Ayushman Hospital, Delhi, India
for Breast Biopsy
Breast Biopsy
This is a procedure used to obtain a sample of a tumor in the breast for purposes of laboratory and histological analysis. Various breast sampling techniques are available, e.g., FNA, incisional biopsy, excisional biopsy, and core biopsy.
Overview
Furnishing progressively an impeccable track record in providing outstanding healthcare facilities to the people of the entire capital city of India and especially the South- West Delhi incessant for the last 12 years, we announce with immense proud the launch of a new state of the art 150 bedded Multi & Super Specialty Hospital located at Sec – 10 in Dwarka, New Delhi. While possessing the most sophisticated technology and unsurpassable expertise across the entire spectrum of medical & surgical services we endeavor providing the most advanced services for the most affordable cost to as many as possible. This contains the finest combination of Medical, Surgical, Nursing and Technical support under the single roof. Ayushman Hospital & Health Services is extremely passionate about delivering the apex standards of healthcare at competitive, accessible and affordable prices. We strive to achieve the best possible health results for our patients and community by integrating clinical practice followed by with latest research and education methodologies. Apart from the basic specialties in the Medical & Surgical fields, the hospital tremendously provides super specialty additional services like Cardiac, Renal & Neuro Sciences along with Gastroenterology & Joint replacement. Marching on the path of continuous progress, we have successfully established a center of excellence too for Orthopedics, Gynecology, Obstetrics and IVF. As Critical care has always been crucial to a patient’s recovery, we have introduced latest ICUs, CCUs & HDUs dedicated to all specialties, equipped with the best technology and are operated by highly qualified and well-experienced medical professionals. We are deeply committed to provide a patient friendly and safe environment based on the standards of NABH & JCI. The quality process is crucial for healthcare leaders to improve outcome and adapt to change as well as to deliver effective and high quality patient care. And thus, the entire team, keeping in view at the total futuristic reputation, better understands its responsibility for the sake of the whole mankind as well as for the best fame of the hospital.
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Procedures
Gastroenterology 25 procedures
Cholecystectomy
This is a surgical procedure used to remove the gallbladder i.e., pear- shaped organ below the right lobe of the liver where bile is stored. The gallbladder can be removed due to inflammation (cholecystitis), gallstones if it leads to pancreatitis, gallbladder cancer, and biliary colic. The procedure can either be open or laparoscopic. Laparoscopic surgery is minimally invasive and only performed by a laparoscopic surgeon. Currently, advanced laparoscopic surgeries use single incisions, a technique called single incision laparoscopic surgery (SILS) or laparoendoscopic single site surgery.
Colonoscopy
This is an endoscopic procedure used to examine the colon (large intestine) and the Ileum (the distal sections of the small intestine) using a fiber optic camera or a CCD camera on a flexible tube that is passed via the anus. It helps in the diagnosis of ulcers (e.g., ulcerative colitis, Cohn’s disease), polyps (e.g., HNPCC) and removal or biopsy of suspected lesions of colorectal cancer. It is also used in screening for colorectal cancer. Currently, virtual colonoscopy which is virtually noninvasive is available and uses CT scans or MRI sand to reconstruct its images.
Endoscopy
It is a nonsurgical procedure done to examine a person’s gastrointestinal tract. A patient may be anesthetized or fully conscious during the process. It is used in the investigation of gastrointestinal symptoms, confirmation of diagnosis and for treatment purposes, e.g., widening and esophageal stricture. The most commonly performed endoscopic procedure is esophagogastroduodenoscopy (OGD). Endoscopy is also used to examine the respiratory tract (rhinoscopy or bronchoscopy), the ear (otoscope), the urinary tract (cystoscopy) and female reproductive tract (gynoscopy). The technology is also available for use in pregnancy, plastic surgery, orthopedic surgery, endodontic surgeries, endoscopic spinal procedure and endoscopic endonasal surgeries.
Gallstones Treatment
Treatment of gallstones is based on one's symptoms and results of diagnostic procedures. The treatment options include cholecystectomy (surgery to remove the gallbladder) and drugs meant to dissolve the stones.
Liver Transplant (Living Related Donor)
This is the replacement of a diseased liver with a healthy one from a relative.it is recommended as a treatment for an end-stage liver disease or liver failure. The donor and recipient will have to undergo DNA analysis to ensure they are a close match before the procedure is done to minimize the risk of graft rejection.
Colostomy
This is a surgical procedure where a stoma is created by dragging a healthy end of the large bowel via an incision in the anterior wall of the abdomen then sutured into place. There are several techniques of colostomy, i.e., wind colostomy, loop colostomy and double barrel colostomy.
Endoscopic Retrograde Cholangiopancreatography (ERCP)
This is a technique that combines the use of fluoroscopy and endoscopy to diagnose and treat pancreatic and biliary ductal systems conditions like bile stones.
Gastroscopy
This is a diagnostic endoscopic procedure. In the process, a flexible thin tube, i.e., an endoscope is inserted into the gullet, stomach, and the duodenum. The endoscope has a camera at its end. The most commonly used terms in hospitals to refer to the procedure are upper GI endoscopy and esophagogastroduodenoscopy (OGD).
Gastroenterology Consultation
A gastroenterologist is a physician that has unique training and experience in the management of liver and gastrointestinal diseases. In a Gastroenterology Consultation, the doctor will examine the patient’s abdomen, possibly do an endoscopic procedure, order appropriate investigations on the patient’s and formulate or review the patient's treatment plan.
Gastrointestinal Perforation Repair
This is a procedure done to repair a hole in the gastrointestinal tract. It is performed during an exploratory laparotomy where the hole is looked for and the damaged area corrected.
Liver Transarterial Chemo Embolization (TACE)
This is a procedure done to manage liver cancer. Embolization is a procedure that slows or blocks the blood supply for an organ or tissue. In this case, it is used to block the blood supply to a live tumor so that that cancer cells can die. Chemoembolization is when the embolization material is used to deliver chemotherapy. Liver TACE, hepatic atrial blood supply to the tumor is blocked.
Liver Biopsy
This is biopsy taken form the liver. It is a medical procedure that is done to diagnose, assess severity or monitor response to treatment of liver diseases.
Esophageal Cancer Surgery
This is a procedure done to treat cancer of the esophagus. The diseased area is resected. It is commonly done to manage earl stage (stage 1 and 2) esophageal cancer. It can be combine with chemotherapy and radiotherapy. Surgical options available included minimally invasive esophagectomy, open esophagectomy, and endoscopic mucosal resection.
Intra-Abdominal Adhesions Surgery
Adhesion are complications of radiation therapy, inflammatory processes and abdomino-pelvic surgeries. These adhesions can cause infertility, intestinal obstructions, chronic pelvic pain, and dyspareunia. These surgery is meat to manage these effects of adhesions so as to improve the patients overall quality of life.
Bile Duct Cancer Surgery
This is a procedure done to manage cancers of the distal and perihiler bile ducts. The surgery removes the bile duct and all the sentinel lymph nodes, along with sections of the liver, pancreas, gallbladder, and small bowel depending on the patient disease statue.
Choledochotomy
This is a surgical procedure done to in which the common bile duct is to looks for an remove bile stone within it. It can be done as a laparoscopic operation or an open procedure.
Capsule Endoscopy
Capsule endoscopy is a procedure that uses a tiny wireless camera to take pictures of your digestive tract. A capsule endoscopy camera sits inside a vitamin-size capsule you swallow. As the capsule travels through your digestive tract, the camera takes thousands of pictures that are transmitted to a recorder you wear on a belt around your waist. Capsule endoscopy helps doctors see inside your small intestine — an area that isn't easily reached with more-traditional endoscopy procedures. Traditional endoscopy involves passing a long, flexible tube equipped with a video camera down your throat or through your rectum.
Cystogastroctomy
Cystogastrostomy is a surgery to create an opening between a pancreatic pseudocyst and the stomach when the cyst is in a suitable position to be drained into the stomach. This conserves pancreatic juices that would otherwise be lost. This surgery is performed by a GI surgeon to avoid a life-threatening rupture of the pancreatic pseudocyst.
