Treatment For Hyperthyroidism in India

Surgery As A Treatment For Hyperthyroidism?

Surgical treatment for hyperthyroidism involves removal of almost all of the thyroid gland. The remaining part of the gland is not able to produce excessive amounts of thyroid hormone. This surgical procedure is known as a near total thyroidectomy. Surgical treatment is less common than in the past.

There are important points to know about surgery for hyperthyroidism:

•It brings rapid, permanent control of hyperthyroidism. Preparation before surgery with anti-thyroid drugs is advised; this may require several months.

•Almost all patients develop hypothyroidism following surgery.

•As with other surgical procedures, there are the usual risks of  1 to 2 percent cases relating to General anesthesia, Bleeding, Nerve damage, Wound infection, Other type of infection, Other complications

Need To Know:

If any of the following factors are present, surgery is more likely to be recommended:

•A very large thyroid.

•A nodular thyroid of any size that does not demonstrate much iodine uptake on RAIU scanning. This finding eliminates radioiodine as a choice for therapy.

•A thyroid nodule that may be cancerous.

•Moderate to severe hyperthyroidism in a child or a pregnant woman.

Preparation for surgery

It is most important to have thyroid hormone levels under control before surgery. Achieving control of the hyperthyroidism before surgery avoids the risk of a "thyroid storm." This condition, also known as a hyperthyroid crisis, is due to a failure of the body to tolerate hyperthyroidism in response to a stress, such as surgery.

•Preoperative, hormonal control is usually obtained with an anti-thyroid drug, which partially blocks release of previously manufactured thyroid hormone from the overactive thyroid gland.

•In addition, a few drops of an iodine solution are often taken daily for 10 to 15 days before surgery. These drops may decrease the size and number of blood vessels within the thyroid gland, thereby decreasing the risk for excess bleeding and other complications.

The Surgical Procedure

The operative procedure to treat hyperthyroidism is known as a near total thyroidectomy

•It is performed under general anesthesia.

•The surgeon makes an incision in the skin lines across the front of the neck and carefully exposes the thyroid gland.

•Precautions are taken to identify, isolate, and protect important structures in the area of the thyroid gland. Two are particularly important:

1.The laryngeal nerve, which is vital for the proper function of the larynx or voice box, is carefully identified and protected from trauma during this procedure.

2.The four small parathyroid glands, which are embedded in thyroid tissue and produce a hormone necessary for maintenance of blood calcium levels, are also identified and preserved.

•Most of the thyroid gland is removed.

•The surgeon usually leaves about 3 to 8 grams, which is less the 0.3 ounces of thyroid tissue.

•The procedure generally takes several hours.

•The incision usually heals well and is usually not even noticeable.

Possible Complications Of Surgery

Thyroidectomy is considered safe, with a complication rate for injury to the laryngeal nerves or parathyroid glands of less than two percent. The rate of complications is lowest when an experienced surgeon performs the procedure.

Damage to one or more of the laryngeal nerves may result in changes of voice quality and tone. Damage to the parathyroid glands may cause problems with calcium balance.

Development of hypothyroidism or to a low level of circulating thyroid hormone is not considered a complication of the procedure, since it almost always occurs after surgery.

Medical Care After Surgery

Following surgery, patients are likely to remain in the hospital for one or two days. After leaving the hospital, two types of follow-up are required. The individual needs to:

•Make a follow-up appointment with the surgeon to ensure that recovery is complete.

•Make an appointment with the endocrinologist to make sure that thyroid hormone levels decrease to normal and remain there.

If hypothyroidism develops, medical follow-up is important to make sure that an adequate thyroid hormone level is maintained with appropriate, ongoing thyroid hormone supplementation.

Most Advanced & Latest Kidney Transplant Surgery in India

Kidney transplant is a surgical procedure in which a diseased kidney is replaced with a healthy kidney which either may come from a live or deceased donor. This is mostly performed for patients with stage 5 chronic kidney disease or end stage renal disease (ESRD) where the kidney lost functioning that is filtering waste products from the blood.

