Neurosurgery in Modern Times
With its inception in the early decades of the 20th century, neurological surgery was accompanied by overwhelmingly high mortality and neurological diseases morbidity. However, with time there has been the intrusion of newer techniques and technologies. Thus, neurological surgery had a massive journey from the early years of the last century to the recent date.
In the second and the third decade, the indirect diagnosis of brain tumors and vascular pathologies was possible. The credit for this goes to the introduction of pneumoencephalography, ventriculography and angiography. Surgeons were restricted to crude and conventional diagnostic and operative techniques, and there was the absence of skilled neuro-anesthesia back at that time. The lack of microsurgical instruments and profound knowledge of the professionals about controlling and maintaining the intracranial pressure during surgery resulted in a hostile atmosphere. Sophistication in delineating brain lesions happened in the early 1970s with the advent of Computed Tomography Scan. To manage the raised intracranial pressure during surgery, surgeons welcomed the cerebrospinal fluid diversion procedures for hydrocephalus.
However, the most profound and extensive leap happened in the 1990s. Both the Magnetic Resonance Imaging (MRI) and the high magnification surgical microscope came into existence aiding humanity in the surgical resection of brain tumors. Side by side, colossal progression took place in neuro-anesthesia techniques and the management of intracranial pressure. All the combined efforts led to surgeons operating on a relaxed brain and safely resectioning the brain tumor and managing the vascular lesions. The surgical microscope enhanced the magnification, which resulted in a better understanding of microsurgical anatomy.
The increased rate of mortality and morbidity was further reduced to an extreme level with radiation treatment and chemotherapy developed in the 1950s and 1960s. They acted as adjuvant therapy to combat the brain tumors. The possibilities of central nervous system infections and brain abscesses are also brought under control with the broad-spectrum antibiotics and steroids. Surgeons had taken recourse to the endovascular procedures to treat vascular diseases in the brain in the two concluding decades of the former century.
The 21st century opened new doors in molecular biology and genetics, combined with the boom in information technology. The advancement of computer technology has hailed newer changes. Several computer-based applications like neuro-imaging, neuro-navigation, intraoperative neuro-monitoring have become a part of standard neurosurgical practice. Medical personas use a 64-slice CT scan having the capacity of 3D imaging to treat vascular reconstructions during aneurysm surgery. Also, this advanced feature aids in brain tumour surgery by providing a profound anatomicopathological demonstration.
The metabolic neuro-imaging assists the surgeons to distinguish the brain tumours from infections and metastasis. The doctors use Intraoperative MRI imaging to resect brain tumours such as pituitary adenomas and gliomas with optimum safety.
Functional neuro-imaging, on the other hand, extends help in studying epilepsy surgery.
For patients suffering from spinal cord injuries and degenerative neurological ailments, the modern technique of neuromodulation with stem cells to restore the function of neurological functionalities is in use in the present state. The results whatsoever are not anything outstanding, yet they come with some rays of hope for the patients.
The further incorporation of stereotaxy has given access to robotics in neurosurgery. However, in neurosurgery, it had been around two decades since robots are being used. Still, the current robotic system's restrictions and limitations have kept the maximum usage of robotics in oblivion from humankind.
Behind the opulent progressions and advancement there lies a challenge for the neurosurgeons hailing from the 21st century. The last century has witnessed some extraordinary and remarkable changes in the domain of neuroscience. So, the present-day neurosurgeons have to assimilate those progressions and then incorporate them into the contemporary paradigms.
The advancement in computer technology is hoped to help the researchers probe deeper into the subject by creating large, central databases of neurological diseases. These central databases will then end up becoming perfect reference models for investigation, therapeutics and research.
Surgeries have evolved to a greater level wherein real-time images can be accessed, thus helping a surgeon maintain accuracy. This can be achieved with the help of Intraoperative image guidance. For pituitary surgery, image guidance navigation technique keeps on enlightening the surgeons with anatomical variations of the sphenoid sinus and relationship of tumours with the carotid arteries. But, the only drawback associated with it is that the equipment comes in a high price range.
Further, the operating room personnel has to undergo rigorous training to use the equipment effectively. With the assistance of the linear accelerators and sophisticated systems providing visualization and guidance, surgeons can perform stereotactic radiosurgery. It can treat primary and metastatic lesions and arteriovenous malfunctions. The surgeons are introduced to effective treatment of radioresistant neoplasms through the linear accelerators and visualization systems.
Furthermore, there have taken remarkable advancement in molecular biology and genetics, which can alter the treatment procedure of a brain tumour or a degenerative neurological disease. With the help of genetic microarray, doctors can easily detect the type of brain tumour. Also, it will suggest the therapies targeting the relevant molecular particles.
Foetal neurosurgery has been conducted in an experimental setting, though it will take some more time to incorporate it into routine clinical practice. Worldwide acceptance is still not achieved. But, if the genetic abnormalities in the utero are detected early enough, it will provide the mothers with a chance to come to some acknowledged decision about the future of their pregnancy.
The 21st century will witness the advantage of nano-technology that would allow the doctors to infuse chemotherapeutic agents directly into the tumour bed. The neuroscience has hailed nano-technology applications such as nanoimaging with nano-particles and quantum dots, nano repair, and nanomanipulation.
The modern-day advancements are walking towards making surgeries minimally invasive. Neurosurgeons have to amalgamate both the IT progressions and advancement in molecular biology and genetics in the current medical scenario. The clinical neurology will keep on making decisions regarding surgery, while with the aid of technology, surgeons can achieve precision, perfection and sophisticated techniques.
Furthermore, a Neurosurgeon will have to collaborate with neurologists, neuroradiologists, and psychologists to treat a patient since many neurological diseases have turned multimodal.
Finding the care you need for Prostate Cancer
The prostate gland, an organ, is shaped like a walnut-sized gland in men that produces the prostate fluid that transports and nourishes sperm throughout the reproductive system. Prostate cancer, due to its advanced stage, is one of the deadliest forms of cancer. Most prostate cancers develop slowly over time and are confined to the prostate glands, where they can cause less severe damage if left alone. However, when these cancers spread to other body areas, they can be very dangerous.
Most men will experience some symptoms of prostate cancer at some point in their lives. These may include unintentional weight loss, abdominal pain, unintentional diarrhea or constipation, blood in urine or semen, fever, and legs' swelling. One test commonly used is called the digital rectal exam. This test consists of a small, lighted camera affixed to a thin inner tube that allows a man's prostate to be seen.
Other tests that may be performed to determine whether or not you have prostate cancer include a bone scan, magnetic resonance imaging (MRI) scan, CT scan or ultrasound. All of these tests will help your doctor to determine whether or not cancer is present in the area of your body in which you are experiencing the symptoms. Abnormal cells may grow in areas of your body that are not usually affected by tumors. Although most abnormal cells will not cause harm to your health, you should consult with your doctor immediately if you notice any unusual growths in any of these areas.
Prostate cancer can be treated depending on the type of cancer that is present in your body. If there is just one tumor present or located very close to another or adjacent organs, surgery will be required. If your cancer has spread (metastasized), hormone therapy will probably be prescribed, and chemotherapy or radiation therapy. Surgery or radiation therapy is more effective in cases where the spread of cancer has not yet reached the lymph nodes or other areas where it may potentially spread. If your doctor believes that your cancer has spread significantly, then he may suggest that you have an operation known as a prostatectomy.
If a man develops prostate cancer while still young, he runs the risk of living just several years without learning of his cancer or being able to cure it once it has developed. Because prostate cancer often affects men who are in their forties and beyond, many men live with prostate cancer for their entire lives. Prostate-cancer patients are considered high risk because they have a family history of this disease, have sexual intercourse with a woman who has it and have the disease itself; and often because they have certain risk factors associated with prostate cancer and are unaware of them.
