” OVARIAN CYSTECTOMY- LAPAROSCOPIC AND LAPAROTOMIC

What are ovarian cysts?

Cysts are fluid filled sacs that develop on one or both the ovaries. In most of the cases, the cysts are painless in the initial level and may disappear after sometimes but the complications arise if cysts enlarge. If the size of the cyst exceeds 7.5 cm then the removal is necessary.

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Symptoms of Ovarian Cysts

Often, no symptoms occur if the ovarian cysts are very minute but they can appear with the increase in size of the cyst. The symptoms of enlarged cysts are:

  • Vomiting and nausea
  • Tenderness in the breast
  • Pain in the thighs and lower back
  • Pain during intercourse
  • Painful bowel movements
  • Extreme pain in the pelvis before or during the menstrual cycle

Diagnoses of the Ovarian Cyst

  • CT scan
  • MRI
  • Ultrasound
  • Hormonal test such as thyroid, estrogen and progesterone
  • CA-125: a blood test to detect cancer

Treatment

The ovarian cyst can be cured both through medications and surgery depending upon the clinical complications. If the cyst is small and can be removed through medications then the medicines are given otherwise the doctors process the surgery. Sometimes the surgery is recommended to the teenage girls as well who have not experienced menstruation. The surgery is of two types:

  1. Laparoscopy –

A laparoscopy is the procedure of removal of the cysts by making small incisions are made in the stomach and air is blown in the pelvis to reach the ovary. The laparoscope, which is a tube shaped small microscope with a light at its end, is used to guide the surgeon through the internal organs. The cysts are thereafter removed and the dissolvable stitching of the incisions is done. It is a less painful procedure with minimal blood loss and the patient can go home within 24-48 hours. The recovery time is also lesser in this.

  1. Laparotomy- If there is a single cyst or multiple cysts which are particularly large in size then Laparotomy is recommended because it may be cancerous. In this procedure, a single but larger cut is made in your stomach in order to approach you internal organs. An immediate biopsy is conducted to determine if cyst is cancerous. Sometimes the ovary is also removed with the cyst if it is cancerous. The incision is thereafter stitched or stapled. You may have stay for few days in the hospital after the surgery.

What happens after the surgery?

The patient may feel uneasiness and slight pain in the abdomen but that goes in few days. But you need to contact your doctor if following problem persists:

  1. Swelling or pain in the abdomen
  2. Fever
  3. Dark vaginal discharge with a pungent smell
  4. Sometimes heavy bleeding
  5. Occurrence of any infection

NOTE: Your fertility may be compromised in case you are suffering from ovarian cancer.

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IS STRESS LEADING YOU TOWARDS MIGRAINE ?

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Yes, you heard it right. Overworking may lead you to one of the most critical cerebral problems known as MIGRAINE.

If you think that painful headaches are just random and normal, then folks, you need to think again. Definitely painkillers will work but that too for the shorter span of time. You have to scrutinize the profound issues. May be you have not noticed but this is a warning alarm by your body that you are overworking and not giving a proper rest to your mind.

A simple concept hard to understand is that we all know the root cause of these repeated headaches is STRESS, but we still can’t prevent ourselves to avoid it. It is much accepted that stress leads to hypertension the condition later worsens into Migraine. 12

You do know what is disturbing you…. STRESS… but you are not alone in the list. It doesn’t matter what kind of work you do, statistics say that you confront stress 14 times a day. For example, you may feel discontented with your work, complaints from your boss, your salary or compensation etc. In a nutshell, it is obvious for a human being to become stressed for petty issues, especially when it comes to work. But my friend, this is life and everyday is a challenge in this journey. The pressure will irritate you; sometimes you will get over frustrated and burst out. Trust me this is absolutely normal.

But the question is why you get stressed so easily that its overdose leads to complicated problems like migraine and brain damage. The answer is as simple that either you have not learned yet to control your mind or factors like wrong diet or hereditary aspect is responsible for it.

Some common triggers for the migraine are chocolates, excess intake of juice enriched in Vitamin C, pork, red wine, mono sodium glutamate etc.

Stop the Painful Cycle

It’s tough to stay away from every day stress. Uncomplicated changes can assist you keeping stress under control, which can help stop headaches. Follow these tips:

Simplify Your Life: Rather than looking for ways to grasp more activities or tasks into the day, leave some things out. Ask yourself what actually needs to be done, what can stay and what can be left entirely. It’s OK to say no occasionally.