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Diagnostic investigations done for patient and donor at our diagnostic centers before Kidney Transplant in India

Diagnostic investigations for both recipient and donor is required to understand whether transplant is safe and beneficial for the patient or not and whether donor is suitable for the donation and also to determine whether after donation, donor continues to lead a normal life.

• Blood tests (blood and tissue type analysis)
• Diagnostic tests, including X-rays ultrasound procedures, kidney biopsy etc.
• Ekg, cardiac catheterization heart test
• Blood and Skin infection tests

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Most Advanced & latest Surgery Technique

Procedure :

The Procedure takes approximately 2 to 3 hours and is performed under general anesthesia and patient is positioned on the operating table, lying on your back

• The transplant surgeon makes a cut in the lower abdomen on one side
• The donor kidney (new kidney) is placed in the lower abdomen and blood vessels connected to arteries and veins. The blood flows through the new kidney, which makes urine. The ureter (tube that carries urine) is then attached to the bladder
• The incision is closed with stitches or surgical staples and drain may be placed in the incision site to reduce swelling.

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After Transplant: Recovery

After transplantation, few days of post observation care at the hospital, patient is discharged from the hospital and advised to stay at the nearby hotel for recovery and follow up.

Immunosuppressant drugs are given and are continued for the rest of the lives to keep ensure that the new transplanted kidney is accepted by the body. You are given guidelines regarding diet, medications, lifestyle changes and checkups.

Low Cost Total Hip Replacement Surgery in India

Total Hip Replacement Hip Joint replacement or Total Hip Replacement is surgery to replace all or part of the hip 
joint with an artificial device to restore joint movement (prosthesis).
There are different types hip replacements. If a hemi-arthroplasty is performed, either the femoral head or the hip socket (acetabulum) will be replaced with a prosthetic device. In a total hip replacement, both the femoral head and the hip socket is replaced by the prosthetic device. 

WHAT IS ARTHRITIS AND WHY DO JOINTS WEAR OUT?

The normal joint in our body is made up of two bones which are lined by surface cartilage. The joint is surrounded by a capsule which has a thin lining of synovial cells which produce a thin layer of lubrication film. The lubrication film (synovial fluid) together with the surface cartilage (articular cartilage) acts as a shock absorber and allows the joint to move smoothly and lasts for many, many years. 
If the surface cartilage is badly damaged or if the joint surfaces are not aligned properly (example, in a shallow hip) then the cartilage will wear out much more quickly than the normal wear and tear and as a result the bone under the cartilage layer is exposed. The exposed bone starts to rub against each other and the process of osteoarthritis (wear and tear) is established. 

Osteoarthritis is therefore the result of mechanical wear and tear on a joint. The main feature is a loss of surface cartilage with bone rubbing on bone. This process produces pain. The body tries to relieve this pain by increasing the amount of fluid in the joint. This is why joints are sometimes swollen. The formation of bone spurs and cysts around the joint is another hallmark of osteoarthritis. 

In an arthritic hip
The cartilage lining is thinner than normal or completely absent. The degree of cartilage damage and inflammation varies with the type and stage of arthritis.

• The capsule of the arthritic hip is swollen

• The joint space is narrowed and irregular in outline; this can be seen in an X-ray image.

• Bone spurs or excessive bone can also build up around the edges of the joint.

The combinations of these factors make the arthritic hip stiff and limit activities due to pain or fatigue.Diagnosis

• The diagnosis of osteoarthritis is made on history, physical examination & X-rays

• There is no blood test to diagnose Osteoarthritis (wear & tear arthritis)

Surgical procedure 

You are admitted to the hospital and after appropriate pre-operative tests and admission procedures you will be taken to the operating theatre. The anaesthetist will discuss with you the type of anaesthetic. Anaesthesia may be either general or regional. With a general anaesthetic you are asleep and with a regional (spinal or epidural) your legs and hips are numb allowing you to have the operation without pain. Usually the anaesthetist will either sedate you or give you a full anaesthetic if you have a spinal/epidural procedure. 

