Moheb Kowsar Hospital, Tehran
for Knee Replacement
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.
Overview
The Hospital of Moheb-e-Kosar was established in 2013 with the aim of providing specialized services. The hospital, with a capacity of 200 beds, is located on a plot of 3700 square meters in 11 floors in Yousef Abad. This center, with 128 beds, 32 special beds, 12 operating rooms and diagnostic and rehabilitation units, and the presence of more than 250 doctors in 10 specialties, is ready to provide a wide range of services to clients. Moheb Kowsar Hospital provides specialized and sub-specialized services all over the country and the region by having public-private-partnership pattern in Iran Health System, in the field of treatment, education and research, by taking modern technologies and competent staffs. The hospital attempts to provide immune and qualified services regarding the support of the family economy and increase the life expectancy of the fellows by special look at the principle of the patient-centeredness, interaction with the insurance industry and efficient use of the resources.
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Location
Languages spoken
English, Arabic, Translators can be arranged for other Languages
Services
Medical records transfer
Rehabilitation
Airport pickup
Hotel booking
Special offer for group stays
Free Wifi
Phone in the room
TV in the room
Special dietary requests accepted
Private rooms for patients available
Parking available
Pharmacy
Laundry
Mobility accessible rooms
Online doctor consultation
Medical travel insurance
Translation services
Interpreter services
Car hire
Local transportation booking
Flight booking
Local tourism options
Family accommodation
Visa / Travel office
Religious facilities
Nursery / Nanny services
Dry cleaning
Entertainment options
International newspapers
Business centre services
Fitness centre
Personal assistance / Concierge
Health insurance coordination
Restaurant
Procedures
Dentistry 9 procedures
Apicoectomy
This is an endodontic procedure that is done using a microscope hence also referred to as endodontic microsurgery. It is commonly done after a previous root canal procedure which has become infected and the second root retreatment unsuccessful or impossible. In an apicoectomy, the teeth root tip is removed, and then a root end cavity is prepared before being filled with a material that is biocompatible.
Bone Graft
It is also known as bone transplanting. This is a surgical procedure used to replace a missing bone to repair bone fractures that are complex, fail to heal in right way or pose a substantial health risk to the patient. It is that is used to repair problems with joints or bone, especially from trauma. It is also useful in ensuring that bone grows around an implanted device properly.
Dental Crown
Is a procedure used to install a dental crown after damage. Normally, it requires at least two visits to a dentist. In the first visit, dentist examines the teeth to ensure it can support the crown then starts filling the crown to ensure it can support the crown. The dentist then takes an impression of the teeth and send to the dental lab so that permanent crown is made. In the second visit, the permanent crown is installed. Several types of crowns are available, i.e., porcelain, ceramic, stainless steel, resin, and gold. The procedure can be undertaken for cosmetic reasons or repair damaged the tooth.
Dental Bridge
It is a procedure done by a dentist. A bridge is a fixed dental prosthesis used to replace a missing tooth by permanently joining an artificial tooth with an adjacent dental implant or teeth. There are four type of dental bridges, i.e., cantilever bridge, Maryland Bridge, traditional bridge and implant supported bridges.
Dental Checkup
This is a visit to a dentist. The dentist will carry out an inspection of the teeth and surrounding soft tissue to identify problems one may not be feeling or seeing. People with low risk for dental diseases need to visit a dentist at least once a year while high-risk individuals need 3 to 4 visits a year.
Braces
These are orthodontic devices used to straighten and align teeth and possibly position them with regards to a person’s natural bite. It helps improve a person’s cosmetic appearance and general health.
Dental Implant
These are surgical components that are used in dental procedures to create an interface between the jawbone or the skull to support dental prostheses like bridges, facial prostheses, denture, crown or to act just as an orthodontic anchor.
All-on-4
This is a technique that is used to rehabilitate an edentulous patient or a patient whose teeth are badly broken down, decayed or compromised due to gum disease. It is a prosthodontics surgical technique in which all the teeth will get supported on four dental implants. The four implant support a prosthesis with fixed 10-14 teeth that place immediately after surgery. All-on-four implant has the following benefits, i.e., shorter installation time, prevent future bone loss, and ensure the arch is restored fully.
Cosmetic Dentistry Consultation
A cosmetic dentist is a dental practitioner that will help you change your appearance by changing your smile, gum, bite, and teeth. The consultation focuses on improving one's appearance regarding position, size, color, shape, and smile. The consultation helps you get a professional opinion before you make any final decisions.