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Supervise Your Time: renew your to-do list every day—both at work and at home. Pass on what you can and break large projects into convenient portions. Undertake the rest one job at a time.

Relax: Set apart time for yourself every day, even if it’s only a few minutes. When you experience your muscles begin to tensed up, take a deep breath. Concentrate on inhaling and exhaling deeply and gradually for at least 10 minutes. Let go. Don’t be anxious about things you can’t be in charge of.

Get Active: Exercise is a confirmed way to avert—and sometimes treat—headaches. Exercise also provides a break from the strain of everyday life. Be watchful to warm up slowly. Rapid, forceful work out can cause headaches.

Eat Smart: A diet rich in fruits, vegetables and whole grains can provide you more liveliness—plus the energy you need to keep anxiety under control.

32.jpgReduce Alcohol: One general trigger of headaches is the consumption of alcohol. A few red wines contain tyramine, which can activate food sensitivity headaches.

All varieties of alcohol can cause dehydration, which is the main cause behind the well-known hangover headaches experienced at the morning after a session of drinking.

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TOF/TAPVC/TCPC/REV/RSOV Repair

What is Tetrology of Fallot?

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Tetrology of fallot is a cardiac abnormality which is a combination of four heart defects that come altogether. The four defects are as follows:-

  1. VSD

  2. Right Ventricular Hypertrophy:- Since the right ventricle pumps the blood at high pressure, this causes the thickening of the muscular walls of the right ventricle.

  3. Overriding Aorta- There is an enlargement of the aortic valve which appears to emerge both from left and right ventricles. rather than originating from left ventricle normally.

  4. Pulmonary Stenosis:- In this the pulmonary tract and the outflow tract i.e. the portion beneath the valve narrows up that causes the blockage of blood circulation from right ventricle to pulmonary artery.

What are the symptoms of TOF?

The signs and symptoms of TOF are:-

  1. Murmuring of the heart

  2. Bluish color of the skin which is caused by deoxygenated blood or blood that is low in oxygen. It is called as Cyanosis.

  3. Loss of the consciousness

  4. Irritability or we can say bad temperness or crankiness

  5. Adjoining of toes and fingers

  6. Vigorous breathing

  7. Continued crying

  8. Tiring easily while exercising or playing

Diagnosis of TOF :

  • Chest X- ray

  • Echocardiogram

  • Pulse Oximetry- a small clip is fixed on the fingertip in order to measure the amount of oxygen in the blood.

  • Cardiac Catheterization- It is done to determine the functioning of the heart valves and chambers but that is hardly required.

  • Electrocardiogram

  • MRI

What are the Treatment Options of TOF?

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Complete Intercardiac RepairThis surgery makes the improvement in the blood flow to the lungs in a better way. Additionally, It assures that the oxygenated and deoxygenated blood flows in their respective right places.

In this surgery, surgeon broadens the pulmonary blood vessels which were narrowed. The pulmonary valve is either replaced or widened. Also the surgeon does the enlargement of the passage from right ventricle to pulmonary artery which grants the blood to get sufficient oxygen as per the body requirements.

VSD is repaired as per the normal procedure that is the hole is closed by using a special device with the help of catheters.

Temporary or Pallative surgery:- It was a previously used method to rectify the abnormalities in the heart caused by TOF. This temporary treatment was done in early infancy of the child just to improve the levels of oxygen in the blood. It also builds the child strong enough for further repair in later childhood and help him to grow.

In this temporary surgery, The surgeon inserts a tube in between a large artery which is bifurcating the pulmonary artery and the aorta. This tube is called as shunt whose one end is patched with the artery dividing aorta and the other end to the portion of the same artery that divides pulmonary artery.

This shunt builds a new passage for the blood to circulate in the lungs to receive oxygen. This shunt is removed by the surgeon when the complete repair surgery of the child takes place in the later childhood.

Follow up care

After the temporary surgery, the baby may be recommended some medicines by the doctor in order to keep the shunt open till the time complete repair surgery is awaited.

Additionally,the child needs a lifelong care that includes routine check ups and examinations. The physical activity of the child will also be limited and it needs extensive care with intake of medicines. The medications are given to prevent endocarditis and myocarditis especially during any dental procedure.

