مستشفى ليكشور ، كوتشي ، كيرلا

for Breast Biopsy

Breast Biopsy

This is a procedure used to obtain a sample of a tumor in the breast for purposes of laboratory and histological analysis. Various breast sampling techniques are available, e.g., FNA, incisional biopsy, excisional biopsy, and core biopsy.

نظرة عامة

يُعد VPS Lakeshore مستشفىًا متعدد التخصصات يضم 350 سريراً يضم أكثر من 35 قسمًا سريريًا ، فريق مكون من أكثر من 160 من الموظفين الطبيين بدوام كامل ، وأكثر من 700 من العاملين في التمريض ، ويبلغ إجمالي قوام الموظفين حوالي 1600. المستشفى هو مركز للتميز الطبي مع إمكانية الوصول إلى الأرض والهواء والماء. إنه أحد أشهر مراكز التنظير الداخلي للكبسولة اللاسلكية ، والتصوير بالموجات فوق الصوتية بالمنظار ، والتنظير الداخلي المزدوج بالون ، والتناسل العضلي الصفراوي للناظير البصري ، واستئصال العضل بالمنظار عن طريق الفم (POEM) وما إلى ذلك ، وهو أول مرفق في الهند يتعامل مع الكبد والكلى والبنكرياس والأمعاء والقلب والعظام زرع النخاع تحت سقف واحد.

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الاجراءات

Ophthalmology 5 الاجراءات

Cataract Surgery

This is a procedure where the lens in one’s eye that has become cloudy (cataract) is removed and replaced with an artificial Len (called IOL or intraocular Len). Cataract is a condition that leads to loss of vision by clouding of one’s natural eye Len that lies behind the pupil and iris. It is performed by an ophthalmologist.

Detached Retina Treatment

The retinal detachment is an emergency condition where the pulls from the bold vessel that supply it with nutrients and oxygen. It’s accompanied by floaters (cobwebs or specks) and flashes in one's vision. If not fixed leads to blindness. The condition can be managed via various treatment modalities by an ophthalmologist. The notable procedures include vitrectomy, pneumatic retinopexy and scleral buckle procedure.

Eyelid Surgery

It is also known as blepharoplasty. It’s a surgical procedure meant to improve the appearance of one's eyelids. It can be performed on the lower lid, upper lids or both. It’s performed by plastic surgeons and helps correct deformities, disfigurations, and defects of the eyelids. It’s used to treat sagging or loose skin that creates a fold and disturb natural contour of the eye, remove fatty deposits that make ones eye puffy, remove bags below the eye, correct drooping lower lid and remove fine wrinkles and excess skins in lower lids.

Age-Related Macular Degeneration (AMD) Treatment

Currently, there is no specific treatment for dry AMD, but the patient can slow their condition by taking minerals and vitamins daily. There are however the wet AMD can be managed with Anti-VEGF drugs which helps decrease the number of abnormal vessels in one’s eye. Laser surgery can also be used to manage it.

Cornea Transplant

This is corneal grafting. It is a surgical procedure where a person’s diseased or damaged cornea is replaced by a corneal tissue that is donated.

Gastroenterology 13 الاجراءات

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.

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.

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.

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.

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.

General Surgery 10 الاجراءات

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.

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.

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.

Dentistry 6 الاجراءات

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.

Bariatric Surgery 4 الاجراءات

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.

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 10 الاجراءات

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.

Diagnostic Imaging 6 الاجراءات

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.

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.

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) 6 الاجراءات

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.

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.

Gynecology 17 الاجراءات

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.

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 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.

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.

Neurosurgery 8 الاجراءات

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.

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.

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.

Oncology 16 الاجراءات

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.

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.

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.

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.

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.

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.

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.

Orthopedics 20 الاجراءات

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.

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.

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.

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 15 الاجراءات

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.

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.

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.

Spinal Surgery 10 الاجراءات

Artificial Disc Replacement

Sometimes also called total disc replacement or total disc arthroplasty. The procedure involves replacing a painful damaged disc with an artificial disc. The procedure can be performed on the neck (cervical spine) or lumbar spine (lower back). The procedure helps preserve motion in the intervertebral discs. It is performed in patients with damaged discs, e.g., due to disease or cervical disc herniation unresponsive to non-surgical management.

Cervical Disc Disease Treatment

The treatment of cervical disc diseases begins when your doctor takes a good history, carries out a physical examination and then order appropriate investigations. The investigations of choice of choice are CT, MRI, and X-rays that will help your doctor localize the problem. Based on this the doctor will decide whether to use the surgical or nonsurgical option. Non-surgical modalities include lifestyle modification, physiotherapy, and analgesia and heat therapy. Surgical option helps one heal fast and include cervical artificial disc replacement and anterior cervical discectomy and fusion (available in India).