Endoscopic Submucosal Dissection
Endoscopic submucosal dissection (ESD) is an advanced surgical procedure using endoscopy to remove gastrointestinal tumors that have not entered the muscle layer. ESD may be done in the esophagus, stomach or colon. Application of endoscopic resection (ER) to gastrointestinal (GI) neoplasms is limited to lesions with no risk of nodal metastasis. Either polypectomy or endoscopic mucosal resection (EMR) is beneficial for patients because of its low level of invasiveness. However, to ensure the curative potential of these treatment modalities, accurate histopathologic assessment of the resected specimens is essential because the depth of invasion and lymphovascular infiltration of the tumor is associated with considerable risk for lymph node metastasis. For accurate assessment of the appropriateness of the therapy, en bloc resection is more desirable than piecemeal resection. For a reliable en bloc resection of GI neoplasms, a new method of ER called endoscopic submucosal dissection (ESD) has been developed.
Endoscopic Ultrasound-Guided Fine Needle Aspiration Biopsy (EUS-FNA)
Endoscopic ultrasound-guided fine needle aspiration biopsy (EUS-FNA) is currently performed on a routine basis at many endoscopic centers and it is evident that this procedure has a major impact on the therapeutic management of patients by obtaining a definite tissue diagnosis from lesions outlined by endosonography.
Percutaneous endoscopic gastrostomy (PEG) Placement
Percutaneous endoscopic gastrostomy (PEG) is a method of placing a tube into the stomach percutaneously, aided by endoscopy.
Esophageal Manometry
Esophageal manometry is a test to measure how well the esophagus is working. During esophageal manometry, a thin, pressure-sensitive tube is passed through your nose, down the esophagus, and into your stomach. Before the procedure, you receive numbing medicine inside the nose. This helps make the insertion of the tube less uncomfortable. After the tube is in the stomach, the tube is pulled slowly back into your esophagus. At this time, you are asked to swallow. The pressure of the muscle contractions is measured along several sections of the tube. While the tube is in place, other studies of your esophagus may be done. The tube is removed after the tests are completed. The test takes about 1 hour.
Biofeedback
During a biofeedback session, electrodes are attached to your skin. Finger sensors can also be used. These electrodes/sensors send signals to a monitor, which displays a sound, flash of light, or image that represents your heart and breathing rate, blood pressure, skin temperature, sweating, or muscle activity. When you're under stress, these functions change. Your heart rate speeds up, your muscles tighten, your blood pressure rises, you start to sweat, and your breathing quickens. You can see these stress responses as they happen on the monitor, and then get immediate feedback as you try to stop them. Biofeedback sessions are typically done in a therapist's office, but there are computer programs that connect the biofeedback sensor to your own computer. A biofeedback therapist helps you practice relaxation exercises, which you fine-tune to control different body functions. For example, you might use a relaxation technique to turn down the brainwaves that activate when you have a headache
Liver Transplant (ABO Incompatible transplant)
This is the replacement of a diseased liver with a healthy one from a relative.it is recommended as a treatment for an end-stage liver disease or liver failure. ABO-incompatible (ABOi) transplantation is a method of allocation in organ transplantation that permits more efficient use of available organs regardless of ABO blood type
Liver Cirrhosis Treatment
Hepatitis and chronic alcohol abuse are frequent causes. Liver damage caused by cirrhosis can't be undone, but further damage can be limited. Initially patients may experience fatigue, weakness and weight loss. During later stages, patients may develop jaundice (yellowing of the skin), gastrointestinal bleeding, abdominal swelling and confusion. Treatments focus on the underlying cause. In advanced cases, a liver transplant may be required.
General Surgery 18 procedures
Bone Marrow Transplant (Autologous)
This is a surgical procedure which involves a process where unhealthy bone marrow tissue is replaced with a healthy one. In an autologous transplant, your own blood-forming stem cells are collected. You are then treated with high doses of chemotherapy. The high-dose treatment kills the cancer cells, but it also gets rid of the blood-producing cells that are left in your bone marrow.
Hernia Repair
A hernia is an abnormal protrusion in whole or part, through an OPENING, pathological or anatomically in the walls of its containing cavity, e.g., the abdominal cavity. Hernia Repair procedures involve returning this displaced tissue to their proper place. There are different types of Hernia Repair surgeries, i.e., Herniorrhaphy (tissue repair) and hernioplasty (mesh repair) where a mesh is usually sewn over weakened areas.
Mastectomy
This is the surgical removal either wholly or partially one or both breasts. It is carried out to treat breast cancer. It can be carried out prophylactically in case a patient has a high risk of breast malignancy. There are five types of mastectomies being practiced today, i.e., radical mastectomy, subcutaneous (nipple- sparing) mastectomy, partial mastectomy, modified radical mastectomy and “total” or “simple” mastectomy.
Adrenalectomy
This is the surgical excision of one or both the suprarenal glands. It can be performed as laparoscopic or as an open procedure. It is commonly performed on patients with adrenal cancers.
Appendectomy
This is the surgical removal of the appendix. It is performed after a patient suffering from acute appendicitis. It can be performed as laparoscopic or as an open procedure.
Hiatal Hernia Surgery
This is a surgery done to correct a hiatal hernia. Hiatal Hernia is the abnormal protrusion of part of the stomach through the diaphragm.
Diagnostic Laparoscopy
This is a procedure done by a gynecologist to view a woman’s reproductive organs using a laparoscope. A laparoscope is a thin tube that is normally passed through a small cut in the abdomen. It helps the doctor to directly see the fallopian tubes, ovaries, uterus and nearby organs. It can be issued to localize the source of pain, examine body tissues, confirm PID or endometriosis and look for fallopian tube blockage.
Breast Abscess Drainage
This is a minor surgical procedure done to remove pus from female breast abscesses. An incision is made to create an opening through which the abscess is drained. After this, the area left is packed with iodine-soaked gauze, and the patient is given drugs to take and given an appointment to return for a checkup. A recent advance in the procedure is the introduction of percutaneous aspiration under ultrasound guidance.
Breast Lumpectomy
This is a procedure done to remove a breast tumor. The tumor and a portion of its surrounding (usually a margin of about 2 cm). It is a form of breast-conserving surgery or breast preservation procedure. It is technically a partial mastectomy procedure.
Liver Resection
This is the surgical removal of a part of the liver. It is a procedure done to manage some types of liver malignancies and metastatic colorectal cancer. The liver tumor must be located in the area under resection.
Umbilical Hernia Repair
An umbilical hernia is a pouch or bulge the forma in the anterior abdominal wall. It arises when part of the intestine push through a weak area in the anterior wall near the umbilicus. The operation aims to fix the hernia. It is done when the hernia gets largest than one inch or is causing a disfigurement or is accompanied by pain.
Nephrectomy (removal of kidney)
This is the surgical removal of a kidney. It is done to manage kidney malignancies as well as other kidney injuries and diseases. It can also be done to remove a healthy kidney for purposes of transplantation from donor.
Laparoscopic Sleeve Gastrectomy
In a sleeve gastrectomy, also known as a vertical sleeve gastrectomy or gastric sleeve procedure, the outer margin of the stomach is removed to restrict food intake, leaving a sleeve of stomach, roughly the size and shape of a banana, and the pylorus, the muscle that controls emptying of food from the stomach into the intestine. A sleeve gastrectomy is a purely restrictive procedure. Sleeve gastrectomy - posselt slides. The sleeve gastrectomy, by reducing the size of the stomach, allows the patient to feel full after eating less and taking in fewer calories. The surgery removes that portion of the stomach that produces a hormone that can makes a patient feel hungry. Sleeve gastrectomy is a simpler operation than the gastric bypass procedure because it does not involve rerouting of or re-connection of the intestines. The sleeve gastrectomy, unlike the Lap-band, does not require the use of a banding device to be implanted around a portion of the stomach.
Laparoscopic cholecystectomy (Lap Chole)
Laparoscopic cholecystectomy is a procedure in which the gallbladder is removed by laparoscopic techniques. Laparoscopic surgery also referred to as minimally invasive surgery describes the performance of surgical procedures with the assistance of a video camera and several thin instruments.
Anal Fistula
An anal fistula is an abnormal connection between the lining on the inside of your anal canal (back passage) and the skin near your anus. Surgery for anal fistula is usually performed under a general anesthesia. The surgery usually takes between a quarter of an hour and half an hour.