Diagnostic Imaging 9 procedures
Full Body PET CT Scan
This is an imaging modality that allows physicians to see diseases in one’s body. It utilizes a special dye that has a radioactive tracer. This tracer is injected into one's vein and after that distributed in the body where it’s absorbed by tissues and organs. It helps doctor s to see how well they are working. It measures oxygen use, glucose metabolism, blood flow, etc. It helps show problems at cellular level hence useful in detecting brain disorders, heart problems, central nervous system problems like seizure and memory disorders. It also shows the response to cancer to chemotherapy.
MRI Scan Magnetic Resonance Imaging
This is an imaging modality that used strong radio waves and magnetic field to produce imaged of the internal structure of the body. The scanner itself is a large tube that comprises powerful magnets. One lies inside the tube while getting scanned. The machine can produce two type of images, i.e., T1-weighted and T2-weighted images. Sometimes, contrast is used to enhance the images.
Abdominal Ultrasound
This is a type of medical ultrasonography that is used to visualize anatomical structures of the abdomen. It uses the reflection and transmission of sound waves to visualize internal organs of the body via the wall of the abdomen.
Bone Mineral Densitometry (BMD)
This is a test used to assess the health of ones. It helps provides information regarding the fragility or strength of one's bones. The test measures the amount of calcium and other minerals
Chest X-Ray
This a radiograph of the chest used to diagnose chest diseases injuries. It is done using an X-ray machine that passes X-rays through the chest into a film to create the image.
CT Scan (Computed Tomography)
This is a modern imaging technique that makes use of that makes use of computed processed X-ray measurements that are taken at different angles to produce tomographic images of specific areas of objects scanned thereby allowing the user to see the internal structure of the object without physically cutting them. It is used in the diagnosis, screening or prevention of diseases.
Diagnostic X-Rays
This is noninvasive imaging modality that involves exposing parts of one’s body to a small dose of ionizing radiation to produce images of inside the body. They are used for investigating patient’s complaints, e.g., chronic cough, abdominal pains, bone injuries and fever.
Renal Angiogram
This is an imaging test that is done to examine the blood vessels in ones kidneys. It helps reveal blockages aneurysms or stenosis in the kidneys. Radiologist inject a contrast agent into arteries that bring blood to the kidney and X-rays used to monitor the flow. Fluoroscopy can also be used.
Abdominal CT Scan
This is a diagnostic radiological imaging test that is done to help detect diseases of the colon, small bowel and other abdominal organs or determine the cause of abdominal pain.it is noninvasive, accurate, fast and painless.
Ear, Nose and Throat (ENT) 18 procedures
Adenoidectomy
This is a surgical procedure used to remove the adenoids (lymphoid tissue in the nasopharynx) when they are enlarged hence causing recurrent earache, chronic infections or impaired breathing via the nose. It is performed by an otolaryngologist.
Cochlear Implant
This is an electronic gadget (device) used to replace the functions of the inner ear when it is damaged. The implant does the work of the Cochlear by generating sound signals for the brain. It is thus useful in persons with profound or moderate hearing loss bilaterally. The device helps one to her better. Cochlear implant surgery is done by ENT Surgeon.
Laryngeal Surgery
These are surgeries done on the larynx to remove various pathologies such as laryngeal cancer, laryngeal papilloma, laryngeal granulomas, etc. Total laryngectomy (open) is the complete removal of the larynx while partial is incomplete removal. This normally depends on the location and stage of cancer. Endoscopic laryngeal surgeries are getting common. Microlaryngeal surgeries are used to operate on one's vocal cord. Laser surgery is a recent addition.
Audiometry
It is a test done to test one’s ability to perceive sound. The machine used to do the test is called an audiometer. It measures ones hearing acuity based on variations in sound tone, pitch, and intensity. It helps grade conduction deafness and rules out sensorineural hearing loss.
Laryngectomy
This is the surgical removal of the larynx and then separating it from the nose, esophagus and the moth. It can be total or partial. In total, the entire larynx is removed while in partial, only a portion is exercised. It is commonly used in the treatment of laryngeal cancers. It is a procedure performed by ENT surgeons.
