Vertebroplasty Surgery Abroad

Vertebroplasty Spine Surgery

In vertebroplasty, bone cement is injected into fractured vertebrae to stablize the spine and relieve pain.

The procedure is performed while the patient is awake but sedated, and lying facedown so the physician has access to the back. The back is numbed by a local anesthetic. At Mayo Clinic, the procedure is performed by an interventional spine neuroradiologist ? a physician with special expertise in the nerves, brain and spinal cord…

Through a small incision and guided by a fluoroscope, the neuroradiologist passes a hollow needle through the spinal muscles and into the fractured vertebra. X-ray cameras above, below and on the sides of the table provide guidance for needle placement. When the needle is in the correct position, bone cement is injected through the needle into the vertebra. As a rule, the procedure takes one hour for each vertebra that is treated….

Advantages of Vertebroplasty

Decreased pain : – A compression fracture causes sharp and debilitating pain. Those suffering from these fractures are often prescribed bed rest and pain medication. Vertebroplasty reduces and in some cases eliminates the need for pain medication, and it also restores mobility in many patients.

Increased functional abilities : – The pain from a compression fracture is usually sharp and debilitating, leaving people unable to perform everyday tasks. Vertebroplasty stabilizes the fracture, decreases pain dramatically and allows a return to the previous level of activity.

Prevention of further vertebral collapse : – The cement fills spaces in bones made porous by osteoporosis, strengthening the bone so that it is less likely to fracture again…

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Endoscopic Micro Discectomy (MED) Surgery Abroad

Micro Discectomy – What is it ?

Through advancements in modern surgical technology surgeons worldwide have started performing a surgical procedure called a micro endoscopic discectomy (MED). The operating surgeon uses special instrumentation combined with a real-time camera display to remove a herniated disc or fragments of one through a very small incision.

A microscopic discectomy is performed for the same reasons as a traditional discectomy to accomplish the same results. An endoscopic microdiscectomy is performed to remove a herniated disc by using much smaller incisions. In a traditional discectomy your surgeon makes a large enough incision which he can visually see and remove herniated disc fragments. In a micro discectomy your surgeon will use small incisions combined with a small camera to locate the problematic fragment(s) and remove them with special surgical instruments. The procedure may or may not require general anesthesia and because it is done with a smaller incision there is usually less tissue damage…

MED (Micro Endoscopic Discectomy) Procedure

In most cases the patient will be ?put under? with general anesthesia, but some surgeons prefer to perform a MED using either local or spinal anesthesia alleviating some patient uneasiness and concerns about general anesthesia. With the patient sedated he/she is turned onto their abdomen and secured into position with pads. A fluoroscope is used during the procedure to show live X-ray pictures on a monitor, helping the surgeon see what fragments need to be removed…

Endoscopic discectomy

In this technique an endoscope is used to visualize the nerve root and the prolapsed disc material. Through a small incision a working insert, containing the endoscope is introduced at the affected disc level…

Double hook retractor system

Innovation & advancement in lumbar discectomy technique

To improve the surgical results Dr. Parthiban has introduced a new concept in retractor system in the surgical armamentarium. Minimally invasive spine surgery is recommended for its low morbidity rate. The double hook retractor, retract lumbar paraspinal muscles against spinous process, thus obviates the limitations of single hook systems…

Hooks on adjacent spine

In lumbar foraminotomy for excision of extreme lateral disc prolapse, a 20mm incision over the selected spinous process is made and the paraspinal muscles are separated to expose the lateral edge of pars and facets…

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Lumbar Discectomy Minimally Invasive Spine Surgery Abroad

Overview

MicroEndoscopic Discectomy (MED)

A patient is brought into the operating room and is put under general anesthesia. Some surgeons have chosen to perform MED under local or spinal anesthesia allowing the patient to stay awake throughout the procedure. The patient is turned onto his abdomen and padded into position. A fluoroscope (floor-o-scope, a machine which projects live x-ray pictures onto a screen) is brought in for use during the remainder of the operation. The patient’s back is scrubbed with sterile soap, and a sterile field is created. Drapes are placed accordingly, and the surgery begins…

The disc space is confirmed using the fluoroscope, and a long acting, local anesthetic is injected through the muscle and around the bone protecting the disc. A half to one-inch incision is made. A thin wire is placed through the incision and lowered until it touches the bone. Progressively larger dilators are brought down on top of one another following the wire. In this manner, the muscle is stretched rather than cut. By the time the 4th or 5th dilator is placed, the muscles are stretched to an opening roughly the size of a nickel.

