• Neurology

    Disorders of the nervous system such as dementia, epilepsy, movement disorders, chronic pains, sleep disorders, headaches, multiple sclerosis and various other neuro-muscular diseases this medical treatments are effectively handled in India.

    Surface Brain Tumor Surgery

    Meningiomas or surface brain tumors are the second most common primary tumors affecting the central nervous system. Meningiomas grow from cells of the middle layer of the meninges (the three membranes enveloping and protecting the brain and spinal cord). They often are found at the surface of the brain near the top of the head, at the base of the skull, and along the spinal cord.
    Common symptoms include: Headache, Nausea and/or vomiting, seizures, muscle weakness, loss of movement or sensation in a specific area, confusion, changes in mood and sleep, vision problems like blurriness or double-vision, hearing loss and slurred speech
    Diagnosis is by MRI and neuro vascular angiography. Sometimes a CT scan is obtained to evaluate whether there is any bone (skull) involvement, or if the tumor is calcified.
    Medical Treatments plans involve observation and surgery. In some patient where tumors are very small and asymptomatic or where patient’s age is advanced and surgery is risky doctor may choose to observe and provide symptomatic treatment for pains and seizures. Surgery for meningiomas may vary from relatively straightforward to highly complex, sometimes requiring multiple surgeons from different specialties. The ease of removal depends upon both their accessibility and the skill of the neurosurgeon.

    AVM surgery

    Arteries carry blood containing oxygen from the heart to the brain, and veins carry blood with less oxygen away from the brain and back to the heart. When an arteriovenous malformation (AVM) occurs, a tangle of blood vessels in the brain or on its surface bypasses normal brain tissue and directly diverts blood from the arteries to the veins.
    Symptoms may vary depending on where the AVM is located and may cause

    • Intracranial haemorrhage.
    • Focal or generalised seizures.
    • Localised pain in the head due to increased blood flow around an AVM.
    • Difficulty with movement, speech and vision.

    Most AVMs are detected with either a computed tomography (CT) brain scan or a magnetic resonance imaging (MRI) brain scan. If patient is asymptomatic or if the AVM is in an area of the brain that can’t be easily treated, medical treatments management may be indicated and no surgical intervention may be required. If an AVM has bled and/or is in an area that can be easily operated upon, then surgical removal may be recommended. It may be possible to treat part or all of the AVM by placing a catheter inside the blood vessels that supply the AVM and blocking off the abnormal blood vessels with various materials and this is called endovascular neurosurgery. Vascular neurosurgeons specialize in surgically removing brain AVMs


    Aneurysms may be caused due to high blood pressure and atherosclerosis, trauma, heredity, and abnormal blood flow at the junction where arteries come together.
    A brain aneurysm may be diagnosed by doing a CT Scan or cerebral angiogram.
    In most cases aneurysms are observed without any surgical intervention. However if the doctor sees significant risk of rupture the aneurysm bay be treated by embolisation or surgical clipping. Embolisation involves inserting a small tube into the affected artery and placing it near the aneurysm. Soft metal coil or a mesh is then moved into the tube reducing the risk of rupture of the artery. Clipping involves placing a small metal clip around the base of the aneurysm decreasing the pressure and hence reducing the risk of rupture. Both these procedure should be done in a large hospital where many procedures like these are done.

  • Cardiology

    Cardiology is a branch of medicine dealing with disorders of the heart as well as parts of the circulatory system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrophysiology.

    Coronary Artery Bypass Graft Surgery (CABG)

    Also referred to as Open Heart Surgery and Bypass Surgery. Coronary artery bypass graft (CABG) surgery is a procedure used to treat CAD in certain circumstances. CAD is the narrowing of the coronary arteries (the blood vessels that supply oxygen and nutrients to the heart muscle), caused by a build-up of fatty material within the walls of the arteries. This build-up causes the inside of the arteries to become narrowed, limiting the supply of oxygen-rich blood to the heart muscle.

