IndianHealthGuru Consultants

Website : www.indianmedguru.com

Indian Health Guru Medical trip planner & Manager in INDIA

Cardiac surgery in India

Overview:

Each day, thousands of people in the world have cardiac surgery (also known as heart

surgery). Cardiac surgery is used to correct heart problems in children and adults. When

medication and catheter-based treatments do not relieve your symptoms then cardiac

surgery may be your only option for treatment for a range of heart conditions, including but

not limited to mitral valve prolapse (MVP), atrial septal defect (ASD), and coronary artery

disease. Facing either traditional heart surgery or open heart surgery to treat disorders

occurring in the chest cavity can be a frightening experience. You have several decisions

to make including choosing your cardiac surgeon, your hospital, and which procedure you

and your physician choose.

What is cardiac surgery?

Cardiac surgery is a surgery on the heart performed by cardiac surgeons. Frequently, it is done to treat complications of ischemic heart disease (for example, coronary artery bypass grafting), correct congenital heart disease, or treat valvular heart disease caused by various causes including endocarditis. It also includes heart transplantation.

Why Cardiac surgery?

The various types of Cardiac Surgeries performed may be used to address the following issues:

� Repair or replace the valves that control blood flow through the heart's chambers � Bypass or widen blocked or narrowed arteries to the heart � Repair aneurysms, or bulges in the aorta, which can be deadly if they burst � Implant devices to regulate heart rhythms � Destroy small amounts of tissue that disturb electrical flow through the heart � Make channels in the heart muscle to allow blood from a heart chamber directly into the heart muscle � Boost the heart's pumping power with muscles taken from the back or abdomen � Replace the damaged heart with a heart from a donor

Cardiac Conditions:

� Aneurysm � Angina Pectoris � Arrhythmias � Atherosclerosis � Atrial Fibrillation � Cardiac Sarcoma � Cardiomyopathy � Congenital Heart Defects � Coronary Heart Disease � Heart Attack (Myocardial Infarction) � Heart Failure � Heart Murmurs � Heart Valve Diseases � High Blood Pressure / Hypertension � Mitral Valve Prolapse � Pericarditis � Peripheral Vascular Disease

Transmyocardial Laser Revascularization: or TLR, is a surgery used to treat angina when no other treatments work. For example, if you've already had one CABG procedure and can't have another one, TLR may be an option. This type of heart surgery isn't common. During TLR, a surgeon uses lasers to make channels in the heart muscle. These channels allow oxygen-rich blood to flow from a heart chamber directly into the heart muscle.

Heart Valve Repair or Replacement: is done to fix leaflets that don't open as wide as they should. This can happen if they become thick or stiff or fuse together. As a result, not enough blood flows through the valve into the artery. It is also is done to fix leaflets that don't close tightly. If the leaflets don't close tightly, blood can leak backward into the heart chambers, rather than only moving forward into the arteries as it should. To fix these problems, surgeons either repair the valve or replace it. Replacement valves are taken from animals or made from human tissue or man-made materials. To repair a mitral or pulmonary valve that's too narrow, a surgeon will insert a catheter through a large blood vessel and guide it to the heart. This procedure is less invasive than open-heart surgery.

Arrhythmia Treatment: An arrhythmia is a problem with the rate or rhythm of the heartbeat. Most of them are harmless, but some can be serious or even life threatening. When the heart rate is abnormal, the heart may not be able to pump enough blood to the body. Lack of blood flow can damage the brain, heart, and other organs. Arrhythmias usually are treated with medicine first. If medicine doesn't work well enough, you may need surgery. This surgery is done with a pacemaker who sends electrical signals through the wires to control your heart rhythm. In this operation, the surgeon makes new paths for the heart's electrical signals to travel through. This type of surgery is used to treat atrial fibrillation, the most common type of serious arrhythmia. Simpler, less invasive procedures also are used to treat atrial fibrillation.

Aneurysm Repair: An aneurysm is an abnormal bulge or "ballooning" in the wall of an artery or the heart muscle. This bulge happens when the wall weakens. Pressure from blood moving through the artery or heart causes the weak area to bulge. Over time, an aneurysm can grow and burst, causing dangerous, often fatal bleeding inside the body. Aneurysms in the heart most often occur in the heart's lower left chamber (the left ventricle). Repairing an aneurysm involves surgery to replace the weak section of the artery or heart wall with a patch or graft.

