Cardiac Resynchronization Therapy (CRT)

Our Heart Centre offers the most comprehensive care to patients suffering from various heart diseases. Our cardiologists and cardiovascular surgeons are well trained in evaluating, diagnosing and performing cardiovascular surgery in or order to treat patients suffering from heart rhythm disorders.

Staff at Nanavati Hospital implants hundreds of implantable devices to help people live a quality of life without worrying much about their heart.

What Is Cardiac Resynchronization Therapy (CRT)?

Cardiac resynchronization therapy (CRT), also termed as biventricular pacing, involves the use of a special kind of pacemaker known as a biventricular pacemaker - that works by sending small electrical impulses through the leads attached to it, in order to keep the right and left ventricles pumping together, called AV synchrony. It is designed to help the ventricles contract normally and improve the heart’s rhythm and symptoms associated with arrhythmia or heart failure.

How Does A Biventricular Pacemaker Works?

The pacemaker is implanted just below the collarbone. There are three wires connected to the devices monitor that helps in detecting heart rate irregularities and in synchronizing the heart by emitting tiny pulses of electricity to correct them.

Diagnostic Procedure

The doctor performs several tests to diagnose the find the cause of irregular heartbeats, before implanting a biventricular pacemaker. These tests are performed using:

  • Electrocardiogram (ECG)
  • Holter monitoring
  • Echocardiogram
  • Stress test

Benefits of CRT

Cardiac resynchronization therapy (CRT) helps in improving the heart’s efficiency by increasing blood flow in patients who have experienced heart failure symptoms such as shortness of breath that aren't controlled with medication.  It improves the overall quality of life of the patient and decreases in hospitalization and morbidity.

Results

Having a biventricular pacemaker will help in improving the symptoms caused due to heart failure & slow heartbeats.

State-of-the-art Surgery Centre

With the pioneering medical forefront of science and research, the Centre for Orthopaedics (Bone), Arthroplasty (Joint Replacement), Spine, Traumatology, and Sports Medicine is setting new standards for quality and innovation in patient care, by providing, comprehensive treatment. We have same-day outpatient/Daycare surgery too for minor procedures. Our leading-edge technology and facilities to world-renowned surgeons and specialists who are nationally and internationally recognised leaders in their respective fields, with the highest degree of skills, experience and knowledge available.

What is a Sports Injury?

A sports injury is a type of injury that occurs during exercising or when a person is engaged in some kind of sports activities. A sports injury can occur due to many reasons like overtraining, fail to warm up, lack of conditioning, and improper form or technique that can result in injuries such as
Acute Injuries like:

  • Ankle Sprain
  • Muscle tears
  • Knee injuries like ligament tears or cartilage injuries
  • Rotator cuff injury
  • Fractures
  • Tendon Ruptures
  • Dislocations

Or Chronic Injuries like:

  • Hamstring Strains
  • IT Band syndrome
  • Tennis Elbow
  • Runner’s Knee

What Is Haematopoietic Stem Cell Transplant Or Bone Marrow Transplant?

A bone marrow transplant is a treatment performed to replace the unhealthy bone marrow of the patient with the healthy bone marrow cells. Bone marrow or peripheral blood stem cell harvesting is the first step towards bone marrow transplant treatments and stem cell therapies performed to treat patients suffering from various blood-related disorders such as leukaemia, lymphoma, and specific autoimmune disorders.

Bone marrow is a soft and spongy substance that is present between the inner cavities of bones, from where the blood is produced. There are several tiny spaces in the bone marrow that hold the primitive cells which are capable of growing into a different type of blood cells. These cells are called stem cells, which are capable of producing various kinds of blood cells, i.e. red blood cells, white blood cells, and platelets.

In general, there are two types of bone marrow, red and yellow. Most of the bone marrow in kids is red marrow and rich in stem cells. However, in adolescents, owing to fat cell infiltration, a big part of the bone marrow is transformed into yellow marrow. In adolescents, red marrow is generally confined to a few bones, such as hip bones, breast bone, ribs, shoulder blades, skull, backbone, arm, and thigh ends.

What Is Breast Cancer?

Breast cancer is one of the most common invasive cancers in women that develop when cells in the breast begin to grow out of control. This uncontrolled growth of the cells usually forms a tumour that can be felt as a lump.

There are two most common kinds of breast cancers:

Invasive Ductal Carcinoma: In this case, the cancer cells grow outside the ducts in different parts of the breast. These invasive cancer cells can easily spread or metastasise, to other parts of the body.

Invasive Lobular Carcinoma: It is a type of breast cancer that begins in the milk-carrying ducts/ glands (lobules) of the breast and spreads beyond it to other areas of the body

Other types of breast cancer we treat at the unit include:

• Ductal Carcinoma in Situ (DCIS)

• Inflammatory Breast Cancer

• Lobular Carcinoma in Situ (LCIS)

• Male Breast Cancer

• Metastatic Breast Cancer

• Paget's Disease of the Nipple

• Phyllodes Tumour of the Breast

• Breast Cancer in pregnancy

What Is Head, Face And Neck Cancer?

The term head, face, and neck cancer include tumours arising in the mouth, salivary glands, throat, larynx, lymph nodes, voice-box, sinuses, nose, ears, and thyroid gland.

What Is Thoracic Cancer?

Thoracic cancer is cancer that represents the uncontrollable abnormal growth of cells that develops in oesophagus, windpipe, lungs, lung airways (bronchi), chest walls, mediastinum, mesothelium, thymus glands, or other pulmonary diseases that affects the large portions of the lung or inner chest cavity.

The various types of thoracic cancer include:

  • Lung Cancer: It involves unaccountable growth of cancer cells that begins in or spreads in one or both lungs of the human body. The abnormal growth of cell can form cancerous tumours and interfere with the functioning of the lungs. Some of the different types of lung cancers are:
    • Non-Small Cell Lung Cancer (NSCLC): Also known as adenocarcinoma start in flat, thin cells called squamous cells and is one of the most common lung cancers with up to 80% of cases.
    • Small Cell Lung Cancer: Also call as oat cell cancer starts in cells the line of the bronchi, right in the centre of the lungs and makes up to 10-15% of all lung cancer cases.
    • Pulmonary Lung Carcinoid Tumour: It is a most uncommon type of lung tumour that develops due to uncommon group of neuroendocrine cells (pulmonary neoplasms).
  • Mediastinal Cancer: It represents the growth of cancer cells in the mediastinum (area of the chest that separates the lungs). The area is surrounded by breast bone in the front and spine at the back and contains the oesophagus, heart, aorta, trachea, thymus, lymph nodes and nerves.
  • Mesothelioma: It is a type of cancer that develops from the mesothelium, a thin layer of tissue that covers many of the internal organs in body. It most commonly affects the lining of the chest wall and the lungs.
  • Metastatic Tumours to the Lungs: These are the types of tumors that develop in different parts of the body and spread to the lungs through the lymphatic system or the bloodstream. Nearly any cancer in the body can reach/spread to the lungs. These cancers differ from lung cancer that originates from the lungs.
  • Myasthenia Gravis Tumours: Myasthenia Gravis is an autoimmune neuromuscular disorder that can affect people of all age. Studies have shown that 15-20% of patients with myasthenia gravis have thymomas that is derived from the epithelial cells of the thymus gland and may be malignant.
  • Oesophageal Cancer: It is a type of a cancer that occurs when the abnormal cells in the oesophagus (food pipe- a tube that carries food from the mouth to the stomach) starts to divide and grow in an uncontrolled way. The cancer usually starts in lining of the oesophagus and starts spreading outwards through the oesophagus.
  • Pleural Cancer: It is the cancer that occurs in the pleural cavity available outside the lungs in the chest and in pleural lining that surrounds the lungs and covers the inside of the chest cavity. It is usually a metastatic cancer that spreads into the pleura from some other parts in the body.
  • Laryngeal Cancer: It is the type of the cancer found in the larynx (a part of the throat, between the trachea and the base of the tongue) that contains the vocal cords. The most common risk factors associate with this type of cancer is smoking tobacco and drinking alcohol.
  • Bronchial Adenoma: Cancer that starts in the mucous glands, salivary glands or ducts of the lung airways (bronchi) is termed as bronchial adenoma.
  • Thymoma and Thymic Malignancies: In these types of malignancies cancer cells form on the outside surfaces of the thymus glands. Thymoma is usually linked with various autoimmune diseases like Myasthenia Gravis, while thymic carcinoma looks a bit different from thymoma and is harder to treat. These cancers if not diagnosed on time, rapidly spread to other parts of the body.
  • Tracheal Cancer: Commonly known as cancer of the windpipe (trachea) usually develops in the tube that connects the mouth and nose to the lungs. It is a very rare cancer that develops because of smoking. In general there are two major types of tracheal cancers squamous cell and adenoid cystic carcinoma.
  • Chest Wall Tumours: Any type of abnormal growth of cells that develops in chest cavity whether malignant (cancerous) or benign (non-cancerous) can interfere with pulmonary functioning of the respiratory system. These tumours are metastatic that originates from the bone or muscle of the chest wall and can spread to other parts of the body.