It is through this opening that the procedure is performed. Over the last dilator, a working channel is positioned; this circular retractor holds back the muscles and now the dilators can be removed. The retractor is held in place by a mechanical arm attached to the table…

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Aneurysm Repair Surgery Abroad

Aneurysm Repair Surgery

An aneurysm can be characterized by its location, shape, and cause. A thoracic aortic aneurysm is located in the chest area. The thoracic aorta can be divided into segments: ascending aorta, aortic arch, and descending aorta, as described above. An aneurysm may be located in one of these areas and/or may be continuous throughout the aorta. An aneurysm called a thoracoabdominal aneurysm involves a thoracic aortic aneurysm extending down to the abdominal aorta.

Thoracic aneurysms do not occur as often as abdominal aneurysms. The descending thoracic aorta is the most common location of a thoracic aneurysm, followed by the ascending segment, then the arch.

The location of an aneurysm is distinctly connected with the cause, course, and treatment of a thoracic aneurysm…

What causes a thoracic aortic aneurysm to form ?

Thoracic aortic aneurysms may be caused by different disease processes, especially in respect to their location…

What are the symptoms of a thoracic aortic aneurysm ?

Symptoms of an ascending thoracic aneurysm may include, but are not limited to, the following : -

• Pain in the chest, neck, and/or back
• Swelling of head, neck, and arms as a result of pressure on large blood vessels
• Heart failure – an ascending aneurysm may affect the heart valves, causing blood to back up into the heart.

The symptoms of a thoracic aortic aneurysm may resemble other conditions. Consult your physician for a diagnosis.

How is a thoracic aortic aneurysm diagnosed ?

In addition to a complete medical history and physical examination, diagnostic procedures for a thoracic aortic aneurysm may include any, or a combination,of the following :

Computed tomography scan (Also called a CT or CAT scan) : – A CT scan shows detailed images of any part of the body, including the bones, muscles, fat, and organs. CT scans are more detailed than standard x-rays.

Magnetic resonance imaging (MRI) : – a diagnostic procedure that uses a combination of large magnets, radiofrequencies, and a computer to produce detailed images of organs and structures within the body.

Echocardiogram (ECG/EKG) : – a procedure that evaluates the structure and function of the heart by using sound waves recorded on an electronic sensor

Transesophageal echocardiogram (TEE) : – a diagnostic procedure that uses echocardiography to assess the presence of an aneurysm, the condition of heart valves, and/or presence of a dissection (tear) of the lining of the aorta. TEE is performed by inserting a probe with a transducer on the end down the throat.

Chest X-ray : – a diagnostic test which uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film.

Arteriogram (angiogram) : – an x-ray image of the blood vessels used to evaluate various conditions, such as aneurysm, stenosis (narrowing of the blood vessel), or blockages…

Treatment may include :

Routine MRI or CT : – to monitor the size and rate of growth of the aneurysm.

Controlling or modifying risk factors : – steps such as quitting smoking, controlling blood sugar if diabetic, losing weight if overweight or obese, and controlling dietary fat intake may help to control the progression of the aneurysm.

Medication : – to control factors such as hyperlipidemia (elevated levels of fats in the blood) and/or high blood pressure…

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We Care Core Values

We have a very simple business model that keeps you as the centre.

Having the industry?s most elaborate and exclusive Patient Care and Clinical Coordination teams stationed at each partner hospital, we provide you the smoothest and seamless care ever imagined. With a ratio of one Patient Care Manager to five patients our patient care standards are unmatched across the sub continent.

Lumbar Canal Stenosis Surgery Abroad

Overview

Stenosis means closing in. Spinal stenosis describes a condition in which the nerves in the spinal canal are closed in, or compressed. The spinal canal is the hollow tube formed by the bones of the spinal column. Anything that causes this bony tube to shrink can squeeze the nerves inside…

What part of the back is involved?

1 ] Vertebrae and Spinal Column : – The human spine is made up of 24 spinal bones, called vertebrae. Vertebrae are stacked on top of one another to create the spinal column. The spinal column gives the body its form. It is the body’s main upright support…

2 ] Spinal Canal and Spinal Cord : – The back portion of the spinal column forms a bony ring. When the vertebrae are stacked on top of each other, these bony rings create a hollow tube. This bony tube, called the spinal canal, surrounds the spinal cord as it passes through the spine…

3 ] Intervertebral Disc : – An intervertebral disc fits between each vertebral body and provides a space between the spine bones. The disc normally works like a shock absorber..

Causes of Lumbar Spinal Canal Stenosis

Why do I have this problem?

In the lumbar spine, the spinal canal usually has more than enough room for the spinal nerves. The canal is normally 17 to 18 millimeters around, slightly smaller than a penny. Spinal stenosis develops when the canal shrinks to 12 millimeters or less. When the size drops below 10 millimeters, severe symptoms of lumbar spinal stenosis occur.