Heart Transplant: A heart transplant is surgery to remove a person's diseased heart and replace it with a healthy heart from a deceased donor. Your doctor may recommend a heart transplant if your heart is so damaged or weak that it can't pump enough blood to meet your body's needs. This condition is called heart failure. This type of surgery is a life-saving measure that's used when medical treatment and less drastic surgery have failed. Patients on the waiting list for a donor heart receive ongoing treatment for heart failure and other medical conditions.

Ventricular Assist Devices: VADs are mechanical pumps that are used to support heart function and blood flow in people who have weakened hearts. Your doctor may recommend a VAD if you have heart failure or if you're waiting for a heart transplant. You can use a VAD for a short time or for months or years, depending on your situation. Depending on a patient's heart problem, general health, and other factors, he or she can have open-heart surgery or minimally invasive heart surgery.

Types of Cardiac surgery:

cardiac surgery, which are used to fix different types of heart problems:

Coronary Artery Bypass Grafting: Coronary artery bypass grafting (CABG)

is the most common type of heart surgery. This surgery is used for people who

have severe coronary heart disease (CHD), also called coronary artery

disease. In CHD, a fatty material called plaque builds up inside your coronary

(heart) arteries. Plaque narrows the arteries and limits blood flow to your heart

muscle. CHD can cause angina, shortness of breath, and heart attack. During

CABG, a surgeon takes a vein or an artery from your chest, leg, or another

part of your body and connects, or grafts, it to the blocked artery. The grafted

artery bypasses (that is, goes around) the blockage. This allows oxygen-rich

blood to reach the heart muscle. Surgeons can bypass multiple blocked

coronary arteries during one surgery.

Minimally Invasive Heart Surgery: For minimally invasive heart surgery, a surgeon makes small incisions in the side of the

chest between the ribs. A heart-lung bypass machine sometimes is used for some types of minimally invasive heart surgery.

Minimally invasive heart surgery is used for some CABG and maze procedures. It's also used to repair or replace heart valves

and insert pacemakers or ICDs. One type of minimally invasive heart surgery that's still being developed is robotic-assisted

surgery. For this surgery, a surgeon uses a computer to control surgical tools on thin robotic arms. The tools are inserted

through small incisions in the chest. This allows the surgeon to do complex and highly precise surgery. The surgeon always is

in total control of the robotic arms; they don't move on their own.

Who needs a cardiac surgery?

Cardiac surgery is used to treat people who have certain heart diseases and conditions. If other treatments—such as lifestyle

changes, medicines, and medical procedures—haven't worked or can't be used, heart surgery may be an option. Cardiac

surgery is used to treat heart failure and coronary heart disease. It's also used to fix heart valves that don't work right, to control

heart rhythms, and to replace a damaged heart with a healthy one.

Preparing for the surgery:

There are many types of heart surgery. The type you need depends on your situation. One person's experience before surgery

can be very different from another's. Some people carefully plan their surgeries with their doctors. They know exactly when and

how their surgeries will happen. Other people need emergency heart surgery. Others are diagnosed with blocked coronary

arteries and are admitted to the hospital right away for surgery as soon as possible. If you're having a planned surgery, you

may be admitted to the hospital the afternoon or morning before your surgery. Your doctors and others on your health care

team will meet with you to explain what will happen. They'll give you instructions on how to prepare for the surgery. You also

may need to have some tests, such as an EKG (electrocardiogram), chest x ray, or blood tests. An intravenous (IV) line will be

placed into a blood vessel in your arm or chest to give you fluids and medicines. Hair near the incision site may be shaved.

Your skin may be washed with special soap to reduce the risk of infection.

Just before the surgery, you'll be moved to the operating room. You'll be given medicine so that you fall asleep and feel no pain

during the surgery.

What to Expect After Heart Surgery?

Depending on the type of heart surgery, you may spend a day or more in the hospital's intensive care unit (ICU). You may have

an intravenous (IV) needle inserted in a blood vessel in your arm or chest to give you fluids until you're ready to drink on your

own. The entire time you're at the hospital, doctors and nurses will closely watch your heart rate, blood pressure, breathing,

vital signs, and incision site(s). Your recovery at home will depend on what kind of heart problem and surgery you had. Your

doctor will give you specific instructions about how to:

� Care for your healing incisions

� Recognize signs of infection or other complications

� Cope with after-effects of surgery

Recovery time varies for different types of heart surgery. Full recovery from traditional open-heart CABG may take 6 to 12

weeks or more. Less recovery time is needed for off-pump heart surgery and minimally invasive heart surgery. Your doctor will

let you know when you can go back to your daily activities, such as working, driving, and physical activity.