Anytime a tumor is present in the body, it can pose a danger. This is especially true when it has spread to areas surrounding the lymph nodes in your chest, such as the lungs, liver, or bones. Even if you do not have a tumor, it is still essential to regularly see your doctor ensure that any symptoms you might be experiencing are not related to something else. Symptoms should include blood in the urine or stool, persistent coughing that does not go away and weight loss.
It's estimated that most men will need prostate cancer treatment at some point in their lives. With all the various screening methods currently available, it's easy to get lost and confused about the best way to go. Screening for prostate cancer can be tricky but can be one of the most important decisions you make regarding your health.
Most medical organizations recommend men over their age of 50 to share their thoughts with their physicians on prostate cancer screenings' pros and cons. The dialogue should include an assessment of your lifestyle and your riskiest risks. If you are a Black man, have a family member with the disease, or are experiencing an early age onset, you may want to start the conversations earlier. Most experts recommend that men begin discussing these screenings with their physicians as soon as possible because symptoms and treatments become more readily apparent as we age. Early detection is the best way to avoid the devastating consequences that this disease can leave you with.
One of the newest and potentially most successful prostate cells to be developed is "biologic therapy." This treatment involves identifying the genetic molecules that cause the disease and then actively fighting off these cells so they can no longer attack healthy prostate cells. This therapy is producing T-cells which are new versions of the T-cells that are always present in our bodies. These new T-cells are then genetically programmed to attack prostate cells.
One of the latest PSA tests is called the Prostate Specific Antigen Test (PSAT). This test measures the levels of the PSA hormone. Several newer tests combine PSA with a digital blood cell panel. Blood tests for PSA can now be taken at home rather than in the doctor's office. A home test will not only save you the cost of travel to the lab, but it will also save you time. There is no more need to drive to the lab and come back in a short time, so this option allows you to test for PSA whenever you wish.
Some of the latest medications used for treating prostate cancer include transthoracic, doxorubicin, and two newer drugs known as the platinum/ palladium (PPA) inhibitors. Transthoracic is an injectable medication that is used to treat the cancer cells within the prostate. It is commonly used for moderate to severe pain caused by enlarged prostates. The downside of this drug is that it can lead to increased risk of infection and bleeding, which may increase the risk of death. If you suffer from frequent infections or prolonged bleeding, you should inform your doctor about these concerns.
Another new treatment for prostate cancer involves molecular biology and genetic engineering to change the genetic material of the body. This technique is called targeted drug delivery. Targeted treatments using gene changes have shown promise in developing new drugs that are more effective and may one day allow men with the disease to live longer and better lives. Clinical trials are currently being conducted to determine whether this technology holds promise in the future.
As mentioned earlier, this type's treatment can involve the introduction of hormonal therapies and other surgical procedures. Unfortunately, many men who are considered high risk have been told that they cannot undergo this procedure because of the severe side effects such surgery can cause. This is not necessarily true. Prostate cancer is not like other organs in that it is surrounded by blood.
Doctors have developed some ground-breaking tests to determine if gene changes will affect the growth of cancerous cells in the prostate. Most of these tests are currently in pre-clinical development. Scientists and doctors are working feverishly to test these new drugs before they are available for general use. Early detection and treatment of prostate cancer are the most critical aspect of surviving this severe disease.
Types of Vascular Surgeries and road to recovery
The types of Vascular Surgery are many. Treatment of cardiovascular diseases mainly includes total hip and knee replacement surgery, angioplasty, or spinal cord injuries. Vascular surgery is also commonly used to treat neurological conditions such as stroke, multiple sclerosis (MS), epilepsy, Meniere's disease and retinal detachment disease (DC). Vascular surgery also involves treating Iliac auricular artery compression, cataract and varicose veins. Other surgical alternatives for IR include catheter-directed retrobulbar and laser therapy.
Varicose Veins Vascular surgery is frequently done in patients who have excessive varicose veins. It is a procedure that can be done to either remove the excess varicose veins or its benign enlargement. Through this procedure, the surgeon removes the varicose veins from the leg or arm. This procedure is called varicose vein stripping. After the process, the patient will not be affected by spider veins.
Carotid Artery - This is an artery disease that is common among middle-aged people. It occurs when the smooth muscle that forms the carotid artery begins to form a thick fibrous plaque. At times, the plaques expand up to 4 inches. When the plaque grows large enough, it causes arteriosclerosis known by other names such as arterial stiffening, atherosclerosis and vessel calcification.
The inflammation of the inner lining of the heart’s inner layer is known as the Endocarditis. A variety of other conditions may develop if the patient has endocarditis. The most common complications of endocarditis are infection, perforation, thrombosis, and percutaneous bleeding. Through the use of various vascular surgeries, endocarditis can also be treated.
Peritoneal mesothelioma is a tumor that occurs in the peritoneum. The peritoneum is the tissue that lies between the organs. This material, along with scar tissue, is too delicate. It can easily be damaged and lead to peritonitis, a condition wherein the membranes inside the organs become inflamed and irritated. Through the use of a variety of vascular surgeries, this condition can be managed and even prevented.
Right-sided Hemorrhagic Stroke is a type of hemorrhagic stroke that occurs due to the blockage of arteries that supply blood to the brain. When this condition occurs, the flow of blood is stopped, and the brain cells die. This condition has many complications, but most commonly, it results in a heart attack. This disease can be prevented through the use of a variety of vascular surgeries, such as angioplasty and artery bypass grafts.
Anteroposterior Stenosis - This condition occurs when a portion of the aortic valve becomes enlarged. This results in the opening of the valve are smaller. This narrowing of the passage is the partial blocking of blood vessels that supply blood to the heart. Depending on the location of the vessel blockage, the blood vessel may become infected or even necrotic. These complications can often be avoided by using minimally invasive techniques and the placement of hemorrhoidal balloon catheters. Minimally invasive cardiomyniatric specialists perform these types of catheters during a minimally invasive coronary intervention.
Haemorrhoidal Arteries - A bulge in the vein wall causes pain, swelling, and ulceration in the walls of the internal vena cava and the anus. This condition is called a hemorrhoidectomy. An aneurysm develops in the wall of the aneurysm, resulting in hemorrhage and potential loss of life. The location of hemorrhoid's will determine which type of vascular surgery is performed.
Hemorrhoidectomy is one of the more simple vascular surgeries and is performed by a minimally invasive cardiologist. The procedure involves removing a hemorrhoid and the surrounding tissue to increase blood flow to the aneurysm. This allows the aneurysm to open up, and the contents can be removed. Laparoscopic sclerotherapy is used for this surgery, and this is also known as open abdominal surgery.
One of the most uncomplicated vascular surgeries, Endovenous Stenosis, occurs when a clot forms in one of the heart's arteries. If the clot does not heal, it will travel from the heart to the abdominal cavity and create a new opening for the organs in danger of experiencing a stroke. To save the person's life, a new aneurysm must be opened and the clot removed. Other common conditions requiring open abdominal surgery are hernias, varicose veins, spider veins and large varicose veins.
Endocarditis is another condition caused by a bacterial infection that begins in the outer layer of the heart's lining. It affects the arteries' inner linings and can lead to the formation of a blood clot, which is what creates the blockage of the aneurysm. This type of surgery is usually performed on patients who have had open abdominal surgery. A different kind of vascular disease is called arteriosclerosis and occurs when the artery walls start to thin. This condition can lead to high blood pressure and heart attack, and it must be treated before it leads to other complications. Other types of vascular diseases include cardiac hypertrophy, congenital heart disease, congenital heart defects and portal hypertension.
The recovery time for vascular surgery
The vascular system comprises both veins and arteries. The arteries carry abundant oxygen blood to various organs and body tissues from the heart, while the veins come back to the heart with oxygen-poor blood and the lungs to restart the cycle of the flow of blood. Assortments of diseases can occur in both types of vessels, which are the arteries and the veins.