Bone Marrow Transplant (Allogeneic)
This is a surgical procedure which involves a process where unhealthy bone marrow tissue is replaced with a healthy one. An allogeneic transplant uses stem cells from a donor whose human leukocyte antigens (HLA) are acceptable matches to the patient's.
Laparoscopic Cholecystectomy
A laparoscopic cholecystectomy is a surgery during which the doctor removes your gallbladder. This procedure uses several small cuts instead of one large one. A laparoscope, a narrow tube with a camera, is inserted through one incision. This allows your doctor to see your gallbladder on a screen.
Inguinal Hernioplasty (Hernia Surgery)
Inguinal hernia surgery is an operation to repair a weakness in the abdominal wall that abnormally allows abdominal contents to slip into a narrow tube called the inguinal canal in the groin region.
Bariatric Surgery 6 procedures
Bariatric Surgery Consultation
This is a weight loss procedure. Currently, most are performed laparoscopically. These include sleeve gastrostomy, adjustable gastric band, gastric bypass and Biliopancreatic Diversion with Duodenal Switch. This consultation will provide you with details about this procedure and go on to offer details of procedure relevant to thee. We will endeavor to explain to you how the procedures work and how it will help you achieve your desired weight.
Biliopancreatic Diversion with Duodenal Switch (BPD/DS)
Its a procedure similar to a gastric bypass. It involves creating a small stomach pouch then rerouting the intestines. The procedure has several advantages and some disadvantages. In this procedure, surgeons create a small stomach and rest of stomach removed. The small bowel is then divided into two parts. The end of the small bowel is connected to the stomach so that food passes directly from the small stomach to it and the bypassed piece that contains bile and important digestive enzymes connected to last part of the ileum. Food and the enzymes will meet in this area where digestion takes place. The patients thus digest efficiently and eat less food. This leads to weight loss and correction of metabolic syndrome.
Gastric Band Surgery
This is a weight loss surgery. In it, the surgeon places a band around the upper part of one's stomach hence creating a small pouch to hold food. The band will help limit the quantity of food one can take by making one feel early satiety after consuming small food. The procedure is currently performed laparoscopically.
Gastric Balloon Treatment
This is weight loss treatment modality where a deflated balloon is inserted endoscopically inside one's stomach via the esophagus then filled with a sterile saline solution. It causes a person to feel full faster hence eats less food.
Gastric Bypass Surgery
This is a surgical procedure where the stomach is divided into a smaller upper pouch and a much larger remnant pouch after which the small bowel is rearranged to connect with both. It is currently performed endoscopically. It used to manage type 2 diabetes, morbid obesity, sleep apnea, etc.
Gastric Sleeve
This is a surgical procedure done to induce weight loss in a patient. Partial gastrostomy is done in which a larger portion of the stomach will be removed leaving only 15% of its original weight intact. It permanently reduced the size of one’s stomach despite the fact that sometimes dilation may occur later in life. In can be achieved through an open or laparoscopic surgery.
Cardiology 22 procedures
Atrial Septal Defect (ASD) Closure
An ASD is a congenital heart defect in the atrial septum that results in leakage oxygen-rich blood from left atrium to the right atrium. This increases the work of workload of the right side of the heart and if not corrected early can lead to heart failure. The defect if small can be corrected by cardiac catheterization usually by a pediatric cardiologist. A large defect often needs open heart procedures.
Cardiac Assessment
This is the systematic examination of a patient’s cardiovascular system with the aim of diagnosing cardiovascular problems. The assessment encompasses taking a comprehensive history of a patient, carrying out a thorough physical examination of a patient and finally doing investigations such as electrocardiogram, echocardiogram, central venous pressure, etc.
Coronary Angiogram
It is a type of cardiac catheterization procedure. It is performed for both interventional and diagnostic purposes. In this procedure, a dye that is radiopaque is injected into the blood vessels of one’s heart. An X-ray machine is then used to take serial images (angiograms) that give a picture of how the blood vessels are. Based on the finding, an interventional cardiologist will open the clogged vessels (angioplasty).
Coronary Angioplasty
Also known as percutaneous transluminal coronary angioplasty (PTCA) Thais is a procedure that is used to widen narrowed or blocked coronary arteries. The procedure is carried out by an interventional cardiologist. When combined with stenting, it is referred to as percutaneous coronary intervention. Is should be done within thirty minutes to 2 hours after a having a cardiac event.
Coronary Artery Bypass Graft (CABG) Surgery
Also referred to as colloquially heart bypass or bypass surgery or coronary artery bypass surgery. It is an operation done restore normal blood flow to obstructed coronary vessels hence used to manage coronary heart disease. The surgery has two main approaches, i.e., diversion of the internal thoracic artery to the left anterior descending artery in the left coronary vessel and using the great saphenous vein to create a connection between the aorta or its branch to the obstructed artery distance to the obstruction.
Cardiology Consultation
This is a hospital checkup and review by a qualified cardiologist. It involves patient assessment, treatment planning, diagnosis and cardiac interventions.
Bentall Procedure
This is a cardiothoracic operation that involves the replacement of a composite graft of the aortic root, ascending aorta and the aortic valve with implantation of coronary arteries into the graft.
Cardiac CT
This is a painless imaging modality that uses x-rays to take detailed images of one’s heart and its blood vessels. It may or may not be done with intravenous contrast agents. The modern multidetector CT (MDCT) is highly sensitive.
Atrioventricular Fistula Treatment
This is a procedure used to correct abnormal connections between the atria and ventricles of one's heart. The surgery requires the deformity be repaired to ensure that the correct flow of blood in one’s heart is achieved.
Aortic Valve Repair
This is a procedure done to repair or replace aortic valves damaged by disease. Aortic valves are one of the four heart valves that help regulate the flow of blood in the heart. The surgeon will remove the damaged valves and replace them with a prosthetic one which is then screwed into place. The valves can be mechanical (made of artificial materials like carbon) or biological, i.e., from animal or human tissue.
Atrioventricular Septal Defect (AVSD) Treatment
Atrioventricular Septal Defect is a congenital malformation of the heart that allows the mixing of blood from the right and left sides of the heart. It can be due to the absence of the persistence of fetal interatrial foramen or the complete absence of part or whole of the septum. The management of the condition is surgical.
Aortopulmonary Window Repair
Aortopulmonary Window is a rare defect of the heart in which there is a hole connecting the aorta and the pulmonary artery abs a result failure of the conotructal ridges to fuse. As spontaneous closure does not occur, once a diagnosis is made, Aortopulmonary Window Repair surgery is the only solution.
24 Hour Blood Pressure Monitoring
This allows a patient’s blood pressure to be measured at regular intervals (20-30 minutes) over a 24 hour period, whether the patient is asleep or awake. The BP will be measure as one goes about the activities of his daily life. It helps to detect masked hypertension, sustained hypertension and white coat hypertensions. It is also good in situations like BP change due to medication, pregnancy related hypertension, borderline hypertension, fainting episodes and when it is difficult to control BP with drugs.
Heart Transplant
Heart Transplant surgery is done to replace a damaged heart with a healthy, working heart that is taken from an ‘organ donor’ who has recently died. However, in very rare cases, the diseased heart is kept in its place to support the donated heart, instead of being removed. Heart transplant is used as a last resort when all the other cardiac treatments fail to improve the health of the patient.
Minimally Invasive (Key hole) Bypass Surgery
Minimally Invasive Direct Coronary Artery Bypass is a surgical treatment for coronary heart disease that is a less invasive method of coronary artery bypass surgery, without the need to opening chest.
Abdominal aortic aneurysm (AAA)
An enlargement of the aorta, the main blood vessel that delivers blood to the body, at the level of the abdomen. An abdominal aortic aneurysm (AAA) can be life-threatening if it bursts. Abdominal aortic aneurysms are most common in older men and smokers.
Radio frequency (RF) Ablation heart rhythm correction
Catheter ablation is a procedure that uses radiofrequency energy (similar to microwave heat) to destroy a small area of heart tissue that is causing rapid and irregular heartbeats. Destroying this tissue helps restore your heart's regular rhythm.
Permanent Pacemaker Implant (Double Chamber)
A pacemaker is a medical device that generates electrical impulses delivered by electrodes to contract the heart muscles and regulate the electrical conduction system of the heart. A pacemaker consists of a small, battery-powered generator and one or more leads. In a single-chamber system, one lead is used, most commonly pacing the right ventricle. Dual-chamber pacemakers have two leads, placed in the right atrium and right ventricle.