Sleep Apnea Surgery
This surgery is only done when other treatment modalities are exhausted. The list of surgical options that can be done to treat sleep apnea includes: tonsillectomy and adenoidectomy, tracheostomy, radiofrequency ablation, maxilla-mandibular advancement, palatal surgery, bariatric surgery, nerve stimulation and uvulopalatopharyngoplasty.
Thyroidectomy
This is the surgical removal of part or whole of the thyroid tissue. The Parathyroid gland is usually preserved. It can be partial thyroidectomy where part of the thyroid is preserved, or it can be total thyroidectomy where the whole of the thyroid tissue is removed. It is commonly indicated for lived conditions like goiter, thyroid malignancies, etc.
Laryngoscopy
This is the endoscopic examination of the larynx and the back of the throat. The larynx is part of the throat. The procedure is carried out ear nose and throat specialists. There are two types of laryngoscopy procedures, i.e., direct laryngoscopy and indirect laryngoscopy.
Myringoplasty
This is a procedure done to correct perforation in the pars tensa of the eardrum. When the procedure is combined with the reconstruction of the ear ossicles, the procedure is termed tympanoplasty. The operation is normally done while the patient is lying supine with the face turned to one side such that the side being operated lies upward. The procedure is carried out otolaryngologists. There are two major techniques currently being used, i.e., the overlay technique and the underlying technique.
Ossicular Chain Reconstruction
This is a procedure done to treat conductive deafness. It sis a middle ear procedure that is performed by otolaryngologists. Damage middle ear bones i.e. stapes, malleus and incus can be replaced in the process.
Septoplasty
This is a procedure done to straighten the nasal septum that lies between the two nasal septums. The submucous septum is resected and reconstructed. It is done to correct a nasal septum that deviates.
Tympanoplasty
This is a surgical operation done to reconstructs the eardrum or the middle ear bones. There are five type of Tympanoplasty procedures i.e. type l to type V Tympanoplasty procedures.
Neck Dissection
This is a surgical procedure in which the fibrofatty content of the neck is removed as a treatment for metastasis to the cervical lymph nodes. Head and neck malignances commonly metastasize to the cervical lymph nodes. There are various surgical options available i.e. radical neck dissection, modified radical neck dissection, selective neck dissection and extended radical neck dissection.
Glossectomy
This is the surgical removal of part or whole of the tongue. It is done to manage malignant tumors like oral cancers.
Facial Nerve Paralysis - Nerve Repair
Dynamic and static reconstruction procedures are employed for facial reanimation in patients suffering from facial nerve paralysis. However, dynamic strategies tend to be more successful and fruitful and should be offered to each patient considering reconstruction, unless health risk contraindications exist. The most common approaches for reconstruction are direct facial nerve repair with or without grafting, nerve transfer, cross-facial nerve grafting, and muscle transfer (either regional muscle or free-muscle neurotized transfer)
Mastoidectomy
A mastoidectomy is surgery to remove cells in the hollow, air-filled spaces in the skull behind the ear. These cells are called mastoid air cells. This surgery used to be a common way to treat an infection in mastoid air cells. In most cases, the condition was caused by an ear infection that spread to the bone in the skull. Mastoidectomy may be used to treat colesteatoma, complications of an ear infection (otitis media), infections of the mastoid bone that do not get better with antibiotics and to place a cochlear implant
Tonsillectomy
Tonsillectomy is a surgical procedure in which both palatine tonsils are removed from a recess in the side of the pharynx called the tonsillar fossa.
Functional Endoscopic Sinus Surgery (FESS)
Functional endoscopic sinus surgery is a minimally invasive surgical treatment which uses nasal endoscopes to enlarge the nasal drainage pathways of the paranasal sinuses to improve sinus ventilation.
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.
Oncology 32 procedures
Breast Cancer Treatment
Treatment of breast cancer depends on the stage. The treatment may involve radiotherapy, surgery or medications. The types of surgeries used included mastectomy (radical mastectomy or simple mastectomy, modified radical mastectomy, patery modified radical mastectomy), breast-conserving surgery, lumpectomy and lymph node dissection. Medical therapy involves chemotherapy for breast cancer or systemic hormonal therapy like tamoxifen.