Usually, venous diseases occur due to valve failure inside the vein, which consecutively leads to blood accumulation inside the veins. This might lead to venous insufficiency, varicose veins, and spider veins. Whereas arterial disease is mostly caused due to the narrowing of the arteries. It originates from atherosclerosis. It, in turn, decreases the blood flow to many vital organs and tissues. If we compare the venous diseases and the arterial ones, it is observed that venous disease occurs more commonly in people and is generally not as severe as arterial diseases. The recovery of any vessel-related disease depends on the procedure performed.
The procedure for vein recovery
Varicose veins and spider veins are generally treated by sclerotherapy and endovascular vein therapy. They are both office-based courses of action. They tend to destroy the vein's insides, which results in scarring of the vein and hence its removal. The recovery for such a procedure is around 1-2 weeks. Swelling and bruising are some of the common symptoms, but compression stockings are usually preferred in 1-2 weeks to overcome these symptoms. It is recommended to start walking around as soon as the procedure is completed. The patient must return to normal activities gradually and slowly. He must avoid jumping or running for at least the first two weeks. The patient can go back to work from the next day of the procedure.
The surgical process to remove the largest vein that is the saphenous vein, from the leg is called vein stripping. It usually is accountable for varicose veins. The same process is practiced in the hospital with full recovery for almost 2-4 weeks. Compression stockings are benefactor during this period, and swelling and bruising are common. The patient must avoid strenuous activities, and walking must be done without delay while gradually increasing the speed. The patient must go back to work in the first 1-2 weeks.
The procedure for arterial recovery
The narrowed part of the artery is removed by balloon angioplasty and stenting. In these procedures, the arteries are narrowed down, and a stent is subsequently placed to keep the artery open for the continuous flow of blood. This procedure is practiced in a hospital room and requires the patient to stay for several days. Bruising is a common after-effect for few days before it starts improving eventually. Walking must be done immediately with slow increment. It is best advised to avoid standing or sitting for too long. Also, when the patient is sleeping, it should be ensured that the legs are elevated.
The bypass is the procedure done to route the blood flow surrounding the blockage in the artery. It requires the usage of a vein or a medical-grade plastic device. The process is done in hospital rooms, and the patient is required to stay in the hospital for one week. Walking must be started within 24 hours, and the speed must be increased slowly for better recovery. Full recovery of the patient takes around 4- 8 weeks.
The Cyberknife System is a Radiation Therapy device made by Accuray Incorporated. The device delivers radio waves to treat malignant tumours, benign tumours and many other medical issues. Radiofrequency (RF) energy is used in the Cyberknife System to kill cancer cells.
As with any medical procedure, a cyberknife system must be employed. When the doctor is removing the tumour, it is placed under an x-ray. This radiation will damage the tissue of the tumour as the machine removes it. While removing the tumour, the device sends radiofrequency waves that heat the surrounding tissue. This heat damages the DNA of the cancer cells, rendering them unable to reproduce. As the tumour is destroyed, it is possible to detect cancerous tissue with the naked eye.
After the tumour is destroyed, doctors will administer high doses of chemotherapy, followed by radiation therapy. The cyberknife can help doctors administer these treatments to the remaining tumours. Since the system provides complete scans at high doses of radiation, it can also detect additional cancers or growths in the body. These additional growths can be dangerous if they spread or get into the heart or lungs.
The Cyberknife system operates by sending out short bursts of microwave radiation over short distances. Radiofrequency energy is used to kill the tumour and allow the short bursts of heat from the machine to destroy any remaining healthy tissue. Doctors place the cyberknife over a particular area on the body and send the low-level microwaves into the affected area. This kills the cancerous cells, relieving the patient of pain and allowing him or her to lie comfortably. The robot arm, capable of manipulating large groups of healthy tissue, can work independently.
There are some limitations to the Cyberknife treatment. Because the device can only find cancer cells, it cannot always find other types of tumours or growths. This type of treatment can often lead to more side effects than traditional therapies because it is not entirely convincing. Also, this type of treatment is costly because it must use very high-powered microwaves. Other options include eliminating the tumours with surgery, removing them with a surgical procedure or shrinking them with radiofrequency beams.
The drawbacks of using a cyberknife system for surgery involve what can happen after the initial high-dose radiation treatment. It has been shown that more tumours often multiply than the healthy tissue surrounding them. This leads to a significant loss of overall tissue health. Also, without correcting the underlying issue or obliterating the tumour, many side effects can occur, such as muscle weakness and fatigue, skin discolouration and an increased risk of developing infections.
Because of these side effects, many cancer treatments these days use very intense doses of radiation in conjunction with chemotherapy and surgery. For a patient, it is common to receive multiple treatments over many weeks or months. As you can imagine, this can be very expensive, and several people have had to experience long-term side effects. Even worse, many people find that they need several additional treatments. This adds up to the significant financial strain and can put several people in financial hardship.
For these reasons, many cancer treatments have now included a robotic version of the cyberknife. With advances in technology, doctors can now use a wireless device to deliver high-frequency radiation to target tumours without exposing healthy tissue. This allows physicians to virtually eliminate any tumours safely without having to worry about adverse side effects. You can imagine the difference in outcomes between using the cyberknife treatment for cancer and traditional radiotherapy.
COVID transmission and balancing life
Our life was running so smooth until this corona jumped in. Corona came into play and shook the whole world, and the terror of corona spread trembling waves all over the world. The pandemic made it difficult for everyone to survive, so many restrictions were imposed suddenly, and everything was so pale, and everyone was caught inside their homes. Starting with the lockdown in March 2020 and till today we are in fear of corona.
Corona turned out to be the most challenging time for every individual, starting from the wealthiest businessmen to the poorest labourer. The lockdown turned out to be a difficult period, and earning at this time was hard. From a small kid to the senior citizen, everyone had to stay in their homes.
Unprivileged with the facility to move out of your house, the tension in every single head increased. Family meetings, gatherings, functions and celebration, all came to an end. This was very un-normal as no one was allowed to move out for anything irrespective of emergencies.
This pandemic has significantly changed the way of living by establishing the 'new normal' way. To maintain social distancing, all of us are forced to work in remote work environments. While there are certainly some benefits of working from home, this transition has jeopardized our work-life balance. In short, work-life balance is the state of equilibrium where a person prioritizes one's career and personal life equally.
- Maintaining work-life balance is essential to lead a healthy, happy life. So here are some simple ways to maintain work-life balance during this pandemic
- Manage your expectations
The key to lead a healthy work-life balance is to use free time for maximum productivity and manage your expectations by working with a little extra grace and patience. A simple example can explain this, imagine you are standing on one leg and putting all your weight onto that leg, your bones and muscles will have to adjust. Suppose your leg gets fatigued in this process because of suddenly balancing all of your weight. In that case, you won't condemn yourself for it, similarly, give yourself some time to adjust in this new work setting and unique work environment. Don't be hard on yourself.
- Create a dedicated workspace
At work, you have your workspace, where you can work calmly but that's not the case in your home. Workspace directly impacts our productivity, so creating a designated workspace is essential for creating balance. Let the other people living with you know the boundaries your workspace. This will create healthy boundaries, and you can work calmly in your workspace.
- Take regular breaks
In an average weekday, you would have left the office for lunch or coffee break. But while working from home, it gets challenging to get those break times. If you feel extra pressure to perform and show your 'worth', give yourself a break and cut yourself some slack. A brief walk or a lunch with a family member or your friend are some of the great ways to calm down. By performing these simple activities, you will feel refreshed and ready to be productive.
Establish a routine
Following a routine provides us with a sense of control in our lives. It also gives us a satisfactory feeling at the end of a productive day. Creating a new schedule which is suitable for your situation will be very helpful. Don't forget to reserve some time for your family, friends and loved ones. Carve out some time for yourself too. Have some 'me' time.