    One way to treat the blocked or narrowed arteries is to bypass the blocked portion of the coronary artery with another piece of blood vessel. Blood vessels, or grafts, used for the bypass procedure may be pieces of a vein taken from the legs or an artery in the chest. At times, an artery from the wrist may also be used. One end of the graft is attached above the blockage and the other end is attached below the blockage. Thus, the blood is rerouted around, or bypasses, the blockage through the new graft to reach the heart muscle. This bypass of the blocked coronary artery can be done by performing CABG.

    Congenital Heart Surgeries

    When the heart or blood vessels near the heart do not develop normally before birth, a condition called congenital heart defect occurs (congenital means “existing at birth”). Congenital heart defects occur in close to one per cent of infants. Most young people with congenital heart defects are living into adulthood now.
    Babies with congenital heart problems are followed by specialists called pediatric cardiologists. These doctors diagnose heart defects and help manage the health of children before and after surgical repair of the heart problem. Specialists who correct heart problems in the operating room are known as pediatric cardiovascular or cardiothoracic surgeons.

    A new subspecialty within cardiology is emerging as the number of adults with congenital heart disease (CHD) is now greater than the number of babies born with CHD. These doctors care for adults with heart problems that began in infancy or childhood, as opposed to the types of heart conditions that develop in adults as they age.
    In order to achieve and maintain the highest possible level of wellness, it is imperative that those individuals born with CHD who have reached adulthood transition to the appropriate type of cardiac care. The type of care required is based on the type of CHD a person has. Those people with simple CHD can often be cared for by a community adult cardiologist. Those with more complex types of CHD will need to be cared for at a center that specializes in adult CHD.

    Coronary Angiography

    Coronary angiography or cardiac catheterization is an invasive diagnostic procedure that provides important information about the structure and function of the heart.
    It usually involves taking X-ray pictures of the heart’s arteries (coronary arteries) using a technique called coronary angiography or arteriography. The resulting images are known as coronary angiograms or arteriograms.
    Coronary angiography can be used to help diagnose heart conditions, help plan future treatments and carry out certain procedures. For example, it may be used:
    After a heart attack – where the heart’s blood supply is blocked.
    To help diagnose angina – where pain in the chest is caused by a restricted blood supply to the heart.
    To plan interventional or surgical procedures – such as a coronary angioplasty, where narrowed or blocked blood vessels are widened.
    Coronary angiography is also considered to be the best method of diagnosing coronary heart disease.

    CABG with Valve replacement

    Heart valve repair or replacement surgery is a treatment option for valvular heart disease. When heart valves become damaged or diseased, they may not function properly. Conditions which may cause heart valve dysfunction are valvular stenosis and valvular insufficiency (regurgitation).
    When one (or more) valve(s) becomes stenotic (stiff), the heart muscle must work harder to pump the blood through the valve. Some reasons why heart valves become stenotic include infection (such as rheumatic fever or staphylococcus infections) and aging. If one or more valves become insufficient (leaky), blood leaks backwards, which means that less amount of blood is pumped in the proper direction. Based on your symptoms and overall condition of your heart, your doctor may decide that the diseased valve(s) needs to be surgically repaired or replaced.

  • Plastic Surgery

    Cosmetic Surgery is a field of plastic surgery that is usually performed to effect improvement on physical appearance. This type of surgery can be done on any part of the face or the body.

    Breast Augmentation – Breast Implants Surgery

    Over time, age, genetics, pregnancy, weight changes, sun exposure, and gravity can cause the size and shape of breasts to change. Breast augmentation can help women who are dissatisfied with the size of their breasts, or who have experienced changes in the appearance of their breasts
    During breast augmentation, a breast implant is placed either under the breast tissue and over the chest muscle, or under both the chest muscle and the breast tissue. Your surgeon will advise you on the most suitable procedure for you. This helps to increase or balance the size of the breasts, restore breast volume, or restore the shape of breasts after partial or total loss. Please note that breast augmentation cannot correct significantly sagging or drooping breasts. In these instances, a breast lift is often necessary, which may be performed in conjunction with this procedure.
    All breast implants are made with a silicone based casing but they are filed with either silicone gel or saline. The outer silicone case may be smooth, shiny, polished, or a slightly rough texture. The type, style, and size of breast implants you choose are determined by your lifestyle, body contours, the amount of breast tissue you have, and the cup size and appearance that you would like to achieve.