Most approaches to the hip are done with the patients lying on their side. When you are asleep you are positioned in a special brace that stabilises your pelvis and keeps you on your side. An incision is made along the side of your hip joint and the muscles carefully split and divided to expose the hip joint. 

The worn out joint is exposed and the femoral head is resected. This allows visualisation of the acetabulum (socket). The socket is then cleared of debris and a reamer is inserted to appropriately fashion the socket to accept the artificial acetabular component. 
After reaming is complete, the artificial socket is inserted. There are two types of sockets, (a) a cemented socket or (b) an uncemented socket. A cemented socket is cemented into the bone and an uncemented socket allows bone to grow into it. Your surgeon will advise you which is the most appropriate socket for your bone quality. 
An uncemented socket has the ability to accept a socket lining which is either polyethylene (special plastic), ceramic or metal. The liner is inserted into the socket. Ceramic and metal articulating joint surfaces have lower wear rates than plastic sockets and therefore tend to be used in younger patients. The newer plastics last a lot longer than the older ones and are appropriately used in older patients.
After preparation of the socket, the femoral bone is prepared with various instruments to accept either a cemented or an uncemented femoral component. Once the canal is prepared the femoral stem is inserted with or without cement. A trial femoral head is placed on the stem and the hip is reduced. During the trial reduction the hip is tensioned appropriately and put through a range of motion. At the same time leg lengths and stability are examined. 

Advantages of Total Hip Replacement Surgery

Hip replacement improves quality of life. Age is no barrier to hip replacement benefits. Hip replacement is cost effective. High rate of patient satisfaction associated with hip replacement The artificial hip often improves the movements in a hip joint that has become increasingly stiff from the effects of long term arthritis and this permits the patient to resume at first gentle activity and then their favourite leisure hobbies Improves mobility Independence of arthritis sufferers

Advantages of Spinal Fusion Surgery - Spinal Fusion Surgery in India

A person’s spine is subjected to a lot of forces throughout its lifetime. It may be subjected to age related wear and tear or infections like tuberculosis. As a result it undergoes degeneration which gives rise to a variety of problems like spinal osteoarthritis, disc prolapse, spondylolisthesis, osteoporotic fractures, vertebral collapse etc.

All these conditions manifest as severe pain in the back and radiating pain, numbness, tingling in the upper or lower extremities (lower leg or arm) due to compression of spinal nerves, spinal cord and spinal instability. When these symptoms become debilitating enough to preclude the patient’s day to day activity, a Spinal Fusion Surgery is advised.

What is Spinal Fusion Surgery?

Spinal fusion (spondylodesis or spondylosyndesis) is the surgical method of joining two or more verebrae. It is done most commonly in the lumbar region of the spine, but it is also used to treat cervical and thoracic problems. In this procedure, the damaged and painful vertebrae are fused into a solid stable bone. Fusion of the spine is used primarily to eliminate the pain caused by abnormal motion of the vertebrae by immobilizing the faulty vertebrae themselves, which is usually caused by degenerative conditions. However, spinal fusion is also the preferred way to treat most spinal deformities, specifically scoliosis and kyphosis. But, the results may vary according to the individual. Some may not feel any improvement in their back pain even after the surgery.

Minimally Invasive Posterior Lumbar Interbody Fusion (PLIF) in India

The other method is the Minimally Invasive PLIF procedure which is performed using x-ray guidance. 2.5-cm incisions are made on either side of the lower back The muscles are gradually dilated and tubular retractors inserted to allow access to the affected area of the lumbar spine. The lamina is removed to allow visualization of the nerve roots. The offending disc material is removed from the spine and replaced with a bone graft and structural support from a cage made of bone, titanium, carbon-fiber, or a polymer, followed by placement of rod and screws. The tubular retractors are removed, allowing the dilated muscles to come back together, and the incisions are closed.