Communicate your needs
Communication is essential in these times of social distancing and increased isolation. Try to have healthy professional contact with your boss. 'Relationships can not grow without proper amount of communication' this quote is accurate to life. If you have a hard time managing tasks, talk to your boss and talk to your family for extra help. Communication is the only key to all these problems.
Be kind to yourself
Don't carve out your' me' time for all the workload you got. Don't find excuses like 'I don't have time for self care' to run away from responsibilities like taking your care. Consistency and keeping commitments to yourself are vital to maintaining your mental health in these challenging times. Make 'self care' your priority because without healthy mind and body you will fail to give your 100% productivity and if you are still having difficulties to boost up your mood, monitoring your emotions and physical response throughout the day can be the right way to determine when you might need professional help. Try to have a positive outlook.
Types of Spine Surgeries and their Implications
Several questions haunt us regarding spine surgery, ranging from, whether the surgery is needed to treat the issue to which one has better implications – the traditional spine surgery or the minimally invasive surgery. When does a patient have to go for surgical intervention? When the patient suffers from extreme neurogenic pain and the non-surgical treatments fails to bring any desired results, surgery emerges as the only best option to cure the issues, including symptoms suggesting spinal cord or nerve root compression. However, in most cases, surgery is considered as the last option, only after the physicians feel that the non-surgical methods turn out non-effective.
Initially, when a patient first complains of extreme low back pain or neck pain, the first step involves incorporating regular physical activity while keeping the patient under check. For most patients, this brings relief. However, if the pain persists, the next step includes over the counter treatment and anti-inflammatory medication. The non-surgical treatments include home exercises, medicine, physical therapies, and even spinal injections.
Minimally invasive spine surgery & traditional Spine Surgery
The traditional spine surgery or the open spine surgery, as the name suggests, attempts to expose the anatomy completely. The minimally invasive spine surgery, on the other hand, involves limited exposure of the anatomy, which may fast track the recovery process. While performing minimally invasive spine surgery, the surgeon uses specific surgical equipment, including intraoperative spinal navigation, to provide greater visibility into the surgeon's surgical areas.
Whatever be the surgery procedure, the ultimate goal is to improve the symptoms and put a cessation to the ongoing degeneration. The surgeons want to ensure lower rates of post-surgery infections, less blood flowing, and the recovery process speeds up as much as possible. Though minimally invasive spine surgery often paves the way for swifter recovery, a patient may not bear the conditions suitable for minimally invasive surgery in many cases. At times, the surgical conditions do not stand in support of minimally invasive surgery. Thus, it is wiser to let your surgeon decide whether the traditional operation or a minimally invasive one will serve the best for your neurogenic issues.
Surgery is a trauma that is intended as well as manageable. Medical practitioners attempt to increase the surgery's advantage while reducing the complications and the surgery's trauma. Latest surgical techniques and modern technology and a surgeon's proficiency provide more significant benefits to the patients in minimally invasive spine surgeries and complicated traditional spine surgery procedures.
The advancement of technology allows surgeons to treat and operate a gamut of spinal disorders that include sciatica and cervical radiculopathy, and spine cancers. People suffering from degenerative disc disease, spinal instability, back and neck pain spine, curvature approach to neurologists, though their treatments differ significantly. Other spinal illnesses that can be treated include spinal deformities, herniated discs, spinal stenosis, sciatica, and congenital spine disorder. Most multispecialty hospitals and institutions offer treatment to every kind of spinal ailments, with utmost dedication and perseverance,
Types of Spine Surgeries
A range of traditional spine surgery and minimally invasive surgical options are available, each targeted to minimize the symptoms and halt the affected areas from further deterioration.
Laminectomy, Microdiscectomy, and Traditional Lumbar Fusion constitute some of the most availed traditional spine surgery procedures.
Laminectomy is a type of spine treatment targeted to treat spinal stenosis or pressure on the low back's nerves. Under this process, the surgeon creates a slit on the back of the spine, allowing the surgeon to eliminate the thickened ligaments and bone spurs.
Microdiscectomy is the procedure that enables surgeons to treat sciatica, aka, nerve pain resulting from a herniated disc intruding a nerve in the spine. In this surgery, too, the surgeon has to create a small incision in the low back. Following that, the surgeon tends to remove the herniated disk that is pressing on the nerve.
When a patient suffers from issues like instability of the spine, scoliosis, extreme erosion of the discs, the surgeon goes for Traditional spinal fusions. The act of fusion refers to using bone from the patient's body and then blend one vertebra with another. To continue the fusion process with ease and stabilize the motion segment, the surgeons place spinal instrumentation like pedicle screws into the vertebrae.
While those above are the options for the complex traditional surgery approaches, the standard minimally invasive spine procedure includes Lateral Lumbar Interbody Fusion, Minimally Invasive Transforaminal Lumbar Interbody Fusion percutaneous instrumentation.
In Lateral Lumbar Interbody Fusion, the surgeon makes access to the spine through a lateral direction. The surgery involves making a small slit on the patient's side, approximately under the ribs. Following this method, the surgeon can carry out the spinal fusion without disturbing the spine's muscles. Percutaneous instrumentation often follows and accompany this procedure of Lateral Lumbar Interbody Fusion. It involves placing rods and screws between the muscle fibres with computer navigation or intraoperative X-rays. This is where the process differs from the traditional spinal fusion surgery where the surgeons have to remove the muscles.
Whatever be the surgical procedures and options, the objective of a right surgeon should be dedicating himself/herself entirely to patient care and positive outcomes. Not just the technical skills, a right spine surgeon should know how to explain their reasons for choosing a surgical procedure, or just the reason for surgery alone to the patients, along with the treatment options that he/she can offer. Thus, a spine surgeon needs to have excellent communication skills too. The domain of medical science keeps welcoming newer and better technologies and treatment procedures. Therefore, for a professional working in the medical arena, learning is a never-ending process. A right surgeon should not restrict himself/herself to a set of learned and trained skills. Instead, he/she should be flexible enough to learn newer techniques, while at the same time sharpening the expertise in the standard approaches.Finally, patients should try to visit health care institutions that will provide them with the utmost assistance and care to deal with spinal issues. Many reputed hospitals own a team of experts specialized in handling any spine issues from the most uncomplicated back pain tp complex operations. Also, many institutions navigate their patients in case of non-surgical methods, to expert spine care providers.
Advantages of Minimally Invasive Surgery
The minimally invasive surgery has emerged as a safe alternative to traditional open surgeries, and have become the first preference of many doctors today. The minimally invasive surgery, introduced to the medical world in the 1980s, holds relatively fewer risks, and often fast tracks the recovery rate. These techniques are thus safer than the traditional methods and are all the more compelling.
What is a minimally invasive procedure?
In simple terms, the minimally invasive surgery revolves around operating the human body in a relatively safer way, having no harmful implications, with the assistance of modern surgical techniques and equipment. The chances of postoperative complications and risk factors reduce a lot because minimally invasive surgery involves no significant cuts and incisions. The traditional open surgery demands the doctors to make large slits and complete exposure of the area to be operated. This is done to ensure that the doctors can visualize the surgery area properly. On the other hand, all the surgeons need to make small incisions to fit cameras in the minimally invasive surgeries. Following that, they use other surgical tools to visualize the area they need to operate.
The most significant perk of minimally invasive surgery is that the patient's hospital stay's time duration reduces drastically. At the same time, the patient also shows signs of fast and swift recovery.
Types of minimally invasive surgery for orthopedic conditions:
By now, it is evident that minimally invasive surgery comes with several incredible advantages, which have helped it expand to the different status of medical fields. For orthopaedic injuries, there are several types of surgery options available for the doctor to choose the one that would best suit the patient's medical conditions.
We have combined below the most popular types of minimally invasive surgeries that are happening worldwide.
- Arthroscopy:- For treating inflamed issues, bone spurs, tears and lesions, the surgeons take recourse to arthroscopy procedures. This invasive procedure is targeted mainly for the body parts like wrist, hip, knee, spine, elbow, shoulder, and foot.
