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Sri Manakula Vinayagar Medical College & Hospital

Verified

Address:
NH45A, Villupuram puducherry Heighway, Kalitheerthal kuppam, Madagadipet, Puducherry - 605 107

Telephone:
Call DesiMD @ 91 40 4242 8282.

Website:
http://smvmch.ac.in/

  • Year of Estd: 2006

  • Facility Type: Tertiary

  • No. of Bed: 900

  • Med Spec: English Medicine

Accreditations:

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About Us

Sri Manakula Vinayaga Educational Trust was formed with an objective of imparting quality technical education and medical education especially to the weaker sections of the society. To cherish this objective and to join hands with the policy of the Government of Puducherry in enhancing technical education, the trust  established “Sri Manakula Vinayagar Engineering College” in 1999.  The Trust has also established Venkateswara College of Education and Venkateswara Teacher Training Institute in 2005.
 
Medical College and Hospital
Sri Manakula Vinayagar Medical College and Hospital was started in 2006.  This Institution is approved by the Medical Council of India, Ministry of Health and Family Welfare, Government of India and is affiliated to the Pondicherry University. The hospital is 
committed to excellence and leadership in education, research and service to society. 
 
Sri Manakula Vinayagar Medical College & Hospital is an ultra modern multi specialty tertiary care hospital and a medical research center. The hospital has an inpatient capacity of 900 beds inclusive of 125 critical care beds in different specialties. As a tertiary care hospital, the health care services offered are comprehensive covering investigation, diagnosis, therapy, surgery and post operative care. The inpatient services are complemented with day centers, outpatient facilities and an exclusive center for health check up for executives.
 
Sri Manakula Vinayagar Medical College & Hospital’s philosophy is ‘to provide world class quality health care services to all sections of the society at an affordable cost’ with emphasis on philanthropy. Towards this objective, the hospital has well qualified and dedicated medical professionals, paramedical staff and management.
 

Specialities

Anesthesia

Department of Anaesthesiology of Sri Manakula Vinayagar Medical College and Hospital, is a working asset for the Medical college and hospital.
 
Round the clock services are made available by a dedicated team of well qualified Anaesthesiologists. The department has modern equipments to provide the services and it strictly abides by safe and supreme patient care.

Cardiology

The Cardiology Department runs its OPD from Monday through Saturday. The Intensive Coronary Care has 6 beds allotted with round the clock monitoring facilities, defibrillator and ventilator.  Well trained staff nurses and Medical Officers are available to take care of the patients.
 
The facilities available are Electrocardiogram, 2D-Echocardiography including Colour Doppler study, Pediatric Echocardiography, 24 hour Holtermonitoring, Treadmill test.

Dental

The department is functioning from the day our institution started in 2004. Fired with the zeal to create world class institutions, this department is serving the needy by providing alll kinds of dental treatments. Around 60 to 70 patients receive treatment in the departmental OPD every day.
 
 

Dermatology

The department offers comprehensive out-patient and in-patient care for all diseases affecting the skin and mucosae, and systemic diseases with skin manifestations. The Outpatient department runs from 8.30 a.m. to 3.30 p.m. and provides care in various dermatological diseases.  

Special clinics function on certain specific days to give special care to certain common diseases such as vitiligo, psoriasis, leprosy , contact dermatitis .

E.N.T

The department of ENT and Head & Neck surgery provides comprehensive care to patients with diseases of the ear, nose, throat and head and neck, the anatomic limits being the dura above and the pleura below.
 
Facilities
  • The department of E.N.T (Otorhinolaryngology) is functioning from the inception of SMVMCH.
  • The department has experienced faculties
  • The out patient department has
  • 4 consultation rooms
  • Procedure room
  • Minor operation theatre
  • Speech therapy room
  • Audiometry room facilities available
  1. Audiomet
  2. Tympanometry
  3. Speech therapy
  4. BERA
  5. ENG
  6. Temporal bone lab
  • The in-patient ward has 30 beds and equipped with post operative ward and ICU facility
  • The operation theatre is equipped with operating microscope (zeiss), endoscopes (storz), and microsurgical  instruments
  • All surgeries related to E.N.T are performed regularly

Department of General Medicine

Besides treating common medical conditions, the department maintains separate records of all serious and interesting problems, which form the basis of research. The cardiac Stress Test Laboratory has state of the art equipment which helps in diagnosing, prognosticating and evaluating the efficacy of therapy in coronary heart disease.
 
The department runs special clinics like Chest Pain Clinic, Executive Health Check up, Systemic Hypertension Clinic and Preventive Cardiology.

Department of General surgery

Department of General surgery is a full fledged department with six units functioning all seven days a week providing round the clock service. The faculties  in the department, apart from routine general surgical work, regularly perform Endoscopic and basic & advanced Laparoscopic work.
 
All faculties are well trained in dealing with all emergency surgical procedures and major gastro intestinal surgeries. All surgeries are done free of cost / minimal charges for consumables alone. We do surgeries under various insurance schemes including the Chief Minister health insurance scheme, ESI, ECHS, etc.
 
Facilities:
  • State of the art Operation theatres for elective , emergency and septic cases separately
  • Fully equipped Laparoscopic operation theatre
  • Separate intensive care units for surgery with fully dedicated staffs
  • Upper GI endoscopy both for adults and pediatric patients and Colonoscopy
  • Round the clock functioning blood bank
  • 180 bedded general ward and special ward facilities available
  • Special clinics for Diabetic foot, Breast diseases and ano rectal diseases on Mondays, Wednesdays and Fridays respectively
 

Department of Nephrology

The Nephrology Unit caters to patients with Chronic or acute renal failure.  We have a modern in centre Hemodialysis unit with a Reverse Osmosis Plant.
 
The dialysis unit is open Monday through Saturday. Presently, chronic maintenance Hemodialysis patients are allotted places in either of the two daily shifts.  Care is provided by well trained health care professionals including Physicians, nurses, Technicians and dieticians.
 
At present the unit provides both chronic intermittent Hemodialysis and also acute dialysis as and when required.  We offer peritoneal dialysis and CRRT in the ICU.
 
The Nephrology OPD runs from Monday through Saturday.
Facilities:
  • 6 Bedded Hemodialysis unit with state of the art hemodialysis machines with monitoring (invasive), tending to both acute and chronic Hemodialysis patients, ward inpatients and ICU patients.  
  • Assisted by trained technicians, Hemodialysis nurses and attenders. 
  • Regular daily nephrology clinics throughout the week with routine admissions for AKI, CKD, and for initiation of Dialysis.

Department of Neurology

Neurology Out Patient Consultation is available from Monday to Saturday the following special investigations are available under Neurology.
 
Facilities:
  • EEG (Electro encephalography)
  • Nerve conduction studies
  • Computed Tomography
  • MRI (1.5 Tesla Magnetic Resonance Imaging)
  • Ultra sonogram of Brain
  • Physical therapy and speech therapy
  • Regular clinics for patients with Epilepsy, developmental delay, Autism and cerebral palsy are conducted.
  • Pediatric neurology specializes in assessment of developmental delay in children.

Department of Obstetrics and Gynaecology

The department of Obstetrics and Gynaecology of SMVMCH was started in the year 2002.  Since its inception it has grown into one of the well established departments of the Institution.  The department offers state of art treatment to all classes of patients.
 
The department receives out patients and emergency referral of high risk patients from surrounding areas of both Puducherry and Tamil Nadu.  The services of a trained specialist and a team of doctors are available 24 hours a day.
 
Equipment and Instruments :
Other than the routine instruments we have specialequipments like ultrasonograms (one each in OP &Labour ward). Coloposcopy, hysteroscopy, laparoscopy, cryocautery, Cardiotocogram etc.
 
Outpatient Department :
It has well equipped rooms where personalized care is given for all patients by our team of specialists.  Our OPD is provided with Colposcope, Ultrasonogram with Colour Doppler facilities for special care of the patients.
In addition to general Obstetric and Gynaecological services our department also conducts the following special clinics on regular basis.
 
Inpatient Department:
Patients admitted to Obstetrics and Gynaecological wards are offered  24 hours care by our specialists, backed by well equipped Labour ward and Operation Theatre facilities.  Most investigations and treatments are done free of cost.
 
Labour Ward:
Obstetrics and Gynaecological department has well maintainedair conditioned and spacious Labour ward provided with central supply of Oxygen and equipments for dealing with any emergencies and operative vaginal deliveries.  24 hours care is given by experienced Obstetrician with dedicated operation room in Labour ward for Obstetrics.
 
Ultrasound and Electronic Fetal Monitoring is also available in Labour ward.
 
Operation Theatre
In addition to regular Obstetric and Gynaecological surgeries, special procedures like Hysteroscopy, Cryotherapy, Gynaecological laparoscopy, Myomectomy, Tubal reconstructive surgeries and Vaginal reconstructive surgeries are also under taken.
 