Permanent Pacemaker Implant (Single Chamber)
A pacemaker is a medical device that generates electrical impulses delivered by electrodes to contract the heart muscles and regulate the electrical conduction system of the heart. Single-chamber pacemaker - With this device, 1 pacing lead is implanted in the right atrium or ventricle.
Mitral & Aortic Valve Replacement (AVR MVR)
Valve replacement surgery is the replacement of one or more of the heart valves with either an artificial heart valve or a bioprosthesis. It is an alternative to valve repair.
Minimally Invasive Valve Replacement (AVR MVR)
Valve replacement surgery is the replacement of one or more of the heart valves with either an artificial heart valve or a bioprosthesis. It is an alternative to valve repair. Benefits of minimally invasive cardiac surgery (MICS) have been well recognized when compared with a standard median sternotomy, in terms of blood loss reduction, lower morbidity, shorter intensive care unit and in-hospital stay.
Double valve replacement (DVR including two valves)
A double valve replacement is a replacement of both the mitral and the aortic valve, or the entire left side of the heart. This type of surgery is not as common as the others and the mortality rate is slightly higher.
Gynecology 23 procedures
Cervical Polyp Removal
Cervical polyps are figure –shaped, red smooth growths in one's cervix. They commonly present as abnormal per vaginal bleed. They occur in multiparous women after the age of 20. They are diagnosed during a pelvic exam. There are removed surgically by gently twisting then tying its base before removing via special forceps. A solution then applied to stop any bleed.
Endometrial Ablation
This is a procedure where the gynecologist surgical destroys the uterine endometrium. Various tools are utilized during the procedure. These may include heated fluid, high energy radio frequencies, extreme cold and microwave energy. Goal is to treat abnormal uterine bleeding by reducing one's menstrual flow.
Gynecologic Laparoscopy
It is a new alternative technique to open surgeries. It allows a surgeon to look into one's pelvis. It can be sued to remove adhesions, manage ectopic pregnancies, manage ovarian cysts, hysterectomy, oophorectomy, and myomectomy, do female sterilization (tubal ligation), diagnose & treat endometriosis and cancer investigation and lymph node sampling in cancer treatment.
Antenatal Care (ANC)
This is a type of preventive health care that aims at providing expectant mothers regular checkups to prevent and treat potential health care problems in the course of pregnancy while at the same time creating awareness on healthy living for the benefit of child and mother.
Bartholin's Cyst Treatment
This is a fluid-filled cyst (swelling) of the Bartholin gland. Treatment involves surgical drainage, warm baths, and antibiotics. Marsupialization can often be done to deal with the problem permanently.
Cervical Cautery
This is a procedure used to get rid of abnormal (precancerous or cancerous) cells in a woman’s cervix. It is performed by a gynecologist using electricity, corrosive material, laser, heat or cold. Commonly used methods involve cryocauterization or electrocoagulation.
Amniocentesis
This is a medical procedure used perinatal to diagnoses fetal infections and chromosomal abnormalities and also determine the sex of a child. A small amount of amniotic fluid that contains fetal tissues is samples from the amniotic sac containing the fetus then DNA analysis is done.
Breast Biopsy
This is a procedure used to obtain a sample of a tumor in the breast for purposes of laboratory and histological analysis. Various breast sampling techniques are available, e.g., FNA, incisional biopsy, excisional biopsy, and core biopsy.
Cervical Cerclage
This is a treatment for cervical insufficiency or incompetence where the cervix shortens and open too early in a pregnancy leading to a pregnancy loss (preterm birth or miscarriage). The most commonly done cervical Cerclage technique is MacDonald’s stitch.
Cervical Biopsy
This is a surgical; procedure where a small amount of tissue is taken out from the cervix. The sample collected is taken to the laboratory for histological analysis to determine whether there is cancer and if present, which type. It is commonly done after abnormalities are detected in a Pap smear or routine pelvic exam including VIA/VILI. There are three types of biopsies, i.e., cone biopsy, endocervical curettage and punch biopsy.
Pelvic Adhesiolysis
Adhesions are scar tissue bands that form between organs in the body. They form as parts of the body’s natural repair mechanisms respond to tissues disturbances like infections, surgery, radiation, pathologies or trauma. Adhesiolysis is a surgery meant to remove these adhesions so that normal organ functions and anatomy is restored and pain relieved. They are managed via laparoscopic or open surgical procedures.
Breast Exam
This is the clinical examination of one's breasts by medical practitioners to check them for any abnormalities. The physical exam is done by the health professional during one's routine medical checkup or when someone has complications related to breast. The exam should only be carried out by a professional trained in breast exam techniques. The results will be complemented either by mammograms or breast ultrasound.
Myomectomy
This is the surgical removal of uterine fibroids especially symptomatic ones. The procedure aims to conserve the uterus for possible future deliveries.
Ectopic Pregnancy Surgery
This is an emergency exploratory laparotomy surgical procedure done to manage a raptured ectopic pregnancy. Ectopic pregnancies are extra uterine pregnancies.
Hysterectomy
This is the surgical removal of the uterus. It is a procedure done by gynecologists. It can either be total (where the entire uterus, fallopian tubes, cervix and upper third of vagina is resected) or partial. The option depend upon the patient choice and the indication for the operation.
Microdochectomy
This is a surgical procedure done to remove a portion of the lactiferous duct. It is the standard treatment for nipple discharges that arise from a single duct. The procedure can be done under guidance of a ductoscope.
Uterine Artery Embolization (UAE)
This is a procedure that is performed by interventional radiologist. A catheter is used to deliver small particles that then block uterine body blood supply. Common indications include adenomyosis and uterine fibroids.
Hysteroscopy
Hysteroscopy gets its name from the thin, lighted tool used to view the womb, called a hysteroscope. This tool sends images of the inside of the womb to a video monitor. Before the procedure, you will be given medicine to help you relax and block pain. Sometimes, medicine is given to help you fall asleep. During the procedure the provider places the scope through the vagina and cervix, into the womb, gas or fluid may be placed into the womb so it expands. This helps the provider see the area better and pictures of the womb can be seen on the video screen.
Laparoscopic Myomectomy
Laparoscopic Myomectomy uses a small telescope placed through the belly button along with several small instruments to remove fibroids from the uterus. The technique of actually removing the fibroid from the uterus is similar to that of an abdominal myomectomy except we use small instruments placed through the abdominal wall. Once the fibroid is freed from the uterus it needs to be removed from the abdomen. In order to remove a large fibroid from a small incision we use an instrument called a morcellator, to cut it into pieces small enough to be removed through the small incisions.
Abdominal Myomectomy
Also known as an "open" myomectomy, an abdominal myomectomy is a major surgical procedure. It involves making an incision through the skin on the lower abdomen, known as a "bikini cut," and removing the fibroids from the wall of the uterus. The uterine muscle is then sewn back together using several layers of stitches. You will be asleep during the procedure. Blood loss during the surgery may require a blood transfusion. Some women store their blood before the operation in order to receive their own blood rather than blood from the blood bank. Most women spend two nights in the hospital and four to six weeks recovering at home. After the procedure, you will have a four-inch horizontal scar near your pubic hair or "bikini" line.
Hysteroscopic Myomectomy
Hysteroscopic myomectomy is a technique that can be performed only if fibroids are within or bulging into the uterine cavity (submucosal). This procedure is performed without any incisions and virtually no postoperative discomfort. Anesthesia is needed because the surgery may take one to two hours and would otherwise be uncomfortable. A small telescope, the hysteroscope, is passed through the cervix and the inside of the uterine cavity can be seen. A small camera is attached to the telescope and the view is projected on a video monitor. This magnifies the picture and also allows the physician to perform the surgery while sitting in a comfortable position.
Ovarian Cyst Removal
Ovarian Cyst Removal is a surgery to withdraw cysts (a sac filled with fluid) from one or both of your ovaries. The surgery can be performed as Laparoscopic Surgery or Open Surgery. Most of the surgeons and patients prefer laparoscopic method, nowadays.
Laparoscopic Hysterectomy
A laparoscopic hysterectomy is a minimally invasive surgical procedure to remove the uterus. A small incision is made in the navel through which a tiny camera is inserted. The surgeon watches the image from this camera on a TV monitor while performing the procedure.