Cervical Cancer Treatment
Treatment of cervical cancer depends on the stage though other factors like the site of the tumor, ones desire for children, overall health, age, and type of cancer. While in stage 0 (CIS), the condition can be managed by loop electrosurgical procedure, simple hysterectomy, cone biopsy, cryotherapy and laser therapy. At stage 1a, cone biopsy is preferred. At stage 1A2, cone biopsy or radical trachelectomy with pelvic lymph node dissection is preferred, but for those who don’t desire fertility, EBRT and radical hysterectomy are desirable. At stage 1B and 2A, surgery and radiation or concurrent chemoradiation are desirable. At stage 2B, 3 and 4A chemo-radiation is used. At stage 4B, chemo-radiotherapy to try to slow down the tumor.
Chemotherapy
Chemotherapy is the use of drugs to treat diseases. But in medicine, it is commonly used when referring to the medical treatment of cancer that utilizes one or more antineoplastic medications as part of a standardized chemotherapeutic regimen. They are given with the intent to reduce symptoms, prolong life or cure cancer. Each cancer has a specific regiment that has been prepared for its management. Medical oncologists administrate chemotherapeutic regiment.
Acute Leukemia Treatment
The statement of acute leukemia depends on the subtype of leukemia. Treatment empathizes long-term cemetery with antineoplastic drugs. Various combination of chemotherapeutic agents has been developed for various leukemias. Oncologist use chemotherapy with or without radiotherapy and stem cell transplant.
Brachytherapy
Its a kind of radiotherapy where a sealed source of radiation is next to or inside the place needing treatment. A radioactive material is placed inside the body hence sometimes referred to as internal radiation. It is used in the management of cancer of the prostate, skin, cervical and breast and other tumors in the body. It can be used together with chemotherapy, surgery or EBRT.
Bladder Cancer Treatment
Medical and surgical modalities are used treatment of bladder cancer. The surgery done is either partial or complete Cystectomy. This involves partial or complete removal of the bladder. Medical therapy includes chemotherapy and radiotherapy.
Cancer Screening
The goal of this exercise is to detect cancers before their symptoms manifest. The test encompasses medical imaging, blood tests, urinalysis and other tests. It is common knowledge that the benefit of having a cancer screen done outweighs outweigh anybody harm that may result from the process. When cancerous tissues are detected early, they are easy to cure or treat. The most common cancers that are routinely screened are breast, colon, oral, prostate, pancreatic, lung, bowel and cervical cancers.
Whipple Procedure
Whipple Procedure also known as kaush-Whipple Procedure, pancretoduodectopmy, pancreaticoduodenectomy is a major surgical procedure dome to remove cancer of head of pancreas. It involves the removal of the common bile duct, the gallbladder, the duodenum and portions of the stomach.
Chronic Leukemia Treatment
The treatment of chronic leukemia depend on a person’s age, reason for treatment, disease risk group, stage of cancer, signs and symptoms of disease, patient preference and overall health. Treatment options included targeted drug therapy, chemotherapy, bone marrow transplant, and immunotherapy.
Glioblastoma Treatment
Glioblastoma (Glioblastoma multiform) is a malignant tumor that affects the spinal cord and the brain. It is usually quite aggressive hence can spread quickly and grow fast. Treatment includes radiotherapy, chemotherapy and surgery (craniotomy and radiosurgery).
Laryngeal Cancer Treatment
Laryngeal Cancer is a condition which cancerous cells form from larynx tissues. The most common presentation include ear pain and sore throat. Laryngectomy (total) in addition to thyroidectomy and nodal removal followed by radiotherapy is the most common mode of treatment.
Cancer Staging
Staging is the process used to find out the amount of cancer in the body and their locations. The information is used by doctors to formulate the patient treatment plan and to determine their prognosis. There are four different ways staging is done i.e. pathological staging, post-neoadjuvanat or post-therapy staging, clinical staging and restaging (done when cancer recurs after treatment). The four factors used in staging include: site of primary tumor, the tumor size, the involvement of lymph nodes and metastases. Tests done to enable staging process include imaging tests, pathological tests, surgical reports, laboratory tests and physical examination.
CyberKnife Treatment
This is a non-invasive treatment for benign and malignant tumors and other conditions that need radiotherapy. It is a flameless radiosurgery robotic system that uses targeted radiation to destroy tumor in the body. It is designed to minimize the exposure of healthy tissues and organs to radiation. It is pain free, does not need hospitalization or general anesthesia, spare healthy tissues, non-invasive and one only need one to five sessions to complete treatment.
