Pars Hospital, Tehran, Iran
for Ectopic Pregnancy Surgery
Ectopic Pregnancy Surgery
This is an emergency exploratory laparotomy surgical procedure done to manage a raptured ectopic pregnancy. Ectopic pregnancies are extra uterine pregnancies.
Overview
Pars Hospital is the forerunner of all the Private Hospitals and Medical Groups. Every hospital followed Pars's path and initiated the spread of Private Medical Practice and Treatment as a group in Tehran initially and later throughout the country. At first Pars Hospital was situated in Avenue France comprising less than 40 private bed. As the practice improved and progressed, the Hospital was relocated to a new purpose built site in Elizabeth Boulevard (now re-named Keshavarz Boulevard). The new hospital comprised of a four-story purpose built construction comprising a space of 10,000 square metres within the centre of Tehran and easy access to clients. A new extension has just recently taken place by addition of a new wing expanding the space by a further 11,000 square metres and doubling the space for new facilities and equipments'. The hospital has two cath labs, a Post Catheterisation ward, ICU,CCU, MRI, CT Scan, a Dialysis Unit, a Radiology Unit and a very active fully equipped Pathology Department. There is regular on-going review of the facilities and equipment to keep abreast with new developments and the latest world standards. Pars Hospital benefits from central air conditioning and to avoid mid city pollution, the system has filtering and moisturizing facility. The operating suite has in addition extra bacterial filters. At present there are 188 beds at Pars comprising of single private rooms, double and three-bedded wards .
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Languages spoken
English, Translators can be arranged for other Languages
Services
Medical records transfer
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Special offer for group stays
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Phone in the room
TV in the room
Special dietary requests accepted
Private rooms for patients available
Parking available
Pharmacy
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Dry cleaning
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International newspapers
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Health insurance coordination
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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.
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.
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.
Laboratory Medicine 4 procedures
Blood Test Package
This is a collection of the basic blood tests that are done to provide the physician with information about the overall wellness of a patient. It includes a complete blood count, hemoglobin, hormonal assays, a comprehensive metabolic panel etc.
Blood Tests
These Are tests done on blood samples, i.e., blood work or panel. The blood is usually extracted from a vein in the upper limb using a figure prick or hypodermic needle. It tests for specific components of bold such as cholesterol, glucose tests
Genetic Testing
This is a medical test done to identify changes in proteins, genes or chromosomes. The test result helps to rule out or confirm genetic conditions or determine one's predisposition or chance of propagating the disorder. Genetic Testing is also useful is transplant procedure, proving parenthood of a child or forensic analysis.
Sexually Transmitted Infection (STI) Testing
STI treatment require that a proper history of signs and symptoms taken, physical examination done and relevant investigations ordered. A proper treatment plan is then prepared depending on the findings.
Vascular Medicine 5 procedures
Angiography
This is a medical imaging modality that is used to view the lumen or inside of organs and vessels in the body with a special interest in veins, arteries, and chambers of the heart. It helps reveal areas of blockage or areas with pathology. They include arteriogram, venograms, CT angiography, MR angiography. Examples microangiography, coronary angiography, etc.
Carotid Endarterectomy
This is a surgical procedure that is used to reduce one's risk of developing stroke by correcting present in the internal carotid artery or the common carotid artery. The procedure helps get rid of an atherosclerotic plug that usually develops in some patients arteries.
Abdominal Aortic Aneurysm Repair
An Aneurysm is a dilated section of an artery. Abdominal Aortic Aneurysm occurs when the Abdominal Aorta enlarges and balloons outward at this point. The repair of AAA is achieved in two ways, i.e., endovascular Aneurysm repair (EVAR) and open repair.
Angioplasty
Sometimes referred to as percutaneous transluminal Angioplasty or balloon Angioplasty.it is a minimally y invasive procedure that is done to widen obstructed or narrowed veins and arteries typically to manage atherosclerosis. A balloon catheter is passed over a guided wire to the narrowed vessel which is then inflated. A stent is sometimes inserted during the ballooning phase to ensure that the vessel will remain open after the balloon is deflated and removed. It has several used, i.e., Coronary Angioplasty, carotid Angioplasty and Peripheral Angioplasty.
Aortic Arch Surgery
It a complex cardiothoracic operation done to manage aortic arch aneurysms. The procedure is often needed once the aneurism enlarges to a certain size, or when there is aortic dissection or when it ruptures. During the surgery, concomitant repair of other defects in the heart can be performed e.g. coronary artery blockage.
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.
Neonatology 2 procedures
Neonatology Consultation
A neonatologist is a pediatric subspecialist in the medical care of newer bone infants particularly the premature and ill new bones. The do most of their work in neonatal ICU. The consolation will enable the specialist to review the infant and prepare and appropriate treatment plan to ensure the baby turns out healthy.
Tracheoplasty
This is a surgical procedure that is done to make the airway larger. It is commonly done to improve air flow in children with obstructed airways. There are various surgical options available such as slide tracheoplasty and allograft Tracheoplasty.
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.
Ophthalmology 1 procedures
Lasik Surgery for both eyes
LASIK is the most commonly performed laser eye surgery to treat myopia (nearsightedness), hyperopia (farsightedness) and astigmatism.
Specialists
Specialists working with Pars Hospital, Tehran, Iran
Dr Mansour Azarball Orthopedics
- Orthopedic Surgery
Dr Cyrus Anooshiravani Gynecology
- Obstetrics and Gynecology
Dr Abdolrasoul Akbarian Gynecology
- Obstetrics and Gynecology
Dr Yarvand Esmaeili Urology
- Urology
Dr Davoud Akhlagh Moayed Cardiology
- Interventional Cardiology Fellowship.
Dr Farid Imanzadeh Gastroenterology
- Gastroenterology (Pediatrics)
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