The most common chest wall tumours are

    • Begin Tumours: Osteochondroma, Chondroma and Fibrous dysplasia
    • Malignant Tumours: Sarcomas, Chondrosarcomas, fibrosarcomas (desmoids, neurofibrosarcomas) and malignant fibrous histiocytomas, etc.

Paediatric Urology

Paediatric Urology is a sub-speciality of surgery which deals with disorders of the Genitourinary System in children that may be present since birth. These disorders in children are very different from that of an adult and include conditions associated with the kidneys, ureters, bladder, sexual and reproductive organs. 

We at the unit are committed to offering treatment for a wide range of urological problems affecting children including obstructions in urinary tract, vesicoureteral reflux, hypospadias, incontinence, undescended testes, genital abnormalities, and tumours of the kidney, bladder, testes, and vagina in children. Our team of highly experienced surgeons perform the most complex endoscopic, laparoscopic, & robotic surgeries endoscopic, laparoscopic, & robotic surgeries.

We offer treatment for a wide range of urologic problems affecting children, including obstructions in the urinary tract, hypospadias, vesicoureteral reflux, incontinence, genital abnormalities, undescended testes, and tumours of the kidney, bladder, vagina, and testes in children. Our team of highly-trained surgeons holds great expertise in performing laparoscopic, endoscopic & robotic urological surgeries with high precision and in a secure environment. The team follows a combined management approach and work in collaboration with our obstetrician and paediatric nephrologists, thereby, ensuring the best possible outcomes and focus on improving the quality of life of every patient.

Urological surgeries we offer include:

  • Artificial Urinary Sphincter Implantation: It is an advanced procedure that involves implantation of a device to treat moderate to severe conditions related to urinary incontinence, by restricting the urine flow.
  • Bladder Reconstruction: It is a surgical procedure to construct a bigger bladder, generally performed for children with incontinence due to posterior urethral valves or spinal anomalies (neurogenic bladder).
  • Cystoscopy: It is a minimally invasive telescopic examination of the urinary bladder and urethra.
  • Deflux Procedure: It is a non-invasive procedure that is used to treat vesicoureteral reflux (VUR). It involves injecting sterilized, biodegradable gel called Deflux into the bladder wall. 
  • Drug Therapy/ Pharmacotherapy: Under this therapy, a doctor provides medicine to treat disease.
  • Endourologic Surgery/Ureterorenoscopy (URS): It is a minimally invasive procedure used for treating kidney stones. 
  • Genitoplasty/Vaginoplasty: It is a type of a reconstructive functional & plastic surgery performed over genitals to treat a variety of endocrine conditions, congenital disorders (such as disorders of sexual differentiation), to repair injuries, and damage that has arisen due to cancer treatment.
  • Penile and Urethral Reconstruction: It is reconstructive surgery procedure performed for hypospadias, chordee, megalourethra, traumatic stricture of the urethra and other conditions.
  • Robotic Surgery: It is an advanced technology used to perform complex operations such as pyeloplasty, ureteral reimplantation, bladder augmentation, detrusorotomy etc.
  • Ureteral Reimplantation: It is a surgery performed to treat vesicoureteral reflux (VUR). VUR is a condition in which urine available in the bladder flows back into the kidneys.

Various Urological Disorders we treat include:

  • Hypospadias
  • Pelviureteric Junction Obstruction (Pyeloplasty) – Open, Laparoscopic & Robotic
  • Phimosis
  • Posterior Urethral Valve
  • Undescended Testis – Open & Laparoscopic
  • Uretrocele
  • Urinary incontinence
  • Vesicoureteral Reflux – Open, Pneumovesicoscopic & Robotic
     

What are the Facilities Provided at the Paediatric Intensive Care Unit?

Our Paediatric Intensive Care Unit offers the most advanced facilities using the latest therapies and state-of-the-art facilities to deliver care to children. These include: 

  • High-Frequency Oscillatory Ventilation (HFOV): It is an advanced method that works by sending small, rapid puffs of air into the lungs and help children suffering from breathing problems. It is one of the safest options for small lungs and highly efficient than high-pressure, conventional ventilation methods.
  • Extracorporeal Renal Replacement Therapy (ERRT): It is an advanced renal replacement therapy that aids the functioning of kidneys in children suffering from severe kidney injuries or kidney diseases. The unit also offers other types of renal replacement therapy such as haemodialysis, peritoneal dialysis, continuous renal replacement therapy (CRRT) and sustained low-efficiency dialysis (SLED).
  • Plasmapheresis: Plasmapheresis is used to treat conditions arising due to poisoning and certain immunological disorders such as autoimmune encephalitis, thrombotic thrombocytopenic purpura (TTP), etc. Plasmapheresis involves exchanging blood plasma which helps in filtering the blood and removes harmful antibodies.
  • Inhaled Nitric Oxide: It is a breathing machine that provides nitric oxide, causing blood vessels in the lungs to dilate and hold oxygen that circulates throughout the body. It helps in treating a variety of respiratory problems like pulmonary hypertension, etc.
  • Isolation Facility: Comprehensive facility designed especially for organ transplant/burns/ plastic surgery patients, using negative and positive pressure to minimise the spread of airborne infections.
  • HDU, Central-oxygen, Compressed Air and Multipara Monitor
  • Non-Invasive and invasive BP Monitoring, CVP Monitoring
  • Flexible Fibre-optic Bronchoscopy for ICU and Non-ICU cases
  • Sedation for all procedures within and outside PICU
  • Heated, Humidified High-Flow delivered by Nasal Cannulae (HHHFNC) for respiratory problems like bronchiolitis and post-extubated patients.
     

What Are The Advanced Facilities Provided At The Neonatology and Neonatal Intensive Care Unit?

Some of the cutting edge facilities offered at Neonatology and Neonatal Intensive Care Unit include:

  • Radiant Warmer: These are small body warming beds, used to maintain the body temperature of babies and limit their metabolism rate.
  • Infant Incubator: These are specially designed enclosed bed in which an infant is kept in a controlled environment for observation and care.
  • Phototherapy: Advanced treatment option that treats a variety of medical conditions (such as jaundice) in children with the help of exposure to fluorescent light bulbs or other sources of light.
  • Multi-Monitors: Helps in keeping track of babies overall health. These monitors include:
    • Electrode-Chest Leads: Helps in keeping track of the baby’s heartbeat and breath
    • Pulse Oximetry (Oxygen Saturation Monitor): Helps in measuring the level of oxygen in the baby’s tissues and blood.
    • A Temperature Probe Records: It records the baby's temperature timely and reflects the same on the monitor.
    • Blood Pressure Monitor: It is used to measure the baby’s blood pressure using a blood pressure cuff or an arterial line.
  • Feeding Tubes (To feed Premature Babies): It is a tube used to feed premature babies. It enters through the baby’s mouth or nose and goes into the stomach
  • An Intravenous Catheter (Or IV): It is a tube that is inserted into the veins of the baby for providing medicines and fluids. Treatment with an IV is known as a "drip" or "infusion."
    • Lines: It is an advanced version of IV that is used to when there is a requirement of providing a greater amount of fluids and medicines to the baby.
  • Oxygen Hood Or Nasal Cannula: It is used for providing extra oxygen to babies without using the ventilator
  • Neonatal Ventilator: It is a machine that is used to provide extra oxygen to babies whenever required.
    • High-Frequency Oscillatory Ventilator (HFOV): It is a mechanical ventilator that is used for premature babies with very low birth weight and has structurally and functionally immature lungs.
  • T-piece Resuscitator or NeoPuff: It is a manually operated, gas-powered resuscitator that is designed to provide breaths at a set flow to infants with consistent Positive End Expiratory Pressure (PEEP) and Peak Inspiratory Pressure (PIP).
  • Patent Ductus Arteriosus (PDA) Ligation Facility: PDA is a heart defect found in newborn babies. PDA ligation is a catheter-based procedure performed under general anaesthesia to treat babies with a heart defect.
  • Neonatal Flexible Bronchoscopy: It is a diagnostic facility that helps in determining lung and airway problems in new-born babies.