The Labour Room and Operation Theatre is backed by good post operative ward with intense monitoring of patients and Blood Bank facility with availability of whole blood, packed cells, fresh frozen plasmas and platelet concentrates.
 

Opthalmology

The department of Ophthalmology is equipped with modern equipment and caters to the needs of the population with respect to various eye conditions, in addition to providing quality education at both the undergraduate and postgraduate levels.
 
Patient services
The department deals with patients with all types of eye ailments.  Routine outpatient services include refraction, computerized eye testing, spectacle prescriptionand ocular emergencies. Emergency services are available 24 hours a day, 7 days a week. In addition, modern surgical and laser procedures are available for advanced treatment of various eye disorders.
 
In addition to providing and treatment for various eye disorders, the following special clinics are conducted to provide specialized services.
 
Facilities:
Special investigations: In addition to routine investigations, the following specialized investigations are also carried out in the department.
  • Automated Perimetry
  • Fundus fluorescein angiography
  • A scan ultrasonography
  • B scan ultrasonography
  • Synoptophore testing
  • Keratometry
  • Applanation tonometry
  • + 90 D and + 78 D examination of retina
  • Goldmann 3 mirror examination
  • Indirect Ophthalmoscopy
  • Gonioscopy
  • Autorefractometry
  • Laser procedures
 
The department has got an Nd: YAG laser and 532 nm green laser for laser treatment of various eye disorders. The various laser procedures carried out are –
  • Laser iridotomy
  • Laser capsulotomy
  • Laser trabeculoplasty
  • Panretinal photocoagulation
  • Macular grid laser
  • Retinal barrage  laser
Surgical facilities
The department possesses a fully functional state of the art operation theatre exclusively for Ophthalmology, that functions 6 days a week. The following surgical procedures are offered:
  • Cataract surgery including phacoemulsification with foldable intraocular lens implantation
  • Glaucoma surgery
  • Squint surgery
  • Keratoplasty
  • Oculoplastic surgeries
  • Lacrimal sac surgeries
  • Eye bank

The department has a fully licensed eye bank with a dedicated phone line and facilities for corneal transplantation. The eye bank is functional round the clock.

Other services include contact lens fitting, rigid gas permeable contact lenses, soft, cosmetic and bandage soft contact lenses.

Department of Orthopaedics

Department of Orthopaedics, Sri Manakula Vinayagar Medical College, Puducherry, one of the premier departments in the field of orthopaedics in this part of the country.  It is well equipped to treat various orthopaedic conditions thus maintaining and improving the musculoskeletal health of the community. The department is well staffed for providing world-class education to the undergraduates and post-graduates.
 
The staff strives for utmost patient care, research and clinical teaching.  Well organised sub-speciality services are also provided by the department by well trained specialists catering to the need of all age groups- from paediatric to geriatric. The faculties besides being excellent clinicians and teachers are good researchers who constantly strive hard to contribute novel concepts and ideas to the orthopaedic world. Sure, a career in Orthopaedics at SMVMCH is an extra-ordinary opportunity.
 
DEPARTMENT
Prof. Murugan is the Head of the Department.  He concentrates on trauma and is specialised in complicated and neglected trauma.  Prof. Latchoumibady is in-charge of spine clinic.  Spine fracture fixation and discectomy/instrumented fusion are being done routinely.  Dr. Elango and Dr. Jagadeesh are in-charge of arthroplasty clinic.  They deal with primary hip and knee as well as revision arthroplasties.  
 
Dr. Pragash is in-charge of Arthroscopy and Sports Medicine clinic.  He is specialised in arthroscopic ACL/PCL reconstruction and Bankart’s repair.  Dr. Justin Moses, in-charge of  the CTEV clinic, deals with congenital deformity correction.  Dr. Satyanarayanan runs the CP/polio clinic and is specialised in deformity correction due to neurological cause.  
 
In addition, the department also maintains  the smooth functioning of 24 hour trauma centre.  Trauma clinic is conducted on all days.  There is a 24 hour trauma service and a good blood bank facility, thus emergency cases are attended as 24 hours service by our duty specialists.  The operation theatre is equipped with state-of-art facilities like C-arm image intensifier, arthroplasty, arthroscopy and spine instruments.  
 
The trauma operating room with sophisticated operating tables and image intensifier facilitate state-of-art fixation of fractures. The department also supervises the artificial limb centre which provide custom-made orthosis and prosthesis. Well-equipped physiotherapy and rehabilitation unit with state-of-art facilities come under the supervision of the department.
 
Equipment and instruments – General orthopaedic instruments, spine sets, joint replacement sets, arthroscopy and Ilizarov sets are available adequately to meet the demands of any orthopaedic surgery.
 
OPD – Has 5 consultation rooms, 5 examination cubicles, 1 plaster room, 1 treatment room, 2 waiting areas, 1 minor OT and 1 demonstration room.  Outpatient clinics function from Monday to Saturday.  Special clinics like CTEV clinic, spine clinic and CP and polio clinic function in the afternoon of Wednesdays, Thursdays and Fridays. 
 
Ward – 90 beds are available at the general ward in fourth floor of hospital building, separate for male and female patients with demonstration rooms and doctor’s duty room in each ward.
 
OT – A separate OT complex for orthopaedics is available at H wing first floor of hospital building.  The complex hosts 1 receiving room, 1 recovery room and two state-of-art operating rooms.  Orthopaedic radiolucent table with fracture reduction accessories and C-arm image intensifier are available in each operating room. The following surgical procedures are being routinely done
  1. Upper limb and lower limb fracture fixation
  2. Pelvis and acetabular fracture fixation
  3. Deformity correction both congenital and acquired
  4. Spine – fracture fixation, discectomy and instrumented fusion
  5. Arthroplasty – knee and hip
  6. Arthroscopy – knee (ACL/PCL reconstruction, meniscal excision/repair) and shoulder (Bankart’s repair)
  7. Tumour excision and reconstruction
  8. Ilizarov fixation
 

Department of Paediatrics

The Pediatrics Department is functioning since March 2005 and growing from strength to strength.
 
The Department is now full-fledged with adequate Faculty and required infrastructure. 
 
The Department caters to all the health needs of children from birth to adolescence.
 
Facilities
 
Laboratory 
Each Pediatric ward is supported by a side laboratory where basic blood, urine and stools investigations are carried out.
 
Equipment and Instruments
The Neonatal Intensive Care Unit (NICU) and Pediatric Intensive Care Unit (PICU) are well equipped.
 
Out Patient Department (OPD)
The Out Patient Department (numbered 49) is in the ‘E’wing of the ground Floor of the Hospital.  It has adequate space for Reception and Registration of Out Patients, a cubicle for special clinics, four cubicles for consultation and a separate cubicle for the admitting Unit Chief.  In addition there is a treatment room,  a demonstration room for Medical Students and a Record room.
 
The number of Out Patients attending the OPD will be in the range of 70-120 per day and around 10 children are admitted for In Patient Care every day. 
 
Pediatric Wards
There are three Pediatric wards for three units.  The I Pediatric Unit is located at the “F” wing of the III floor of the hospital capable of accommodating 30 child patients.  The II and III Pediatric Units are housed in the ‘G” wing of the III floor of the hospital, each capable of accommodating 30 child patients.  
 
Each Pediatric unit is functioning under one Professor of Pediatrics and a minimum of  2 qualified Assistant professors.   On an average , 70 child patients are given inpatient treatment at any given time by the three Pediatric Units.  A qualified Pediatrician is on 24 hrs. duty on rotation to attend to emergencies as well as resuscitation of babies born of interventional deliveries like Caesarean section.
 
Pediatric Wards
 
Pediatric Intensive Care Unit (PICU)
Very seriously ill children are looked after in a Pediatric Intensive Care ward.  There are four such beds with all supporting facilities like Ventilators, Multipara monitors, Central oxygen supply, Central suction etc.
 
Neonatal Intensive Care Unit (NICU)
 
NICU caters to both INBORN and OUTBORN newborns, there are facilities to look after 4 newborns in each section with all infrastructure including warmers, Incubators, Phototherapy units etc
 
The NICU is managed by a well experienced Neonatologist assisted by a qualified, Assistant Professor of  Pediatrics, a Postgraduates in Pediatrics and a number of CRRIs.
 
Ventilatory support, Exchange Transfusion etc are undertaken in the NICU.
 
Both the PICU and NICU are supported by Clinical Laboratories round the clock for doing emergency investigations and Radiology department for emergency X-rays, CT, MRI etc.
 
Operation Theatre
Pediatric surgical problems are attended by a qualified Pediatric Surgeon of our hospital.  There are facilities for Pediatric Endoscopy, Bronchoscopy etc.
 