What Are the Risks of Heart Surgery?

Heart surgery has risks, even though its results often are excellent. Risks include:

� Bleeding. � Infection, fever, swelling, and other signs of inflammation. � Reaction to the medicine used to temporarily put you to sleep during surgery. � Arrhythmias (irregular heartbeats). � Memory loss and problems concentrating or thinking clearly. � Damage to tissues in the heart, kidneys, and lungs.

Why cardiac surgery in India?

Cardiac care has become a specialty in India with a very good health infrastructure to reckon with. These medical units or hospitals have the latest innovations in medical electronics with unmatched expertise in leading cardiologists and cardo-thoracic surgeons. These cardiac surgeons have the distinction of providing comprehensive cardiac care spanning from basic facilities in preventive cardiology to the most sophisticated curative technology. The technology is contemporary and world class and the volumes handled match global benchmarks. Cardiac Surgery in India is available at various hospitals of India.

Mumbai Hyderabad Kerala

Delhi Pune Goa

Bangalore Nagpur Jaipur

Chennai Gurgaon Chandigarh

The cities have renowned cardiac hospitals which are equipped to handle all phases of heart diseases from the elementary to the latest clinical procedures like interventional cardiac catherisation and surgical cardiac transplants. International patient coming for various heart surgeries do not have to worry about the arrangement while deciding for their treatment in India. As the Indian medical tourism takes care of every aspect of their medical tour. A patient has to just send a query related to the surgery then rest if their job. They also specialize in offering surgery to high risk patients with the introduction of innovative techniques like minimally invasive and robotic surgery. The added feature of having your cardiac treatment here in India is the zero patient wait lists for the patients suffering from any cardiac problem. Here they can avail their respective surgery as and when required as the urgency is the priority in India rather than first come first serve concept.

Cost benefits:

India has no parallels in healthcare when it comes to cost effective treatments in comparison with other countries. Significant cost differences exist among US, UK and South Asian countries. That gives India a certain edge when it comes to reasonable medical treatments. No matter what procedure you undergo, you are sure to save 75% to 95% of healthcare costs. The following table would further enhance the cost difference, which as under:

Procedure USA ($) UK ($) India ($)

Open Heart Surgery (CABG) 90, 000 55, 000 7,500

Total Knee Replacement 48,000 52,000 6,300

Hip Resurfacing 55,000 48,000 7,000

LA Hysterectomy 22,000 24,000 4,000

Lap Cholcystectomy 18,000 20,000 3,000

Spinal Decompression Fusion 60,000 65,000 5,500

Obesity Surgery (Gastric Bypass)

65,000 70,000 9,500

Some of the common countries from which patients travel to India for surgery are:

USA UK Canada

Australia New Zealand Nigeria

Kenya Ethiopia Uganda

Tanzania Zambia Congo

Sri Lanka Bangladesh Pakistan

Afghanistan Nepal Uzbekhistan

ABOUT INDIA

Located in South Asia, bordered by Pakistan, Nepal, China and Bangladesh, India is South Asia's largest, sovereign, democratic republic. India has an edge over other countries when it comes to offering comprehensive, cost-effective and timely medical care: it also offers an exotic, adventure-filled or cultural -if you wish array of destinations to discover and revel in for the travelers. Indian cities like Mumbai, Hyderabad, Goa, Bangalore, Nagpur, Kerala, Delhi, Pune, Jaipur, Chennai, Gurgaon, and Chandigarh offers best medical tourism service.

Mumbai - Formerly known as Bombay, is the commercial & financial capital city of India. Mumbai is famous for many things, including its thriving Bollywood film industry, teeming bazaars, colonial-style buildings, Art Deco structures and a superb choice of restaurants, often being rated as the dining capital of India. The tourist district of Colaba in Mumbai is a great place to start exploring this great city.

Hyderabad – Hyderabad city is a great place to visit in the state of Andhra Pradesh. The place has witnessed a continuous growth for last many years. Hyderabad has become a tourist hotspot following ever increasing number of tourists during past few years. Hyderabad has a well-founded reputation as one of the safest cities in the world.