Why Choose Nanavati Hospital For Your Cancer Care?

With a mission of improving the health of the people in the communities we serve, Nanavati Cancer Centre offers world-class patient care, confirming that our patients have access to the best care possible. Our highly experienced healthcare team members are always at your side for every step of your cancer treatment.

  • Comprehensive Patient- Care:

Nanavati cancer centre offers high-end ancillary experts along with a complete range of leading technologies and techniques that are there to support our treatment system. Our team of prodigious doctors addresses all the needs of the patients during the diagnosis, treatment, and survivorship.

  • Innovative Treatment Methodologies:

Our doctors are leaders in developing innovative treatments that are changing the course of cancer care at a rapid clip. The treatments offered by our highly experienced radiation oncologists using the latest radiation technologies which are delivered in a way that maximises the patient’s chances for a cure while minimising side effects.

  • The Experience You Can Trust:

We are the global leader in the fight to end cancer. We hold the depth of experience that contributes to every aspect of your care. Patients choose us not only for our decades of experience, top national rankings, and leadership in cancer prevention but also for the comprehensive care, we provide to eliminate cancer. In this transformative journey, spanning over six decades, Nanavati cancer centre has spearheaded several game-changing developments.

What Is Genitourinary Cancer?

Genitourinary Cancer is a special type of cancer that is found in the urinary system and the male reproductive system. It develops due to the uncontrolled growth of abnormal cells within the urinary or reproductive organs. Of the top 10 most common cancers in men, 3 are genitourinary in origin (prostate, kidney and urinary bladder). Similarly, kidney and urinary bladder cancer are among the top 12 most common in women. There are several types of genitourinary cancers.

  • Types of cancer developing in the urinary system include:
    • Kidney Cancer
    • Bladder Cancer
    • Urethral Cancer
    • Ureter Cancer
    • Adrenal cancer
  • Types of cancer developing in organs of the male reproductive system include:
    • Prostate Gland Cancer
    • Testicles Cancer
    • Penile Cancer
  • Types of cancer developing in Women’s reproductive system:
    • Cervical Cancer
    • Endometrial Cancer
    • Ovarian Cancer
    • Peritoneal Cancer
    • Uterine Cancer
    • Vaginal Cancer
    • Vulvar Cancer

What Is Reconstructive Surgery?

Reconstructive surgeryaims at restoring the form and function of the body, which has been altered due to cancer treatment.

Commonly used plastic surgical techniques for reconstruction include

  • Skin grafts
  • Flaps (tissue from the patient’s own body)
  • Tissue Expanders
  • Implants

Some commonly reconstructed areas include

  • Head, face and neck – cancer of lips, tongue, cheek, oral cavity, jaw, orbit
  • Chest wall, abdomen – sarcomas and other tumours
  • Extremities – arms and legs
  • Skin – melanoma, squamous cell carcinoma, basal cell carcinoma
  • Breast cancer

Breast cancer reconstruction is a unique surgery in itself. Recreating the look and feel of a normal breast goes a long way in boosting confidence and helping in mental recovery. Breast cancer reconstruction is done either at the same time as the cancer removal or sometimes later as a secondary procedure after completing chemotherapy or radiation therapy. It also includes surgery done for matching symmetry with the opposite breast so that well fitting bras and clothes can be worn. In some cases, patients who are at high risk of breast and ovarian cancer development may need to get genetic testing done and undergo prophylactic(before cancer develops) surgery.

The diagnosis and treatment of cancer and its reconstructive journey can be an overwhelming phase in a patient’s life. Getting the right guidance and support from an experienced team can make all the difference! The Cancer Reconstructive Surgery Program at Nanavati Super Speciality Hospital is here to make this experience as smooth and easy as possible.

What Is Lymphoma?

Lymphoma is a general term for cancer that starts in infection-fighting cells of the immune system, called lymphocytes. Lymph system consists of tissues and organs that produce, store, and carry white blood cells (helps filter out bacteria and fight disease). Broadly, two types of lymphoma can develop in the lymphatic system:

Hodgkin Lymphoma: occurs in about 20% of patients. More in children and young adults

Non-Hodgkin Lymphoma: occurs in about 80% of patients consist of various types of lymphoma more common in older individuals.

Lymphoma can occur in people of all age groups. However, becomes more common with age.

What Is Paediatric Cancer?

Paediatric cancer is a tumour that occurs in children below 15 years of age. It is rare but can happen. It can occur at any part in the body, including the lymphatic system, brain, kidneys,  blood and spinal cord (central nervous system; CNS), and other organs and tissues.

A few common types of childhood cancers are:

  • Leukaemia’s(Acute Lymphoblastic Leukaemia, Acute Myeloid Leukaemia, etc.)
  • Lymphomas (Hodgkin lymphoma, Non-Hodgkin lymphoma, etc.)
  • Wilms’ tumour
  • Neuroblastoma
  • Retinoblastoma
  • Rhabdomyosarcoma
  • Brain and spinal cord tumours
  • Bone cancer(Osteosarcoma, Ewing sarcoma, etc.)

What Is Robotic Surgery?

Robotic Surgery is a type of minimally-invasive (small incision) surgery that allows surgeons to perform complex operations with high precision and improved outcomes. The surgeons use a computer-controlled robot to assist them in surgical procedures. The surgeon sits at a console and controls instruments within the patients’ body with his/her wrist movements.

What is a Liver Transplant?

Liver is one of the largest internal organs in human body that performs many vital functions. It helps in detoxifying various metabolites, produces biochemical and synthesizes proteins necessary for digestion. Many end-stage liver diseases can affect the functioning of the liver which may lead to liver failure. A surgeon performs a liver transplant surgery to prevent a patient's life from liver failure. The surgery involves the removal of a non-functioning liver and replacing it with a healthy liver from another person or donor. A donor can be a healthy living person ready to donate part of his/her liver or a deceased donor.

  • Deceased Donor (Cadaver): An unfortunate person who has suffered an irreversible brain injury/ brain death.
  • Living Donor: A healthy family member or someone else whose blood type is a good match is considered as a living donor.

Is physiotherapy right for you?

Our team treats the full range of Orthopaedic conditions that require rehabilitation. Our rehabilitation program best suits to

  • A patient suffering from
    • Orthopaedic conditions resulting from illness, trauma, or surgery
    • Multiple traumatic injuries
    • Pain after limb amputations
    • Deformities of lower limbs due to injuries, genetics, or other factors
  • An old age patient who has recently undergone surgical treatment of Hip or femur fractures
  • A post-surgery rehab program from total joint replacements and fractures

Whether your goal is to recover from an injury/surgery or to improve your orthopaedic help, our therapists work closely with every patient to understand their unique requirements and create a patient-centric plan to help them live an active, pain-free life.

Preventive Measures:

The power of knowledge about the personal wellbeing relaxes your body, mind and spirit. We at Nanavati Hospital are committed to offer preventive measures for Orthopaedic injuries by providing education that helps in minimizing the risk associated with musculoskeletal system disorders and improve bone health. Some of the preventive measures one must take are:

  • Eat A Healthy And Balanced Diet: Starting the intake of fresh fruits and vegetables and switch over to diets rich in calcium, vitamins and essential minerals.
  • Exercise Regularly: Regular physical activity daily can lead to good health.
  • Cut Down On Junk Food: Avoid eating any sort of unnecessary fats or junk food. Restrict the intake of sugars, salts, and caffeine.
  • Make Lifestyle Changes: If you have a sedentary job or lifestyle, then take a break at every 30 minutes, relax and stretch a little now and then.
  • Be Regular With Routine Checkup: Make sure to take up routine checkup for your health checkup.

