What is Awake spine surgery?
These are surgeries done under local or regional anaesthesia without using general anaesthesia. Certain Minimally invasive spine surgery can be done in this manner.
What is scoliosis?
Scoliosis is a condition wherein a person’s spine or back is curved like an “S” or “C”
Scoliosis can be a by birth, acquired or age-related condition
Early detection and correction (in the adolescent age itself) is the key to effective treatment of scoliosis
Severe or visible scoliosis, if left untreated, can lead to complications including disfigurement, pain, breathing difficulties or nerve damage
What is bariatric surgery?
It is a surgical intervention to promote weight loss by making changes to your digestive system. Decreasing the size of the stomach creates a feeling of fullness when you eat.
When to opt for bariatric surgery, am I the ideal candidate?
Bariatric procedures are suggested to you if other weight management measures are failed and you suffer from obesity related health conditions
What are alcoholic liver diseases?
Alcohol is a toxin that can cause irreversible damage to your liver. Every time you drink, your liver does its best to break down the alcohol and expel the toxins from your body. However, if the alcohol content is beyond what the liver can handle, it will gradually start losing its ability to function, which in turn leads to several complications.
What are the complications that arise from alcohol-relatedliver diseases?
The complications of liver diseases start showing very slowly, over many years. Symptoms usually aggravate with time and become life threating. The patient may suffer from
Build-up of fluid in the abdomen (ascites) and legs (edema)
Vomiting blood due to rupture of veins in the food pipe or stomach
Deliriousness or confusion (Hepatic Encephalopathy)
Coma
Kidney failure
Liver cancer
How is a patient chosen and enlisted for liver transplant?
The first thing we do is to assess the patient as a team to determine whether transplant is the best way forward.
Secondly his or her medical fitness for the transplant is assessed. Our team comprises hepato pancreato biliary/ multi organ transplant surgeons, hepatologists, transplant anaesthesiologists, liver anaesthesiologists, Intensivits, critical care experts, diagnostic radiologists, interventional radiologists, infectious diseases/ infection control physicians, psychiatrists and clinical psychologists supported by transplant coordinators, substance dependency experts to help those with a history of alcohol/drug use and social workers.
All medical records are reviewed carefully, and a comprehensive pre-transplant diagnostic and pathological investigations are done to understand the extent of liver damage, ascertain blood, heart and lung health and check for any other major infections or diseases.
If everything is acceptable, then we register the patient for liver transplant, according to blood type, body size, medical condition and a priority score based on three simple blood tests known as MELD (model of end-stage liver disease) in adults and PELD (paediatric end-stage liver disease) in children.
Patients with the highest scores are transplanted first.
What are the possible post-surgery complications?
Like every advanced surgery, liver transplant too can have possible complications in some cases.
Your body’s immune system is programmed to destroy foreign substances that invade your body. This means your immune system may attempt to attack your new liver. This is called rejection and is see in more 30% liver-transplant patients within the first year of transplant.
The doctors will give you anti-rejection medications to counter the immune attack.
How is it going to be after the surgery?
Post-surgery, you will need to stay in the hospital for 2 to 3 weeks, so that we ensure you recover well. However, it is different for different people, as some might need more time to recover from post-surgery complications.
Our doctors will always take time out to listen to you and to take good care of you, supported by our award winning team of CLS/BLS/ATLS/PALS certified nurses.
In order to ensure your smooth recovery even after you get back home, our nurses and transplant coordinator will prepare well in advance prior to discharge.
What you should do and what not will be explained to you in detail, along with your new medications that will help you overcome possible post-surgery complications. You will need to take these medications all your life.
Our medical team will also tell you how to keep a watch on signs of rejection and infection and when you should seek immediate medical help.
What will it be like after the surgery?
You’ll be under continuous medical observation for 7 to 10 days post surgery, so that we can check whether your new kidney is functioning properly. At times, the new kidney might take some time to start functioning and produce urine. You might have to undergo dialysis till then and also take medications like diuretics to help the kidney expel excess water and salt from your body.
Our nurses and rehabilitation experts will take good care of you and guide you through your recovery.
We have state-of-the-art hemodialysis and peritoneal dialysis facility, complete with a water treatment plant to ensure high-quality dialysis for patients.