Goa - The country's smallest state and famed for its colonial Portuguese and Catholic past, most tourists visit Goa for its endless selection of sandy beaches and coastal attractions. Standing proudly next to the Arabian Sea, Goa is a particularly compact state and often feels like a large town, being easy to travel. Around Goa, tourists will soon realize that the state has much more to offer than simply stunning beaches, fishing, water scooters, windsurfing and scuba diving.

Bangalore - Beauty lies in the eyes of beholder and if you want to see one of the most beautiful places in India then Bangalore is the word for it. Bangalore has earned sobriquets like 'Silicon Valley of India', 'Pub Capital of India', and 'City of Gardens'. Pleasant climate with colorful gardens with lakes and glittering nightlife, Bangalore has made its own attraction for travelers as one of the most charming cities in India,

Nagpur - Nagpur is the largest city in central India, but with its friendly atmosphere and dependable transportation, you’ll instantly feel at home. The city of Nagpur has a well-built infrastructure, is a clean and affluent city which makes a good jumping-off point for a series of trips into the far eastern corner of Maharashtra.

Kerala - Natural beauty, clean air and primordial greenery amidst the vast expanse of water and sky, typifies the state of Kerala – better known as God's own country. Kerala is famous for its alternative medical therapies such as Ayurveda, which help to rejuvenate and revitalize the body. The region is also home to India’s only virgin tropical rain forest – the Silent Valley National Park, supporting an overwhelming range of life forms, many of which are highly endangered, and endemic to this part of the planet.

Delhi - "Welcome to The Capital City of India - New Delhi" Delhi is famous as Capital city of India is located in North India. Delhi is truly a symbol of the old and the new; a blend of ancient well preserved monuments and temples along with jam-packed burger joints and up market shopping malls. Delhi has state of the art Hospitals and the best qualified doctors.

Pune - Once referred to as the Oxford of the east, Pune continues to be a stronghold for academics and culture. An array of factors like availability of efficient and experienced doctors, comparatively low treatment costs, hospital facilities of international standards and many more have made Pune one of the top destinations for medical tourism.

Jaipur - Jaipur is one of the most popular destinations on a tourist's itinerary. The magnificent forts, beautiful havelis and colourful bazaars make Jaipur a popular tourist destination among tourists. Jaipur has pioneered health and medical tourism in India.

Chennai - Chennai is one of the most developed urban centers in the Indian subcontinent. The city forms the capital of Tamil Nadu state and is the fourth largest metropolitan city in India. They have some of the very best hospitals and treatment centers in the world. Each hospital is equipped with state of the art facilities. The technology brought into practice is the very latest, including robotic surgery.

Gurgaon – It is one of the four important satellite cities of the National Capital Region and is often referred to as the 'Millennium City.' Gurgaon has recently emerged as the latest hub for Medical Tourism. Apart from being IT hub and a favorite haunt for MNC offices, the city has a number of world class hospitals that not only treat Indian citizens but also people from outside.

Chandigarh - Chandigarh is a rare epitome of modernization co-existing with nature's preservation. It is here that the trees and plants are as much a part of the construction plans as the buildings and the roads. India’s first planned city, Chandigarh is a rich, prosperous, spic and span, green city rightly called “THE CITY BEAUTIFUL”.

Patients Testimonial:

Mrs. Raymond, Nigeria

Heart Pacemaker Surgery for his mother Surgery

My mom was suffering from severe pain and it was unbearable and the doctor told that she was suffering from arrhythmias. My doctor referred me to Indian Health guru consultants. It’s the best medical services consultant in India. My mom was shifted to a good hospital. Indian Health guru consultants made all the arrangement for us from consulting a doctor till the surgery was done. After undergoing a series of tests the doctor conformed that my mom needs to get a cardiac failure device implanted for better heart condition. Cardiac Failure Device implant surgery is often done using a local anesthetic and the person returns home the same day. Occasionally, a patient might be admitted to the hospital for a day. The surgical procedure includes these steps: An incision is made for the pacemaker. (This may be on either side of the chest or in the abdomen).The leads are inserted into a vein and guided to the heart. The leads are connected to the Cardiac Failure Device. The Cardiac Failure Device and leads are tested. The incision is closed. The Cardiac Failure Device is programmed. The entire procedure for Cardiac Failure Device implantation may take about 2 hours. You will be instructed remain fasting for 10 - 12 hours before the surgery. I really appreciate Indian Health guru consultants for providing us such a nice service away from our home country. And now my mom’s life has changed a lot. She is living a normal life as before without any complication