- Total Joint Replacement:- Originally the joint replacements were a part of the open surgery. However, thanks to medical science's enormous technological advancement, total knee, shoulder and hip replacements can be easily carried out through minimally invasive procedures.
- Minimally invasive spine surgery:- This particular type of minimal techniques is targeted to identify and treat spinal conditions. A host of ailments including scoliosis, degenerative disc disease, spinal stenosis, herniated discs, nerve compression, and the like can be operated through minimally invasive spine surgery. The surgeons with the surgical tools can quickly stabilize the spine and eliminate the damaged tissues, spinal discs and the bone spurs that are pressing the spinal cord, and as a result, the patient suffers from extreme pain.
Advantages of minimally invasive surgeries
As noted in the early stanzas, there are many advantages and benefits of minimally invasive surgeries. In this section, we have elaborated all the help with brief descriptions and discussions. Keep on scrolling to learn of the incredible advantages and boons brought to us by the significant advancement in medical and health care studies.
- Smaller incisions – In the traditional open surgeries, the doctors have to make large cuts – something which the minimally invasive surgeries don't demand. This is where the first difference is marked between traditional surgery techniques and minimally invasive methods. The modern technologies have made it accessible for the surgeons to make small slits near the affected area, and the insert cameras, tubes and small surgical tools. These fibre optic cameras help the surgeons to get a clear visualization of the area that they will operate.
- Fewer complications – A small incision will not damage the surrounding organs, nerves, tendons, and soft tissues like the way a large cut would have done in traditional open surgeries. The surgeons can also carry out the operation without disturbing the muscles or cut through them to increase visibility. Most importantly, the minimally invasive surgery techniques pave the way for less blood flow during the ongoing surgery. This ultimately reduces the chances of complications during both the surgical phase and the post-surgery phase.
- Less risk of infections – Most often, surgery leads to the growth and expansion of diseases in the affected area. Thanks to the minimally invasive techniques, the chances of postoperative infections have reduced to a considerable state. The reason for so is again the making of the smaller incisions. The risk of bacteria and viruses entering the body through the cut has decreased owing to the smaller incision. Thus, altogether, all these factors debar the growth of undesirable infections.
- Reduced hospital stay – Forget a shorter hospital stay, some minimally invasive surgeries don't ask the patient to visit the hospital itself. Even if there is a need for the patient to be admitted in the hospital, he will need just an overnight stay. This reduces the overhead costs, making surgeries and operations all the more cost-efficient. This feature is, however, not applicable for patients who had to undergo traditional open surgeries.
- Faster recovery rate – If patients can be released from the hospital after surgery within just a short period, you can realize how quick the recovery period is for people undergoing minimally invasive surgeries. Most patients can go back to their regular life schedule within a few days, and they have relatively fewer activity restrictions. The patients do not experience extreme postoperative pain and swelling. Most patients remain so fit and subtle that they don't need narcotic medications in the post-surgery phase, which is an additional benefit of the minimally invasive surgeries. Finally, the surgical scars are less in numbers, since the surgeons do not have to do many stitches.
Thus, we have covered almost all the necessary details regarding minimally invasive surgery - its types, advantages and facilities. There remains no confusion now why the first line of the article states minimally invasive surgery as a safe alternative to traditional open surgeries. No wonder, surgeons find the minimally invasive surgery better and superior!
Radiology: past, present and future
The contribution of radiology in the field of medicine stands unparalleled. Gone are those days when physicians were bound to identify the patients' disease through their skills and knowledge and ended up suspecting the most probable illness through sheer use of imagination. The first step to medication – diagnosing the disease has been made a lot easier by radiology investigations. Physicians today no longer thrive on knowledge and creativity; instead, they have the liberty to see and pick up the disease. Radiology has emerged as one of those technological boons going through rapid advancement, probing beyond human beings' imagination level. From imagining conditions to imaging them – there have been considerable leaps to progression.
Radiology, too, underwent developments and advancements, leaping from the conventional analogue systems to the digital image acquisition modalities. The preview times have been reduced to greater extents, thus increasing the workflow, making it practical to tend to many patients – the credit of which goes to the Selenium coated flat panel TFT array technology.
The word ultrasound will probably not ring to your ears as a foreign term? Technically speaking, ultrasound stands as an ideal amalgamation of sensitive, non-invasive, effective portable imaging techniques. It is free of radiation and is also affable for the patients. With the sophisticated scanning systems, real-time 3D and 4D scans remain as no joke! When it comes to antenatal scans, no other modalities can stand in comparison to USG.
The next important tool that comes at help while performing diagnostic imaging is Computed tomography or CT. This tool is used to evaluate and examine various clinical conditions and the last few years witnessed considerable development and progression in CT technology. The outcomes derived from the advancements are expected to have, or some of them already have had, substantial impact in the arena of healthcare. The advantage includes iterative reconstruction algorithms, dual-energy CT, cone-beam CT, multi-detector CT, portable CT, and finally, phase-contrast CT. All these progressions, some way or the other, aim at magnifying 4D and mundane resolution, allowing in faster acquisition of higher quality images. The traditional catheter angiography has been substituted by more effective diagnostic examinations like angiography, which has wholly diminished the risk factors that catheter angiography carried while reducing the examination time.
The more recent reconstruction algorithms, for instance, the iterative reconstruction, has paved the way for dose reduction in patients. The advantages of differentiating gout from pseudo gout, detecting myocardial iron, and characterizing gallstone and renal stone have been blessed upon humanity by technologies like DECT.
The utility of MRI or Magnetic Resonance Imaging in diagnosing clinical conditions and in biomedical research hold enough importance. Quicker and faster acquisition of high-resolution images has been made possible with the varied advancements and leaps in the MRI hardware and software. The brain's functional MRI, also called fMRI, works to detect the brain's neuronal activation concerning the increment of the oxygen-enriched blood in capillaries. There is yet another technique that can help to depict neuronal tract projections in the brain and the spine. This is an advanced MRI technique going by the name of Diffusion Tensor Imaging that also shows the multiple pathologies concerning neurons. Another non-invasive MRI perfusion technique includes Arterial Spin Labelling that further allows the physicians to assess the changes in the brain's blood flow under various pathological conditions.
Physicians also use MR guidance to operate soft tissue pathologies that attempt to affect the prostate, breast, etc.
When we talk of radiology, we cannot be restricted only to diagnostic radiology; instead, we are bound two incorporate the advantages of therapeutic radiology. With the aid of vascular and non-vascular assistance, properly guided procedure, techniques include an MR guided high-frequency ultrasound, physicians can treat bone tumors, fibroids, etc. This works to ensure the patients an effectual marginally invasive treatment.
The very boon of radiology – the rapidity of its progression and advancement often turns challenging for radiologists, who find it extremely necessary to remain updated with every single progress. Thus, a person trained in radiology almost two decades ago might not get the opportunity to showcase the skills he/she had learned owing to the invasion of newer techniques and procedures. There remains a great chance that such a person might not be efficient with the upgraded techniques, while his training teachings tend to become almost obsolete.
Thus, there raises the demand for a platform that will train every radiologist who is still practicing, with all the newer techniques, keeping them updated with every progression made in the relevant field. Also, distributing the information about the latest technology remains cloistered to only a small portion of students who have the advantage of getting trained from private and corporate hospitals or tertiary level medical colleges located in the metropolitans. Often, students taking training from centres in the suburban lack the opportunity to acknowledge radiology's newest advancements. So, there becomes a subtle demarcation between students hailing from the same academic field. But thanks to digital media, that is bridging the gap by offering immense reference materials, which can be gathered both in text and audio-visual formats. One needs to collect all such materials to remain updated with the latest radiology signs of progress. The radiology domain is continuously facing changes, as noted earlier, so a radiologist without the required upgrades may not sustain himself/herself in the long run.