Research Laboratory
 
 A Research Laboratory has been established in the Clinical Department in the II Floor of the Hospital with adequate infrastructure.

Pulmonology And Respiratory Medicine

Department of Pulmonary medicine provides the state of art for managing respiratory disease and criticallyill patients.
 
Out Patient Department (OPD) :
 
     Department is functioning with OPD located in Hospital Premises (ground floor) .  Average number cases of OPD / per day isaround 50
 
Special clinics run by department
  • Asthma Clinic
  • COPD Clinic
  • ILD Clinic
Wards :
Pulmonary Medicine ward is located in the 4th floor of hospital premises with 30 beds (15 beds for males, 15 beds for females).  Ward is well furnished for managing common Respiratory Diseases like:
  • COPD
  • Asthma
  • Interstitial lung disease
  • Bronchiectasis
  • Pleural effusion
  • Pulmonary tuberculosis
  • Lung abscess
  • Pneumonia
  • Sleep discontent breathing
  • Pulmonary Hypertension
  • Corpulmonale etc.
Department is also having a RICU (Respiratory Intensive Care Unit) for managing critically ill patients in Respiratory Medicine like
  • ARDS
  • ALI
  • Aspiration pneumonia
  • HAP (Hospital Acquired Pneumonia)
  • Chest trauma (with Flail chest)
  • Pneumothorax
  • Hydropneumothorax
  • Hemothorax
  • Cylothorax
  • Massivehemoptysis
  • Connective tissue disorders
  • NIV masks are available for managing of Patients with COPD, Neuromuscular disorders etc.
Equipments in wards :
 
  • Nebulizer 1 for Non –TB patients
  • Nebulizer 1 for TB patients
  • Pulse Oximeter
  • ECG
  • Intubation tray and emergency kits
  • Pleural biopsy needle
  • Peak expiratory flow meter
  • Lumbar puncture needle
Some rare cases diagnosed in Department of Pulmonary Medicine
 
  • Wegener’s granulomatosis
  • MCTD with ILD
  • IPF
  • Aortic aneurysm with severe pulmonary Hypertension with collapse of left lung due to compression of left main Bronchus.
  • Pumonary infarct with Homocystinemia
  • Chronic silicosis
  • Chylothorax
  • Pleural Lymphangioleiomyomotosis
  • Diagphragmatic hernia
  • Idiopathic pulmonary hypertension
Investigations performed:

Sputum

  • AFB
  • Gramstain
  • Fungus
  1. Sputum culture and sensitivity
  2. HIV – I
  3. Pleural fluid investigations - II
  4. Mantoux test
  5. Spirometry
  6. Chest X-ray
  7. Ultrasound
  8. CT thorax
  9. MRI , ABG
Special investigations performed :
  • Bronchoscopy with BAL analysis
  • Transbronchial needle aspiration
  • Endobronchial biopsy
  • Transbronchial biopsy
  • CT guided FNAC/Biopsy of lung mass
  • Bronchial brush cytology
  • Pleural biopsy
Special procedure done for treatment
  • Pleurodesis
  • ICD drainage for  hemothorax
  • Endobronchial instillation of drugs (antifungal)
  • Thoracoscopy
 

Department of Radiology and Imaging

Department of Radiology is a well equipped Department. It has got all the latest equipments with qualified faculty.  Good ambience with Photographs of Scientists who contributed to the development of Radiology is present in the huge Radiology corridor. 
 
Facilities
 
MRI: Latest 1.5 tesla MRI is available with which we are able to perform whole body MRI, diffusion, perfusion, spectroscopy studies & functional MRI
 
CT : Latest 16 slice CT scanner with CT angiography, functional CT, 3D reconstruction, vessel analysis studies, biopsy procedure is available.
 
USG: Latest 3 USG Machines with capability of 3D, 4D, Doppler, Small parts scanning, General Abdomen & obstetric scanning is available.       
 
X – Ray machines: 6 fixed & 6 portable Machines with IITV facility to perform fluoroscopic procedures.
 
Dept has a CR facility with which high quality X – Rays can be obtained.
 

Department of Urology

Facilities

Special procedures:
Ureteroscopy + Lithotripsy
Trans Urethral resection of prostate (TURP)
Endoscopic internal Urethrotomy (EIU)
Nephrectomy
Pyelolithotomy
Transvaginal tapes (TVT)
Transurethral  resection of bladder tumour (TURBT)
Arterio venous fistula  (AV fistula)

 

Cardio Thoracic Surgery

 
Cardio thoracic surgery is a medical field which involves the surgical treatment in the thorax. It includes heart, lungs, esophagus and other organs in the chest       
 
Cardiothoracic surgery services include
 
Closed and open heart surgeries
 
When a person is diagnosed with heart disease then he is advised for a surgery which may be open or closed heart surgery that may depend on the complication.
 
A closed heart surgery is an invasive method in which the heart is not opened directly and no heart-lung bypass machine is required. This reduces the chances of complication and it is the first step to any further procedures that deals with the heart.
 
Closed heart surgeries are performed by opening the chest in front or through ribs. This surgery deals with arteries which carry blood from and to the heart rather than dealing with the chambers itself. Palliative heart surgeries are often performed on young children which is carried out in different stages. Some examples of closed heart surgeries are ligation of patent ductus arteriosus, repair of coarctation of the aorta, and the placement of pulmonary artery bands and Blalock-Taussig shunts
 
Every surgery is done by anesthetizing the patients and post surgical care such as regular monitoring of patients by keeping them in ICU, providing intravenous medication to combat pain if any and checking heart beat and blood pressure at regular intervals.
 
Open heart surgery is highly invasive as the name suggests. It involves opening of chest and heart to operate on its chambers, muscles, arteries. One of the most carried out open heart surgery is coronary artery bypass grafting. It involves grafting of a healthy artery or vein to carry blood that becomes impossible with the blocked artery. Hence the newly attached artery brings fresh blood bypassing the old blocked one.
 
Now a days open heart surgery has become a traditional method because of the advancement in this protocol. It involves just a small cut or incision which is unlike the traditional method of wide opening. Open heart surgery is carried out with a help of  heart-lung machine.
 
Open heart surgeries are usually adopted for the following
 
Coronary heart disease which occurs due to narrowing and hardening of blood vessels that provides blood and oxygen to the heart.
In replacement or repair of heart valves through which blood flows from one chamber to another
Replaced damaged heart with donated heart.
 
Beating heart surgery
 
Beating heart surgery is nothing but performing an open heart without the heart-liver machine, while the heart is pumping, thus not stopping it during the surgery. Our surgeons use tissue stabilization system to mobilize the heart when required.
 
This surgery is carried out when the arteries cannot provide enough blood to the heart. In such case physicians mostly recommend for coronary artery bypass graft (CABG) surgery.     
 
The surgery is usually carried out by grafting technique. The surgeon first gets a healthy vein or artery to act as a graft. One end of it is fixed inside the heart and the other end into the coronary artery just below the block, so that the blood flow bypasses the block there by producing blood to the heart.
 
The surgeon uses a stabilization method to keep the heart steady. The stabilization system consists of heart positioner and tissue stabilization to hold the heart in position while it is being operated. The advantage of this type of surgery is, it reduces the risk that might occur when the heart is temporarily stopped, a condition called reperfusion that occur when the surgeon fails to restore blood to the tissues.
 
Valve repair and replacement
 
Human heart consists of four valves namely tricuspid, bicuspid, mitral and aortic. These play a key role in the flow of blood from and into the heart. The well known ‘lub’ and ‘tub’ sound of the heart is due to the closure of these heart valves. They are vital in maintaining the one way blood flow. Thus any defect in any of these valves is a serious criterion to be addressed immediately. Every repair and replacement is done through open heart surgery.
 
In the repairing process the physician adopts certain procedure. Some of them are listed below.
 
Commissurotomy is a technique to narrow the valves whose leaflets are thickened and gets struck while closing. The surgeon cuts the joints where the leaflets meet to open the valve.
 
Valvuloplasty is a process in which the leaflets are strengthened to close tightly. It is an added support to the valve. A ring like device is attached around the outside of valve opening.
 
Reshaping is done to cut a portion of leaflets and when it is sewn again, the valve functions properly.
 
Decalcification to remove excess amount of calcium storage in the leaflet which when removed restores its function.
 
Repair is a structural support to replace or shorten the cords which in turn supports the valves to close properly.
 