Laminectomy

This is a surgical procedure used to remove areas of the vertebral bones called lamina. Muscles of the back are pushed sideways during the procedure rather than cut and sections of the vertebra adjacent to the lamina left intact. It’s sometimes referred to as decompression surgery. It helps relieve purser on the spinal nerves and spinal cord. Commonly done to manage spinal stenosis.

Spine Surgery

This is a surgery done on the spine to treat back pain, or other damages are done on the spine by trauma or disease scoliosis, spinal stenosis, and disc herniation. It is recommended when conservative treatments are unsuccessful. It can either be done as an open or minimally invasive procedure. Common surgical approaches are lateral, posterior and anterior. Spinal surgical techniques included laminotomy, laminectomy, microdiscectomy, disc replacement, spinal fusion, and foraminotomy.

Cervical Spondylosis Treatment

The management of this condition involves rehabilitative programs like occupational therapy, physical therapy, and recreational therapy. Surgery is advised when neurologic deficits progress, when there is documented spinal cord or cervical nerve root compression and when the pain becomes intractable.

Scoliosis Surgery

Scoliosis is a condition where ones spine bend LATERALLY (sideways). It arises commonly before pubertal growth spurts.it can be caused by muscular dystrophy, cerebral palsy or idiopathic. Surgical OPTIONS include scoliosis fusion surgery and anterior scoliosis corrective surgery (VBT).

Spinal Disc Herniation Treatment (slipped disc)

This condition can be managed medically or surgically. Pain is managed using NSAIDs and therapies like physical therapy, stretching and chiropractic techniques are useful. Medical procedures included epidural steroid injection and therapeutic ultrasound. Spine surgery is the definitive management.

Scoliosis Treatment

Scoliosis is a condition where ones spine bend LATERALLY (sideways). It arises commonly before pubertal growth spurts. It can be caused by muscular dystrophy, cerebral palsy or idiopathic. Surgery is the main modality of treatment. Surgical options include scoliosis fusion surgery and anterior scoliosis corrective surgery (VBT).

Spinal Fusion Surgery

Sometimes also called spondylosyndesis or spondylodesis. It is an operation done to stop motion in segments of the spine (thoracic, lumber or cervical) that are causing a patient pain. It helps to stabilizes and decompress the spine. The procedure involves the use of bone grafts which can either be allografts, autografts or artificial substitutes.

Nucleoplasty

This is a minimally invasive procedure (sometimes referred to as percutaneous discectomy) used to treat patient suffering from problem caused by herniated discs such as leg pain and low back pain. It is performed by an interventional radiologist.

Urology 11 الاجراءات

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.

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.

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.

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 prostatectomy

Radical prostatectomy is an operation to remove the prostate gland and tissues surrounding it. This usually includes the seminal vesicles and some nearby lymph nodes. Radical prostatectomy can cure prostate cancer in men whose cancer is limited to the prostate.

General Medicine 8 الاجراءات

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.

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.

Neurology 6 الاجراءات

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.

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.

Nephrology 3 الاجراءات

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.

Physical Medicine and Rehabilitation 9 الاجراءات

Decompression Therapy

This is a treatment that is used to relieve pain that is caused by compression of nerve tissue in various parts of the body. It can be surgical or non-surgical. Notable examples include spinal decompression surgery where components of the spine realigned to release pressure ion pinched nerves.

Chiropractic Adjustment

It is also known as a spinal adjustment. It is a term used by chiropractors to delineate the approaches to manipulating the spine. The chiropractor applies manipulation to the vertebrae, to reduce that subluxation and provided an effective lower back pain relief. All these manipulations should be done by a trained health professional in a hospital.

Chiropractic Treatment

Chiropractic is a medical profession that is committed to the management of musculoskeletal and nervous system disorders via non-surgical methods. Chiropractors have a special focus on spinal manipulation a treatment of surrounding structures. It is commonly used in the management of lower back pains (acute and chronic). Chiropractic techniques included Garston, Activator, Extremity manipulation, Trigenics, Gonstead, Thompson, Distraction, Korn specifoica, Atlas orthogonal, and diversified techniques.

Manual Therapy

This is a physical treatment that is primarily used by occupational therapists, massage therapists, physical therapists, athletic trainers, osteopathic physicians, osteopaths, and physiotherapist to manage musculoskeletal disability and pain. It incorporates joint mobilization, muscles manipulation, kneading and joint manipulation. There are many styles of manual therapy. This included myotherapy, osteopathy, Rolfing, sotai, shiatsu, massage therapy, bone sitting, anma, acupuncture, bodyworks, etc.