Head and Neck Cancer Treatment (Throat Cancer)
Treatment of head and neck malignancies depend on the type and stage of the tumor. Treatment modalities used in the management of these malignancies included radiotherapy, surgery and chemotherapy. Surgical options included laser technology, excision, neck dissection or lymph node dissection, and reconstructive surgery. Target therapy is available.
High-Intensity Focused Ultrasound (HIFU)
This is a new medical technology that is under development and can be used to treat a wide range of disorderds.it is a treatment modality that aims to kill cancerous cells using high frequency sound waves. It is only useful in the management of a single tumor or a section of a larger tumor hence not useful for highly malignant cancers.
Adrenal Cancer Treatment
Treatment of adrenal cancer depend on the stage. Stage 1 and two are treated surgically which may be combined with radiotherapy or mitotane administration. Stage 3 is treated surgically. This may be preceded by adjuvant radiotherapy or mitotane. For stage 4, a debulking surgery is done followed by radiotherapy and chemotherapy.
Bile Duct Cancer Treatment
Treatment of this condition depend on the stage. Medical procedure used included chemotherapy, transarterial chemoembolization, ERCP and radiotherapy. Surgical options available include hepatectomy and pancreatic tumor removal surgery.
Lymph Node Biopsy
A lymph node biopsy is the removal of lymph node tissue for examination under a microscope. The lymph nodes are small glands that make white blood cells (lymphocytes), which fight infection. Lymph nodes may trap the germs that are causing an infection. Cancer often spreads to lymph nodes. A lymph node biopsy is done in an operating room in a hospital. Or, it is done at an outpatient surgical center.
Blood Cancer Treatment (Leukemia)
Leukaemia is cancer of blood-forming tissues, including bone marrow. Many types exist such as acute lymphoblastic leukaemia, acute myeloid leukaemia and chronic lymphocytic leukaemia.
Bone Cancer Treatment
Signs and symptoms of bone cancer include Bone pain, Swelling and tenderness near the affected area, Weakened bone, leading to fracture, Fatigue, Unintended weight loss.
Liver cancer Treatment (hepatic cancer)
Cancer that begins in the cells of the liver. Symptoms are uncommon in the early stages of liver cancer. Later, symptoms may include weight loss, stomach pain, vomiting and yellowed skin.
Lung Cancer Treatment
A cancer that begins in the lungs and most often occurs in people who smoke. Two major types of lung cancer are non-small cell lung cancer and small cell lung cancer. Causes of lung cancer include smoking, second-hand smoke, exposure to certain toxins and family history.
Prostate Cancer Treatment (prostatic carcinoma)
A cancer in a man's prostate, a small walnut-sized gland that produces seminal fluid. A man's prostate produces the seminal fluid that nourishes and transports sperm. Symptoms include difficulty with urination, but sometimes there are no symptoms at all.
Mouth Cancer Treatment (Oral cancer)
Cancer that develops in any part of the mouth. Risk factors include tobacco use, heavy alcohol use and human papillomavirus (HPV) infection. Symptoms include a sore that doesn't heal, a lump or a white or red patch on the inside of the mouth.
Gamma Knife Radiosurgery
Gamma Knife Radiosurgery is a procedure that uses radiation to treat brain tumours and anomalies of the brain. Using specialized medical equipment, high number of radiation beams are passed exactly on the tumor in the brain. This is highly precise technique and causes negligible damage to tissues near the tumor. All the beams combine on the tumor and create a strong radiation, thereby destroying the tumor.
Lymphatic cancer (Lymphoma)
A cancer of the lymphatic system. The lymphatic system is the body's disease-fighting network. It includes the lymph nodes, spleen, thymus gland and bone marrow. The main types of lymphoma are Hodgkin's lymphoma and non-Hodgkin's lymphoma. Symptoms include enlarged lymph nodes, fatigue and weight loss. Treatment may involve chemotherapy, medication, radiation therapy and rarely stem-cell transplant.
Image Guided Radiation Therapy (IGRT)
Image-guided radiation therapy is the process of frequent two and three-dimensional imaging, during a course of radiation treatment, used to direct radiation therapy utilizing the imaging coordinates of the actual radiation treatment plan.
Intensity Modulated Radiation Therapy (IMRT)
Intensity-modulated radiotherapy (IMRT) uses linear accelerators to safely and painlessly deliver precise radiation doses to a tumor while minimizing the dose to surrounding normal tissue. Your radiation oncologist will speak with you to determine whether IMRT is the most appropriate treatment for you.