This procedure typically takes about 3 to 3 ½ hours to perform. There was less blood loss,tissue trauma, operative time, and quick recovery in this procedure as compared to the traditional one.Generally the patients can go home within 3-5 days after traditional PLIF and within 1-2 days after a minimally invasive PLIF

What are the Advantages of Spinal Fusion Surgery? 

In most cases, spinal fusion can eliminate the pain and other symptoms. It is important for a surgeon to explain the options, and benefits of spinal fusion surgery. There are many advantages of Spinal fusion surgery such as:

• By fusing the level, there is less concern that the patient will need surgery again at that level. If the discs and/or facets are pain generators, as is often the case, a fusion will ensure that motion at the level is stopped, potentially eliminating the low back pain.

• A second advantage of spinal fusion surgery is that it reduces post-decompressive deformity. Some patients develop post-laminectomy kyphosis, which is an abnormal alignment of the spine. This too can often lead to additional surgery. Similarly, a fusion can correct any deformity the patient had before surgery and ensure that the normal alignment of the spine is restored. This may reduce wear and tear (and need for future surgery) on the neighboring levels.

About MyMedOpinion.com

  

MyMedOpinion.com  affiliated   Best hospitals in India provide an medical opinion from experienced surgeons and the treatment cost includes companion stay  , surgeon fee, medicines and consumables, nursing care, patient's food and airport pick up & drop etc. etc. We offer free, no obligation assistance to international patients to find world class medical treatment in India. We offer support and services to facilitate the care you require. We can help you find the best hospital in India

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Free Non medical service for International Patient - Advantages of MyMedOpinion

MyMedOpinion is working in association with all leading hospitals in India and provides finest healthcare facilities. It bridges the gap between Indian Health Care and the rest of the world – Serving in Africa, Middle East and Western World. MyMedOpinion stands for each and every patient traveling through them – It guardians, It advocates and It ensures.

Medical/On-line consultation

We help you in getting medical consultations for your medical case from certified International Hospitals in India. Our doctor network is quite large and covers all the specialties of treatment. This is the first step for getting treatment in India. We get you a detailed report consisting of doctor, diagnosis, treatment plan, cost of surgery in India, duration of stay in hospital and in India besides other relevant details.

Three steps for online consultation through e-mail:

1. Fill the online consultation form and enter information related to symptoms being experienced, related reports and the health-related questions you wish to be answered.
    
2. Submit the form
3. Our expert doctor will reply to your queries with all the necessary details

Visa assistance

We assist in getting Indian Medical Visa and also filing of documentation. This is done once you have made up your mind to get treatment in India and have also selected the treatment package shared with you. Once all the relevant documents and visa invitation letters have been provided to you, you can apply to the nearest Indian Embassy in your country and get Indian Medical Visa. Get the complete List of Indian Embassies Abroad here.

Guest Welcome

The patient is received at the airport by our Executive who makes arrangements for taking the patient to the guest house/hotel or hospital. It is ensured that the patient and his/her family have a safe and comfortable stay. Guest house/hotel is arranged as per the patient's budget.

Prior appointment with Doctors

Our prior appointment booking services helps both you and the doctors. Once the appointment has been done you can relax in your comfortable hotel room and proceed to the hospital at the specified time of appointment. No need of waiting endlessly outside the doctor’s room waiting for the doctor to see you. It helps the doctors as they can plan their appointment list accordingly saving both time and effort.

Dedicated Patient Coordinators and Interpreters

We have dedicated patient co-coordinator and interpreters for our clients who are at your service 24*7. The coordinators assist you during the whole treatment - getting consultations, taking care of you during your treatment in India and as well taking follow-ups after your departure. The interpreters assist you in your conversations with the people and doctors. So that language doesn’t become a barrier.