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” MYOMECTOMY “

Myomectomy is the surgical treatment procedure which is performed to remove the uterine fibroids which are also called as LEIOMYOMAS. These can be commonly described as non cancerous growth of tissues in the uterus. It usually arises during the child bearing years but can also happen at any age.

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The surgeon’s goal during performing Myomectomy is to reconstruct the uterus and remove all the problematic symptoms causing fibroids in the uterus. The women who undergo successful Myomectomy shows improvement like regular menstrual bleeding and improved pelvic pressure.

Symptoms of Uterine Fibroids

  • Heavy bleeding during the menstruation
  • Extended menstrual phase — seven days or more of menstrual bleeding
  • Pelvic stress or pain.
  • Frequent or irregular urination.
  • Difficulty emptying your bladder
  • Constipation.
  • Backache or leg pain

Why it is done?

The doctor recommends Myomectomy for the removal of the fibroids that causes interference with your routine activities. Myomectomy is preferred over hysterectomy if:-

  • If the uterine fibroids interfere your fertility
  • You don’t want your uterus to be removed
  • You plan to conceive a baby

How to prepare for it?

Stay UpdatedYou are recommended to collect all the bits and pieces of information and questions regarding your surgery so that you may discuss it with your doctor. A question you may ask is about the type of anesthesia and medications during the surgery along with the consequences of the surgery.

Adhere to instructionsYour doctor will instruct you about the diets and routine activities and you need to follow them. The doctor will prohibit your eating and drinking hours before you go for the surgery. You must ask your doctor how to take your medicine during that course of time if you are already on some other medications.

Plan for your hospital stay after the surgeryYou need to stay in the hospital after the surgery and its duration depends upon the type of surgery you undergo. You are advised to pack all the things and medications which you may need during your hospital stay in advance.

How it is performed ?

There are three types of surgical procedures which are performed in Myomectomy and they depend on the size and location of the fibroids. These are:-

ABDOMINAL MYOMECTOMY

The surgeon makes an incision in the abdomen to contact your uterus in order to remove fibroids. The incisions may be done-

Horizontally It is a horizontal incision about 8 to 10 cm that is made on top of the bikini line, 2.5 cm beyond the pubic bone. It does not allow a proper access to the pelvic cavity hence not recommended in case a patient has larger fibroids.

Vertically The incision is made just below from your navel and extended to the portion above the pubic bone. This type of incision grants a larger access to the surgeon to your uterus and also reduces bleeding. Additionally it is performed in the case of larger uterine fibroids.

HYSTEROSCOPIC MYOMECTOMY

This is done for the treatment of fibroids that grow submucosal i.e. inside the uterine cavity (submucosal fibroids). In this case, the fibroids are accessed and removed through vagina and cervix.

A light and small instrument called as RESECTOSCOPE is inserted in your uterus through vagina and cervix using a laser or electricity beam. A transparent sterile salt solution is inserted into the uterus to enlarge it so that uterine walls could be examined. The surgeon cuts the sections of the fibroids till it lines up with the surface of the uterine cavity. The detached tissues are washed out with the liquid that was used to inflate the uterus.

In very rare cases, a laparoscope is inserted in your abdomen by making small incision to observe pelvic organs and examine the outer surface of the uterus.

LAPAROSCOPIC MYOMECTOMY
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This is a minimally invasive procedure in which the surgeon makes several incisions in the abdomen to access and remove the fibroids. During this surgery, a small incision is made inside or near the belly button then a tube fitted camera called as LAPAROSCOPE is inserted in the abdomen. Thereafter the instruments are inserted inside by making identical small incisions. The surgeon regulates the movement of the instruments through a separate device.

The fibroids are cut into smaller pieces and are removed through the same holes in the abdomen. Very rarely, incision is made in the vagina (colpotomy) to drain out the fibroid pieces. There is lesser pain and blood loss and the patient returns back to the normal activity in shorter span of time.