Stereotactic Radiosurgery (SRS)
Stereotactic radiosurgery (SRS) is a non-surgical radiation therapy used to treat functional abnormalities and small tumors of the brain. It can deliver precisely-targeted radiation in fewer high-dose treatments than traditional therapy, which can help preserve healthy tissue.
Pancreatic Cancer
The pancreas secretes enzymes that aid digestion and hormones that help regulate the metabolism of sugars. This type of cancer is often detected late, spreads rapidly and has a poor prognosis. There are no symptoms in the early stages. Later stages are associated with symptoms, but these can be non-specific, such as lack of appetite and weight loss. Treatment may include surgically removing the pancreas, radiation and chemotherapy.
Radiotherapy
Radiation therapy or radiotherapy, often abbreviated RT, RTx, or XRT, is therapy using ionizing radiation, generally as part of cancer treatment to control or kill malignant cells and normally delivered by a linear accelerator.
Bone Marrow Cancer (Multiple myeloma)
A cancer of plasma cells. The plasma cells are a type of white blood cell in the bone marrow. With this condition, a group of plasma cells becomes cancerous and multiplies. The disease can damage the bones, immune system, kidneys and red blood cell count. Symptoms may not be present or may be non-specific, such as loss of appetite, bone pain and fever. Treatments include medication, chemotherapy, corticosteroids, radiation or a stem-cell transplant.
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.
Plastic and Cosmetic Surgery 21 procedures
Abdominoplasty
Also known as tummy task is a cosmetic procedure that is done to make the abdomen firm and thinner. It involves the removal of excess skin and fat from the lower and middle abdomen to tighten the fascia and muscles of the wall of the abdomen. The procedure is sought after by patient with sagging or loose tissue, especially after marked weight loss or pregnancy. Types of Abdominoplasty available include high lateral tummy tuck, floating Abdominoplasty, circumferential Abdominoplasty, extended or partial or complete Abdominoplasty and combined procedure, e.g., with liposuction.
Breast Implants
It is a prosthesis (saline or silicon) used to change the shape, contour, and size of one's breast. It adds volume to ones existing breast thereby creating a fuller chest. They are used in plastic and reconstructive surgeries to rectify congenital problems, restore natural breast mound after mastectomy or cosmetically in breast argumentation procedures.
Breast Lift
Also known as mastopexy .it is a plastic surgery mammoplasty procedure used for raising sagging breast tissue on a lady’s chest by modifying and changing the contour, the elevation, and size of the breasts. Done by women whose breast have changed due to breastfeeding, pregnancy, gravity, aging, heredity and weight fluctuations. The procedure helps rejuvenate one's figure by creating a rest profile that is uplifted and more youthful.
Arm Lift
Also known as Brachioplasty, is a procedure to provided increased contour and reshape the upper arms and at the same time connect the area to the chest wall. Techniques for Brachioplasty included minimal incision Brachioplasty, liposuction of the arm, traditional Brachioplasty, fish-incision Brachioplasty, extended Brachioplasty, superficial fascial system suspension, use of molds and non-excisional Brachioplasty.
Body Lift
This is a plastic surgery procedure done on patients with excess fat, tissues, and fat that linger after a significant weight loss. Depending on the position of the excess skin, patients can choose to undergo lower, mid or upper body lift.
Breast Reconstruction
This is a plastic surgical technique that tries to restore the breasts to a near-normal appearance, size, and shapes following a mastectomy.
Chin Augmentation
This is a surgical procedure that involves the reduction than the addition of surgical implants in a patients chin. The procedure can take the form of argumentation of chins using implants or chin height reduction or rounding of the chin by osteotomy.
Dimple Creation Surgery
This is a minimally invasive cosmetic procedure that is done to create a dimple. A dimple is a natural indentation that is usually small and circular in the sacral, chin, or cheek region. Natural dimples on the cheek are the small opening on the buccinators muscle. It gives one a great looking smile.
Jaw Shaping
This is a cosmetic procedure done to correct a patient’s jawline. It is commonly done on patients suffering from bruxism or patient who presents with a complaint of having rectangular or square jawlines thus making one's facial structure to look squarish. Treatment involves Botox injection. Jaw reduction surgeries are available.
