complications can be life-threatening.
Sleeve Gastrectomy
  • What is it? This is another form of restrictive weight loss surgery. In the operation, which is usually done with a laparoscope, about 75% of the stomach is removed. What remains of the stomach is a narrow tube or sleeve, which connects to the intestines. Sometimes, a sleeve gastrectomy is a first step in a sequence of weight loss surgeries. It can be followed up by gastric bypass or biliopancreatic diversion, if more weight loss is needed. However, in other cases, it might be the only surgery you need.
  • The Pros. For people who are very obese or sick, standard gastric bypass or biliopancreatic diversion may be too risky. A sleeve gastrectomy is a simpler operation that allows them a lower-risk way to lose weight. If needed, once they've lost weight and their health has improved -- usually after 12 months to 18 months -- they can go on to have a second surgery, such as gastric bypass. In people with high BMIs, sleeve gastrectomies result in an average weight loss of greater than 50% of excess weight. Because the intestines aren't affected, a sleeve gastrectomy doesn't affect the absorption of food, so nutritional deficiencies are not a problem.
  • The Cons. Unlike gastric banding procedures, a sleeve gastrectomy is irreversible. Most importantly, since it's relatively new, the long-term benefits and risks are still being evaluated.
  • The Risks. Typical surgical risks include infection, leaking of the sleeve, and blood clots.
Gastric Bypass Surgery (Roux-en-Y Gastric Bypass)
  • What is it? Gastric bypass is the most common type of weight loss surgery. It combines both restrictive and malabsorptive approaches. It can be done as either a minimally invasive or open surgery. In the operation, the surgeon divides the stomach into two parts, sealing off the upper section from the lower. The surgeon then connects the upper stomach directly to the lower section of the small intestine. Essentially, the surgeon is creating a shortcut for the food, bypassing a section of the stomach and the small intestine. Skipping these parts of the digestive tract means that fewer calories get absorbed into the body.
  • The Pros. Weight loss tends to be swift and dramatic. About 50% of it happens in the first six months. It may continue for up to two years after the operation. Because of the rapid weight loss, health conditions affected by obesity – such as diabetes, high blood pressure, high cholesterol, arthritis, sleep apnea, heartburn, and other conditions -- often improve quickly. You'll probably also feels a dramatic improvement in your quality of life. Gastric bypass also has good long-term results; studies have found that many people keep most of the weight off for 10 years or longer.
  • The Cons. By design, surgeries like this impair the body's ability to absorb food. While that can cause rapid weight loss, it also puts you at risk of serious nutritional deficiencies. The loss of calcium and iron could lead to osteoporosis and anemia. You'll have to be very careful with your diet -- and take supplements -- for the rest of your life. Another risk of gastric bypass is dumping syndrome, in which food is "dumped" from the stomach into the intestines too quickly, before it's been properly digested. About 85% of people who get a gastric bypass have some dumping. Symptoms include nausea, bloating, pain, sweating, weakness, and diarrhea. Dumping is often triggered by sugary or high-carbohydrate foods and adjusting the diet helps. However, some experts actually see dumping syndrome as beneficial, in that it encourages people to avoid foods that could lead to weight gain. Unlike adjustable gastric banding, gastric bypass is generally considered irreversible. It has been reversed in rare cases. Therefore, getting this surgery means that you're permanently changing how your body digests food.
  • The Risks. Because these weight loss surgeries are more complicated, the risks are higher. The risk of death from these procedures is low -- about 1% -- but they are more dangerous than gastric banding. Infection and blood clots are risks, as they are with most surgeries. Gastric bypass also increases the risk of hernias, which can develop later and may need further surgery to fix. Also, a side effect of rapid weight loss can be the formation of gallstones.
Biliopancreatic Diversion
  • What is it? This is essentially a more drastic version of a gastric bypass, in which part of the stomach -- as much as 70% -- is removed, and even more of the small intestine is bypassed. A somewhat less extreme version of this weight loss surgery is called biliopancreatic diversion with a duodenal switch or “the duodenal switch.? While still more involved than a gastric bypass, this procedure removes less of the stomach and bypasses less of the small intestine. It also reduces the risk of dumping syndrome, malnutrition, and ulcers, which are more common with a standard biliopancreatic diversion.
  • The Pros. Biliopancreatic diversion can result in even greater and faster weight loss than a gastric bypass. Studies show an average long-term loss of 70% to 80% of excess weight. Although much of the stomach is removed, the remainder is still larger than the pouches formed during gastric bypass or banding procedures. So you may actually be able to eat larger meals with this surgery than with others.
  • The Cons. Biliopancreatic diversion is less common than gastric bypass. One of the reasons is that the risk of nutritional deficiencies is much more serious. It also poses many of the same risks as gastric bypass, including dumping syndrome. However, the duodenal switch may lower some of these risks.
  • The Risks. This is one of the most complicated and high-risk weight loss surgeries. According to National Institutes of Health, the risk of death from the duodenal switch ranges between 2.5% and 5%. As with gastric bypass, this surgery poses a fairly high risk of hernia, which will need further surgery to correct. However, this risk is lower when the procedure is done laparoscopically.
 

Health Checkups

The preventive health checkups will cover the undermentioned tests.they would be designed according to a customers needs:

  • Doctors consultation and full medical examination
  • Blood tests
  • Complete Haemogram (hb, TLC, DLR, ESR, Haemotocrit, Peripheral Smear)
  • Blood group (ABO, RH)
  • Blood Sugar
  • Blood Urea
  • Serum Uric Acid
  • Serum Creatinine
  • Serum Cholesterol
  • Lipid Profile
  • Urine and Faeces Examination
  • X-Ray Chest PA
  • ECG
  • Exercise Stress Test (TMT)
  • 2D Echo to assess heart pumping capacity
  • Coronary Risk Markers - Apo A & Apo B (precise indicators of risk of coronary artery disease), and Lpa (genetic predictor of heart attack).
  • Cancer Risk Markers - PSA for prostate cancer in males & CA 125 for ovarian cancer in females.
  • Carotid Color Doppler - the best predictor of Stroke & Brain hemorrhage, which may result in paralysis).
  • Complete Blood Count
  • Calcium
  • Alkaline Phosphatase
  • Digital X-ray
  • Lumbar Spine AP & L
  • DEXA Spine
  • MRI L-Spine
  • Stress Screening by Psychologist
  • Eye Examination
  • Gynaecologist Consultation and Pap Smear Test
  • Optional Test
  • Ultrasound Screening for the Abdomen
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