Patching is covering tears and holes in the leaflets with a tissue patching
 

DEPARTMENT OF ONCOLOGY

The surgical oncology team of the Hospital has to its credit, a wide range of surgeries and cancer treatments like:
  • Breast conservation surgery and mastectomies - Breast Cancer
  • Gynaecologic and Urologic Surgeries - Uterus and Ovary tumours.
  • Gastric & Colorectal Cancers including Sphincter sparing surgery using staplers.
  • Head and Neck Surgery with facilities for Plastic and Microvascular Reconstruction.
  • Limb Sparing Surgery (LSS) - Bone and Soft Tissue Tumours.<
  • Thoracic Surgery - Oesophageal Cancer.
  • Breast Cancer
  • Uncommon, Complex Tumors
  • Head and Neck Cancers
  • Gynaecologic Cancer
  • Colorectal Cancer
  • Prostate Cancer
  • Urological Cancer
  • Lung Cancer
  • Melanoma of the Head, Neck and Leg – Skin Malignancy (Sce,Bcc, Melanoma)
  • Soft Tissue Sarcoma & Musculoskeletal Cancer ( Soft tissue & Bone sarcoma)
  • Minimally Invasive/Laparoscopic Oncology Surgery
  • Gastrointestinal malignancies of the stomach, large bowel, pancreas and biliary tract
  • Endocrine tumors of the thyroid and parathyroid glands
 

Nuclear Medicine

It is a medical protocol in which radioactive substances are effectively used in diagnosis and treatment of disease. Unlike other traditional methods such as x-rays, radiation is emitted inside-out which is termed as endoradiology because radiation is emitted from inside the body rather than radiation emitted from an external source.
 
Nuclear medicine diagnosis quickly and the treatment following is safe for our patience. The diagnosis result is so accurate which in other case involves surgery, and other invasive diagnostic tests
 
Physicians will diagnose the affected part in early stages itself by this method. This makes treatment easier and safe. The process also involves the combination of a medicine and radioactive material called as radiopharmaceutical.
 
Apart from diagnosis and treatment, we use nuclear medicine to determine the functions of various organs. The pumping condition of heart is determined by this method. Also to check whether the brain is receives an adequate amount of blood, kidneys function, stomach emptying capacity of the food material, lung function, bone density and vitamin absorption. Nuclear medicine detects even a small bone fracture more accurately than x-rays.

Cardiology

 
 
Invasive/ Intervention Procedures
 
  • Daycare Coronary Angiography
  • Multi vessel Radial & Ulnar Coronary Angioplasties
  • Peripheral Angiography
  • Carotid & Renal Stenting 
  • Balloon Mitral Valvotomy 
  • Balloon Aortic Valvotomy 
  • Device Closure of Septal defects
  • Pacemaker Implantations
  • Automatic Implantable Cardioverter 
  • Defibrillator (AICD)
 
Our cardiac department is fully equipped with advanced technologies to provide comprehension treatment for our patients.
 
  • Flat panel cath lab for coronary angiography & coronary angioplasty (PTCA)
  • Primary stenting for acute MI (heart-attack)
  • Electrophysiology and ablation
  • Pacemaker implantation
  • Peripheral angiogram and angioplasty 
  • Device closure treatment for ASD, VSD and PDA.
  • 24 Hours Coronary Care Unit
  • 4D Echo cardiogram
  • Holter monitoring
  • Nuclear Medicine
  • TMT/Computerised ECG

Chest Medicine

 
Chest medicine
 
Interventional Pulmonology
It is a new field with in pulmonary medicine focused on the use of advanced bronchoscopic and pleuroscopic techniques for the diagnosis and treatment of a spectrum of disorders involving Airways and Pleura.
 
Interventional pulmonology procedures
 
Bronchoscopy
 
Bronchoscopy can be defined as a diagnostic and therapeutic procedure that permits direct visualization of the tracheo bronchial lumen with the help of the bronchoscope, a specialized device.
 
Bronchoscopy is the most commonly used invasive procedure in pulmonology.
 
Bronchoscopy permits collection of respiratory secretion from the tracheo bronchial tree as well as tissue samples from the airway mucusa, lung parenchyma and lympnedes and other masses located immediately adjacent to but out side the tracheo bronchial lumen.
 
Bronchoscopy is also used as a therapeutic tool to treat the airway luminal obstruction caused by various diseases, bleeding from respiratory structures and several pulmonary disorders.
 
Diagonostic Indications

 

  • Unexplained Cough
  • Hemoptysis
  • Localised Wheeze (with suggestion of                                                     obstruction)
  • Stridor
  • Unexplained Chest Radiography Opacity.
  • Pulmonary infection (when not improving)
  • Immuno Compromised
  • Diffuse lung diseases Non-infectious
  • Intra thoracic Lympthadenopathy
  • Pulmonary Neoplasm
  • Foreign body
  • Burns
  • Vocal cord & Diaphragm Palsy
 
Therapeutic Indications
 
  • Removal of airway secretions, mucus plugs, clots and necrotic debris
  • Atelectasis
  • Foreign body
  • Neoplasms
  • Laser
  • Electro cautery
  • Endobronchial ultrasound
  • Argon Plasma Cogulation ( APC)
  • Cryotheraphy
  • Stenting
  • Lavage
  • Medical Thoracoscopy
 
  Medical Thoracoscopy or pleuroscopy is an invasive technique to visualise the pleural cavity under local anesthesia / conscious sedation.
 
  Indications:
  • Pleural effusion of unknown etiology
  • Staging of lung cancer
  • Staging of diffuse malignant mesothelioma
  • Pleurodesis by talc powderage
  • Pleuroscopy or medical Thoroscopy helps in draining the pleural fluid and to take Pleural biopsies.
 
PulmonaryTuberculosis(TB)
 
TB is a completely curable disease. It is due to mycobacterium tubercle bacilli causing cough, fever, weight loss etc. The diagnostic tests are sputum test for AFB and chest radiography. Treatment consists of 6-9 months with anti TB therapy.
TB can manifest as hemoptysis (coughing out of blood), Fever of unknown origin, pleural effusion etc., MDR-TB is diagnosed based on the sensitivity of the MTB Bacilli.
 
Bronchial Asthma
 
Asthma is a chronic inflammatory disorder of the airways characterized by recurrent episodes of wheezing, breathlessness, chest tightness and coughing, particularly at night or in the early morning. Clinical history and Spirometry (PFT with reversibility testing) is a breathing test to confirm asthma.
 
COPD (Chronic Obstructive Pulmunory Disease)
 
COPD consist of chonic bronchits and emphysema due to smoking, pollution, dust etc., The symptoms are cough, breathing difficulty and sputum production. Pulmonary function test helps to confirm COPD. Treatment consist of smoking cessation, avoidance of pollution and regular use of inhaled medications.

 

Department of Orthopaedics

 
ORTHOPAEDICS
 
This unit is run by a team of experienced orthopaedicians,
 
physiotherapists, nurses and occupational therapist.
 
Hip/ knee replacement surgeries, Minimally invasive surgery (Arthroscopy),
 
Spine Surgery, Revision arthroplasty, Limb preservation, Arthritis centre, Musculo-skeletal tumours, Trauma service.
 
EMERGENCY SERVICES
 
• The emergency department is fully equipped to handle any type of emergency and resuscitation round-the-clock.
 
• A triage area with 4 monitored beds functions as the main work area.
 
• 12 bedded observation ward, minor operation theatre and dressing room.
 
OPERATION THEATRE
 
• Perfecting the art of Operation.
 
• 7 Major theatres and 3 Minor theatres.
 
• HEPA filters and laminar flow ensure sterility.
 
• Separate theatre for Orthopaedic surgery including joint replacements
 
• Suitable for all General & Orthopaedic surgical Procedures.
 
Procedures Performed are:
  • ARTHROSCOPIC SURGERY
  • PARTIAL & TOTAL KNEE REPLACEMENT SURGERY
  • PARTIAL & TOTAL HIP REPLACEMENT
  • EFFECTIVE MANAGEMENT & TREATMENT OF NECK & LOW BACK PAIN
 
 

Department of Gastroenterology

 
Gastroenterology is a branch of science which deals with digestive system and its disorders. This specialty includes disease affecting the gastrointestinal tract, which includes organs right from mouth to anus including the alimentary canal.
 
SURGICAL GASTROENTEROLOGY
 
We perform basic and advanced Hepato Biliary / Pancreatic / Gastro Intestinal / Colonic and Oesophageal surgeries with basic and Advanced Laparoscopic surgery.
 
Laparoscopic Appendectomy
 
Appendectomy is process name for removal of vermiform appendix. This invasive procedure is performed during emergency condition for patients suffering from appendicitis. Appendicitis is a major inflammation of appendix.
 
Cholecysteomy
 
Cholecysteomy is the process of removal of infected gall bladder. Surgical method is a usual process. 
 