There are many reasons why symptoms of spinal stenosis develop. Some of the more common reasons include : -

1 ] Congenital Stenosis : – Some people are born with (congenital) a spinal canal that is narrower than normal. They may not feel problems early in life. However, having a narrow spinal canal puts them at risk for stenosis. ..

2 ] Degeneration : – Degeneration is the most common cause of spinal stenosis. Wear

and tear on the spine from aging and from repeated stresses and strains can cause many problems in the lumbar spine…

3 ] Spinal Instability : – Spinal instability can cause spinal stenosis. Spinal instability means that the bones of the spine move more than they should. Instability in the lumbar spine can develop if the supporting ligaments have been stretched or torn from a severe back injury…

4 ] Disc Herniation : – Spinal stenosis can occur when an intervertebral disc in the low back herniates (ruptures). Normally, the shock-absorbing disc is able to handle the downward pressure of gravity and the strain from daily activities…

Symptoms of Lumbar Spinal Canal Stenosis

What does the spinal stenosis feel like?

Spinal stenosis usually develops slowly over a long period of time. This is because the main cause of spinal stenosis is spinal degeneration in later life.

1 ] Pain and Weakness in Legs : – Patients with stenosis don’t always feel back pain. Primarily, they have pain and weakness in their legs, usually in both legs at the same time…

2 ] Affected Sensation / Slow Reflexes : – Symptoms mainly affect sensation in the lower limbs. Nerve pressure from stenosis can cause a feeling of pins and needles in the skin where the spinal nerves travel…

Diagnosis of Lumbar Spinal Canal Stenosis

How do doctors diagnose the problem ?

Diagnosis begins with a complete history and physical examination. Your doctor will ask questions about your symptoms and how your problem is affecting your daily activities…

1 ] Physical Examination : – The doctor does a physical examination to see which back movements cause pain or other symptoms. Your skin sensation, muscle strength, and reflexes are also tested…

2 ] X-rays : – X-rays can show if the problems are from changes in the bones of the spine. The images can show if degeneration has caused the space between the vertebrae to collapse. X-rays may also show any bone spurs sticking into the spinal canal…

3 ] MRI : – When more information is needed, your doctor may order a magnetic resonance imaging (MRI) scan. The MRI machine uses magnetic waves rather than X-rays to show the soft tissues of the body…

4 ] CT Scan : – Computed tomography (a CT scan) may be ordered. The CT scan is a detailed X-ray that lets your doctor see slices of bone tissue..

5 ] EMG (Electromyogram) : – When the diagnosis is still not clear, doctors may recommend electrical tests of the nerves that go to the legs and feet…

Treatment

What treatment options are available?

Nonsurgical Treatment

1 ] Immobilization : – At first, doctors may prescribe ways to immobilize the spine. Keeping the back still for a short time can calm inflammation and pain…

2 ] Lumbar Support : – A lumbar support belt or corset may be prescribed, though their benefits are controversial. The support can limit pressure in the discs and prevent extra movement in the spine…

3 ] Medications : – Doctors sometimes prescribe medication for patients with spinal stenosis. Patients may be prescribed anti-inflammatory medication such as nonsteroidal anti-inflammatory drugs (NSAIDs) or aspirin…

B ] Surgery of Lumbar Spinal Canal Stenosis

If the symptoms you feel are mild and there is no danger they’ll get worse, surgery is not usually recommended.

The main surgical procedures used to treat spinal stenosis are :

1 ] Lumbar Laminectomy : – The lamina is the covering layer of the bony ring of the spinal column. It forms a roof-like structure over the back of the spinal canal. When the nerves in the spinal canal are being squeezed by a herniated disc or bone spurs, a lumbar laminectomy removes the entire lamina to release pressure on the spinal nerves. This is the primary type of surgery used for lumbar spinal stenosis…

2 ] Posterior Lumbar Fusion : – A posterior lumbar fusion may be needed after a surgeon performs a lumbar laminectomy. The fusion procedure is recommended when a spinal segment has become loose or unstable…

After Surgery

After surgery, surgeons may have their patients work with a physical or occupational therapist. Patients who’ve had fusion surgery normally need to wait two to three months before beginning a rehabilitation program. They will probably need to attend therapy sessions for six to eight weeks and should expect full recovery to take up to six months…

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We Care Core Values

We have a very simple business model that keeps you as the centre.

Having the industry?s most elaborate and exclusive Patient Care and Clinical Coordination teams stationed at each partner hospital, we provide you the smoothest and seamless care ever imagined. With a ratio of one Patient Care Manager to five patients our patient care standards are unmatched across the sub continent.