Neurosurgery 12 procedures
Craniotomy
These are a surgical procedure where bone flaps are temporarily removed from the skull to give access to the brain. The bone flaps are created by specialized tools. Sometimes it’s done under the guidance of CT scans or MRI scans to localize the areas of treatment (stereotactic Craniotomy). A craniotomy is used in stereotactic biopsy of the brain, stereotactic radiosurgery & stereotactic aspiration of hematomas, cysts or abscesses. A craniotomy is also useful in aneurysmal clipping and removal of brain tumors. Are of various types, i.e., translabarynthine Craniotomy, retro-sigmoid Craniotomy, extended bifrontal Craniotomy and supra-orbital Craniotomy.
Peripheral Nerve Surgery
This is practiced by surgeons from various backgrounds with expertise in plastic and reconstructive surgery, neurology, pain medicine, and orthopedics hence the need for a multidisciplinary care. The surgeries included entrapment neuropathies, nerve sheath tumors like schwannomas and acute nerve injuries.
Subdural Hematoma (SDH) Surgery
SDH is an intracranial hemorrhage that takes place beneath the meningeal Dura matter and may be associated with other traumatic brain injuries. They can be spontaneous, iatrogenic like from lumbar punctures or traumatic. SDH can be acute or chronic. SDH surgery involves a craniotomy to decompress brain tissue, stop active bleeding and possibly evacuate the hematoma.
Brain Aneurysm Repair
This is an endovascular surgical procedure. A catheter is usually guided via a small cut in one's groin to an artery and then passed through the vessel to the brain where an aneurysm is situated. Alternatively, the surgery can be performed alongside open craniotomy.
Brain Tumor Surgery
Surgery is the common modality for managing many malignant and most benign tumors. The operation is performed by a neurosurgeon. It helps relieve seizures, remove tumors, take biopsies and enable chemotherapy or radiotherapy. Common techniques used include craniotomy, craniotomy, partial or complete removal, shunting, transsphenoidal surgery, LITT, etc.
Cranioplasty
This is the surgical repair of a deformity or defect in the skull. The defect is normally as a result of a previous injury or surgery. It might also be a congenital defect. The surgery is performed for cosmetic reasons and patient psychological wellbeing.
Chiari Malformation Treatment
Chiari Malformation is a condition in which tissues of the brain protrude into the spinal canal via the foramen magnum. This can lead to hydrocephalus or syringomyelia. Treatment involves monitoring of the condition and surgery. Surgical procedures done include Decompressive craniectomy & laminectomy.
Brachial Plexus Injury Treatment
An operation to correct brachial plexus injuries should be performed within 6-7 months the injury as, beyond this period, the prognosis is poor. Teat such as MRI, CT, nerve conduction studies and electromyogram are usually done to determine the extent of the injury. Treatment can either be surgically or non-surgical, i.e., occupational therapy or physiotherapy or splinting /orthosis.
Epilepsy Surgery
This is a procedure done to treat epilepsy in order to reduce or stop the seizures. There are different types of epilepsy surgical procedure. This includes removal of the area in the brain causing this seizures or separating the part of the brain causing these tumors from the rest.
Deep Brain Stimulation (DBS) Surgery
This is a surgical procedure that is done to implant a device that send electrical stimulus signals to brain regions responsible for body movement. Electrode is placed deep in the brain and then connected to a stimulating device. DBS helps remove symptoms of slowness of movement, tremor, walking problems and stiffness that is caused by dystonia, essential tremor or Parkinsonism disease.
Skull Base Surgery
This is minimally invasive, highly specialized neurosurgical technique for diagnosis, evaluating and treating cancerous or benign growths located on the base of the skull, the upper vertebrae of the spine and the underside of the brain.
VP Shunt Surgery
VP shunting is a surgical procedure that primarily treats a condition called hydrocephalus. This condition occurs when excess cerebrospinal fluid (CSF) collects in the brain's ventricles. CSF cushions your brain and protects it from injury inside your skull.
Orthopedics 24 procedures
Bunion Surgery
A bunion is very painful. They are bony bumps which form at the base of one’s big toe. It normally forms a union between this toe and the 1st metatarsal one. Bunion removal surgery helps correct the area of deformity that forms on foot near the big toe. The surgery is sometimes referred to as hallux valgus correction or bunionectomy.
Carpal Tunnel Syndrome Surgery
Carpal Tunnel Syndrome is the tingling, numbness, weakness plus other problems in one's hand because of pressure being applied to the median nerve as it traverses the wrist. The small space where it passes through in the wrist called the Carpal Tunnel. This surgery is meant to relive the pressure hence relieving the symptoms. The two types of Carpal Tunnel Syndrome Surgeries are open and endoscopic, all available in India.
Hip Replacement
This is an orthopedic surgical procedure where a damaged hip is replaced with an implant, i.e., a prosthesis. This procedure can be performed either as hemi-replacement (only femoral head is replaced) or total replacement (i.e., total hip arthroplasty where both the femoral head and acetabulum are replaced).
Knee Replacement
Knee Replacement (arthroplasty) is an operation used to replace weight-bearing surfaces of the knee joint to relieve disability and pain. Especially in patients with osteoarthritis, psoriatic arthritis, and rheumatoid arthritis. Surgical techniques available include total knee replacement, partial knee replacement and femoral replacement.
Shoulder Replacement
Shoulder Replacement (arthroplasty) is an operation in which a prosthesis is used to replace part or all of the glenohumeral joint to relieve disability and pain. It is used to fix shoulder joint damage or relieve arthritic pain. We have the traditional shoulder total shoulder arthroplasty and the reverse total shoulder arthroplasty approach. The latter has two approaches, i.e., the deltopectoral approach and the transdeltoid approach.
Ankle Arthroscopy
Its an ankle replacement surgery done to replace damaged joint articular surfaces with prosthetic implants. It is currently a more preferred option than arthrodesis.
Autologous Chondrocyte Implantation (ACI)
This is a new type of orthopedic procedure that is used to manage to isolate full thickness joint articular surface defect in the knees. It is performed in three stages where about 2000-300 milligrams of cartilage is sampled from a less weight bearing area of a joins, isolated enzymatically then grown in a lab for six weeks before transplanting in damaged areas so that they grow and form new cartilage.
Knee Ligament Surgery (ACL)
This is a procedure done to treat knee ligament tears. It is currently done as a laparoscopic procedure, but open surgery is still practiced in some regions of the world. It helps reduce pain and improve stability in the joint.
Benign Bone Tumor Removal
Benign Bone Tumors are not cancers hence do not metastasize to other areas of the body. They however greatly weaken a one. Common one tumor include giant cell tumors, osteoid osteoma, osteochondroma, and osteoblastoma. Treatment involves surgical excision of the tumor or scrapping out (curettage) of the tumor with bone grafting.
Congenital Hip Dislocation Treatment
Congenital Hip Dislocation is also known as developmental dysplasia of the hip. It is a condition where a child is born with an unstable joint due to abnormal formation of the joint in early fetal development stages. It is more common in girls than boys. Screening for the condition occurs at birth and in the first year of life. A baby younger than 6 years is treated using a Pavlik harness. If this fails, the condition is managed via surgery. Surgical options include open reduction or closed reduction, after which the hip and leg are placed in a cast for at least 12 weeks. A child who is 18 months or older is managed by pelvic or femoral osteotomy to reconstruct their hip.
Achilles Tendon Rupture
This is a complete tear through the tendon, usually about two inches from the calcaneal (heel) bone. The tendon it vital to activities like jumping, walking or running. The rupture is common in those suffering from Achilles tendinitis, illnesses like diabetes or on drugs like steroids and antibiotics. Surgery is essential for faster healing. However, a cast can be used to allow the leg heal naturally but will take quite long.
Ankle Fracture Treatment
Ankle fractures can be treated surgically or non-surgically. The method will depend on the degree of injury and the patient’s choice. The non-surgical options include casting and splinting.
Limb Amputation
This is the removal of a limb by surgery, medical or trauma. As a surgical measure, it is used to control a disease process affected limb like gangrene and malignancy or to control pain. It may also be carried of prophylactically to prevent these problems.