URO-ONCOLOGY SURGERIES

Uro-oncology is a sub-discipline of the Urology Surgeries Unit which focuses on treating and managing malignant cancers of the urinary tract of males and females, and male reproductive system. The conditions we treat under uro-oncology include:

  • Adrenal Cancer
  • Bladder Cancer
  • Genitourinary Sarcoma
  • Kidney Cancer
  • Penile Cancer
  • Prostate Cancer
  • Testicular Cancer
  • Urethral Cancer

We follow a multidisciplinary approach to provide the most comprehensive, patient-centric care to patients suffering from cancer of the urinary tract.  The surgeries we perform under this sub-discipline are:

  • Radical Cystectomy (to remove the bladder with urinary diversion by ileal conduit or neobladder reconstruction)
  • Radical Nephro-Ureterectomy (to remove the renal pelvis, kidney and if required the entire ureter, along with the bladder cuff) 
  • Radical Orchiectomy (to treat patients with testicular cancer) 
  • Radical Prostatectomy (to remove the prostate gland)
  • Radical, and Partial Nephrectomy (to remove the entire kidney, or the cancerous tumour)
  • Retroperitoneal Lymph Node Dissection (it is a therapeutic treatment involves the removal of the lymph nodes in the back of the abdomen (retroperitoneum))
  • Total or Partial Penectomy with Inguinal Lymph Node Dissection (to remove the cancerous part of the penis)

Our team of expert urologists, oncologists, nephrologists and other supporting staff at the unit perform the above-mentioned surgeries under the effect of anaesthesia, using state-of-the-art facilities in a fully equipped operating theatre. After the surgery, some patients might have to undergo chemotherapy and radiation therapy.

Advanced Technologies For Your Better Care:

Our team of highly experienced and internationally trained experts consist of surgeons, physicians, intensivists, paediatricians, neonatologists, respiratory therapists and specialised nurses, work in collaboration with other specialities to offer comprehensive critical care. The care we offered is complemented by advanced facilities and services that are unique and ensure the best chance of recovery from an acute injury or illness. Some of the advanced technologies that our centre offers include:

  • Extracorporeal membrane oxygenation (ECMO)
  • Evidence-based physical therapy (EBPT)
  • Continuous Renal Replacement Therapy (CRRT)
  • Slow Low-Efficiency Dialysis (SLED)
  • Invasive Ventilation including Prone Ventilation, Recruitment Maneuvers, Airway pressure release ventilation (APRV)
  • Non-invasive Ventilation- CPAP & BIPAP
  • Cardiac Pacing
  • Haemodialysis
  • Upper and lower GI endoscopy (to control bleeding)
  • Video-bronchoscopy
  • Intra-aortic balloon pump (IABP)

Other Supportive investigations

  • Magnetic resonance imaging (MRI)
  • Computed tomography (CT)
  • Nuclear imaging
  • Electrocardiography (ECG)
  • Electroencephalogram (EEG)
  • Echocardiography
  • Ultrasound and venous Doppler

Our Highlights

  • 24X7 emergency care and monitoring
  • Modern ventilators with invasive and non-invasive modes
  • Support the patient’s family and friends
  • Dedicated ICU beds with round-the-clock Intensivist coverage
  • Isolation rooms equipped for immune-compromised and infective patients
  • Maintaining quality indicators approved by NABH 
  • Excellent coordination between accident and emergency (A&E)
  • Team of Internationally trained professionals, consultants and experts
  • Offers a full continuum of diagnostic, therapeutic and surgical procedures 
  • Equipped with ALS & BLS ambulance service
     

Our Highlights

  • 24X7 emergency care and monitoring
  • Modern ventilators with invasive and non-invasive modes
  • Dedicated ICU beds with round-the-clock Intensivist coverage
  • Double monitoring from high risk patients
  • Isolation rooms equipped for immune-compromised and infective patients
  • Maintaining quality indicators approved by NABH
  • Team of Internationally trained professionals, consultants and experts
  • Offers a full continuum of diagnostic, therapeutic and surgical procedures
  • Support the patient’s family and friends
  • Equipped with ALS & BLS ambulance service

Our Highlights

  • 24X7 emergency care and monitoring
  • Stroke pathways within a golden hour (reduces ALOS and offers quick recovery)
  • Emergency management of road traffic accident (RTA) trauma
  • Modern ventilators with invasive and non-invasive modes
  • Dedicated ICU beds with round-the-clock Intensivist coverage
  • Isolation rooms equipped for infective patients
  • Maintaining quality indicators approved by NABH
  • Team of internationally trained professionals, consultants and experts
  • Offers a full continuum of diagnostic, therapeutic and surgical procedures
  • Support the patient’s family and friends
  • 24X7 emergency care and monitoring
  • Stroke pathways within a golden hour (reduces ALOS and offers quick recovery)
  • Emergency management of road traffic accident (RTA) trauma
  • Modern ventilators with invasive and non-invasive modes
  • Dedicated ICU beds with round-the-clock Intensivist coverage
  • Isolation rooms equipped for infective patients
  • Maintaining quality indicators approved by NABH
  • Team of internationally trained professionals, consultants and experts
  • Offers a full continuum of diagnostic, therapeutic and surgical procedures
  • Support the patient’s family and friends

Our Highlights

  • 24X7 emergency support and monitoring
  • Open 7 days a week
  • Internationally trained and qualified neonatologists
  • State-of-the-art life monitoring technologies and life support
  • Isolation rooms equipped for infective babies
  • NICU Developmental Follow-up Clinic
  • Total parenteral nutrition
  • Difficult/rare cases diagnosed & managed in our NICU
  • Bedside ultrasound & 2D Echo, EEG
  • Bedside Screening and Treatment for Retinopathy of Prematurity (ROP)
  • Transport Incubator and Ventilator
  • Support the patient’s family and friends
  • Emergency medical transportation by ground and air

Our Highlights

  • 24X7 emergency care and monitoring
  • Stroke pathways withina golden hour (reduces ALOS and offers quick recovery)
  • Surgical management of Subarachnoid haemorrhage (SAH) evacuation
  • Emergency management of road traffic accident (RTA) trauma
  • Modern ventilators with invasive and non-invasive modes
  • Support the patient’s family and friends
  • Dedicated ICU beds with round-the-clock Intensivist coverage
  • Isolation rooms equipped for infective patients
  • Maintaining quality indicators approved by NABH
  • Team of internationally trained professionals, consultants and experts
  • Offers a full continuum of diagnostic, therapeutic and surgical procedures
  • Equipped with ALS & BLS ambulance service

Our Highlights

  • 24X7 emergency care and monitoring
  • Modern ventilators with invasive and non-invasive modes
  • Support the patient’s family and friends
  • Dedicated ICU beds with round-the-clock Intensivist coverage
  • Isolation rooms for infective patients
  • Comprehensive Barrier Care
  • Maintaining quality indicators approved by NABH
  • Team of internationally trained professionals, consultants and experts
  • Offers a full continuum of diagnostic, therapeutic and surgical procedures
  • Equipped with ALS & BLS ambulance service

Aetiologies of ALF (What are the causes for ALF)

It is important to identify the aetiology of ALF for defining the treatment approach and prognosis. 