Teleradiology is another broad concept where an expert hailing from an urban location takes reports from villages and towns from all across the nation. Such teleradiology networks deserve encouragement and support. The national-level organizations also have to ensure that every city owns a competent radiologist who is well qualified and proficient.
With medical skills alone, modern-day medicine cannot successfully thrive. It needs the agglomerated power of technologies and abled management. The process of gaining knowledge never ceases, and thus one should always welcome newer experiences and run in parallel with the fast-paced technological advances. Every medical persona's ultimate aim is to provide the utmost care and efficient treatment to every patient.
Lung cancer: what, why, how's of the treatment
What is lung cancer?
When the cells in the body start growing beyond control, it takes a form of the disease known as cancer. When this disease occurs in the lungs, then it is termed as lung cancer. The cancer spreads all over the lymph nodes, and in some instances, it might apply to various parts of the body. It is also possible that cancer can reach your lungs from other organs. And when the disease starts spreading to multiple organs, it is called metastases.
Whether or not lung cancer is ever curable remains a hard question to answer at a simple enough level. And while there is always a possibility (sometimes quite a small one) that cancer may return even after it's been in remission for several years, it is still unclear why it would reoccur though. The problem with determining whether or not cancer will return is that the answer is inevitably relative. This is because the symptoms of a particular cancer are unique from person to person. It is impossible to predict what cancer will look like or feel like based solely on a patient's medical history.
Types of Lung Cancer
Non-small cell and small cell lung cancer are two types of primary lung cancers. The name is derived from how to do the cells of cancer look under the microscope. In comparison, non-small cell lung cancer is more common. To determine the type of cancer, the doctor will conduct a test to look for any genetic mutation (change in genes). Based on the test results, the right treatment is then decided. Once it has been established that a person has cancer, various other tests determine what all organs have been affected. This whole process is known as staging.
Types of Treatment
Getting a definite answer as to whether or not cancer will return, is, to have a good understanding of what causes this cancer in the first place. There are several different theories on the exact cause, but none offers a guarantee as to the treatment of lung cancer, whether it has long-term survival potential or not. Many other theories provide therapy of sorts, that may lengthen when cancer cells arrive in the body, and when treatment is necessary to kill them off. Any delay can make treatments more harmful than helpful since they increase the chances of cancer returning while decreasing the likelihood of medicine being useful in the first place.
Some of the treatment options that are most often employed in the fight against lung cancer include surgery, radiation therapy, chemotherapy, immunotherapy, and biological therapy. While many people choose to use all or some of these methods, each treatment's effectiveness can vary, as can the overall outlook on life after treatment. When considering lung cancer treatment with a good chance of returning, it is also essential to think about what the cancer reoccurrence would mean in terms of how long treatment would be necessary. Since the cancer cells are still present in the body at the same stage, the amount of therapy typically recommended by physicians would involve treating the cancer cells and helping any other tissues affected by the cancer cells.
Surgery – In this operation, the doctor cuts off the cancer tissue.
Chemotherapy – This is the method used to kill shrinking cancer with the help of particular medicines. These medicines can either be given in the form of pills or directly into your veins.
Radiation therapy – The process of eliminating cancer with the help of high-energy rays.
Targeted therapy – The growth and spread of the cancer cells are blocked with the help of certain drugs, and the process of giving them is the same – either given in the form of pills or directly supplied into your body via veins.
Chemotherapy is often used as the primary treatment of choice for patients who have already had some success in getting rid of the cancer cells in the body. It involves taking medication that is designed to help lessen the effects of chemotherapy. Sometimes, doctors will use targeted therapy to help with the symptoms of the treatment. This type of treatment can come from medication, surgery, radiation therapy, breathing and drug therapies, and immune system stimulation.
Chemotherapy can be costly, mainly if done to treat more than one type of cancer. Chemotherapy drugs carry a wide range of possible side effect. Some of these side effects include nausea, weight gain, hair loss, and fatigue. Besides, these some patients may also experience depression. While these side effects are not expected to last indefinitely, they are worth mentioning.
Side effects caused by drugs are only one problem faced by patients undergoing treatment. There can also be a risk of developing an addiction to certain medications. If this happens, the medicine that is being taken will need to be reduced or stopped altogether. As an alternative to this, some medical oncologists will prescribe a combination of medications that can help relieve symptoms and monitor and change the dosage if needed. Again, this combination will only be useful if the medical oncologist can keep a close eye on the patient's medical history.
This combination of drugs is often referred to as a 'first-line treatment'. The mixture usually follows a successful treatment of the lung tumour itself. If the lung tumour is benign (no cancerous cells are present in the lung tumour), it is improbable that other treatment will be necessary. However, if the tumor is malignant, a combination will likely be required. This means that the doctor will try various combinations until he finds one that works.
Because combining several different medications can be very complicated, many doctors choose to assign patients to just one type of therapy. Doctors sometimes decide to give three to four patients to receive immunotherapy. This treatment method means that the doctors do not have to research to discover which combination will work best. For some patients, this can be very helpful because they do not want to undergo too many drug interactions. Unfortunately, some doctors do not prefer this method because patients may become too dependent on receiving these particular medications.
Finding the right treatmentIt is quite hard to determine which treatment is right for you. To find out about the various options for treatment, consult with your cancer doctor. He or she will be able to tell more about the stage and type of your cancer. Furthermore, you will be able to learn more about the benefits and risks of all the treatments along with their side effects (if any).
Top 10 Dental Implant Hospitals in India
If you are looking for a Dental Implant, India is the most affordable and cost-effective destination. Dental implant centres in the country are world-renowned.
A dental implant is a natural titanium post, just like a root of a tooth which is surgically positioned into the jaw bone and under the gum line that allows a new teeth replacement or bridge into that area.
Symptoms of Dental Implant that has failed to position the teeth
- It can be a reaction to the metal used for the dental implant
- Severe Pain and Discomfort
- Sudden Allergic Reactions
- Difficulty while chewing and Biting
- Swollen Gums
- Implant tooth movements
- Teeth Grinding
Cosmetic Dentistry Includes
- Adult Orthodontics
- Bonding, Bridges & Crowns
- Early Orthodontics
- Dental Implants
- Teeth Whitening Veneers
Dental Procedures Include
- Root Canals
- Tooth Removal
Top 10 Dental Implant Centre’s in India
1. Dr Alkagupta Clinic, Janakpuri New Delhi
Dr Alka Gupta, BDS.MDS is an Oral and Maxillo Facial Surgeon and has over 10+ years of experience in Implantology and hundreds of successful dental implant experience. She performs all kinds of dental implant procedures with most modern equipment. She is available in other hospitals too.
Address: C-2 D Block, Block C2D/1A, Janakpuri, New Delhi, Delhi 110058
Mobile - 098100 65530
2. Indraprastha Apollo White Dental Hospitals, New Delhi
The hospital staff is highly qualified, experienced and renowned doctors of the town. The state of art X-Guide technology is made available to enable your dental implant process in a most secured, painless and caregiving way. The hospital has a range of experienced Prosthodontics and Dental Implant Specialists.
Address: Apollo Hospitals, Mathura Rd, Sarita Vihar, New Delhi, Delhi 110076
Mobile: 088008 81347
3. Medanta, The Medicity Gurgaon
Medanta is a mega-chain of Multispeciality Hospitals all across the town. It is a centre for advanced medical treatment. The hospital has facilities for international patients which is not very costly and makes easy stay arrangements. The hospital campus is 1100 acres.
The hospital offers a second opinion from the world’s best doctors and treats over 20,000 international patients is a record in itself. Patients facility and lounge system add the benefit to the dental tourists. The hospital offers comprehensive and preventive dental implant treatment.