Bone Fracture Treatment
Treatment depend on the severity of the fracture, patient choice and cost of treatment. Medically, reduction is done to fix a dislocated or Brocken bone. Devices available to fix fracture include orthopedic casts, splints, elastic bandages, and traction splint. Therapeutic physical therapy and joint manipulation can be done. Surgery included internal and external fixation.
Clubfoot Treatment
Club foot is also known as congenital talipes equinovarus. It is a combination of four thing in one i.e. cavus, adductus, varus and equinus. There are several types of clubfoot. It is a highly disabling condition if not managed early. The condition can be managed Non-operatively by Ponseti technique, Kite technique and French technique. Surgical options included: Posteromedial soft tissue release, Osteotomies, Triple arthrodesis, Achilles tenotomy and JESS.
Elbow Replacement
This s a procedure done to replace elbow joint that has been damaged by disease or trauma. It is indicated in severe loss of function, instability, joint destruction, severe pain or deformity. It is successful in relieving people of pain and improving the overall quality of life of the patient.
Knee Ligament Surgery (MCL)
The MCL is one of the four ligaments of the knee. A Knee Ligament Surgery is done to treat torn ligament as a result of injurer. As the MCL surgery is located outside the joint, no surgical key hole are usually necessary. The torn ligament can be reattached with staples, screws and screws through a small incision.
Knee Arthroscopy
These is a surgical procedure that is done to teat or diagnose knee joint problems like injuries and diseases. During the procedure, a small incision is made and an Arthroscope (tiny camera) inserted into the knees therapy allowing the examiner to see the inside of the joint on a live screen.
Ankle Fusion Surgery
Also known as ankle arthrodesis, is a surgical procedure done to fuse the different bones that make up the ankle joint into one piece. It is done when the joint become painful and worn out due to disease or previous trauma.
Ankle Replacement
The procedure is also known as total ankle arthroplasty. It is an orthopedic procedure done to replace the ankle joint articular surfaces that have been damaged by disease or injury with prosthetic components. It is done to treat ankle arthritis.
Artificial Limb Services
These services are provided to patient whose limb have been amputated so that they are able to walk again and improve their quality of life. The patient’s needs will be assessed on an individual basis and a variety of prosthetic equipment make available to support ones upper and lower limbs. Rehabilitative service are provided try a dedicated team of specialists.
Abscess Debridement
Abscess is by infectious process that features collection of pus that is surrounded by inflamed tissue. The Debridement entails incision and drainage of the lesion followed by packing then proper dressing of the wound. The patient is then made to undergo a course of antibiotics.
Acromioclavicular Joint Repair
Acromioclavicular Joint is the meeting point of the clavicle and acromion joint in the shoulder. Injuries in the joint result from trauma, fall or sports. Conservative treatment is used in management of minor injuries. Sever injuries need surgery. This may be done through an open procedure or arthroscopy. This are employed in the reconstruction of the joint.
Diagnostic Arthoscopy
Knee Arthroscopy is a surgical technique that can diagnose and treat problems in the knee joint. During the procedure, your surgeon will make a very small incision and insert a tiny camera - called an arthroscope - into your knee. This allows them to view the inside of the joint on a screen.
Urology 16 procedures
Bladder Neck Incision (BNI)
This is a procedure done on men experiencing difficulty passing urine due to benign prostatic enlargement or urinary tract obstruction from a tight prostate. The patient usually presents with frequency, urgency, urine dribbling, hesitancy, poor urine stream and incomplete emptying of the balder. The operation helps relieve these symptoms of obstruction.
Prostatectomy
This is a surgical procedure that removes part or whole of the prostate gland. It is usually used in the treatment of benign prostatic enlargement (BPH), or prostate canacer.it can be performed in several ways. For prostate cancer, radical prostatectomy is recommended. The current technique for performing this include open radical prostatectomy (retropubic or transvesical), laparoscopic radical prostatectomy and robot-assisted radical prostatectomy. For benign enlarged prostate, simple prostatectomy is recommended. Newer techniques for managing BPH include transurethral resection of the prostate, transurethral laser-induced prostatectomy and Trans-urethral incision of the prostate. Noninvasive techniques include cryotherapy, laser therapy, thermal ablation and balloon dilation.
Pyeloplasty
This is a surgical revision or reconstruction procedure of renal pelvis to decompress or drain the kidneys.it is performed to manage ureteropelvic junction obstructions provided the residual renal function is still adequate. Congenital hydronephrosis is its most common presentation in pediatrics.
Circumcision
This is the removal of the penile foreskin. It is the most commonly performed procedure in the world. In it, the foreskin is opened. Then adhesions removed before being separated from the glans and cut. The penis is then sutured. A recent study indicated that it lowers one's risk of contracting HIV by60%.
Cystectomy
This is the surgical removal of part or whole (radical) of the urinary bladder. Sometimes the term is used to refer to the removal of the gallbladder or a cyst. This is commonly performed after a diagnosis of bladder cancer.
Erectile Dysfunction Treatment
Erectile Dysfunction is the inability of a man to keep or get an erection firm to have sexual intercourse. It is commonly described as important. The condition can be managed medically. 1st the patient has to be evaluated for a treatment plan is made, the plan may incorporate assistive devices like pumps or medications.
Bladder Stone Removal
This is a procedure done to remove renal stones that have formed in the bladder or pound their way into the bladder hence causing obstruction and pain. Various procedures are used to remove the stones, e.g., percutaneous suprapubic crystolitholapaxy and open cystostomy.
Cystoscopy
This is the endoscopic examination of the bladder. During the procedure, an endoscopic tube with a light and camera at the end is inserted into one's urethra, and into your bladder to visualize the inside of the bladder.
Kidney Stones Treatment
The treatment of renal stones included taking a lot of water to help pass these stones and use of painkiller to relive renal colonic pain. Drug used included NSAIDs, diuretics narcotics and urinary retention drugs. Medical procedures that can be done to remove the stones include laser lithotripsy, uteroscopic stone removal and extracorporeal shockwave therapy.
Prostate Biopsy
This is a procedure done to take a sample from the prostate for histological analysis. It is dome to detect or diagnose cancer of the prostate especially after blood PSA level; rises to the level of prostate cancer. There are several options that can be used to take the sample i.e. MRI-guided biopsy, ultrasound guided biopsy, Transrectal biopsy and transurethral biopsy.
TURP (Transurethral Resection of Prostate)
Transurethral Resection of Prostate is a surgery to remove the inside part of the prostate gland. It is done in order to treat symptoms of an enlarged prostate. The surgery takes about 1 hour. You will be given medicine before surgery so you don't feel pain. You may get general anesthesia in which you are asleep and pain-free or spinal anesthesia in which you are awake, but relaxed and pain-free. The surgeon will insert a scope through the tube that carries urine from your bladder out of the penis. This tube is called the urethra. A special cutting tool is placed through the scope. It is used to remove the inside part of your prostate gland using electricity.
Percutaneous nephrostolithotomy (PCNL - Kidney Stone Removal)
Percutaneous (through the skin) urinary procedures help drain urine from your bladder and get rid of kidney stones. A percutaneous nephrostomy is the placement of a small, flexible rubber tube (catheter) through your skin into your kidney to drain your urine. It is inserted through your back or flank. Percutaneous nephrostolithotomy (or nephrolithotomy) is the passing of a special medical instrument through your skin into your kidney. This is done to remove kidney stones.
Ureteroscopy (URS)
Ureteroscopy (URS) is a form of minimally invasive surgery using a small telescope that is passed through the urethra and into the ureter to remove a stone. Often the stone requires fragmentation with a laser which then allows the smaller fragments to removed with a grasping device.
Penile Implant
A penile prosthesis is another treatment option for men with erectile dysfunction (ED). These devices are either malleable or inflatable. The simplest type of prosthesis consists of a pair of malleable (bendable) rods surgically implanted within the erection chambers of the penis.
Radical Cystectomy
Radical cystectomy is the removal of the entire bladder, nearby lymph nodes (lymphadenectomy), part of the urethra, and nearby organs that may contain cancer cells. In men , the prostate, the seminal vesicles, and part of the vas deferens are also removed.
Radical prostatectomy
Radical prostatectomy is an operation to remove the prostate gland and tissues surrounding it. This usually includes the seminal vesicles and some nearby lymph nodes. Radical prostatectomy can cure prostate cancer in men whose cancer is limited to the prostate.