    Breast Lift

    In recent years breast reduction has become a very common procedure. Factors such as genetics, the aging process, pregnancy and breast feeding, weight gain or loss, and even hormonal fluctuations can cause breasts, that were once firm and shapely, to sag and droop. A breast lift, or mastopexy, can help restore a firmer, shapelier breast and improve body contours.
    During surgery, the surgeon removes excess skin and tightens the remaining skin. The surgeon starts by assessing the required lift and fullness needed to achieve the desired result. This is done by marking a new nipple position. Using a scalpel, the surgeon then makes an incision along the pre-marked lines and separates the skin from the tissues below. The excess breast fat is then removed, the nipple relocated to its new position and finally the new breast shape is reconstructed. The incision is usually made around the nipple and under the surface of the breast, like an upside down T, however a different technique may be used depending on the degree to which your breasts sag.

    Buttock Implant Surgery

    Butt implants, or buttock implants, are intended for men and women who would like more curves and/or a well-balanced physique. This can improve an individual’s buttock contour by creating a fuller shape. Buttock implant surgery, like breast implant surgery, places artificial implants in between gluteal muscle to enhance the size and shape of the buttocks. This surgery does not aim to widen the hips.
    During buttock augmentation, implants are placed through an incision made either where the cheek meets the back of the thigh or in the buttock crease (where scars are not as noticeable). The surgeon then creates a pocket large enough to place the implants. Your surgeon will advise you on the most suitable procedure for you. Once placed, the surgeon confirms that each cheek is symmetrical and looks natural. The incisions are closed, and a compression garment is applied.

    Thigh Lift

    A surgical thigh lift removes skin that has lost its elasticity, improving the overall appearance of the thigh area, although often focusing specifically on the inner thigh. The procedure may be combined with other related procedures, such as a tummy tuck or liposuction.
    Immediately before surgery your doctor will mark your thighs while you are in a standing position. He or she will grasp the skin and gently pull it upwards in order to estimate how much skin should be removed. An incision is made in the groin that goes to the back of the crease of the buttock. Skin in then lifted and excess skin and fat are removed to improve the shape of the leg and tighten the skin. The final scar is hidden in the groin crease.


    Liposuction is one of the most popular cosmetic procedures conducted today. People with realistic expectations of the surgery are almost always very pleased with the results. Liposuction can leave you feeling more comfortable to wear a wider variety of clothes and more at ease with your body.
    During liposuction a small cannula (a hollow tube-shaped surgical tool) is placed deep into the fatty tissue beneath the skin. Suction is then applied until the required fat is removed. The key to success is ensuring that the fat under the skin is removed and remains smooth between the outer layers of skin. The Tumescent procedure is the most common method used as it involves the infiltration of saline in to the fat prior to extraction. This solution usually contains local anaesthetic and a constrictive agent which combine to loosen the fat, shrink the blood vessels and anaesthetize the area. This enables the surgeon to remove fat more easily and with less pain and bruising.

  • Joint & Hip Replacement

    Joint replacement surgery is removing a damaged joint and putting in a new one. A joint is where two or more bones come together, like the knee, hip, and shoulder.