  • Acetaminophen-Induced Liver Injury
  • Drug-Induced Liver Injury (non-acetaminophen)
    • Antibiotics: amoxicillin-clavulanate, ciprofloxacin, nitrofurantoin, minocycline, dapsone, doxycycline, trimethoprim-sulfamethoxazole, efavirenz, didanosine, abacavir
    • Anti-epileptics: valproic acid, phenytoin, carbamazepine
    • Anti-tuberculosis drugs: isoniazid, rifampin-isoniazid, pyrazinamide
    • Herbs: ma huang, kava kava, Herbalife
    • Miscellaneous: propylthiouracil, amitriptyline, statins, amiodarone, methotrexate, methyldopa
    • NSAID(nonsteroidal anti-inflammatory drug): Diclofenac, ibuprofen, indomethacin, naproxen
  • Viral Hepatitis
    • CMV(cytomegalovirus), EBV (Epstein-Barr virus), herpes virus, varicella-zoster virus
    • Hepatitis A, B, C and E
  • Pregnancy Specific Liver Diseases
    • Acute fatty liver of pregnancy
    • HELLP (haemolysis, elevated liver enzymes, low palette count) syndrome
    • Preeclampsia-associated liver diseases
  • Ischemic Hepatitis
    • Budd-Chiari syndrome
    • Systemic hypotension
  • Reversible Causes
    • Autoimmune hepatitis
    • Leptospirosis, hepatic amoebiasis, malaria, rickettsial diseases
  • Miscellaneous
    • Malignant infiltration
    • Mushroom poisoning
    • Wilson's disease
       

Type of Spinal Injury

1. Minimally Invasive Spine Surgery:

    Minimally = as little as possible
    Invasive  = intrusive; involving less Soft tissue damage

Minimally Invasive Surgery (MIS) is a surgical procedure which is performed using specialised instruments and advanced techniques that causes less disruption to the body's tissues as compared to traditional open surgical procedures. Some of the major advantages of minimally invasive procedures include:

  • Less wear and tear to muscles or soft tissues
  • Smaller incisions, therefore, less scaring
  • Reduced hospital stay post-surgery
  • Less recovery time
  • Faster return to normal activities
  • Reduced risk of infection at the site of incision
  • Less pain and discomfort 

Our team of surgeons at the centre performs MIS spinal procedures by making a few small incisions and using a specialised instrument which passes down to the spine through an incision, with the help of a retractor. This instrument has a high-quality camera attached to its tip, which when passed down to the spine, provides clearer images of the area to be operated. The surgeon may use any of the following tools (instrument) and techniques:

  • Microscopy: It involves the use of a surgical microscope that has a high-definition camera on its tip. A microscope is placed over the retractor and inserted into the body through an incision thus providing a highly magnified, brightly illuminated view of the surgical area.
  • Fluoroscopy: This technique involves the use of X-ray beams to produce real-time X-ray images, like a video X-ray. These images are projected onto a screen for the surgeon.
  • Navigation: This technique allows a surgeon real-time positioning of the instrument/ implants into the body without the need for repetitive C-arm/ X-ray shoots minimising radiation exposure. 

Minimally invasive surgical procedures include:

  • Image-Guided Surgery: It is a procedure that helps surgeons to obtain real-time feedback, using a special camera, during the operation regarding the position of surgical instruments and implants concerning the spine. 
  • Vertebroplasty: A procedure used to treat osteoporotic compression fractures. It is performed by inserting a small balloon inside the vertebrae and injecting cement into the space created by the balloon in order to fill the fractured bone and to provide immediate relief from pain.
  • Microdecompression / Laminectomy: removing the lamina, a bone that makes up part of the vertebra, in the lumbar spine (low back). This type of surgery involves the removal of a small bone from the spine and helps to relieve chronic pain developed due to nerve root compression in the back or lower limbs.
  • Lumbar Microdiscectomy: This type of spinal surgery is for patients suffering from herniated intervertebral discs. It involves removal of prolapsed (‘slipped’) discs in the lumbar spine, using a microscope and microsurgical tools, thereby relieving the pressure on the nerve. 
  • Percutaneous Pedicle Fixation: The placement of metal rods and screws in sturdy sections of vertebrae called the pedicles.
  • Transforaminal Interbody Lumbar Fusion (TLIF): It is a procedure in which the surgeon replaces a damaged disc (or discs) with a new bone.

2.    Conventional Spine Surgery

3.    Pain Management

Treatment for pain always begins with a conservative approach. A brief period of rest coupled with pain killers and physiotherapy is the first line of therapy. Epidural steroid injections (nerve blocks) are used to reduce severe nerve radiation pain. A plan to recondition the spine muscles with exercises, postural adjustments, and diet modification is mandatory.

Beating Heart Surgeries

The team of surgeons at Cardiothoracic and Vascular Surgery Unit offers most comprehensive ‘Beating Heart Bypass Surgery’ to patients suffering from coronary artery diseases, with an aim to improve out-comes. The unit is equipped with state-of-the-art procedures to provide patients with the most effec-tive, safe and advanced cardiac care.

According to many doctors, the most common cause that leads to coronary artery disease, is a vascular cholesterol plaque build-up in the arteries, known as atherosclerosis. The plaquereduces the flow of blood resulting in malfunctioning of heart.  The four arteries in the heart which can get affected are:

  • Right main coronary artery
  • Left main coronary artery
  • Left circumflex artery
  •  Left anterior descending artery

These arteries are responsible for bringing nutrient-rich blood into the heart muscles thereby maintaining the function of heart muscles. 

What Is Beating Heart Bypass Surgery?

Also termed as Coronary Artery Bypass Graft Surgery (CABG) or Off-Pump Coronary Artery Bypass Graft Surgery (OP-CAB), Beating Heart Bypass Surgery is performed to treat a variety of medical conditions associated with Coronary Artery Diseases. It helps in bypassing blockages in the coronary arteries.

What Are The Different Types Of Beating Heart Surgery?

The surgeon will recommend beating heart surgery depending upon the number of arteries blocked in a patient’s heart:

  • Single bypass: Only one artery is blocked
  • Double bypass: Two arteries are blocked
  • Triple bypass: Three arteries are blocked

Your risk of heart attack, heart failure or other heart issues increases depending upon the number of arteries blocked.

How is Beating Heart Bypass Surgery Performed?

The surgery is performed using a contemporary technique including the off-pump artery bypass surgery, in which the heart continues to supply blood to the body even during the surgery. During the procedure, a team of surgeons uses advanced operating equipment to restore blood flow to the coronary arteries by stabilising (hold) portions of heart and bypass the blocked artery in a highly controlled operative environment.

The operations we perform at the unit are tailored according to patients’ unique needs and circums-tances. The end result equals better outcomes for patients.

Benefits of  Beating Heart Bypass Surgery

  • Heart need not be stopped during the surgery.
  • Heart Lung machine is not used.
  • Side effects of using heart lung machine are avoided.
  • Faster recovery
  • Less ICU stay
     

Do I need a Hip Replacement?

The decision for hip replacement is based upon the difficulty in walking and the extent of pain. Advice is given after analysing X-ray findings. A doctor creates a patient-centric treatment plan in consent with the patient and his/her family.

What is Arthroscopy?

Arthroscopy is a surgical procedure which involves the use of an arthroscope (a special instrument) to diagnose, examine and treat joint conditions which affects knee, shoulder, elbow, ankle, hip and wrist. The surgery involves an insertion of a narrow tube attached to a fibre-optic video camera through a small incision to get clear view of the affected joint on a high-definition video monitor. 

Benefits offered by  Arthroplasty:

  • The sportsperson can return to his/her sports in most injuries.
  • Surgery helps in protecting the affected area from any damage to the cartilage in future.
  • Surgery offers high potential for normal functioning of the joints.
     

What is Arthritis?

When the cartilage covering bone articulation is lost it is called Arthritis. Most common types of arthritis are;

  • Degenerative Arthritis: Normally cartilage wears out during any joint activities, for example, brisk walking involving knee or hip joint. There is a microscopic loss of cartilage due to wear & tear. However, living biology has excellent healing mechanism; whatever is worn out is replaced by a biological healing mechanism. Hence, there is a good balance between cartilage wear and replacement by healing in young active persons. With advancing age, healing mechanism slows down and termed as degeneration (lack of regeneration). Primarily, old age-related loss of cartilage is called Primary Osteoarthritis or Degenerative Arthritis.
  • Inflammatory Arthritis: It can occur in variable age group. There is a direct destruction of articular cartilage caused by diseases like Rheumatoid Arthritis, Gout arthritis, etc. Arthritic diseases are controlled by medical treatment and surgically treated by joint replacement.
     

What is Orthopaedic Trauma?