General Medicine 11 procedures
Hyperbaric Medicine
It is a treatment modality in which the ambient pressure gradient greater than the atmospheric sea pressure is used. It comprises therapeutic recompression (used to manage depression illnesses like air emboli) and hyperbaric oxygen therapy.
Medical Examination
This is the process by which physicians assess the body of a patient for sings disease. In medical practice, it is terms used commonly to refer to is included a clinical examination or physical examination. It is done after a comprehensive history of a patient has been taken. It thus helps in diagnosis and formulating the treatment plan.
Abdominal Examination
This is the physical examination of the abdomen to identify signs of disease; it is done in four stages, i.e., inspection, palpation, percussion, and auscultation.
Female Health Checkup
This is a gynecological procedure used to assess the female reproductive system. It involved a physical exam of the female perineum and possibly a specular exam, Apart from this various imaging and laboratory tests can be ordered to help the doctor make a proper conclusion.
General Medicine Consultation
This is a visit to a physician or general medical practitioner. The doctor will take the patient history and carry out a physical exam of all systems after which proper investigations are done and a treatment plan formulated.
Cryosurgery
This is the use of extremely cold temperatures (by liquid nitrogen) in surgery to destroy diseased or abnormal tissue, i.e., it is the use of cryoablation in surgery. It is commonly used to get rid of skin tags, Morton’s neuroma, small skin cancers, moles, and warts.
Deep Wound Treatment
A deep wound is one that cuts deeper than a quarter an inch beneath the skin surface. Due to their depth, this wound is likely to involve damage to tendons, major blood vessels, ligaments or internal organs. This can lead to both external and internal bleeding. These wounds require urgent treatment to avoid complications like shock. The bleeding has to be arrested, then cl4ned and properly dressed. Antibiotics and tetanus vaccine must be administered to the patient.
Vaccination
This is the administration of a vaccine to a person to stimulate their immune system thereby developing adaptive immunity against the target pathogen.
Male Health Checkup
This is a collection of tests and medical checks that are be performed on male person. It varies by age groups. They help detect and prevent health problem before they advance into serious health complications. The history of the man will be taken, them he will undergo a physical examination and finally some routine tests performed on him. The tests may include urinalysis, blood samples, stool samples, x-rays of some parts of the body etc.
Hereditary Spastic Paraplegia (HSP) Treatment
HSP is a group of inherited conditions whose primary feature is progressive gait disorder. It presents with contraction and spasticity of the lower limbs. Though the condition has no cure, it can be managed. Regular physical therapy is important to improve and maintain the muscle strength and range of movement.
Hyperbaric Oxygen Therapy (HBOT)
Hyperbaric oxygen therapy (HBOT) is a medical treatment which enhances the body's natural healing process by inhalation of 100% oxygen in a total body chamber, where atmospheric pressure is increased and controlled. It is used for a wide variety of treatments usually as a part of an overall medical care plan.
Neurology 10 procedures
Chronic Cerebrospinal Venous Insufficiency (CCSVI) Treatment
CCSVI is a term used to describe the compromise of blood flow in veins draining the CNS. Failure to treat the condition can, in the long run, predispose one to multiple sclerosis. It is commonly diagnosed using a Trans-cranial Doppler ultrasound, an MRI scan or Doppler sonography. It can be managed by a surgical procedure known as venous angioplasty where a surgeon will insert a balloon to keep veins open, clear a blockage & restore blood flow to spinal cord and brain.
Parkinson's Disease Treatment
The disease is only diagnosed after a proper history then physical and neurological exam. Imaging scans are not diagnostic by only help rule out other disorders. The disease is not curable but can be controlled using drugs like carbidopa-levodopa, dopamine, MAO-B inhibitors and, COMP inhibitors, anticholinergic and amantadine. When surgery is advisee, deep brain stimulation can be done.
Alzheimer's Disease Consultation
This is the evaluation of a patient suffering from dementia and symptoms of Alzheimer's disease. The doctor will assess the patient and prepares an appropriate treatment plan and inform the guardian on hoe w the patient should be cared for, the prognosis and booking future reviews.
Amyotrophic Lateral Sclerosis (ALS) Consultation
This is the evaluation of a patient who has ALS. The doctor will assess the patient and formulate an appropriate treatment plan and inform the guardian on hoe w the patient should be cared for, and advise on of follow up.
Neurological Rehabilitation
This is a physician-supervised program that is designed for patients with trauma, disorders or diseases of the nervous system. The program improves one's functions, reduce symptoms and greatly improve the overall well-being of a patient.
Dementia Management
Dementia is the overall term used to describe a range of clinical conditions that are associated with the decline in one’s memory or thinking skills to the extent that one is unable to perform his/her normal daily life activities. The treatment if Dementia depends on its cause. Once the cause is determined, the condition will improve once the cause is properly managed.
Epilepsy Treatment
Epilepsy is recurrent seizes in one’s brain. The management of epilepsy can be done by drugs, and sometimes devices, dietary changes or surgery. Anticonvulsants are the main stray of treatment. This is however influenced by the type of epilepsy, the age of patient, pregnancy or breastfeeding.
Migraine Treatment
This is a headache of that varies in intensity and is often accompanied by sound and light sensitivity and nausea. The condition can be managed by medications. The drugs can either be pain-relieving or preventive. Pain relieving medications included painkillers, triptans, ergots, anti-nausea drugs, opioids, and glucocorticoids. Preventative medications included cardiovascular drugs, antidepressants, anti-seizure drugs, painkillers, and Botox.
Neurology Consultation
This is an appointment with a neurologist (physician that has subspecialized in neurology) for treatment, diagnosis or management of disorders that affect the nervous system.
Trigeminal Neuralgia Treatment
Trigeminal Neuralgia is a chronic pain in the face arising from disorders that damage cranial nerve V i.e. trigeminal nerve. Treatment included injections (e.g. Botox injection and glycerol injection), medications (anticonvulsants, and antispasmodic agents) and surgery (microvasculer decompression, brain stereotactic radiosurgery). Other include balloon compression and radiofrequency thermal lesioning.
Reproductive Medicine 7 procedures
In Vitro Fertilization (IVF)
This is an assisted reproductive technology that is used to achieve conception. It normally the only means available to achieve pregnancy when fallopian tubes are obstructed/blocked. In it, a woman egg and sperm will be left in a laboratory culture dish to fertilize after which the embryo is placed in the woman’s uterus. It is a complicated technology though useful for couples with infertility.
Artificial Insemination
This is an assisted reproductive technology where the male partner’s sperm or donor sperm is injected into the female uterus at around the time of ovulation so that the fertilization can take place to achieve pregnancy.
Assisted Hatching
It is a type of assisted reproductive technology. In it, the embryologist manipulates the female egg under a microscope so at to create a small hole in its zona pellucida to allow sperms to enter hence fertilize the ovum.
Blastocyst Transfer
This is a type of assisted reproductive technology where a blastocyst, i.e., a human embryo that is about 5-7 day old is transferred into the female womb after in-vitro fertilization.
Donor Egg IVF
This is the female products of ovulation form a donor (known or unknown) which is to be fertilized by sperms for implantation into an infertile lady or for other reasons the client's eggs cannot be used.
Donor Sperm
These are sperms usually from unknown persons that will be used to inseminate a lady for purposes of procreation artificially. A client lady is sometimes allowed to choose the donor.
Tubal Cannulation
This is a procedure that is done to clear blockages/obstructions in a woman’s fallopian tubes. Tubal obstruction is the most common cause of infertility as the tubes are vulnerable surgical damage or infections. It is done by gynecologist under the guidance of a hysteroscopy.
Nephrology 4 procedures
Kidney Transplant (Living Related Donor)
This is the transplant of a healthy kidney to patients with an end-stage renal disease or no functional kidneys. Kidneys are important because they remove wastes and toxins from the body apart from producing important hormones in the body. The kidney can be taken from a live donor or deceased donor. There recipient and donor can be genetically related or non-related depending on whether a biological relationship existed between them. India has very nice centers where this can be done successfully.
Nephrology Consultation
This is a hospital checkup and review by a qualified nephrologist. It involves patient assessment, treatment planning, diagnosis and interventions such as permanent catheter insertion. Patients with acute or chronic kidney disease will require a frequent check-up by a nephrologist. The doctor will also monitor patients undergoing dialysis.