    Hip Replacement

    Hip replacement, also called total hip arthroplasty, is a surgical procedure to replace a worn out or damaged hip with a prosthesis (an artificial joint). This surgery may be considered following a hip fracture (breaking of the bone) or for someone who has severe pain due to arthritis.
    A traditional hip replacement involves an incision several inches long over the hip joint. A newer approach that uses 1 or 2 smaller incisions to perform the procedure is called minimally invasive hip replacement. However, the minimally invasive procedure is not suited for all candidates for hip replacement. The doctor will determine the best procedure for a person, based on that individual’s situation.
    Occasionally, a patient may need both hips replaced. Depending on the condition of the patient surgeons may opt to perform both hip replacements during one operation. This is known as bilateral hip replacement. Patients who cannot tolerate a long procedure or anesthetic may be advised to have two separate hip replacements. A bilateral hip replacement takes double the time on the table and under anesthesia – about three to four hours.

    Knee Replacement

    When a knee is so severely damaged by disease or injury, an artificial knee replacement may be considered. Knee replacement, also called arthroplasty, is a surgical procedure to resurface a knee damaged by arthritis. Metal and plastic parts are used to cap the ends of the bones that form the knee joint, along with the kneecap.
    Sometimes the cartilage wears away in both knees, and there is a need to implant prosthesis in both knees. This is termed a Bilateral Total Knee Replacement. It can be performed in a single instance or in stages. A simultaneous procedure means to replace both knees on the same day, under one anesthesia. This takes place in the same surgical event, within one hospital stay and is followed by a single rehabilitation period. The staged procedure means that both knee replacements take place as two separate surgical events. Surgeries are performed several months apart one from the other, requiring two hospital stays, two anesthesias and two rehabilitation periods. However, the simultaneous procedure is not available to every patient with problems in both knees, because it implies a high stress for the cardiovascular system. Only patients in a good health condition are appropriate candidates, and special emphasis should be made for an adequate patient selection. Also the initial rehabilitation is slightly more difficult .
    The goal of knee replacement surgery is to resurface the parts of the knee joint that have been damaged and to relieve knee pain that cannot be controlled by other treatments. It may also help to restore motion of knees and straighten the limbs.

  • Spine Care

    Spine Care Treatments cater to the patient’s individual need for both surgical and non surgical treatment of spine and back related problems. While not all patients with spinal disorders require surgery, when surgery is necessary, latest surgical techniques with leading-edge devices and state-of-the-art diagnostic facilities to meet the patient’s needs are offered. From the more “straight-forward” disc herniation to complex issues such as spinal tumors, scoliosis and failed back syndromes are handled here.


    A spine has natural curves. It includes a top-of-the-shoulder curve and a lower back curve. These curves help the spine absorb stress from body movement and gravity. Normally, the spine should run straight down the middle of the back when viewed from the back. When abnormalities of the spine occur, the natural curvatures of the spine are misaligned or exaggerated in certain areas. If the spine is curved from side to side or in an “S” or “C” shape, the person probably has scoliosis. Scoliosis can make the person’s shoulders or waist appear uneven. Some of the bones may also be rotated slightly, making one shoulder blade more prominent than the other.
    The type of treatment for scoliosis depends on several factors, the degree of spine curvature being a major factor. Your doctor will also take into consideration your age, whether you are likely to continue growing, the amount and type of curvature, and the type of the scoliosis.
    The primary treatment options are bracing and surgery.
    Braces are often tried first to keep the curve from getting worse. It is the usual choice of treatment for adolescents who have a spinal curve between 25 and 40 degrees — particularly if their bones are still maturing and if they have at least two years of growth remaining.
    Spinal fusion is the standard scoliosis surgery. The doctor fuses two or more of the bones in the spine (vertebrae) together using a material similar to bone, called bone graft, rods and screws. Rods are used to keep the spine in a straight position and the screws hold it in place.