Physical Therapy

This is physiotherapy. It makes use of mechanical movements and force, manual therapy, electrotherapy and exercise therapy. It helps improve the patient’s quality of life via diagnosis, examination, prognosis and physical interventions.

Bone and Joint Screening

These are tests done to detect bone and joint diseases like cancers earlier. The test is commonly done when a patient present with bone and joint complains like pain. A bone screening test is widely used to diagnose osteoporosis. This is done by carrion out a bone mineral test.

Lymphatic Drainage Massage

This is a technique used to help increase the flow of lymph. The increased flow helps improve the immune function and remove harmful substances from tissues which are then neutralized in the lymph nodes. Apart from this, the procedure helps improve healing after surgery, improves breastfeeding, and relax a patient. Manual lymph drainage is the commonly used technique.

Orthopedic Rehabilitation

An Orthopedic Rehabilitation program has many components, including occupational and physical therapy, sports injury rehabilitation, specialized pediatric services and minimally invasive procedures. The therapy aims to treat several conditions that affect the musculoskeletal system. The program restores the strength, motion, and activity after injury.

Knee Brace

This is a medical devices that is fitted into the knee joint to give it support, especially when the person has pain that is emanating from the knee. They are used to provide support to the knee ligaments and the patella while one recovers from injury, to prevent injury, play sports, or to relieve pain in the knee. There are four categories of knee braces available i.e. functional, unloader, prophylactic and rehabilitative braces.

Rheumatology 1 الاجراءات

Rheumatology Consultation

This is a review of a patient suspected or diagnosed with Rheumatologic disorders such as Rheumatoid arthritis. The patient will undergo a clinical examination and relevant investigations ordered so as 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 is done by a consultant Rheumatologist.

Vascular Medicine 2 الاجراءات

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.

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.

Psychiatry 1 الاجراءات

Electroconvulsive Therapy (ECT)

It a psychiatric mode of treatment in which seizure get electrically induced in a patient to help provide relief from a mental illness.it is a procedure carried out under general anesthesia. ECT causes some changes in a patient’s brain chemistry that help reverse the symptoms of certain mental disorders.

Endocrinology 3 الاجراءات

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.

Pulmonary and Respiratory Medicine 1 الاجراءات

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.

Paediatrics 1 الاجراءات

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.

المتخصصين

متخصصون للعمل معهم مستشفى ليكشور ، كوتشي ، كيرلا

Dr. Anand Kumar V Cardiology

  • Credited with starting the First 24 hour enabled Primary Angioplasty centre in Central Kerala in 2006 at Lakeshore Hospital.
  • Did the first across joint peripheral angioplasty in South India using flexible stent technology in 2009.
  • Started the first Advanced Hypertension Clinic in Kerala in 2006 with 24 hour Ambulatory BP monitoring service.
  • He has vast experience in various aspects of Cardiac diseases including complex Coronary and Peripheral Angioplasties, Rotablation and Trans-Radial interventions
  • In recognition of his contribution to Cardiac treatment and research, Dr. Anand Kumar was awarded Fellowship by European Society of Cardiology (FESC) in 2013, American College of Cardiology (FACC) in 2015 and Society of Cardiovascular Angiography and Interventions (FSCAI).

Dr. Cibi Issac Cardiology

  • Currently working as Consultant Interventional Cardiologist,VPS Lakeshore
  • Dr. Cibi Issac is an astute clinician, proficient in handling seriously ill patients, with more than fifteen years of experience in clinical and interventional cardiology.
  • He is excellent in various non-invasive cardiac investigations like Colour Doppler Echocardiography.
  • Dr Cibi has done more than five thousand cardiac interventions with very high success rate.
  • He is a specialist in chronic total occlusion (CTO) interventions through radial and femoral routes.
  • He has vast experience in peripheral vascular and heart valve interventions

Dr. Vivek Mathew Endocrinology

  • r Vivek Mathew did his MBBS and MD ( General medicine) from the prestigious St. John’s National academy of health sciences Bangalore.
  • His main clinical fields of interest include gestational diabetes , thyroid disorders, Diabetes complications, Calcium and vitamin D metabolism disorders, Osteoporosis,Hypogonadism, sexual dysfunction in men, pituitary gland disorders and growth disorders in children.
  • Management of gestational diabetes (diabetes in pregnancy) and Thyroid disorders in pregnancy
  • Diagnosis and treatment of Thyroid gland hormonal disorders and tumours

Dr. Idiculla K. Mathews Ear, Nose and Throat (ENT)

  • Have extensive experience the treatment of patients with diseases of Ear, Nose and Throat.
  • Micro surgery of the ear including stapes surgery, ossiculoplasty, combined approach tympanoplasty and cholesteotoma surgery.
  • Petrosectomy and radical excision of temporal bone.
  • Base of skull surgeries by both endoscopic and external approaches.