Cell Phone and SIM cards rentals

We provide our clients with SIM cards and phone rentals so that they can be in touch with their near and dear ones. These rentals also helps in cutting down the communication costs as the call rates are significantly cheaper compared to call rates on a roaming number. Some of the recommended cell phone operators that you can choose from while in India for treatment are Airtel, Vodafone, Idea etc,

Assistance in communicating family back home

We understand how important it is for every one of us to be in touch with our loved ones when we are travelling. Especially when we are coming for treatment to India since added to the anxiety of travelling abroad is the anxiety of treatment. Therefore, we take special care of keeping you in touch with your loved ones are it regular medical bulletins or just a casual talk with your family we have solutions for everything.

Your home country cuisine

Your medical tour to India is just home away from home. Get the cuisines and comfort in your hotel room at the click of a button. Our on-call menu chef ensures that no matter from which part of the world you come from we have your favorite dish ready for you. We get our clients various cuisines depending upon their preference such as African, Arabic, Continental, Chinese etc. But do try our Indian cuisine as well. You will love it.

Post discharge follow-ups

We follow a robust and scheduled post discharge treatment plan so that our client doesn’t face any post discharge issues. The doctors are available and guide our clients during the full recovery period. Post surgery after treatment in India regular follow-ups are done with our clients. The follow-ups are typically related to medicine usage, medicine cycle, physiotherapy sessions and also special talks with our clients.

Sight-seeing and Shopping Tours

No medical tour is complete without doing some sightseeing and shopping sprees. India is famous for its renowned heritage and handicrafts. There is something for everyone. Be it a short visit to Taj Mahal the symbol of eternal love or a quick shopping spree at Dilli Haat famous for its handicrafts from across India we have tours for every one of you. Get your medical tour to India complete with leisure activities.

Departure

Patient is discharged from the hospital after thorough post operative measures. Thereafter, patient is properly guided for the departure process to their home country

Regular Online follow ups

This can be done through various means of online video chat like Skype. Also, patients can have their post operative queries solved from surgeons/physicians through a telephone call.

24 Hrs Emergency Service

MyMedOpinion provides 24*7 medical assistance in emergency cases. By emergency service we mean getting priority second opinions for your loved. And also priority access to patients at the hospitals. These services are typically used by clients who have high chances complications arising in the near future due to the prevalent medical condition such as transplants, cancers etc.

Send us a Medical Report to Get FREE Medical Opinion from India's Top Doctors
MyMedOpinion.com is the hub of Surgeons and specialists for major diseases. We give you a chance to speak to our doctors and discuss your health issues directly.

Email Us: Free@mymedopinion.com Call Us: +91-7503537224

Advantages of Medical Tourism in India - World's Class Hospitals and Doctors in India

Medical tourism is one of the quickest and largest growing industries in the world. As the number of uninsured people and those with high deductibles continue to go up, many of them opt to be treated outside their native land, where they can manage to pay for the treatments they need in a timely fashion. Medical Tourism in India offers low cost, or cost effective, medicaltreatments with no waiting lists and accessibility of skilled and experienced doctors so medical tourists around the globe are flocking like never before. Now day’s expectation is that Medical Tourism will continue to grow up at a rapid rate of speed and continue offering medical treatments to tourist at a fraction of the cost they can get it at home for.

India is considered among the best in international medical tourism destinations. Patients get excellent healthcare services in India. Many foreign nationals worry about the quality of facilities and care they will receive out of the country. There are many well qualified doctors and hospitals in India. Medical procedures often cost half as much (or less) in India as compared to the U.S. Even including the cost of travel and a hotel stay, it can be cheaper to have procedures done out of the motherland than to have them done at home. Low cost treatment does not necessarily mean lower healthcare standards.

