Endovascular coiling is a procedure performed to block blood flow into an aneurysm (a weakened area in the wall of an artery). A minimally invasive technique, it does not require an incision in the skull to treat the brain aneurysm. Rather, a catheter is used to reach the aneurysm in the brain. During endovascular coiling, a catheter is passed through the groin up into the artery containing the aneurysm. Platinum coils are then released. The coils induce clotting (embolization) of the aneurysm and, in this way, prevent blood from getting into it.
Balloon Test Occlusion
The brain’s main blood supply comes from 4 main blood vessels including two vertebral arteries in the back of the neck and two carotid arteries in the front of the neck. Treatment of some neurosurgical conditions requires blocking or tying off one of these blood vessels. However, blocking one of these blood vessels has a potential to cause a stroke. Physicians can determine if a stroke might occur before proceeding with surgery by doing a Balloon Test Occlusion (BTO). BTO is when a small, soft balloon is inflated in the artery wall blocking the blood flow through that specific blood vessel. If the other blood vessels in the neck are insufficient in supplying blood to the whole brain, a stroke could develop. If however, the cerebral blood flow is maintained, then the option for surgery is more likely.
Catheter brain angiogram is a minimally invasive diagnostic procedure where especially detailed images of brain vessels are obtained. The level of detail in being able to see very small arteries and veins, as well as the ability to look at blood flow through the brain in real time, constitute some advantages of the cerebral angiogram over non-invasive techniques such as MRA and CTA. Tremendous advances in modern CTA and MRI/MRA imaging allow, in most cases, for sufficient information to be obtained without the need for a Catheter Brain Angiogram.
A craniotomy is the surgical removal of part of the bone from the skull to expose the brain. By using specialised tools, a section of bone called the bone flap is temporarily removed to access the brain underneath. It may be performed to treat brain tumors, hematomas (blood clots), aneurysms or AVMs, traumatic head injury, foreign objects (bullets), swelling of the brain, or infection.
A shunt is a hollow tube surgically placed in the brain (or occasionally in the spine) to help drain cerebrospinal fluid and redirect it to another location in the body where it can be reabsorbed. Shunt procedures can address pressure on the brain caused by hydrocephalus and relieve its symptoms such as gait difficulty, mild dementia and lack of bladder control. If the specialist finds that these problems improve after a lumbar puncture, it may mean that placing a shunt may be able to provide a longer-term benefit.
Cytoreductive surgery is a surgical procedure used to remove tumors from patients with peritoneal mesothelioma. When it’s paired with hyperthermic intraperitoneal chemotherapy (HIPEC), it considerably increases life expectancy and reduces the rate of cancer recurrence. The procedure aims for complete removal of all visible tumors affecting the protective lining of the abdomen. The procedure is complex and can last anywhere from 10 to 12 hours.
A lobectomy is a surgery to remove one of the lobes of the lungs. The lungs have sections called lobes. The right lung has 3 lobes. The left lung has 2 lobes. A lobectomy may be done when a problem is found in just part of a lung. The affected lobe is removed, and the remaining healthy lung tissue can work as normal.
A lobectomy may be done when a problem is found in 1 lobe. A lobe may be removed so that disease isn’t spread to the other lobes. This may be the case with tuberculosis or certain types of lung cancer.
Transurethral Resection of the Prostate (TURP)
Transurethral resection of the prostate (TURP) is a surgery used to treat urinary problems due to an enlarged prostate. A combined visual and surgical instrument (resectoscope) is inserted through the tip of your penis and into the tube that carries urine from your bladder (urethra). The prostate surrounds the urethra. Using the resectoscope, your doctor trims away excess prostate tissue that’s blocking urine flow.
TURP is generally considered an option for men with moderate to severe urinary problems that haven’t responded to medication. Traditionally, TURP has been considered the most effective treatment for an enlarged prostate.
Cleft Lip and Palate Surgery
Cleft repair surgery involves joining the tissues that did not join together while your baby was in the womb. The aim is for the best possible functional (how it works) and aesthetic (how it looks) outcome as your child gets older. A cleft lip is usually surgically repaired using general anesthesia when a child is 3 to 6 months old. If the cleft lip is wide, special procedures like lip adhesion or a molding plate device might help bring the parts of the lip closer together before the lip is fully repaired. Cleft lip repair usually leaves a small scar on the lip under the nose.