Dr. Abraham Koshy Gastroenterology

  • 43 years as Gastroenterologist & Hepatologist.
  • Dr. Abraham Koshy treats patients with liver disease and cares for transplant recipients pre- and post-surgery.
  • Professor of Gastroenterology, Director of Hepatology & Director of Research for 16 years

Dr. V. P. Gangadharan Oncology

  • Dr. VPG, is a distinguished Oncologist who combines high professional skill with compassion, and hence is a source of hope for cancer patients generally steeped in despondency.
  • Breast and Gynecological malignancies.
  • He is endowed with over sixty awards by various organizations at state, national and international level honouring his medical excellence and community services.

Dr. Abi Abraham M Nephrology

  • He is recognized nationally as well as internationally as an expert in the field of nephrology and kidney transplantation.
  • Dr Abi Abraham M has more than 23 years of experience both as a clinician and academician
  • He has wide range of experience in renal transplantation, critical care nephrology, vasculitis, lupus and electrolyte disorders.
  • Managed nearly 1000 renal transplants in Lakeshore hospital in the last 10 years.

Dr. Prithvi Varghese Neurosurgery

  • Dr.Prithvi is one among the leading neurosurgeons with an experience of over 17 years in Medical profession.
  • Trained in micro neurosurgery including intracranial aneurysm surgery and tumour surgeries. Also trained in spine tumour surgeries and spinal instrumentation.
  • Presently also performing endovascular interventions for aneurysms and vascular malformations, intracranial endoscopic surgeries, transnasal endoscopic surgeries, complex tumour surgeries and minimally invasive spine surgeries.
  • Has vast experience in treating head and spinal injuries.

Dr. Thresy George Gynecology

  • 35years of post MD service with vast diversity of experience in all aspects of Obstetrics and Gynecology and 15yrs experience in laparoscopic gynecological surgeries has made Dr.Thresy an expert in OBG
  • Her expertise lies in the field of high-risk obstetrics, medical disorders in pregnancy, gynecologic disorders and Gynec Oncology.
  • Her special interests include helping women with pregnancy losses (abortions and stillbirths), medical disorders in pregnancy, gynecological problems of adolescents, hormonal imbalance in gynecological problems, providing conservative and minimally invasive solutions for menstrual dysfunction and fibroids.

Dr. E. M. Haris Ophthalmology

  • Dr. Haris did his Medical Graduation from the Government Medical College, Kottayam and did his Post-graduate Diploma in Ophthalmology from JIPMER, Pondichery.
  • From 1981 to 2009 he was went abroad, Kaduna State Health Management Board, Nigeria and Ministry of Health, Sultanate of Oman till 2009.
  • Since 2012 he is associated with Lakeshore as Consultant Ophthalmologist.

Dr Jacob Varghese Orthopedics

  • Dr. Jacob Varghese is one of the most experienced with almost three decades of experience and is a pioneer in the field of Joint Replacement & Sports Injuries in Kerala.
  • He is well-known for his clinical and surgical decision making skills.
  • He has conducted thousands of surgeries which includes arthroscopies, arthroplasties, redo’s, Minimally Invasive Joint replacement surgeries like meniscal repair and replacement as well as autologous cartilage implantation.
  • Dr. Jacob was the first surgeon to start revision joint replacement and performed the FIRST Arthroscopic surgery in shoulder, elbow and wrist disorders in the state.
  • He has the largest series of biological ACL and revision ACL and multi-ligament reconstructions in the state among the pioneers in primary and revision joint replacement in the country.

Dr. George P. Abraham Urology

  • Dr. George has got vast experience in renal transplantation including Cadaver and live kidney Transplant.
  • Over a period of 25 years he have individually performed more than 1900 renal transplantations which include nearly 1200 laparoscopic donor nephrectomies, that ranks amongst the individual highest in the country.
  • He has 28 years of experience in endourological procedures and till date have successfully completed more than 7500 cases of PCNL, 12000 cases of URS and more than 11000 cases of TURPs.
  • He has been credited as the third surgeon in the world to perform live related laparoscopic renal transplant.

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