After the surgery 

You need to stay for 24 hrs or for few days in the hospital depending upon the type of surgery and your clinical condition. Your doctor will prescribe you the medicine and will instruct you how to take care of yourself. He /she will also tell you how to conduct your routine activities like you may be restricted to driving, climbing stairs, lifting heavy things and vigorous exercising. You also have take care so that no external infection occurs. You may expect some vaginal spots or stains from few days to weeks. The recovery time varies depends upon the type of surgery you had-

  • Abdominal Myomectomy – four to six weeks
  • Hysteroscopic Myomectomy – less than a week
  • Laparoscopic Myomectomy – two to three weeks

Results

  • Relief from the above mentioned symptoms
  • Improvement in the fertility

Risks

Though the chances of severe complications are less in Myomectomy, some risks are still involved. These are:-

Heavy blood loss women already suffer from heavy menstrual bleeding that is why there is a possibility of anemia. Your doctor will ask you to maintain your blood counts normal in order to avoid complications. However the surgeon tries to block the excessive flow of blood through medications that compress the blood vessels for lesser flow and blocking the blood flow from uterine arteries.

Scar Tissue Incisions made in the uterus during the surgery may lead to adhesions. Bands of scarred tissues may develop after the surgery and they can interfere with the nearer organs and may block the fallopian tubes or loop of intestine.

Complications in ChildbirthIf you have underwent Myomectomy then there is a possibility of complications while your vaginal delivery. In this case cesarean delivery is recommended in order to avoid the rupture of uterine walls.

Very rare chances of hysterectomy If the bleeding from the uterus is unstoppable or any other abnormalities apart from the fibroids are found then Hysterectomy or removal of uterus is preferred. Though there are very rare chances of hysterectomy.

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” Which City to Go In India for Kidney Transplant “

India, a country which is enriched with the natural resources with the blend of tremendous heritage. People across the globe had always looked forward towards this country. India has always attracted the tourists for vacations and these days it’s the favorite destination for the tourists who not only seek the relaxing holidays but also look for some therapeutic treatments offered by the super specialized hospitals.

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Indian doctors, acclaimed for their proficiency and expertise are well appreciated round the planet for their healing skills. No matter how complicated the disease is, Indian doctors have treated them with the maximum success rates.

One of the major treatments, which also top the chart for the top extensive treatments provided in India, is the Kidney Transplant. Many doctors have their opinions about the various hospitals that provide the treatment for kidney transplant. But what matters the most is the success rates of the transplants.

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These days, the preferred destination for the medical value travelers is New Delhi & NCR. NCR is considered as National capital Region i.e. the cities touching the border of New Delhi. These are Gurgaon, Noida and Faridabad. New Delhi is not only the capital of India but many super specialized hospitals are there in the closer proximity to each other. Hospitals like Apollo, Fortis and Artemis with the maximum success rates for the kidney transplant are present in New Delhi and surrounding cities. The most important benefit is that patients do not have to change the flight to go to other cities after landing at New Delhi as it has the international airport. The beauty f the fact is that all the super hospitals are within 10-15 kilometers of radius to the international airport. All the favorite tourists’ destinations are nearby so the attendants can enjoy the visit to most appreciated sites worldwide.

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New Delhi is the only city of India which contains the diversity of various cultures. The religious sanctity is maintained for the patients of particular religions. Many restaurants serve international cuisines which makes the foreign national feel being in a place away from home. The climate here is relaxing and there are many guest houses/hotels available near the hospitals to accommodate international patients.

Needless to say that many international patients prefer New Delhi & NCR as the significant destination for health-care services. Mumbai, Chennai and Bangalore are the cities that follow the ratings.

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” What is the Real Cost of Kidney Transplant in India “

Kidney Transplant is amongst the costlier treatments across the world hence the variation in the costs offered by the different hospitals is evident. Kidney Transplant not only a simple treatment to be executed but there are many sub treatments involved in this. This is supposed to be the reason why various hospitals have diversity in the Kidney Transplant cost. As affirmed that India tops the chart for the Kidney Transplant treatment in the world, the international patients are looking forward with expectations for the maximum perks included in their package.

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Handling the variety of patients with renal problems, Jiyo India has become experienced enough to determine the right hospitals with best cost assessment for the Kidney Transplant for its international patients. Though the standard cost of the Kidney Transplant is between 16,000-20,000 USD respectively in the super specialized hospitals in India but many hospitals are performing it even in 12000USD or may be lower than that. We understand that this difference must be shocking for the readers but its truth. Now the question arise that why this major inconsistency? Yes this question definitely demands an answer. We agree that some hospitals provide the transplant at lower costs but what varies along with the costs is the level and quality of services. We do not mean that those hospitals compromise with the health of the patients but the character of the assistance is differed. kidney_large_1

In the hospitals with higher costs, the trait of the assistance and personal care is elegant. The numbers of the attendants ready to care patients are more. Whereas in hospitals with lower cost, the facilities like hygiene, attendant staff, transport, food and other beneficial services are curtailed.