Orthopaedic trauma is a branch of orthopaedic surgery that is intended to treat various orthopaedic conditions which are related to bones, joints, and soft tissues (muscles, tendons, ligaments) of the entire body following trauma and demand immediate medical help. The aim of this specialisation in orthopaedics is to restore the anatomic alignment of joint surfaces and fractured bones. Most of the traumatic injuries are acute, and few are chronic. We offer comprehensive treatment services for recovery of the injured body parts and help a patient return to normal body functioning at the earliest.

Advanced Technologies

The comprehensive clinical services we offer at the centre range from treatments for rare and complex conditions to well-child care, and is supported by a cutting edge medical facilities such as:

  • Radiant Warmers and Incubators  
  • Multi-Monitor
  • Invasive Blood Pressure Monitoring
  • A "blender" which mixes pure oxygen and air (or other gases) in precise ratios and delivers the resulting mixture to the baby 
  • Neonatal Ventilator
  • Neonatal Flexible Bronchoscopy
  • Transport Incubator and Ventilator   
  • T-piece Resuscitator or NeoPuff 
  • LED Phototherapy Lights and Biliblankets
  • Bedside EEG and Video EEG Monitoring
  • Bedside Screening and Treatment for ROP
  • Bedside ECHO and Ultrasonography 
  • Bedside PDA Ligation Facility
     

What is Chemotherapy?

The word chemotherapy signifies “drug treatment.” It involves the use of one or more drugs that help in killing cancer cells or make them less active. As per a patient’s medical needs and the type of cancer being treated, chemotherapy can be given with a single drug or in a combination of multiple drugs.

Advanced Technologies

Physicians at Nanavati Super Speciality Hospital diagnose, treat and manage a wide spectrum of disorders related to chest and respiratory conditions through outpatient, inpatient and critical care units. We bring you a full continuum of diagnostic, therapeutic and medical interventions for advanced care by focusing majorly on conserving organ and its functions, without compromising overall survival outcomes. Some of the technologies we use are:

  • Advanced Alice 4 Respironics 
  • Bronchoscopic Argon Plasma Coagulation (APC)
  • Bronchoscopic Cryotherapy
  • Bronchoscopic Electrocautery
  • Bronchoscopic Laser ablation
  • Endobronchial Ultrasound (EBUS)
  • Maintenance of Wakefulness Testing (MWT) 
  • Multiple Sleep Latency Test (MSLT)
  • Non-Invasive Ventilation
  • Overnight Diagnostic Polysomnogram (PSG)/ Sleep Study
  • Pleural Aspiration
  • Pleurodesis
  • Tracheobronchial stenting
  • Video-assisted Flexible Bronchoscopy

How is Chemotherapy treatment administered?

Patients receive chemotherapy treatment in two ways:

  • Orally, by tablet or capsule 
  • By injection 
    • Into the bloodstream through a vein, using an infusion (drip) or syringe (bolus)
    • In fluid spaces- interracial chemotherapy (spinal fluid), intraperitoneal chemotherapy (peritoneal cavity)

Sometimes, chemotherapy needs to be administered through a Peripherally Inserted Central Catheter (PICC Line). It is a small tube that is inserted into a large vein of a patient’s chest or arm and helps in collecting blood samples and helps in delivering chemo medicines and other fluids. A PICC line can stay at chemo port for a long period. The consultant will discuss various modalities in detail with you.

Conditions We Treat

Major conditions we treat under Asthma & Allergy Unit include:

  • Adult-Onset Asthma
  •  Allergen immunotherapy
  • Allergic Asthma
  • Allergic rhinitis (also called hay fever)
  • Anaphylaxis
  • Angioedema
  • Asthma Attack
  • Asthma-COPD overlap (ACO)
  • Atopic Eczema (Dermatitis)
  • Childhood Asthma
  • Desensitization to medications
  • Exercise-Induced Bronchoconstriction (EIB)
  • Food Allergy and Food Intolerance
  • Insect Allergy
  • Night-time Asthma
  • Non-Allergic Asthma
  • Occupational Asthma
  • Pet Allergy
  • Pollen Allergy
  • Seasonal allergies
  • Skin Allergy
  • Urticaria/hives
     

Symptoms For Interventional Pulmonology

Chronic cough

  • Coughing up blood (haemoptysis)
  • Abnormal chest X-rays
  • Lung and Chest Cancer 
  • Pleural effusion (fluid around the lungs)
  • Persistent respiratory failure (requiring tracheostomy placement and management)
     

Conditions We Diagnose Using PFT

Some of the major conditions diagnosed using pulmonary function tests involve:

  • Asbestosis (caused by inhaling asbestos fibres)
  • Asthma
  • Bronchiectasis
  • Chronic Bronchitis
  • Chronic Lung Conditions 
  • Emphysema
  • Inflammation of the Lungs 
  • Lung Fibrosis (where scar tissue appears in the lung tissue)
  • Restrictive airway problems
  • Sarcoidosis (growth of inflammatory cells)
  • Scarring of the Lungs
  • Scleroderma (a disease that causes thickening and hardening of connective tissue)
  • Scoliosis

At times, doctors may recommend PFTs for people who work in hazardous conditions, like in places that involve the use of (or produce):

  • Asbestos
  • Coal
  • Graphite
  • Paint
  • Sawdust
     

Type of Spinal Injury

1. Minimally Invasive Spine Surgery:

    Minimally = as little as possible
    Invasive  = intrusive; involving less Soft tissue damage

Minimally Invasive Surgery (MIS) is a surgical procedure which is performed using specialised instruments and advanced techniques that causes less disruption to the body's tissues as compared to traditional open surgical procedures. Some of the major advantages of minimally invasive procedures include:

  • Less wear and tear to muscles or soft tissues
  • Smaller incisions, therefore, less scaring
  • Reduced hospital stay post-surgery
  • Less recovery time
  • Faster return to normal activities
  • Reduced risk of infection at the site of incision
  • Less pain and discomfort 

Our team of surgeons at the centre performs MIS spinal procedures by making a few small incisions and using a specialised instrument which passes down to the spine through an incision, with the help of a retractor. This instrument has a high-quality camera attached to its tip, which when passed down to the spine, provides clearer images of the area to be operated. The surgeon may use any of the following tools (instrument) and techniques:

  • Microscopy: It involves the use of a surgical microscope that has a high-definition camera on its tip. A microscope is placed over the retractor and inserted into the body through an incision thus providing a highly magnified, brightly illuminated view of the surgical area.
  • Fluoroscopy: This technique involves the use of X-ray beams to produce real-time X-ray images, like a video X-ray. These images are projected onto a screen for the surgeon.
  • Navigation: This technique allows a surgeon real-time positioning of the instrument/ implants into the body without the need for repetitive C-arm/ X-ray shoots minimising radiation exposure. 

Minimally invasive surgical procedures include:

  • Image-Guided Surgery: It is a procedure that helps surgeons to obtain real-time feedback, using a special camera, during the operation regarding the position of surgical instruments and implants concerning the spine. 
  • Vertebroplasty: A procedure used to treat osteoporotic compression fractures. It is performed by inserting a small balloon inside the vertebrae and injecting cement into the space created by the balloon in order to fill the fractured bone and to provide immediate relief from pain.
  • Microdecompression / Laminectomy: removing the lamina, a bone that makes up part of the vertebra, in the lumbar spine (low back). This type of surgery involves the removal of a small bone from the spine and helps to relieve chronic pain developed due to nerve root compression in the back or lower limbs.
  • Lumbar Microdiscectomy: This type of spinal surgery is for patients suffering from herniated intervertebral discs. It involves removal of prolapsed (‘slipped’) discs in the lumbar spine, using a microscope and microsurgical tools, thereby relieving the pressure on the nerve. 
  • Percutaneous Pedicle Fixation: The placement of metal rods and screws in sturdy sections of vertebrae called the pedicles.
  • Transforaminal Interbody Lumbar Fusion (TLIF): It is a procedure in which the surgeon replaces a damaged disc (or discs) with a new bone.

2.    Conventional Spine Surgery

3.    Pain Management

Treatment for pain always begins with a conservative approach. A brief period of rest coupled with pain killers and physiotherapy is the first line of therapy. Epidural steroid injections (nerve blocks) are used to reduce severe nerve radiation pain. A plan to recondition the spine muscles with exercises, postural adjustments, and diet modification is mandatory.