Otoplasty
This is a surgical or non-surgical procedure that is done to correct the defects and deformities of the pinna, reconstructed deformed, absent or defective external ear, and consequent to traumatic or congenital conditions.
Rhinoplasty
This is a surgical (plastic and reconstructive) procedure for correcting and reconstructing the nose. It aesthetically improves the nose by resolving congenital disabilities, nasal trauma, a failed primary rhinoplasty, or respiratory impediments and restored nasal functions.
Varicose Veins Treatment
Varicose Veins are enlarged and gnarled vein that appears commonly in the feet and legs. Treatment usually helps though the condition is incurable. Treatment involves using devices like compressing stocking and elastic bandage. Weight loss and physical exercise also help. Medical procedures included sclerothrapy, ambulatory phabectomy, and laser therapy and radiofrequency ablation. Surgery involves vein stripping.
Belt Lipectomy
This is a surgical procedure that is done to reshape a patient’s buttocks, thighs, hips and abdomen. The procedure is actually an extension of the high lateral tension tummy tuck, a concept that Ted Lockwood developed.
Perineoplasty
This is a plastic surgical procedure that is done to correct clinical conditions (defect, deformity, damage) of the anus and the vagina. The procedure helps to resolve intraoital stenosis, decreased sexual stimulation, vaginismus, damaged perineum, genital warts, dyspareunia, vaginal loosening, vaginal itchiness, and vulvar vestibulitis.
Tummy Tuck or Abdominal Wall Surgery
Abdominal wall surgery is a procedure that improves the appearance of flabby, stretched-out abdominal (belly) muscles and skin. It is also called a tummy tuck. It can range from a simple mini-tummy tuck to more extensive surgery. Abdominal wall surgery is not the same as liposuction, which is another way to remove fat. But, abdominal wall surgery is sometimes combined with liposuction. Your surgery will be done in an operating room in a hospital. You will receive general anesthesia. This will keep you asleep and pain-free during the procedure. The surgery takes 2 to 6 hours. You can expect to stay in the hospital for 1 to 3 days after surgery.
Breast Augmentation
Breast augmentation is a procedure to enlarge or change the shape of the breasts. Breast augmentation is done by placing implants behind breast tissue or under the chest muscle. An implant is a sac filled with either sterile salt water (saline) or a material called silicone.
Breast Reduction Surgery
Breast reduction is surgery to reduce the size of the breasts. It is done under general anesthesia. This is medicine that keeps you asleep and pain-free. For a breast reduction, the surgeon removes some of the breast tissue and skin. Your nipples may be moved higher to re-position them for cosmetic reasons.
Eyelid Lift (Blepharoplasty)
Eyelid lift surgery is done to repair sagging or drooping upper eyelids (ptosis) and remove excess skin from the eyelids. The surgery is called blepharoplasty. Sagging or drooping eyelids occur with increasing age. Some people are born with droopy eyelids or develop a disease that causes eyelid drooping.
Face lift (Face and neck)
A face-lift (rhytidectomy) is a cosmetic surgical procedure to improve the look of your face and neck. A neck lift (platysmaplasty) is often done as part of a face-lift. You might choose to have a face-lift if your facial skin is beginning to droop, a common occurrence with aging.
Face lift - Face, neck and upper and lower eyelids
A face-lift (rhytidectomy) is a cosmetic surgical procedure to improve the look of your face and neck. A neck lift (platysmaplasty) is often done as part of a face-lift. You might choose to have a face-lift if your facial skin is beginning to droop, a common occurrence with aging. Upper lid blepharoplasty removal of excess skin, and occasionally fat from the upper eyelids in order to refresh the appearance of the eyes. It can be combined with a lower lid blepharoplasty or brow lift to give a more complete rejuvenation to the eyes and upper third of the face.
Cheiloplasty (Lip Reduction)
Cheiloplasty or lip reduction surgery is a cosmetic surgical procedure that helps to treat unusually big, fat or protruding lips.
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.
Colorectal Medicine 7 procedures
Colectomy
This is the resection of whole or part of the large bowel. It is usually necessary to prevent or manage conditions and disease that affect one's colon such as ulcerative colitis, Cohn’s disease, colorectal carcinoma and HNPCC. It can be either laparoscopic or open.
Anal Abscess Drainage
An abscess is an infectious condition characterized by a pus collection surrounded by tissue inflammation. An Anal Abscess forms around the one's anus. It usually starts in the perianal hair follicles or mucus gland. It is managed by incision and drainage of the abscess.