Laparoscopic Fundoplicatio
 
Laparoscopic Fundoplication is a key hole surgery performed when acid flux happens in the body. Acid reflux, is flow of acid from stomach to the esophagus. This reflux causes burning sensation in the chest, night time coughing and abdominal pain. It can develop at any age and worsened with smoking habits, drinking coffee and also due to some painkiller drugs.
 
Laparoscopic Cardiomyotomy
 
Cardiomyotomy is an invasive procedure for a disorder called Achalasia. It is a severe condition in which the food from the esophagus is not propelled into the stomach.          
 
Laparoscopic colectomies
 
Colectomy is a surgical resection of the large intestine. The colon or large intestine is the last part of the digestive track. In adults It is almost 4 to 6 feet in length. Colon soaks the water content and stores the waste food material. Rectum follows the large intestine. It is the process of removing either small part or the complete colon where the small intestine is directly connected to the rectum. There are 4 methods in this process which includes
 
Sigmoid Colectomy, a process in which either a part or full of sigmoid colon is removed, and the descending colon is connected to the rectum. In case of low anterior resection a prt of sigmoid colon and rectum is removed and the descending colon is connected to the remaining part of the rectum.
 
Abdominal Perineal Resection, is a process in which either a part or full of sigmoid colon and the entire large intestine, rectum and anus are removed. On such cases colostomy is usually performed. Colostomy is creating an opening in the stomach wall to let out the waste material.
 
Colectomy is usually done to in case of diseases like cancer, polyps, irritable bowel disease, bleeding, blockage, volvulus, rectal prolapsed, diverculities, etc., 
 
Laparoscopic Anterior Resection
 
Anterior resection is the procedure to remove a part or whole of the rectum. Rectum is the last part of the large intestine which stores stools before it gets ejected. Anterior resection is usually done for patients affected with rectal cancer or diverticular disease. Diverticular is a protrusion in the intestinal walls which creates pockets in the colon wall. The operation is performed as open or key hole surgery. The later is preferred now a days.
 
Laparoscopic Gastrojejunostomy
 
It is a surgical process, in which the contents of the stomach or other gases are made to bypass directly into jejunum which is considered as the second part of the small intestine with a small tube. This tube helps the solid, liquid food material to directly move into jejunum, bypassing the duodenum, the first part of large intestine. One end of the tube is connected into the stomach and the other end into the jejunum.
 
Endoscopy  
 
Endoscopy is a technique in which, a small specialized tool is sent inside to view and operate internal organs and other vessels. This process involves very small incision or in some cases even that is neglected where endoscopy is sent through mouth.
 
Colonoscopy
 
Colonoscopy is also an endoscopic process which involves the inception of inner lining of intestinal walls of the large intestine. A colonoscopy helps to find ulcers, colon polymps, tumors and areas of inflammation
 
Polupectomy
 
Bleed care – Infection / APC / Heater probe
Stricture dilation
Radiation proctitis – APC Theraphy
 
ERCP
 
ERCP is a process which combines both endoscopy and fluoroscopy, to diagnose and treat the billary and pancreatic ductal system. By this physician gets a clear image of the insights of stomach and duodenum.
 
 
We perform ERCP therapy for the following.
 
  • CBD stroke removal
  • CBD stricture dilation
  • Periampullary & Hilar growth palliation with SEM stenting
  • Biliary ascariasis – removal
  • Pancreatic stricture dilation & stenting
  • Post cholecystectomy leaks – stenting & treatment by non-operation methods
  • Nutritional Feeding Tube placements
 

Department of Obstetrics and Gynaecology

OB/GYN is a branch of science which deals with women pregnancy, child birth and pueperum (the time period immediately after pregnancy). A paramount department which deals with women care and reproductive system.
 
Our specialized teams of gynecologists provide necessary and timely medical and surgical care to women during pregnancy, child birth and also on other disorders of reproductive system, if any. Few other services include: preventive care, parental care, detection of sexually transmitted disease, pap test and family planning.
 
 Highlights of other services include
 
  • High risk pregnancy care
  • Modern labour suites
  • Painless labour
  • Laparoscopic and LASER surgery
  • Hysteroscopy / Colposcopy
  • Thermachoice uterine ablation therapy (Non operative treatment for bleeding disorders of uterus)
  • Uterine artery embolisation for fibroids (without removing uterus)
  • Gynaecologic oncology
  • Family Planning services.   
MINIMALLY INVASIVE GYNAEC SURGERY
 
The Division of Minimally Invasive Gynaecologic Surgery provides comprehensive care for women with conditions including uterine fibroids, abnormal uterine bleeding, pelvic pain, endometriosis, pelvic organ prolapse, cervical incompetence and ovarian cysts – offering the latest minimally invasive options for these conditions.
 
This is safer and more effective alternative to traditional open surgery.
 
We are leaders in developing innovative minimally invasive procedures that offer our patients:
 
Competitive pricing on par with open surgery price
Early return to normal daily activities (within a week)
Shorter hospital stay ~ 24 hrs
Faster recovery
Less pain
Smaller incisions
 
SPECIAL EQUIPMENTS
 
  • BIPOLAR RESECTOSCOPE for hysteroscopic surgery for uterine cavity lesions
  • LAPAROSCOPY
  • Vessel Sealer
  • Harmonic
SURGICAL PROCEDURE: HYSTEROSCOPY
 
Diagnostic
  • Infertility Evaluation
  • Abnormal Uterine Bleeding Evaluation
  • Post-menopausal Bleeding Evaluation
  • Recurrent Pregnancy Loss Evaluation
  • Operative
  • Congenital Malformation of Uterus (Septum)
  • Endometrial Polyp
  • Submucous Fibroid
  • Asherman's Syndrome
  • Endometrial ablation
 
LAPAROSCOPIC SURGERY
 
Laparoscopic surgery is a minimally invasive procedure that involves just keyhole incisions. Procedures done include:
  • Hysterectomy TLH (Total Laparoscopic Hysterectomy) and LAVH (Laparoscopic Assisted Vaginal Hysterectomy)
  • Myomectomy (Removal of Fibroid without removing the uterus)
  • Endometriosis Conservative Surgery
  • Surgical Procedures for Ectopic Gestation
  • Tubal Recanalisation Procedures (Reversal of Family Planning)
  • Laparoscopy during Pregnancy during Appendicitis
  • LAP Appendectomy
  • Gall Bladder Removal
  • Ovarian Cyst Removal
GENERAL GYNAECOLOGY
 
A woman body is constantly developing and changing from puberty to after menopause. Our specialists provide preventive and curative medical care for the female reproductive system.
  1. Adolescent Clinic (Billroth YUVA Clinic)
  2. Billroth Well Woman Clinic
  3. Billroth Breast Clinic
  4. Cancer Screening Clinic (Pap Smear and Cancer Vaccine)
  5. Menopause Clinic
BILLROTH YUVA CLINIC
 
Adolescence is a beautiful yet confusing stage. As a girl matures, her world becomes filled with physical and emotional changes both exciting and challenging.  Our capable, compassionate healthcare team at the Yuva Clinic reaches out to young women through basic gynaecologic exams, sex education, diagnosis and treatment of ailments of reproductive organs. We also answer their sensitive questions.
 
Gynaecological problems like anaemia and polycystic ovary syndrome (PCOS) are one of the most common endocrine disorders. Approximately 30-40 per cent of teenagers visiting us suffer from PCOS, which often affects younger women. While the major fear is that it can lead to infertility, it can also become life-threatening as it leads to an increase in incidence of obesity. In the Yuva clinic, the gynaecologists aim to concentrate on lifestyle, diet, contraception and menstruation related problems and cancer vaccines.
 
BILLROTH WELL WOMAN CLINIC
 
This empowers women to handle their health by detecting problems early and maintaining good health. An annual gynaecological exam is a health screening women should receive once a year that checks for gynaecological (women's reproductive organs) related problems such as cervical dysplasia, menstrual disorders, breast health and so on. This is a must for women over the age of 18, or who are sexually active.
 
An annual exam is also an opportunity for women to ask questions regarding
  • Family planning and birth control
  • Menopause
  • Menstrual problems
  • Pelvic pain
  • Premenstrual symptoms
  • Sexual concerns
  • Breast health
BILLROTH BREAST CLINIC
 
The Billroth Breast Clinic is equipped with state-of-art equipment and friendly, accomplished doctors. There is also a hereditary cancer clinic for women who have a family history of breast cancer. The one-to-one consultation makes things simple, easy and addresses any concern you may have sensitively.
 
Monthly self breast examinations
Yearly breast examination
Mammogram
Other screenings for women who are at high risk for developing breast cancer
Genomic screening with BRCA1 & BRCA 2
Screening in Women with family history cancer breast
 
CANCER SCREENING CLINIC
 
Cancer Screening is important for every woman.  Maintaining optimal pelvic health is essential to the prevention and early detection of cervical cancer and other serious conditions. At Billroth we offer the latest diagnostic tests.
 