A wide range of exceptional medical treatment packages are offered in India at a very reasonable price. All the hospitals in India offer advanced medical technologies & health care facilities by using the same medical knowledge and technology at a substantially low price. Doctors in India are well trained and experienced, multi-lingual, with quite a lot of of them having undergone professional training in US, you can be assured that you are in the most capable of hands.

Why should you consider India for your healthcare needs?

India has several advantages when it comes to healthcare services. Some of them are mentioned below:

·         1. High standards in medical, surgical care and patient handling

·         2. Low cost treatment

·         3. Fluent English speaking hospital staff

·         4. Waiting times for surgeries and other treatment is lower than in other countries

·         5. A large number of private hospitals where the medical facilities and serving doctors can be compared to the best in the world

·         6. State of the art technology available to treat even the most difficult medical cases

·         7. Availability of traditional/alternative healing systems like Ayurveda, Yoga, Ayush, Siddha, Unani and Naturopathy

·         8. India has many tourist attractions that offer healing environs and other rewarding experiences

Key strengths of the country for medical tourism

- The corporate hospital standards in India are world class, able to compete with the best and can offer you any service you will find anywhere else in the world.

- India has a well-trained pool of manpower when it comes to doctors, physicians, nurses, and paramedical staff.

- Immediate attention to your need be it for treatment or surgery. Now you don't have to wait for months to get treated. Even after you go back you can still consult with your doctors and with the hospital through the facility of telemedicine.

- Indian nurses are some of the highly trained and compassionate in the world.

- If you are just looking for a change from your busy life, then India has many wellness / holistic medical centers where you can get traditional massages and Ayurvedic therapies.

1. High standards in medical, surgical care and patient handling

Many hospitals and health centers specialize in certain fields such as cardio thoracic surgery, dentistry, ophthalmology, etc. Many healthcare facilities organize seminars and conferences where they invite leading doctors from around the world. World class diagnostic centers, blood banks and imaging centers have been set up.

2. Low cost treatment

The cost of getting treatment in India is very low even when comparing with other medical tourism countries. It is at the most 10% to 20% of what will be charged in the US or UK. Above all you will find the same standards upheld that you would have found in your country.

3. Fluent English speaking hospital staff

There is high professionalism in the Indian medical industry. All doctors, nurses and most paramedical staff will speak to you in English. Now you don't have to worry about not being understood. And this eliminates the need for a translator.

4. Waiting times for surgeries and other treatment is lower than in other countries

Many patients come to India after learning that they would have to wait for months to undergo a similar surgery in their country. Rather than waiting for a long time and suffer in the meanwhile, flying abroad for medical treatment is a much better option.

5. A large number of private hospitals where the medical facilities and serving doctors can be compared to the best in the world

Hospitals and clinics in India are constantly acquiring the latest equipment and state-of-the-art technology to deliver the widest range of services. Many hospitals have also started international patient wards with special desks that cater to the travel requirements, translation and dietary requirements of international medical tourists exclusively.

6. State of the art technology available to treat even the most difficult medical cases

India is known for medical treatments where advanced healthcare is required, such as organ transplants, cardio-vascular surgery, eye surgery, etc. Indian hospitals are equipped with high end technologies such as Gamma knife, Cyberknife, IMRT, brain suite, Novelix TX, PET Scan, IGRT, etc.

7. Availability of traditional/alternative healing systems like Ayurveda, Yoga, Ayush, Siddha, Unani and Naturopathy

If you are looking for holistic healing centers for alternative procedures, then India is a well known medical tourism destination where you can access traditional and highly recommended treatments like the world renowned Ayurveda, yoga, meditation and naturopathy.

8. India has many tourist attractions that offer healing environs and other rewarding experiences

India has a rich cultural and historical past, and is well connected to all places by train, bus and flight. Travel is also very economical and easy. When you are done with your medical procedure, you can visit the many tourist destinations in India. Many of the people who come to India for health tourism end up visiting the country.