Anal Cyst Removal
A cyst is a sac that is abnormal containing a gas, semisolid material, and membranous lining. The four types of cysts commonly found in the perianal region include dermoid cyst, anal gland cyst, sacrococcygeal teratoma and epidermoid cyst. Treatment involves surgical excision of the cysts.
Anal Fissure Treatment
This is a crack or linear tear in the distal areas of the anal canal. They involve only the epithelium in the short-term, and the entire mucosal thickens in the long-run. 1st line of treatment is medical and involve stool softeners and stool bulking agents. A laxative is also used to maintain normal bowel movements. 2nd line of treatment is surgical where sphincterotomy is done.
Anal Fistula Surgery
An anal fistula is an abnormal connection between the epithelized surface of the anal canal and the perianal skin. It is usually a sequela of an anal abscess. It rarely heals on it own hence need for surgery. The surgery is carried out under GA. There are several surgical options available, i.e., fistulotomy, advancement flap procedure, Seton technique, LIFT procedure, fibrin glue and bioprosthetic plug.
Hemorrhoidectomy
This is a surgical procedure done to treat hemorrhoids. Patient is given either spinal or general anesthesia and then incisions are made around the hemorrhoid tissue. The swollen veins are then used to prevent bleeding and the entire hemorrhoid removed.
Rectocele Surgery
Rectocele is a posterior vaginal wall prolapse that occurs when the wall that separates the rectum from the vagina weakens thus allowing the vaginal wall to bulge. It can be managed conservatively by physiotherapy and using vaginal pessaries. Surgical options included colporrrhaphy and rectocele repair. Surgery is the definitive management of this condition.
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.
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
Pulmonary and Respiratory Medicine 7 procedures
Chronic Obstructive Pulmonary Disease (COPD) Treatment
COPD is a lung disease that encompasses chronic bronchitis and emphysema. The condition is incurable, but treatment can help. It is thus a lifelong disease. Treatment starts with smoking cessation. Drugs such as bronchodilators, steroids, phosphodiesterase-4 inhibitors, theophylline, and antibiotics are used. Lung therapies include oxygen therapy and pulmonary rehabilitation. Surgical solutions available included lung transplant, bullectomy, and lung volume reduction surgeries.
Cystic Fibrosis Treatment
Cystic fibrosis is a hereditary condition that causes damage to the digestive system, lungs and other parts of the human body. It commonly affects the cell that produces sweat, digestive juices, and mucus. Though currently, it has no cure, the conditions can be controlled to prevent complication and improved the patient quality of life. Specialists in cystic fibrosis will prepare a comprehensive treatment plan for the patient. Medications commonly used include antibiotics, the medications that make mucus thinner, ivacaftor, bronchodilators, and steroids. The patient is also taught maneuvers on how to deal with the condition.
Lung Biopsy
This is an interventional procedure that is done to diagnose pathologies of the lungs by obtaining samples that are then examined in histology or cytology under a microscope.
Bronchoscopy
This is an endoscopic procedure done to visualize the inside of the airways for therapeutic and diagnostic purposes. The endoscopic instrument is inserted into the airways via either the nose or mouth and sometimes via a tracheostomy.
Tuberculosis (TB) Treatment
TB can either be pulmonary or exra-pulmonary. Treatment of TB is done in two phases it the intensive phase and the continuation phase. The intensive phase is usually a two months period of treatment with rifampicin, ethambutol, isoniazid and pyrazinamide. The continuation phase is usually a seven to eighteen months of treatment with rifampicin and isoniazid. The duration of the continuation phases is dependent of result of sensitivity tests and immune status of patient including comorbidities.
Pneumonectomy
This is a surgical operation to remove a lung. It is commonly used in the management of lung cancers. Two types of the procedure are available i.e. extra-pleural Pneumonectomy and simple Pneumonectomy.
Lung Transplant
A lung transplant is a useful treatment for respiratory disease that has curtailed the lung function severely. In such patients, a lung transplant can increase longevity and also help improve quality of life. However, lung transplant surgery is a complex procedure needing cutting edge facility and care. Severe, end-stage lung disease is a strong indication for a lung transplant. The procedure should be considered when all other treatment modalities have failed and also in people whose lung disease is so severe that they can no longer live and breathe comfortably.
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