We offer:
 
  • Papsmear (Liquid Based Cytology) for Cancer Cervix screening
  • Office Endometrial Biopsy for Cancer Endometrium screening
  • Trans Vaginal Ultrasound and Proteomics - Cancer Ovary screening
  • Mammogram & USG Breast Cancer, Breast screening
The following are the recommended frequency of pelvic exams, pap tests and HPV screening tests per age group:
 
Ages 21-29: Every three years
Ages 30-65: Every three to five years
Ages 65+: Screenings should be discontinued if the patient
meets these criteria: No history of CIN 2 or greater within the last
 
20 years, and two negative HPV tests or three negative pap tests in the last 10 years
 
GYNAEC ONCOLOGY
 
This super speciality department offers high end multi-disciplinary care for patients. Comprehensive investigation and treatment, advice and counselling are provided to patients in a compassionate atmosphere.
 
The latest equipment and techniques are employed in treatment.
 
Cancers involving the reproductive system including those arising
 
from the endometrium, ovaries, cervix, vulva, vagina, and gestational trophoblastic disease. We offer laparoscopic or robotic surgery whenever possible.
 
We collaborate with other clinical services including radiation therapy, hematology / oncology, surgical oncology, pathology, and radiology to provide the best care for our patients.
 
MENOPAUSE CLINIC
 
Menopause is the natural cessation of a woman's reproductive ability and usually happens in the late 40s or early 50s. The symptoms vary based on the individual and can range from vaginal bleeding, hot flushes to vaginal and urinary symptoms. The body undergoes many physical and emotional changes.
 
At Billroth, we offer menopause treatments customized for each woman.  A team works on designing these holistic treatments that are directed toward alleviating uncomfortable or distressing symptoms. We also think ahead and provide screenings for osteoporosis, heart diseases and other conditions that could occur.
 
URO GYNAECOLOGY
 
This specialist department deals with a variety of conditions ranging from urinary and fecal incontinence, pelvic floor dysfunction and pelvic organ prolapse. Treatment is decided after multi-disciplinary assessment. Innovative surgical techniques, physiotherapy and conservative treatment are used.
 
For urinary incontinence, different types of outpatient procedures performed include
 
The tension free vaginal tape (TVT) procedure,
Transobturator vaginal tapes,
Mini-slings
To treat pelvic organ prolapse, common short stay procedures performed include
 
Sacral colpopexy,
Vaginal reconstruction with and without mesh implantation, other suspension procedures
 

E.N.T

INSTITUTE OF ENT
 
Our ENT surgeries include
 
Myringoplasty
 
The main aim of this operation is to close perforation of ear drum. Perforation is considered as a hole in the ear drum which may lead to severe ear infection and impair it. Usually it gets rid of itself automatically but not so in many cases. There are number of ways to clear hole, all it depends on size of and hole and the anatomy of the ear.
 
Tympanoplasty
 
Tympanoplasty is a surgical technique which deals with the tympanic membrane of the ear. This method is adopted not only to close the perforation in the region but also in some cases to lift the tympanic membrane from its position in the ear canal to improve the hearing capacity and improve the functioning of the middle ear. This surgery is carried out in inner ear alone and no manipulation to middle ear bone is done. Lateral and medical grafting techniques are also adopted in this process
 
Modified radical mastoidectomy (MRM)
 
Mastoidectomy is done to remove the infected mastoide air cells that gets accumulated in the hollow space of the skull behind the ear. This may cause a great damage to the ear. The diseased cell proliferates into the skull, also into the temporal bones which may lead to removal of the bones.
 
The types of mastoidectomy performed are simple mastoidectomy, radical mastoidectomy and modified radical mastoidectomy.
 
Radical mastoidectomy is less severe when compared to other two methods. Not all the middle ear bones are removed in this process and the ear drum is rebuilt.
 
Stapedectomy
 
Stapedectomy is a microsurgical process in which the innermost bone of the middle ear is completely removed and replaced by a small plastic tube to improve the movement hearing into this region
 
Stapedectomy is not done through incision. The surgeon directly does it through the ear canal by folding the ear drum forward. This entire process is done through operating microscope to have clear insights of the infection.
 
Myringotomy
 
Myringotomy is a surgical procedure in which a small incision is made in the tympanic membrane of the middle ear in the anteroinferior quadrant and posteroinferior quadrant to drain out fluid from the middle ear. Ear tubes made of plastic or metals are inserted through ear drums which may fall automatically or can be removed by doctor in later stage
 
Mastoidectomy
For discharging ears, we perform mastoidectomy where in we remove all accessible mastoid air cells clear active infection, the procedure is usually combined with MYRINGOPLASTY
 
Pre-Auricular sinus excision
 
A pre-auricular sinus is a blind track of sinus formed in the front of the ear. In most cases it is congenital whose origin may be traced due to imperfect fusion of some of the elements that form the ear pinna. This is usually symptomless but in some cases formation of abscess becomes the symptoms for pre-aricular sinus. It also predisposes to ulser formation in front of the ear.
 
Ear lobe repair
 
A split or torn ear lobe is one of the most common problems of the ear. This may happen due to prolonged usage of heavy ear rings. It causes distress to patients who love wearing era ring. Hence ear lobe repair is an optimum rectification for this by which the original ear lobe can be restored.  
 
Post Aural Fistula Closure
 
Post aural fistula closure is a procedure that follows chronic ear disease or an ear surgery. The traditional skin to skin closure is unsafe because of necrotic skin edges which may result to a larger fistula. Hence this method is adopted to avoid future post closure problems.
 
Intra tympanic injection
 
Intra tympanic injection is usually injecting steroids into the inner ear as a remedy to sudden loss in hearing. At first topical phenol anesthesia is applied to the ear drum and the white area is anesthetized. The needle passes through the ear drum to inject the steroid inside. The patient is advised to keep the ear turned up for at least 30 minutes so that steroid remains inside as long as it can.
 
Nose and PNS surgeries
 
1.​ FESS:    Functional endoscopic sinus surgery is performed for patients with chronic  sinusitis
2.​ ENDOSCOPIC POLYPECTOMY:    Done in combination with endoscopic sinus surgery
3.​ in case of  (a) Antrochoanal polyp    (b) Ethmoidal polyp
4.​ Endoscopic removal of  sino nasal tumors
5.​ Endoscopic skull base surgeries
6.​ Septoplasty: Removal of deviated part of septum & straightening the same
7.​ SMR: Remove of most part of septum
8.​ TURBINOPLASTY / TURBINECTOMY: Partial / Total removal of inferior turbinate to reduce allergy symptoms and nasal block in snoring
Throat surgeries
 
1.​ ADENOTONSILLECTOMY / TONSILLECTOMY: Repeated infections & enlargement of tonsils and adenoids we do this procedure.
2.​ STYLOIDECTOMY: Removal of elongated styloid process following tonsillectomy in case of Eagle’s syndrome.
3.​ VALLECULAR CYST EXCISION
Laryngeal surgeries
 
1.​ MICRO LARYNGEAL SURGERY: For
2.​ Vocal cord nodule
3.​ Vocal cord polyp
4.​ Laryngeal papilloma
5.​ Vocal cord paralysis
(D/L SCOPY) Direct Laryngoscopy: For diagnosis and biopsy of malignant tumors.
Tracheostomy: Emergency / Elective surgery done to relative breathing difficulty due to obstruction above trachea.
 
Snoring surgeries
 
1.​ UVULOPALATO PHARYNGOPLASTY.
2.​ ZETAPALATO PHARYNGOPLASTY.
3.​ TURBINOPLASTY / TURBINECTOMY.
4.​ TONGUE BASE CHANNELLING / TONGUE BASE REDUCTION.
Coblation surgeries
 
Is an advanced technology that uses gentle radio frequency energy with a salt solution to ablate tissues.
 
​ ADENOIDECTOMY & TONSILLECTOMY
​ ALL SNORING SURGERIES
​ TURBINATE & TONGUE CHANNELLING
 
Treating symptoms
 
Ear symptom
 
1.​ EAR ACHE – Ear Pain
2.​ EAR DISCHARGE – Fluid / Water from ear
3.​ HARD OF HEARING – Decreased hearing sensation
4.​ TINNITUS – Ringing sensation in ear
5.​ VERTIGO – Giddiness, feeling of rotation of ones self / surrounding
6.​ SUDDEN HEARING LOSS
 
Nasal symptoms
 
1.​ HEAD ACHE – Due to sinusitis, migraine
2.​ NASAL BLOCK
3.​ EPISTAXIS – Bleeding from nose
4.​ SNEEZING
5.​ MOUTH BREATHING: It can be perceived by Dryness of throat. Here the patient opens mouth to breathe while bleeding.
6.​ THROAT DRYNESS
7.​ POST NASAL DRIP: Phlegm coming behind the nose to the throat.
8.​ HYPOSMIA / ANOSMIA: Decreased / Complete absence of sense of smell.
 