At 9-12 months of age, a cleft palate usually can be repaired. Our plastic surgery team specialises in connecting the muscles of the soft palate and rearrange the tissues to close the cleft. This surgery requires general anesthesia and a short hospital stay for recovery.
Whipple procedure — also known as a pancreaticoduodenectomy — is a complex operation to remove the head of the pancreas, the first part of the small intestine (duodenum), the gallbladder and the bile duct. It is used to treat tumors and other disorders of the pancreas, intestine and bile duct. It is the most often used surgery to treat pancreatic cancer that’s confined to the head of the pancreas.
Abdominal Aortic Aneurysm
An abdominal aortic aneurysm is an enlarged area in the lower part of the major vessel that supplies blood to the body (aorta). The aorta is the largest blood vessel in the body, so a ruptured abdominal aortic aneurysm can cause life-threatening bleeding. Depending on the size of the aneurysm and how fast it’s growing, treatment varies from watchful waiting to emergency surgery.
Narayana Health’s team of specialist surgeons offer treatment of abdominal aortic aneurysm through open aneurysm repair and minimally invasive repair (Endovascular Grafting).
ASD & VSD Closure
A hole in the wall between the two upper collecting chambers (ASD) or between the two bottom pumping chambers (VSD) can cause problems. The severity of the symptoms depends on the size and the location of the defect and can range from no symptoms at all to severe heart failure. Heart failure in a baby results in poor feedings and poor weight gain.
Depending on their size and location, septal defects may close by themselves. The surgical treatment for atrial septal defect (ASDs) and ventricular septal defect (VSDs) is open-heart surgery.
Tetralogy of Fallot
Tetralogy of Fallot is a rare condition caused by a combination of four heart defects that are present at birth (congenital). These defects, which affect the structure of the heart, cause oxygen-poor blood to flow out of the heart and to the rest of the body. Infants and children with tetralogy of Fallot usually have blue-tinged skin because their blood doesn’t carry enough oxygen.
Our pediatric cardiology team has produced excellent outcomes for Tetralogy of Fallot while continuing to examine and research all medical and surgical options for patients suffering with this condition. A thorough evaluation of patients using state-of-the art diagnostic testing enables our specialists to determine the best course of treatment and design a long-term plan appropriate for each individual child.
The third and last of the staged congenital heart surgeries performed to treat hypoplastic left heart syndrome (HLHS) and other single ventricle heart defects is the Fontan procedure. It is usually performed between the ages of 18 months and three years. During a Fontan procedure, congenital heart surgeons reroute the blood flow from the lower body to the lungs by connecting the inferior vena cava to the pulmonary artery.
The paediatric cardiology team at Narayana Health’s group of hospitals has managed to achieve excellent results when it comes to congenital heart surgery outcomes for even the most complex types of heart disease
Double Valve Repair
Heart valve surgery fixes a damaged or faulty heart valve. A Double valve surgery is a surgery where two valves are involved. Sometimes a faulty valve can be repaired by cutting away excess tissue in the cusps of the valve and sewing the edges together. It can be repaired by shortening or connecting the cords that act like hinges on the valve. Special rings called ‘prosthetic rings’ or ‘annuloplasty rings’ can also be used to narrow an enlarged valve and strengthen the repair.
Carotid artery stenting is a procedure in which a vascular surgeon inserts a slender, metal-mesh tube, called a stent, which expands inside your carotid artery to increase blood flow in areas blocked by plaque.
Your carotid arteries are located on each side of your neck and extend from your aorta in your chest to the base of your skull. These arteries supply blood to your brain. You have one main carotid artery on each side, and each of these divides into two major branches, the external and the internal carotid arteries. The external carotid supplies blood to your face and scalp. Your internal carotid artery is more important because it supplies blood to the brain. Carotid stenting usually takes about 1-2 hours, but may take longer in some circumstances.