Mr. Isiaka Taiwo, Nigeria

Cardiac Treatment in India

I am Mr. Isiaka Taiwo from Nigeria. A few weeks ago, I had my Heart disease treatment in India. I am thankful to my

medical service provider – The Indian Healthguru Group – for being so kind and supporting. Few weeks before, I was

witnessed with palpitations or rapid thumping in my chest, also used to feel tired and light headed and at times lost

consciousness with heavy chest pain. With all these symptoms, I felt the need to consult a local doctor in my

hometown. The doctor after listening to this, did a couple of test which included blood test, x-day, ECG and so on

and concluded that I have cardiac issues and would now require Heart disease treatment. I knew the fact that it’s a

difficult affair to have it in Nigeria. Gradually, on browsing the internet, I came across couple of options to have my

Heart disease treatment in India along with other countries like Thailand and Mexico. On comparing them, I found the

option of having my Heart disease treatment in India pretty viable. I discussed this with my family members, they too

agreed on my idea. Now I needed someone who can help me out to arrange my Heart disease treatment in India.

With few clicks, I then came across a medical consultant called Indian Healthguru Group. it took couple of weeks to

recover following the Heart disease treatment in India. But I must say that I really had great time being in India having

my Heart disease treatment. Now when I am hale and hearty, I must take this opportunity to thank my medical

consultant who expedited Heart disease treatment in India, besides them, I would also like to extend my words of

gratitude to the surgeon who performed my treatment. This pleasant experience of being treated in India would

certainly provoke me to recommend people for the same.

Knee Replacement Surgery in India

Knee replacement surgery also known as knee arthroplasty is procedure to replace the weight-bearing surfaces of the knee joint to relieve the pain and disability of osteoarthritis. It may be performed for other knee diseases such as rheumatoid arthritis and psoriatic arthritis. The procedure has been proven to help individuals return back to moderately challenging activities such as golf, bicycling, and swimming. Total knees are not designed for jogging, or sports like tennis and skiing (although there certainly are people with total knee replacements that participate in such sports). Knee replacement is a routine surgery performed on over 600,000 people worldwide each year. Over 90% of people who have had Total Knee Replacement experience an improvement in knee pain and function.

Knee Replacement Surgery Candidates A person would be considered a candidate for knee replacement if there is:

• Daily pain • The pain is severe enough to restrict work, recreation and ordinary activities of daily living

• Significant stiffness in the knee

• Significant instability (constant giving way) of the knee • Significant deformity (knock-knees or bow-legs) that hinders normal function of the knee

• Damage from arthritic conditions, such as osteoarthritis, rheumatoid arthritis or post-traumatic arthritis

Success Rate of Knee Replacement Surgery: Knee replacement surgery is recognized as a miracle of modern surgery. Most orthopedic experts consider replacement to be the best method of handling arthritis in the knee. Knee replacements have literally put hundreds of thousands of Americans back on their feet and allowed them to enjoy their golden years.

Knee Replacement Surgery Preparations:

• If you smoke, cut down or quit. Smoking changes blood flow patterns, delays healing and slows recovery.

• If you drink, don't have any alcohol for at least 48 hours before surgery.

• Ask your doctor for pre-surgical exercises. If you are having hip or knee replacement surgery, doing exercises to strengthen your upper body will help you cope with crutches or a walker after surgery.

• Your primary care physician or an internist will conduct a general medical evaluation several weeks before surgery. This examination will assess your health and your risk for anesthesia. The results of this examination should be forwarded to your orthopaedic surgeon, along with a surgical clearance.

• Shortly before your scheduled surgery, you will probably have an orthopedic examination to review the procedure and answer any last-minute questions.

• You may need to take several types of tests, including blood tests, a cardiogram, a urine sample and a chest X-ray. • Advice your surgeon of any medical conditions you have and of all the medications you are taking. You may need to

stop taking certain medications or your surgeon may recommend substitute medications until your surgery. Medications such as corticosteroids, insulin or anti-coagulants will need to be managed before and after surgery.