Kidney Dialysis
This is a procedure done to manage patients with acute kidney injury or those with end-stage kidney disease. It is needed when one's kidneys are no longer able to meet the body’s needs. It performs normal kidney functions like the removal of wastes. There are two types of dialysis, i.e., peritoneal dialysis and hemodialysis.
Kidney Transplant (ABO Incompatible transplant)
This is the transplant of a healthy kidney to patients with an end-stage renal disease or no functional kidneys. ABO-incompatible (ABOi) transplantation is a method of allocation in organ transplantation that permits more efficient use of available organs regardless of ABO blood type
Physical Medicine and Rehabilitation 14 procedures
Cryotherapy
It is a medical therapy where low temperatures are used generally or locally. It is used to treat a variety of lesions (malignant or benign). Cold substances like liquid nitrogen are used to freeze then remove the lesions.
Decompression Therapy
This is a treatment that is used to relieve pain that is caused by compression of nerve tissue in various parts of the body. It can be surgical or non-surgical. Notable examples include spinal decompression surgery where components of the spine realigned to release pressure ion pinched nerves.
Electrotherapy
This is the use of electrical energy in medical treatment. The therapy varies in waveforms, effect, and frequencies. Commonly used forms of electrotherapy included deep brain simulators and transcutaneous electrical nerve stimulation.
Chiropractic Adjustment
It is also known as a spinal adjustment. It is a term used by chiropractors to delineate the approaches to manipulating the spine. The chiropractor applies manipulation to the vertebrae, to reduce that subluxation and provided an effective lower back pain relief. All these manipulations should be done by a trained health professional in a hospital.
Chiropractic Treatment
Chiropractic is a medical profession that is committed to the management of musculoskeletal and nervous system disorders via non-surgical methods. Chiropractors have a special focus on spinal manipulation a treatment of surrounding structures. It is commonly used in the management of lower back pains (acute and chronic). Chiropractic techniques included Garston, Activator, Extremity manipulation, Trigenics, Gonstead, Thompson, Distraction, Korn specifoica, Atlas orthogonal, and diversified techniques.
Manual Therapy
This is a physical treatment that is primarily used by occupational therapists, massage therapists, physical therapists, athletic trainers, osteopathic physicians, osteopaths, and physiotherapist to manage musculoskeletal disability and pain. It incorporates joint mobilization, muscles manipulation, kneading and joint manipulation. There are many styles of manual therapy. This included myotherapy, osteopathy, Rolfing, sotai, shiatsu, massage therapy, bone sitting, anma, acupuncture, bodyworks, etc.
Physical Therapy
This is physiotherapy. It makes use of mechanical movements and force, manual therapy, electrotherapy and exercise therapy. It helps improve the patient’s quality of life via diagnosis, examination, prognosis and physical interventions.
Bone and Joint Screening
These are tests done to detect bone and joint diseases like cancers earlier. The test is commonly done when a patient present with bone and joint complains like pain. A bone screening test is widely used to diagnose osteoporosis. This is done by carrion out a bone mineral test.
Lymphatic Drainage Massage
This is a technique used to help increase the flow of lymph. The increased flow helps improve the immune function and remove harmful substances from tissues which are then neutralized in the lymph nodes. Apart from this, the procedure helps improve healing after surgery, improves breastfeeding, and relax a patient. Manual lymph drainage is the commonly used technique.
Orthopedic Rehabilitation
An Orthopedic Rehabilitation program has many components, including occupational and physical therapy, sports injury rehabilitation, specialized pediatric services and minimally invasive procedures. The therapy aims to treat several conditions that affect the musculoskeletal system. The program restores the strength, motion, and activity after injury.
Knee Brace
This is a medical devices that is fitted into the knee joint to give it support, especially when the person has pain that is emanating from the knee. They are used to provide support to the knee ligaments and the patella while one recovers from injury, to prevent injury, play sports, or to relieve pain in the knee. There are four categories of knee braces available i.e. functional, unloader, prophylactic and rehabilitative braces.
Bioptron Lamp Irradiation Treatment
Bioptron lamb is an optical device that emits light with wavelengths similar to the section of the electromagnetic spectrum that is naturally emitted by the sun, but it lacks UV light. The therapy acts naturally to support the body’s balancing and regenerative properties thereby helping the body to bring out its innate healing potential. The light produces bio-stimulation, i.e., stimulate the body’s biological processes positively hence strengthening the body’s functionality. It has no side effects and works naturally. Treatment is individualized and depends on one’s problem and the state of the area under treatment. It is used in dermatology, rheumatology, stomatology, cosmetology, cardiology, sports medicine, etc.
Bobath Concept Therapy
It is used by physiotherapists in the rehabilitation of patients with neurological disorders to promote the motor and sensory pathways and facilitate motor control and normal movement. It aims to improve mobility and movement in patients with damage to the CNS. The concept is based on the brain's ability to reorganize, recover and adapt to changes after neurological damage.
Paraplegia (Leg Paralysis)
Paraplegia is an impairment in motor or sensory function of the lower extremities. It is usually caused by spinal cord injury or a congenital condition that affects the neural (brain) elements of the spinal canal. The area of the spinal canal that is affected in paraplegia is either the thoracic, lumbar, or sacral regions. Common victims of this impairment are veterans or members of the armed forces. If four limbs are affected by paralysis, tetraplegia or quadriplegia is the correct term. If only one limb is affected, the correct term is monoplegia.
Endocrinology 3 procedures
Diabetes Consultation
This is the review of a newly diagnosed or known diabetic patient by a diabetic care team. The doctors will take the patient history of the condition, carry out physical examinations to detect any diabetic complication, proper carryout investigations like RBS and educated the patient about his condition an, the impotence of drug compliance and possible lifestyle changes that patient will have to implement. The consult may decide to change the patient drugs.
Endocrinology Consultation
This is a review of a patient suspected or diagnosed with endocrinological disorders such as hyperthyroidism. The patient will undergo a clinical examination and relevant investigations ordered to check the patient’s general medical condition. The patient’s medications will also be reviewed, and if failing, they will be changed. The consult can be done to a gynecologic, obstetric, medical, surgical, pediatric or even a psychiatric patient.
Endocrinology Testing
These are tests done to diagnose or rule our Endocrinological disorders. The test measures the level of a certain hormone in the blood, e.g., estrogen, thyroid function test, growth hormone, stimulating follicle hormone, etc.
Paediatrics 4 procedures
Pediatric Cancer Treatment
Cancer in children can occur anywhere in the body, including the blood and lymph node system, brain and spinal cord (central nervous system; CNS), kidneys, and other organs and tissues.
Paediatric Cardio-thoracic Vascular Surgery
Includes neonatal repairs, arrhythmia surgery, coronary artery problems, vascular rings, tracheal abnormalities and mitral valve repair.
General Paediatrics
Includes Foetal and new-born care, Paediatric Critical Care, Asthma and other respiratory conditions, Paediatric heart conditions including cardiac surgeries, Childhood epilepsy, Food allergies and digestive disorders, Paediatric surgery, Organ transplantation- Liver, Kidney, Bone marrow transplant, Diabetes and renal conditions.
Paediatric cardiology
Covers cardiology disorders such as heart defects, cardiomyopathy, connective tissue disorders, heart conditions, electrophysiology issues, and other conditions.
Specialists
Specialists working with Ayushman Hospital, Delhi, India
Dr. Rajesh Madan Cardiology
- MBBS, MD - General Medicine, DNB - Cardiology, Fellowship In Interventional Cardiology
- Cardiologist, 14 Years Experience Overall (14 years as specialist)
Dr. Rajneesh Gulati Gastroenterology
- MBBS, MD - Medicine, DM - Gastroenterology
- Gastroenterologist, 25 Years Experience Overall
Dr. Ashish Pitale General Surgery
- MBBS, MS - General Surgery, FRCS - General Surgery, Fellowship in Minimal Access Surgery
- General Surgeon, Laparoscopic Surgeon, Bariatric Surgeon, 25 Years Experience Overall
Dr. Sunita Singh Rathour Gynecology
- MBBS, DNB - Obstetrics & Gynecology
- Gynecologist, Obstetrician, 23 Years Experience Overall
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