Our Highlights

  • 24X7 emergency care and ICP monitoring
  • Open 7 days a week
  • 5 paediatric intensive care beds
  • 1 isolated room for state-of-the-art life monitoring technologies and life support
  • Isolation rooms equipped for infective patients
  • Highly experienced paediatricians trained in Intensive care
  • Nurses with expertise in paediatric intensive care
  • PICU with conventional/ Non Invasive (BIPAP/HHFNC/HFO)
  • Plasmapheresis, Continuous Renal Replacement Therapy (CRRT)
  • Post-Operative and Post-Transplant Intensive Care (BMT, Kidney, Liver)
  • Support the patient’s family and friends
  • Emergency medical transportation by ground and air 365 days

IMRT (Intensity-Modulated Radiation Therapy)

IMRT is a highly complex and promising type of conformal radiotherapy, which works by shaping the radiation beams to closely fit the area of cancer. IMRT treats tumours arising from Brain, Head and Neck, Lungs, Lymphomas and Gynaecological Cancers.

At Nanavati Cancer Centre, VMAT techniques are used to deliver IMRT. VMAT stands for Volumetric Arc Therapy. Using this technique radiotherapy machine Trilogy Tx Linear Accelerator, rotates around the patient during a radiotherapy beam in an arc shape, from infinite delivery angles. This technique effectively reduces the integral dose to one-tenth and treatment time to a few minutes. 

Implantable Cardioverter Defibrillator (ICD)

The Heart Centre has a team of dedicated cardiologists and cardiac surgeons offering patient-centric care to people suffering from a condition called Ventricular Tachycardia, otherwise known as a fast heartbeat, or a chaotic heartbeat. We use state-of-the-art facilities and treatment modalities at the centre to diagnose, treat and prevent various disorders related to abnormal heartbeats.

What Is an Implantable Cardioverter Defibrillator (ICD)?

An Implantable Cardioverter Defibrillator (ICD) is a small device about the size of business-card is used as an aid to treat people with dangerously abnormal heart rhythms. It constantly monitors the patient’s heartbeat and delivers electrica shock/ pulses automatically when it detects an abnormal heart rhythm.

People who have sustained ventricular tachycardia, fainted from a ventricular arrhythmia survived a cardiac arrest, or suffering from coronary artery disease, abnormal heart muscles, inherited heart defect, Brugada syndrome and arrhythmogenic right ventricular dysplasia can be benefited with Implantable Cardioverter Defibrillator (ICD).

How does an Implantable Cardioverter Defibrillator (ICD) work?

ICD is surgically implanted below the collarbone (usually below the left collarbone) in a pocket under the skin. One or two insulated wires attached to ICD runs into the heart chamber via veins of the heart in order to constantly monitors for abnormal heart rhythms. The device helps in instantly correcting the abnormal heartbeats by automatically delivering electric shock/ pulses.

Diagnostic procedure

The doctor performs several tests to diagnose the find the cause of irregular heartbeats, before implanting an Implantable Cardioverter Defibrillator. These tests are performed using:

  • Electrocardiography (ECG)
  • Echocardiography
  • Holter monitoring
  • Event recorder
  • Electrophysiology study (EPS)

Benefits of ICD

ICDs are capable of continuously monitoring your heartbeat and detecting any abnormal heartbeats (arrhythmias). It even stops the abnormal heartbeats by delivering electrical pulses to restore a normal heart rhythm when necessary.

Result

For anyone who has survived cardiac arrest, ICDs have become standard treatment and they are increasingly used in people at high risk of sudden cardiac arrest. ICD has a capability of lowering your risk against sudden cardiac arrest (SCA) and offer the best protection.

Comprehensive Orthopaedics Care

At Nanavati Hospital we adhere to the highest standards in the industry in providing comprehensive orthopaedics care services and are well-equipped to undertake a variety of surgeries both simple and complex. Our extraordinary team of medical professionals’ major focus is on making sure that our patients receive the best surgical care, key clinical, and inpatient services promptly. Each orthopaedic surgeon fulfils their obligations and follows the ongoing benchmarks of care and treatment protocols.

What are the indications for seeing Sports Medicine doctor?

Sports injuries are common in young and adult age. There are various factors which indicate the need for proper sports injury treatment is as under:

  • Fractures in the bone
  • Ligament Injuries of the Knee or ankle (Sprain/ Strain)
  • Consistent pain in the affected area not improving with PRICE
  • Not a

    Sports injuries are common in young and adult age. There are various factors which indicate the need for proper sports injury treatment is as under:

    • Fractures in the bone
    • Ligament Injuries of the Knee or ankle (Sprain/ Strain)
    • Consistent pain in the affected area not improving with PRICE
    • Not able to move the injured part or put weight on the injured area, etc

Bone Marrow Transplant / Haematopoietic Stem Cell Transplant Is Offered For:

Malignant Haematology
The detection of blood cancers and their treatment with chemotherapy and other modalities is required as per the case.

  • Acute leukemia – Myeloid & Lymphoid Leukemia
  • Chronic Leukemia – Myeloid & Lymphoid Leukemia
  • Multiple Myeloma
  • Myelodysplastic Syndromes
  • Hodgkin’s and Non Hodgkin’s Lymphoma
  • Myeloproliferative Disorders

Benign Haematology- Benign Disorders Of Blood

  • Anemias - Nutritional and haemolytic
  • Thalassemia Major & Sickle Cell Disease
  • Aplastic Anaemia
  • Thrombocytopenias
  • Benign WBC Disorders
  • Immunodeficiency Disorders
  • Bleeding Disorders and Coagulation Disorders
  • Congenital and Paediatric Syndromes
  • Severe Combined Immunodeficiency Disease
  • Other states of bone marrow failure – PRCA, PNH, Fanconi`s Anemia
  • High - risk Neuroblastoma, Ewing Sarcoma & Medulloblastoma
  • Adrenoleucodystrophy
  • HLH - Both primary and secondary
  • Hurler Syndrome

Consultative Haematology

  • Deranged coagulation profile
  • Types of Cytopenia or Cytosis
  • Blood transfusion and Phlebotomies
  • Hemolytic Jaundice
  • Thrombosis at unusual sites or Inherited Thrombophilia

What Are The Sign & Symptoms of Breast Cancer?

Different people have different signs and symptoms of breast cancer. Some of the very common ones include:

  • A change in size or shape of either one or both the breasts
  • A lump in the breast or under the armpit
  • An area in the breast that feels thicker than the rest of the breast
  • A change in the texture of the skin such as puckering or dimpling (like the skin of an orange)
  • Redness or rash around the nipple or on the skin of the breast
  • A change in shape, position or the look of the nipple (nipple might become pulled or changes its position)
  • Discharge from the nipple without squeezing
  • Constant pain in the breast or under the armpit, all the time

These are the very common symptoms that indicate breast cancer. In some cases, a patient does not experience any signs or symptoms; therefore a regular screening for breast cancer (after 20 years of age) is a must.

What Are The Sign/Symptoms For Head, Face And Neck Cancer?

Different people have different signs and symptoms of the head, face, and neck cancer. Some of the very common ones include:

  • Ulcers: Non-healing in the oral cavity
  • A lump swelling or thickening in the areas of head and neck
  • A patch of red or white colour on the tongue, gums, or lining of the mouth that does not heal
  • Swelling in the jaw
  • Pain or unusual bleeding in the mouth
  • Problems with dentures
  • Trouble in talking, chewing or swallowing food
  • Difficulty in Breathing
  • Persistent pain in the throat
  • Pain in the ears or trouble hearing
  • Bleeding from the Nose
  • Hoarseness of voice
  • Headaches
  • Pain and swelling around the eyes
  • Pain in the jaws.
  • Loosening of teeth
  • Loss of appetite / Weight loss

These are the very common symptoms that indicate head, face and neck cancer. Symptoms of cancer may vary according to the type of its origin.

What Are The Indicators of Lung Cancer?