Throat symptoms
 
1.​ THROAT PAIN
2.​ DYSPHANGIA: Difficulty while swallowing
3.​ ODYNO PHAGIA: Pain while swallowing
4.​ DRY COUGH
5.​ VOICE CHANGES
 
Sleep related symptoms
 
1.​ SNORING
2.​ SLEEPLESSNESS
3.​ GENERALISED FATIGUE / MYALGIA
4.​ NIGHT TERRORS
5.​ BED NETTING: Secondary Enuresis
6.​ INSOMNIA
7.​ GASTRIC DISCOMFORT

IVF (IN-VITRO-FERTILIZATION)

INSTITUTE OF IVF
 
Planning and Consultations:
Setting out on the journey with best foot forward sets the tone for the experience that is to follow.
Our first-stage assessments starts as follows:
 
1. The first Visit
The objective of the first visit is to make you feel welcome and relaxed in BFRC, and obtain as much information as possible to allow us to plan the appropriate treatment for you.
 
2. Assessment Consultation
Some couples are not sure of their particular requirements and wish to talk to a doctor to help them understand what they need.
 
3. Scan
Using advanced ultrasound machine for assessment of uterus and ovaries and planning treatment
 
4. Scheduling the Treatment
A critical time for any couple, knowing the treatment process step-by-step will put you at ease and minimise the risk of unpleasant surprises
 
Understanding Infertility:
 
1. Reassurance and Advice
This may be all that is required for some couples especially when they have only been trying to conceive for a short period of time and no significant abnormalities have been defined. The commendations may include weight loss or occasionally weight gain, or advice on how to reduce the effect of stress on the chances of conception
 
2. Ovulation Induction
This is used to treat women who are not ovulating, using tablets or injections to induce ovulation. Couples who have not conceived after six months of successful ovulation will need advanced treatment.
 
3. Intra-Uterine Insemination (IUI)
This is the introduction of a prepared sample of the husband's sperm with the optimum motility into the uterus as the woman approaches ovulation. It is widely used, but particularly so in cases where ovulation induction has failed, or where the man has erectile dysfunction or premature ejaculation.. The woman must have normal Fallopian tubes and the man near normal sperm count
 
4. Donor Insemination (DI)
The same procedure as IUI, donor insemination involves implementing the use of donor sperm in selected cases.
 
5. In-Vitro Fertilization (IVF)
IVF is the most common and well known form of assisted conception. It involves harvesting the wife eggs and fertilising them with the husband sperm in a safe clinical environment. The embryos are then transferred through the cervix into the womb for continued development, and hopefully a pregnancy and birth. IVF is primarily used for the treatment of infertility caused when woman has blocked fallopian tubes, the man has reduced sperm quality, and unexplained infertility
Variations IVF:
We have a detailed understanding of all forms of IVF treatment, and how best to implement them to maximise the benefit to you,
 
Intra Cytoplasmic Sperm Injection (ICSI)
This is used when the man has abnormal sperm that are unable to fertilise the eggs naturally during conventional IVF. ICSI involves the use of very powerful microscope with micro manipulators to inject the sperm directly into the egg for fertilisation to occur. The fertilized eggs are further cultured and the resulting embryos are transferred into the womb.
 
Ovum Donation
Women who are unable to produce good quality eggs will require ovum donation. Eggs can be donated either from known donors(such as a sister or friend) or from anonymous donors.
 
IVF Surrogacy
Women with functioning ovaries but without a uterus, who have experienced repeated miscarriages, or with severe medical conditions that are incompatible with pregnancy may require IVF surrogacy. The ovaries of the woman are stimulated; the eggs collected and fertilised with her husband's sperm and then the embryos are transferred into a surrogate's womb where the pregnancy will hopefully develop.
 
Embryo Cryopreservation
IVF commonly leads to the generation of spare embryos. Freezing of these embryos for a later transfer provides the couple with another chance of pregnancy. We employ the latest vitrification techniques, and are now able to offer pregnancy rates with frozen embryos comparable to those achieved using fresh embryos.
 
Other variations and techniques include:
 
Assisted Hatching
involves thinning or making an opening in the shell (zonapellucida), which surrounds the embryo(fertilised egg). It might help the embryos to 'hatch' out of the shell and improve their likelihood of implanting in the uterus
 
TESA (testicular sperm aspiration)
Surgical sperm retrieval for azoospermia. Azoospermia is a condition where no sperm are present in the fluid a man ejaculates.
 
FER (frozen embryo replacement)
In a frozen embryo transfer (FET) cycle we thaw your frozen embryos and transfer one or two of them into the uterus.
 
Donor sperm
At your first consultation with us, we will tell you about the option of using donor sperm, if the tests show that the quality of the man's sperm is very low or there are no living cells in the sperm sample. We will advise you and discuss the ethical aspects involved in using donor sperm.
 
Advanced Techniques:
 
Intracytoplasmic Morphologically-selected Sperm Injection(IMSI)
is an assisted reproduction technique that is particularly powerful against male infertility. This is an extension of ICSI, where powerful microscopes are used to individually select the best sperms for the ICSI procedure.
 
Oocyte Cryopreservation:
This is used for the freezing of oocytes, usually as part of the ovum donation program, but it is increasingly being used for the preservation of fertility in women who want to delay childbirth or are about to undergo chemotherapy or radiation.
 
Pre-implantation Genetic Diagnosis (PGD)
(also known as embryo screening) refers to procedures that are performed on embryos prior to implantation. The PGD is performed by examining a single cell with regard to aneuploidy (maldistribution of chromosomes) and genetic diseases. This can either be done by using the Polymerase Chain Reaction (PCR) or Fluorescence In Situ Hybridisation (FISH) methods.
 
Spindle View (polscope) :
The spindle is an essential organelle of the eggcell, and plays a central role in meiotic development of human egg cells. The spindle is responsible for accurate alignment and distribution of the chromosomes during cell division. Malalignment of the spindle can cause damage to the occyte during ICSI. This can be picked up before ICSI using spindle view in select cases.
 
 

Urology and Nephrology

 
THe Institute of Nephrology is a branch of Science that deals with study, diagnosis and treatment for kidney diseases. There are a few types of renal diseases for which comprehensive care is provided.  They include, Diabetes Mellitus, hypertension, stone problems, genetic defects, infection of kidneys and related parts etc.. Well qualified physicians and experts in their respective fields, and in diagnosis along with other skilled workers offer complete care and service to the patients.
 
Some of the diseases managed are:
 
Acute Kidney disease is also called as acute renal failure or acute kidney injury is a abrupt or rapid failure in the renal filtration function which occurs in just 2 to 3 days. The ability of the kidney to filter the waste from the blood is declined which leads to accumulation of waste products in the blood itself thereby affecting its chemical composition. Balance of fluids and electrolytes are lost immediately. It requires a quick and intensive treatment. We have a round the clock expert team to confront any immediate requirement and emergency.
 
Chronic Kidney disease is a slow loss of kidney over the time. It slowly damages the kidney which leads to increase of waste products in the blood. At later stage it becomes acute. It also results in high blood pressure, anemia, low bone density, nervous problem and poor nutrition in the blood. Chronic disease may also be caused by diabetes, hypertension, etc. Early diagnosis and treatment are necessary which otherwise leads severe injury that requires kidney transplantation to sustain life. We have provided comprehensive care and advice for chronic disease by our expert team.
 
Glomerular diseases is the one in which the kidney losses its capacity to maintain balance of nutrition and electrolytes in the blood stream. Usually the kidneys remove the toxic substances from blood and pass them out through urine maintaining the red blood cells and proteins the blood itself. It gets reversed in glomerular disease where the toxins are maintained and red blood cells and proteins are exited through urine. The albumin protein is vital in absorbing fluids from the body and retain with it until the kidney removes it through the urine. When this albumin protein itself is sent out through the blood, the fluids gets accumulated out of the circulation and gets accumulated in face, hands, feet and ankles which results in swelling. Hence immediate remedy is required which we render with our team of nephrologist.
 
Polycystic Kidney disease is due to formation of cysts in the kidneys. Cysts are small non cancerous, bag like structure that contains water like fluid. This grows bigger and bigger with more accumulation of water and fluid which damages the kidney to a large extent. The cyst may sometimes spread to liver also. The kidneys affected are called as polycystic kidney. It is some time a hereditary disease inherited from parents. The child born to affected parents have a 50% chance of acquiring it. High blood pressure, kidney failures are some of the problems associated with polycystic kidney. Early diagnosis and treatment helps in further proliferation of cysts and reduce complications.
 