Address: CH Baktawar Singh Rd, near Olympus, Medicity, Islampur Colony, Sector 38, Gurugram, Haryana 122001
Phone: 0124 414 1414
4. FMS Dental Hospitals for Face makeover and Smile back clinics, Hyderabad
The hospital has a commendable track record of treating over a million dental cases in 25 years, the second-best World Dental Center as per GCR rating. The hospital is a one-stop destination for all dental implants with CBCD, CAD and ICU. It offers treatments like bone grafts, teeth replacement, zygoma implants, pterygoid implants, sinus implants, periodontics, endodontics, orthodontics, laser dentistry and more.
Address: Door No. 8-2-293/82/A/725, Road No. 37, Hi-Tech City Road, CBI Colony, Near Daspalla Hotel, Jubilee Hills Hyderabad, Telangana, India 500033
Phone: +91-88850 60770
5. Kokilaben Dhirubhai Ambani Hospital ,Mumbai
The hospital is a paradise for all patients who are seeking a state of the art and modern non-invasive treatment, launched by the Reliance Group in 2006. It is the only hospital in Mumbai that has a Full-Time Specialist System or FTSS with 750 speciality beds.
It has a three-room intraoperative MRI suite IMRIS and has performed over 1000 robotic surgeries within a month. It offers all international treatment and facilities. Center for Dental Care is best in Mumbai for Periodontics, Cosmetics Dentistry and Dental Implants.
Address: Rao Saheb, Achutrao Patwardhan Marg, Four Bungalows, Andheri West, Mumbai, Maharashtra 400053
Phone: 022 4269 6969
6. Vivek’s MS Ram Dental Hospital, Chennai
Dr M S Rams hospitals have already served more than 50,000 patients. The hospitals offer facilities to an international patient with stay arrangements and visit plan. Specialist in all cosmetics and Digital dentistry plan. He is a Digital Dental Implant specialist for all Guided, Basal, Bone Graft, Zygoma treatment.
Address: Vallalar Illam, no.68, Anna St, Chitlapakkam, Chennai, Tamil Nadu 600064
Phone: 097104 42527
7. Max Hospitals, Delhi
Max group of hospitals offers a specialized dental implant facility for adolescent and adults. The mega-hospital group specializes in health tourism aspects for international visitors in India. The group is located in 14 cities and handles a large section of patients through its best 2300 plus doctors and super specialists.
It has set its own exceptional medical treatment values through a state of the art technology for all kinds of aesthetics and reconstructive dental implant surgeries. Max is a smart super speciality hospital in all aspects.
Address: 1, 2, Press Enclave Marg, Saket Institutional Area, Saket, New Delhi, Delhi 110017
Phone: 011 2651 5050
8. The Dental Hub, Gurgaon
The Dental hospital has over 15 years of experience for treating dental patients and successful Dental Implant, equipment and specialists. The dedicated staff makes special arrangements for international patients. The place offers all CBCT and Laser Dental procedures for a single tooth or all mouth rehabilitation.
Address: C6-1065 Park Drive, Golf Course Road, DLF Phase 5, Sector 54, Gurugram, Haryana 122011
Phone: 088604 51667
9. Shalby Multispeciality Hospitals, Ahmedabad
Shalby hospital group operates in 11 cities of the country and provides ready, affordable access to infrastructure for over 2,000 beds. The hospital offers a wide range of dental implant surgery and treatment opportunities and exposure to a highly specialized doctor for various kinds of dental implantation process and cosmetic restoration plans.
Address: Sarkhej - Gandhinagar Hwy, opposite of Karnavati Club, Ramdev Nagar, Ahmedabad, Gujarat 380015
Phone: 079 4020 3000
10 . Billroth Hospitals, Chennai
It is a super speciality hospital that deals with critical ailments, procedures for various Cosmetic surgery, Dental Implant procedures and reconstructive microsurgery. The hospital is equipped with 7 major and 3 minor theatres. It has a separate Institute for Dental Sciences. Get the best, affordable single implant, partial implants and bridges solutions here.
Address: 43, Lakshmi Talkies Rd, Shenoy Nagar, Chennai, Tamil Nadu 600030
Phone: 072994 04040
Best Scoliosis Treatment Hospitals In India
- Scoliosis is a spine related curvature that occurs during the growth of spurt and just before puberty. Scoliosis can take a bad curve due to cerebral palsy, muscular dystrophy, the reasons for which are unknown.
- Most of the cases are mild, with a few known symptoms. The complications become prominent as the children grow. Sometimes there is a requirement of surgery , at other times the brace works like a miracle for the cause.
- The treatment of the Scoliosis is not easy as it is related to the spine which is the most critical bone sequence of the body.
- The condition of a Scoliosis prone patient ranges from good to fair. It depends upon how early the problem has been diagnosed and treated safely.
Scoliosis can develop into four state or kinds that depend upon an age group and progresses through all, almost the same:
- Congenital Scoliosis
- Neuromuscular Scoliosis
- Adolescence Idiopathic Scoliosis
- Adult Denovo Scoliosis
- The anterior approach allows an additional segment motion which shares the load of the main affected segments of the spine The recovery time is less than 4 weeks
- The surgery should stop the spine curve
- Scoliosis can affect the Heart and Lungs. Damage occurs when the spine curvature is 70 degrees. A curve of 100 degrees can cause severe damage to the position of Heart and Lungs.
- Surgery can prevent other future trauma of spine pains and arthritis.
Scoliosis Care Management -Post Surgery
- The patients can walk after 2 or 3 days after surgery and if they are okay then the patient is discharged after 6 -7 days
- The more immobile the spine is kept, the better the spine will fuse after surgery
- Bending and lifting is also discouraged
- The patient needs to be monitored continuously for 2-3 years with X-rays
- Once the bone is fused, it becomes normal
- The patients are asked for activity after a thoracic fusion, between the upper and the lower thoracic and lumbar spine.
- Female patients can deliver baby after the scoliosis fusion.
Various types of Scoliosis Surgeries are available in India, which is as per the age and the actual medical condition, the spine of the patient
- Anterior -Posterior approach
- Frontal Approach
- Thoracoscopic Surgery
- Thoracic Plasty
- Flatback Surgery
- Kyphosis Surgery
- Partial or Complete Vertebra Remove
- Vertebral Column Resection
Indian doctors are well known for their extraordinary achievements in the field of Scoliosis surgeries in the world.
Scoliosis can be treated in non-surgical method which depends on the curve and progression of the condition. It includes a proper fitness routine, brace and few sittings with your doctor to analyze the curvature.
Symptoms for Scoliosis Treatment depends upon the age and the medical condition of the patient. Most common ones are:
- Uneven shoulders and blades
- Uneven Hips
- S or C shaped spine posture
- Unequal distance between arms and the body sphere
- Ribs that stick out in one area need treatment
- Uneven waist fold since birth but discovered now
We suggest you the 7 Best Scoliosis Treatment Hospitals in India
1. Kedar Ortho Hospital
Kedar Ortho Hospital, Porur Chennai is for Bone, Joint and Spine treatment and surgery. The 50-bed hospital has all the modern amenities to remove your Ortho or Scoliosis issues. Kedar Ortho is a dedicated accident and trauma care centre. The hospital specializes in Arthroscopy, Tetraplegics, Paraplegics, Pediatric Orthology, Oncology. The hospital owns stare of the art technology for top class scoliosis and back-related surgery platform.
Address: Kedar Hospital Mugalivakkam Main Road, Porur, Chennai - 600 125
Phone : 044 2252 3407 / 2252 3445
3. Lotus Multispeciality Healthcare, Bangalore
The hospital inpatient care cost-effective and comfort for patients from international destinations. The hospital specializes in non-communicable diseases, digital clarity for all bone-related and scoliosis issues. The hospital offers specialized solutions for a full spectrum of orthopedic disorders, treatment, surgery and diagnostics include pediatric upper appendage, lower appendage and spine conditions.