Not only it may sound unusual to the patients but also it may create a sense of apprehension because by the end of the day money matters. But the higher costs in super specialized hospitals have been determined after keeping the international patients in mind. If we have to travel in unknown country for the crucial treatment as Kidney Transplant, the transport and accommodation becomes a mandatory concern. These hospitals not only provide the better transport but also the stay inside the hospital and the meals provided to the patient and attendant is included in the package. Also the consumables like drugs, clothes of the patient and other services in the room while patient is in the hospital are combined. The assistance for accommodation after the follow up treatments and arranged at a very reasonable cost for the patients and they feel safer, happier and be at a place like home.

The higher costs of the treatment must not be doubted because we have seen many patients agreeing to the fact that they have got the true value and services for the money. The smiling faces, round the clock presence and the will to assist of the attendants cure the patients in the lesser time. The hygiene that does not support nonsocial infections, the high technology machines and the multiple options of the treatment requires some wages.

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Unlike these hospitals, the hospitals that offer lower costs provide very little of these services or we can say that their package does not include all these benefits which is why the cost seems to be lowered. Not only we strongly recommend our patients to crosscheck the complete information in all the hospitals but also we help them to find the best hospital with finest cost assessment and package.

Beside all these facilities and assistance, Jiyo India also cooperates with the patients to negotiate the cost on their behalf. Also we provide various offers like stay for few days, return air tickets local sightseeing and many more to our international patients.

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“I am coming to India for Kidney Transplant “

After getting the recommendation for the kidney transplant from their nephrologists, many patients start researching for the best hospitals available for the aforesaid treatment. Since maximum international patients choose India as the desired destination for the transplant so it becomes mandatory for us to provide them all the essential information to them so that they could plan their travel accurately.

Subsequently when you are considered for a kidney transplant, it’s obvious for a patient to look for a donor. Though the donor has to be a family member, but all the tests must be done in advance because when you are traveling to another country for the medical purpose it becomes important for you to assemble all your clinical records, prescriptions and reports as they are required to be presented before your doctor here. The records must contain the donor’s medical information as well. Additionally, if the donor is the second relative, one must carry a proof of unfitness of the family members to donate a kidney.

kidney-Running-angry-clippe1.jpgThereafter, the most important job is to search for an appropriate hospital of the country you choose for your treatment. JiyoIndia not only helps an international patient to chose a right hospital but also provide the various assistances like providing multiple options, best cost assessment, conference calls with the doctors and exchange of the opinions of patient and doctor so that patients come here with satisfied mind and get the treatment done with delight. The patient must exchange all the reports of the donor and himself and present all the clinical history to the doctor. Hiding any health information from your doctor not only can cause you the complications in the treatment but also the elevated costs for which you may not be prepared.

images.jpegTill the time in which all these activities are happening, the patient must keep a re record of the passports of donor and attendant including himself. If you do not have the passport, apply for that immediately because it takes at least one month for a passport to get prepared. However the visa assistance is provided by JiyoIndia  but we suggest not looking for the passport application/renewal after wasting much of your time. If you have made up your mind to travel then please confirm the renewals or applications of the passports of the persons coming.

We suggest our patients to keep themselves updated about the visa rules in their respective countries. It happens that the embassies are present in only one or two cities of the country so you must visit the embassy for visa approval with complete documents. Otherwise the time would be wasted in going back, collecting and presenting the documents.

412334-kidney.jpg         It is better to get the total cost of the treatment and an idea of expenditures for the accommodation and meals so that you may prepare yourself financially. It becomes easier for the patient if they transfer the amount in the hospital’s account before arriving as it reduces the hassle of carrying loads of cash. However a foreign national can carry up-to 5000 USD with him but one must be prepared for emergencies and get rid from the inconvenience of remittances after you are here at India.

One must be aware about the weather and pack his bags accordingly. The special requirements of the meals are supposed to be informed in advance so that you can enjoy your cuisine. The conclusion and the motive of this article are to provide the patients maximum information so that they could came and stay here without any difficulty. However we assist the patients in the best manner and if they are coming through any other channel and still want a second opinion for the cost assessment, we are always ready to help them. We strongly affirm the point of coming prepared because it’s your satisfaction and ease we are committed to.

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