Congenital Kidney disorder is the one which affects the kidneys either before or immediately after the birth. They are detected before birth by prenatal tests which can be treated by invasive procedures immediately after birth depending upon the other conditions of the health. Most patients are less than 5 years of age. Some of the disorders include
 
  • Primary defects in the kidney tissues such as parenchymal disease
  • Obstruction of urinary tract
  • Cystic disease
  • Syndromes.
Obstructive Nephropathy is a problem in which the flow of urine is hindered. The flow from kidneys to the urinary bladder through the ureter is blocked and the urine gets backed up in the kidneys. Prolonged retention of urine in the kidney leads to its swelling and thereby damaging either one or both the kidneys. If the block gets opened quickly, then recovery is not a problem. But if it doesn’t happen then it leads to severe damage of kidneys. Some of the common causes of obstructive nephropathy include bladder stone, kidney stone, bladder or urethral cancer, enlargement of prostrate and other spreading cancer.
 
Renal Stone diseases are small, hard stones that are formed from mineral deposits. The minerals that cannot be passed on through urine gets deposited in the kidney and becomes hard as time progresses. The stone may be anywhere in the urinal track but will originate only in the kidney. Kidney stones can be passed out usually by drinking a lot of water to pass it through urine. It is a painful process to get the stone out through urine. In few cases the size of the stone is quite big which cannot pass the urine track. In such cases we provide the necessary treatment and care according to the requirement. Invasive methods are also adopted.
 
Diabetic kidney diseases is a major cause for kidney failure. In this case either dialysis or kidney transplantation is necessary. Treatment can be done to delay the progression of the disease. With diabetes the glucose and sugar level increase in the body which damages the kidney. As a result, the waste toxic and fluids remains in the blood without getting filtered. Hence if blood glucose level is under control then diseases of this type can be controlled.
 
Nephrotic syndrome is a syndrome which is caused by kidney failure. It leads to flow of protein albumin along with urine. It becomes acute when untreated. The fluids in the blood gets stagnated and results in swelling of the face, anklets, hands and feet. Other symptoms include foamy appearance of urine, abnormal weight gain due to fluid retention outside the circulation track, poor appetite.
 
Pediatric kidney diseases are also a severe problem as far as children are concerned. Children and young adolescents are prone to kidney disease nowadays. It may be a congenital disorder, or may be due to hereditary diabetics. We give a complete care for pediatric kidney diseases and all the treatment protocols are under one roof.
 
Dialysis
Dialysis is primarily used to provide an artificial replacement for lost kidney function (renal replacement therapy) due to renal failure. Dialysis may be used for very sick patients who have suddenly but temporarily, lost their kidney function (acute renal failure) or for quite stable patients who have permanently lost their kidney function (stage 5 chronic kidney disease). When healthy, the kidneys maintain the body's internal equilibrium of water and minerals (sodium, potassium, chloride, calcium, phosphorus, magnesium, and sulfate) and the kidneys remove from the blood the daily metabolic load of fixed hydrogen ions. The kidneys also function as a part of the endocrine system producing erythropoietin and 1,25-dihydroxycholecalciferol (calcitriol)
Our successful team has experts who can perform the following.
 
  • Hemodialysis is a process of removing the waste products from the blood when the kidneys are not functioning. There are few types in hemodialysis like:
  • Inpatient Hemodialysis
  • Outpatient Hemodialysis
  • Day time & nocturnal Hemodialysis
  • ICU Dialysis. – SLED & CRRT.
  • Peritoneal Dialysis – continuous ambulatory peritoneal dialysis
  • Automated peritoneal dialysis
  • Dedicated Hemodialysis machines for Hepatitis B & C patients
 
Kidney transplantation
 
Kidney or renal transplantation is an end stage procedure for the lost kidney function. When both kidneys are damaged with disease kidney transplantation is the suggested protocol as dialysis cannot be a lifelong procedure. Highlights of kidney transplantation team include.
  • Well experienced Nephrologists
  • Transplant Surgeons
  • Urologists
  • Immunologists
  • Pathologists
  • Microbiologists
  • Counseling & coordination team
  • 24x7 Cadaver organ retrieval team
  • Live donor & cadaver transplantations
  • Multi-disciplinary kidney transplantation unit
  • ABO incompatible Transplant.
  • Desensitisation Transplant.
UROLOGY
 
Urology is a branch of science that deals with diagnosis and treatment of diseases in urinary tract system and male reproductive system. It includes kidneys, adrenal glands, urinary bladder, urethra, ureters and male reproductive organs
 
Our highly qualified urologist team are experienced in following
 
Endourology is a minimum invasive procedure to remove or fragment kidney stone with the help of tiny endoscopic instruments. the process is carried out through urethra, urinary bladder and ureter. Endourological procedures include urethroscopy, cystoscopy, ureteroscopy, and nephroscopy.
 
Laparoscopic Urology or a key hole surgery in which two to three incisions are made instead of a large cut. Although it is only a key hole, the view obtained is bright and wide, more convenient for the physician to operate. Quick healing method adopted for renal operations.
 
Paediatric Urology provides comprehensive and intensive care for children affected with renal diseases. All urological disorders and problems of children are diagnosed by a special team of pediatric urologists.
 
Andrology is the one which is exclusively for men like gynecology for women. Andrology deals with men reproductive system and disorders such as infertility and sexual dysfunctions associated with it.

Department of Neurology

 
Neurology is a branch of medical science which deals with complete nervous system of the human body, the peripheral and central nervous system. This also includes diagnosis and treatment of nervous disorders.
 
Brain disorders
Brain is the control centre of the body. All the nervous system, spinal cord and neurons are connected to it. A brain disorder happens usually with an injury, disease or other health problems. Some disorders of brain include confusion, head ache, seizures, memory problem, change from normal behavior, problem in vision, lack of muscle control, vomiting, nausea, etc., we treat some brain disorders by :
  • Neuro Surgery for Stroke.
  • Head Injury Management.
  • Brain tumor surgeries
  • Transsphenoidal pituitary tumor excision
  • Minimal access surgeries for intracranial haematomas  & brain abscess
  • Cerebro vascular disorders –  coiling aneurysms
  • Arterio Venous Malformations
  • Congenital malformations in paediatric age
  • Spinal disorders
 
Spinal disorders are problems in spinal cord. Our back bone is made up of 26 bone disc, called vertebrae. This vertebrae is key in protecting the spinal cord and responsible for movements like bending and standing. A disorder of this kind is usually critical. Some spinal disorders are caused by injury, infection, tumors, spondylitis, scollosis, bone change that occurs with age, etc.,      
We treat spinal disorders by
  • Minimally invasive procedures
  • Micro lumbar discectomy
  • Micro endoscopic discectomy
  • Arthroplasty
  • Spinal instrumentation & fusions for spine fractures
  • Kyphoplasty & Vertebroplasty
  • Micro Spine surgery for tumors, vascular malformations, congenital disorders
Epilepsy
 
Epilepsy is a chronic disorder which is characterized by recurrent, unprovoked seizure (sudden change of electrical activity in the brain).
 
Clinical Neurophysiologic investigations for epilepsy: 
  • EEG on American Nicolet Digital Machine
  • Video EEG (American Nicolet) for DD Seizures in Children and Adult
  • Clinical Neurophysiologic Assessment
  • Complete Treatment of Epilepsy in Children and Adult
  • Selection of Patients for Epilepsy Surgery Option
  • Psychiatric Counseling
Electrophysiology
 
           It is the study of electrical properties of various biological cells and tissues in the human body. This process involves the flow of ions from which electrical recordings are measured and treated accordingly.
  • State of the art Nicolet Viking electromyneurography
  • Diagnosis of a variety of muscle, peripheral nerve, neuromuscular junction disorders
  • Visual & auditory pathway disorders
  • Nicolet Viasys digital EED machine for epilepsy classification
  • Monitoring cerebral activity in unconscious patients
  • Detection of non-convulsive seizures
  • Treatment of status epilepticus
Stroke
 
Stroke is nothing but a brain attack. It occurs when the flow of blood to the brain is restricted with a blockage. When this condition occurs, the brain loses its oxygen supply and the cells begin to die. The part of the body controlled by that side of the brain is affected. The problem may vary from temporary weakness of arm and leg to permanent paralysis of one side of the body. We treat stroke in the following ways:
  • Diagnosis & treatment for acute & chronic strokes of various types
  • Intravenous & selective intra-arterial thrombolytic therapy
  • 64 Slice CT, CT Angiography
  • Diffusion & Perfusion MRI, MR Angiography
  • Cath Lab with advanced DSA for interventional neuroradiolog
  • Carotid stenting, coiling of AVMs & aneurysms

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