Address: #11/12, Jananakshi Arcade, opposite Sri Jananakshi school, RR Nagar, Bengaluru, Karnataka 560098
Phone: 080 2979 3922
3. Columbia Asia Hospital, Bangalore
The hospital has many branches in India and is well known for patient care and cure success. The hospital offers Shoulder Surgeries, revision knee and hip replacement surgeries, disc surgery, hematoma and spinal surgeries for a scoliosis recovery plan.
Address 26/4, Brigade Gateway, Beside Metro, Malleswaram West, Bangalore - 560 055
Phone: +91 80 6165 6262
4. Columbia India Hospital, Palam Vihar Delhi
The hospital is for advanced surgery. The hospital offers a full range of Scoliosis treatment through the fusion of joints, osteomyelitis, congenital hip dysplasia, juvenile metabolic bone disorders and even more.
Address: Ansal Plaza Near Gol Chakkar, Block F, Palam Vihar, Gurugram, Haryana 122017
Phone: 0124 616 5666
5. W Pratiksha Hospital, Gurgaon
The hospital offers space, bedside ultra-modern monitoring systems and has a good 25 years record for treating orthopedic patients.
The flagship hospital of Pratiksha Group, it offers keyhole surgery for hip, shoulders adjustment, sub acromial decompression, arthroscopic rotator cup repair, sue implants, stem cells rehabilitation, meniscal transplant and more.
Address: Golf Course Ext Rd, Sushant Lok-II, Shushant Lok 2, Sector 56, Gurugram, Haryana 122011
Phone: 0124 413 1091
6. Hinduja Hospital ,Khar
Hinduja hospital is a multi-speciality hospital in Mumbai with advanced treatment and medical facilities. Automated with 26 bed ICU
Hinduja hospital is the best hospital for spine scoliosis and orthopedic treatment and surgeries. The hospital offers complex joint replacement, cardiac and keyhole surgeries.
The hospital has an effective non-invasive treatment plan for complex bone and spine problems. The hospital offers back-up rehabilitation.
Address: Marvela, 724, 11th Rd, Khar, Khar West, Mumbai, Maharashtra 400052
Phone: 022 6174 6180
7. Apollo Gleneagles Hospital, Kolkata
Apollo offers the best doctors and spine treatment consultations from all over the country, equipped with all modern surgical facilities and automation.
Apollo hospitals are the best spine surgery hospital in the country. It offers 3rd generation spinal implants in India, musculoskeletal impairments, peripheral nerve disorder treatment, sacroiliac joint dysfunction, scoliosis, metal alloys implant for crippling bones deformity and more.
Address:156, Famous Cine Labs, Behind Everest Building, Tardeo Mumbai, Maharashtra – 400034
Phone: 022 4332 4500
Top 5 Cranioplasty Centres In India
- Cranioplasty is a treatment, surgery required mostly after traumatic injuries. In all age groups, the act of tumor removal or a decompress craniotomy is common causes for the surgery due to cranial defects.
- The brighter aspect of a cranioplasty is not only a repair of cranial defects, cosmetic improvement. It also improves psychological drawbacks and improves social performances.
- Epilepsy decreases after cranioplasty. But there are instances that cranioplasty surgery causes hydrocephalus, infection and brain swelling.
- In children’s below four years, if there is an intact dura meter, the cranium closure is achieved. The doctors generally wait for the cranioplasty to prevent autograft or allograft infections. In case of infection, the wait time can be from 6 months to 1 year.
- We suggest you the best places in India to deliver a timed cranioplasty.
- Cranioplasty involves usage of metals and nonmetals to repair the cranial defects caused by previous trauma, decompressive craniectomy. It is performed by filling a wide scope of synthetic materials or a bone piece that is suitable for a bone, cell condition.
- The operation may occur two times a year. Firstly to place the material and the next one is more cosmetic.
Cranioplasty Material has necessary implications:
- They are resistant to infections
- Non-dilation with Heat
- Easy to shape, not very expensive
- Ready to Use and Radiolucency
Non-Metal Cranioplasty Materials
- Celluloid, Tantalum and Methyl Methacrylate
- Polyethylene and Silicon
- Corelle, Ceramic, Courtois
- Metal Allografts
Successful Cranioplasty Surgery removes the threats and protects the brain .In the recent technology-based CT SCAN ,CAD and MRI developments, the surgery is used for cosmetics developments, accelerate and improve neurological conditions.
We suggest you the best Cranioplasty centres in India that provided end to end success.
All hospitals suggested by us adhere to the present social distancing and sanitizations plans as per international standards.
1. Fortis Hospital, Mumbai, Delhi, Bangalore Chennai
Fortis is one of the best destinations for Cranioplasty surgery and treatment in India. It has nine branches in Delhi, NCR itself provides world-class service to the international patients of almost 40 countries. It has 4000 operational beds and over 400 Diagnostics centres
- Provides a pre-visit teleconsultation, preoperative surgeon consultation, recuperation with follow up facilities
- Visa Assistance
- Dedicated Relationship Manager for each patient
- International Concierge Desk And stay arrangements
- Complementary Two-Way Air Transfers
- Payments Via Cash, Crédit or wire transfer is encouraged
- The group provides 31 locational options
The experienced and modern doctors handle the Brain Suite, Brain Aneurysm Coil, Traumatic Brain Injury Treatment plans and Cranioplasty complex surgery
Address: AA-299, Shaheed Udham Singh Marg, A-A Block, Poorbi Shalimar Bag, Shalimar Bagh, Delhi, 110088
Phone: 011 4530 2222
2. Apollo Gleneagles, Kolkata and Delhi
The Hospital group provides International class services through its 10000-patient bed capacity and 70 hospital options across the country. The group has achieved a lifetime success award from the Neurological Society from India
Apollo hospitals are primary super-specialist tertiary healers. A patient is allowed to rest before the Cranioplasty Plan, Craniotomy for Brain Tumors. All doctors use modern technology and materials to make it a success.
Address: Indraprastha Apollo Hospital, Mathura Rd, New Delhi, Delhi 110076
Phone: 011 7179 1090
3. Artemis Hospital, Gurgaon
Artemis Hospitals are well known for experienced doctors and deals with all complications related to Neurosciences and Cranioplasty surgery. Success rate and doctors’ hands are the key advantages. India’s first JCI and NABH accredited hospital has 11 centres and 400 plus speciality doctors to serve you. The campus meets all the international standard and quality management to treat its patients.
The hospital efficiently has best doctors for Cranioplasty, Brain Movement Disorders and Deep Brain Stimulation focus, Nerve and Brachial Plexus Surgery, Radiosurgery and Cerebrovascular Surgery options and more
Address: Jacobpura, Sector 12, Gurugram, Haryana 122001
Phone: +91 9711209940
4. Global Hospitals- Mumbai, Bangalore, Chennai, Hyderabad
Global hospitals are a multi-chain group of Hospitals that offers more than 2000 international quality beds to their patients who need a super specialty treatment or an advanced brain, Cranioplasty surgery plan.
Hospital is located in speciality regions of the country and is considered best for all complicated and modern surgeries and multi transplant procedures. Hospital is best for International patients due to its strategic location and travel assistance. It is best for neurosurgery and Cranioplasty complication treatment plan.
Address: 35, Dr E, Dr Ernest Borges Rd, opp. Shirodkar High School, Parel, Mumbai, Maharashtra 400012
Phone: 022 6767 0202
5. Bombay Hospital and Medical Research Centre, Mumbai
The best Medical Research institute offers treatment and surgeries for all modern class and global treatment plan with international amenities. The hospital offers an 830-bed patient absorption plan with 110 critical care units.
Affordable cost, a premier trust, super speciality treatment plans and equipment’s in one roof. The highly qualified and experienced Bombay doctors make it easy, advise and perform a surgery task with excellence.
Address: 12, Vitthaldas Thackersey Marg, Near to Liberty Cinema, New Marine Lines, Marine Lines, Mumbai, Maharashtra 400020Phone: 022 2206 7676
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