    Normally, the spine (backbone) curves forward gently as it runs up our back. This helps the spine support our head and upper body. However, sometimes a person’s spine is far too rounded. This condition is known as kyphosis. Kyphosis is a type of spinal deformity in which the spine is curved forward in the upper back area, giving an abnormally rounded or “hunched back” appearance.
    The goal of treatment is to stop the progression of the curve and minimize deformity. Treatment may include:
    Braces – If the child is still growing, the doctor may prescribe a brace. Some braces are designed to help correct posture. Others are stiffer body jackets designed to help straighten the spine as a person grows
    Surgery – Surgeries, such as spinal fusion, are usually reserved for curves greater than 75 degrees on X-ray and when bracing is not successful in slowing down the progression of the curve. Also if the kyphosis curve is pinching the spinal cord or nerve roots
    Cervical Disc Replacement Surgery
    The cervical spine (neck) is composed of seven vertebrae. There are discs in-between the vertebrae, which act as cushions or shock absorbers between the vertebrae of the neck. Discs can become damaged either through trauma or degeneration, and cause pain, numbness, weakness, and/or other symptoms, a condition typically referred to as degenerative disc disease, a sub-group of which includes cervical disc herniations. This means the disc becomes compressed, frayed, and/or herniates into the central spinal cord or on the individual nerve roots that exit from the spinal canal at each vertebral level.
    The standard initial treatment for symptomatic cervical disease involves conservative (non-surgical) methods, which may include anti-inflammatory medications, physical therapy, cold/heat therapy, and occasional spinal injection procedures. Above 90% of patients experience pain relief within 6-12 weeks. If the symptoms continue for more than this period, surgical treatment can be considered.
    One such procedure is cervical disk replacement surgery, also known as total disc anthroplasty, which involves removing a diseased cervical disc and replacing it with an artificial disc.
    Spinal Discectomy
    As a disc degenerates and breaks down, the inner core may swell and leak out through the outer portion of the disc. This condition is known as a herniated disc. The material that leaks out causes pressure on the spinal cord or the nerves that radiate from it, leading to pain that may travel to other parts of the body, such as from the low back down the leg or from the neck down the arm.
    Discectomy is a surgical procedure to remove the damaged portion of a herniated disc (also called slipped, ruptured or bulging disc or disc prolapse) in your spine. The procedure involves removing the central portion of an intervertebral disc, which causes pain by stressing the spinal cord or radiating nerves. Discectomy works best on radiating symptoms. It’s less helpful for actual back pain or neck pain.

  • Bariatric Surgery

    Losing weight and making drastic changes in lifestyle has now become a necessity for those who tend to gain extra kilos by the pass of every day. Bariatric surgery is a common treatment procedure used to solve health related issues that are associated with excessive weight gain. Critical conditions of such disorders are treated by surgical procedures that involve altering the whole digestive system. Our weight loss surgical procedures are tailored to satisfy the requirements of individual patients.

    Gastric Banding

    What doctors do in a gastric band procedure is place a silicon band on the upper part of the stomach. To place the band in its right position, your doctor will make a small incision near the belly button and using a laparoscopic device the band will be put into proper position. This helps to reduce the size of the stomach, leading to lesser food intake and thereby lesser calories.
    The advantage of laparoscopy is that it is the least invasive, takes less time to do and the patient needs less time to stay in the hospital.

    Laparoscopic sleeve gastrectomy

    When your body does not respond to normal treatment – usually a regimen of exercises and diet, your doctor will suggest a bariatric surgery. Bariatric surgery refers to a group of surgeries aimed at bringing down a person’s body weight. Gastric sleeve surgery is one of the commonest of surgeries performed on patients for containing obesity.

    Gastric bypass surgery

    Gastric bypass surgery refers to a surgical procedure in which the stomach is divided into a small upper pouch and a much larger lower “remnant” pouch and then the small intestine is rearranged to connect to both.
    There are two steps during gastric bypass surgery: First the surgeon makes your stomach smaller. Your surgeon will use staples to divide your stomach into a small upper section and a larger bottom section. The top section of your stomach will be reduced to the size of a walnut. It holds only about 1 ounce of food. Because of this you will eat less and lose weight.The second step is the bypass. Your surgeon will connect a small part of your small intestine (the jejunum) to a small hole in your pouch. The food you eat will now travel from the pouch into this new opening and into your small intestine. As a result, your body will absorb fewer calories.

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