Different people have different signs and symptoms of thoracic cancer. Some of the very common ones include:

  • Lingering or worsening cough
  • Coughing up phlegm or blood
  • Bad chest pain that develops when you breathe deeply, laugh, or cough
  • A lump or bump protruding from the chest
  • Hoarseness
  • Swelling in the chest
  • Shortness of breath
  • Wheezing
  • Impaired movement

A patient might also experience these symptoms along with the above symptoms:

  • Weakness and fatigue
  • Loss of appetite and weight loss
  • Muscle weakness
  • Nausea&Vomiting
  • Fluid retention

These are the very common symptoms that indicate thoracic cancer. Symptoms of cancer may vary according to the type of its origin.

Paediatric Laparoscopy & Robotic Surgery

It is a minimally invasive surgical procedure performed to treat children with a variety of medical conditions requiring surgery. The surgery performed by making a few small size (3 or 5 mm) incisions and involves the use of a thin, flexible optical instrument known as a laparoscope, which is inserted through one of these incisions for performing the surgery. It is the safest, efficient, technically feasible surgical technique offering many advantages over traditional methods. It is also very well tolerated in infants, young children, and teenagers.

Recently, the unit has also started offering highly advanced Robotic surgery to infants and children. This technique enables high precision for complex operations requiring reconstruction of stomach, intestines, kidneys, ureters, bladder and removal of tumours from chest and abdomen etc.

Laparoscopic surgeries we offer:

  • Laparoscopic Appendicectomy
  • Laparoscopic Cholecystectomy
  • Laparoscopic Fundoplication
  • Laparoscopic Nephrectomy
  • Laparoscopic Orchidopexy
  • Laparoscopic pull-through Procedures
  • Laparoscopic Pyeloplasty
  • Thoracoscopic Cyst Excision
  • Thoracoscopic Repair of Diaphragmatic Hernia

Robotic surgeries we offer:

  • Robotic Choledochal cyst excision and Hepatico-docho-jejunostomy
  • Robotic Resection & Anastomosis of Intestine
  • Robotic Fundoplication
  • Robotic Surgery for Morbid Obesity – Sleeve Gastrectomy, Roux-en-Y bypass etc.
  • Robotic Surgery for duodenal atresia
  • Robotic Gastric Pull-up for oesophageal replacement
  • Robotic Colon-rectal pull-through procedures
     

What are the Conditions we Treat under the Paediatric Intensive Care Unit?

We provide care to patients with a wide variety of complex medical and surgical conditions including:

  • Endocrine and Metabolic Conditions
    • Diabetic
    • Hyperosmolarity Metabolic Syndrome
    • Ketoacidosis
  • Gastrointestinal Conditions
    • Bleeding
    • Bowel perforation
    • Malrotation
    • Pancreatitis
    • All post GI surgical Cases
  • Heart Conditions
  • Congenital heart defects
    • Atrial septal defect (ASD)
    • Patent ductus arteriosus (PDA)
    • Patent foramen ovale (PFO)
    • Ventricular septal defect (VSD )
  • Acquired heart defects
  • Arrhythmias
  • Cardiomyopathy & Myocarditis
  • Congenital and acquired heart block
  • Hypoplastic left heart syndrome
  • Post cardiac surgery patients
  • Rheumatic heart disease
  • Complex heart conditions/diseases
  • Haematology and Oncology Conditions
    • Acute and Chronic Graft versus host disease (GvHD)
    • Diffuse Alveolar haemorrhage
    • Febrile Neutropenia
    • Haematological malignancies & solid organ malignancies
    • Hypersplenism
    • Leukaemia
    • Post bone marrow transplant patients
    • Thalassemia
    • Tumour lysis syndrome
    • Veno occlusive Disorders
  • Infections

We have advanced technology which helps in diagnosing serious life-threatening infections in the fastest possible way

    • Multidrug-resistant organism
      • Methicillin-Resistant S. aureus (MRSA)
      • Vancomycin Intermediate-Resistant S. Aureus (VISA)
      • Vancomycin-Resistant S. Aureus (VRSA)
  • Kidney Conditions
    • Acute and Chronic Kidney failure management
    • Post Kidney transplant
  • Neurological Conditions (Infections and autoimmune)
    • Acute Disseminated Encephalomyelitis (ADEM)
    • Complex Neurological Hydrocephalus conditions
    • Encephalitis
    • Guillain-Barré syndrome (GBS)
    • Head injuries
    • Meningitis
    • Post-op neurosurgical patient
    • Post-op shunt surgical patient
    • Seizures
    • Stroke
    • Trauma
  • Orthopaedic Conditions
    • Osteomyelitis
    • Post-trauma cases management
  • Poisoning
    • Carbon monoxide poisoning
    • Dog bites
    • Drug poisoning/ Methemoglobinemia
    • Snake or spider bites
    • Tetanus
  • Respiratory Conditions
    • Acute Respiratory Distress Syndrome (ARDS)
    • Apnoea
    • Asthma
    • Chronic lung disease
    • Empyema
    • Foreign body Aspiration
    • Pneumonia/ Bronchiolitis
    • Pneumothorax
    • Trauma
  • Other multi-organ injuries

We at unit offer excellent counselling for patients and relatives with empathy and psychological support to the family during their entire stay.

What Are The Conditions We Treat Under The Neonatology and Neonatal Intensive Care Unit?

Some of the major conditions we treat at Neonatology and Neonatal Intensive Care Unit include:

  • Birth defects in the
    • Birth asphyxia
    • Brain and spine (Myelomeningocele and all other birth defects)
    • Heart
    • Kidney and urinary
    • The airway that interferes with breathing
  • Bladder and Genital Defects
  • Bone Tumours and Soft Tissue Tumours
  • Congenital Diaphragmatic Hernia
  • Conjoined Twins
  • Gastroschisis
  • Hydrocephalus
  • Infections of the bloodstream
  • Intestinal Atresia
  • Meconium Aspiration
  • Meningitis
  • Metabolic Disorders and Genetic Problems
  • Micrognathia (Robin Sequence)
  • Necrotizing Enterocolitis
  • Neuroblastoma
  • Omphalocele
  • Respiratory Distress Syndrome
  • Respiratory Failure
  • Short Bowel Syndrome
  • Tracheoesophageal Fistula

Advanced Technology:

The cancer centre aspires to focus on providing the best cancer treatment surgeries and procedures to cure cancer patients. With the use of state-of-the-art technologies and innovative treatment methodology, we have treated almost all kinds of cancers in the most effective ways. Our professional oncologists hold years of experience in delivering the treatment that maximises your chances for a cure while minimising side effects.

We follow a multidisciplinary approach to provide streamlined integrative care and works closely with the cancer patient & their families. They majorly focus on conserving function and organ without compromising overall survival outcomes. Our comprehensive range of diagnostic, medical and surgical services use advanced technologies like:

  • Robotics surgery
  • Halcyon, latest linear accelerator
  • Breast cancer Sentinel lymph node biopsy (SLNB) (by using Radio-isotopes and Gamma probe for prevention of lymphoedema)
  • HIPEC Technology (Hyperthermic Intraperitoneal Chemotherapy)
  • Immunotherapy
  • IMRT (Intensity-modulated radiation therapy)
  • IGRT (Image-guided radiation therapy)
  • 3D CRT-(Conformal Radiation Therapy)
  • Digital Mammography
  • MRI (Magnetic Resonance Imaging)
  • PET / CT scan

What Are The Symptoms For Genitourinary Cancer?

A patient might experience various signs and symptoms of genitourinary cancer depending on the organ which is affected. Important warning signs which require evaluation include:

  • Blood in the urine
  • Any difficulty passing urine like a weak stream, difficulty in controlling urine, burning urination, increased frequency of urination or passing small amounts of urine often
  • The pain of one side of the back
  • The heaviness of pain on one side of the abdomen
  • Feeling a lump or mass in the abdomen, scrotum or either testicle
  • Growth or ulcer over the penis
  • Non-specific symptoms like loss of weight and appetite or fever can occasionally be related to genitourinary cancer
  • Bone pain
  • Raised PSA level on a routine check-up

Since genitourinary cancer comprises of various kinds of cancer, thus the symptoms may vary for different types of cancer. A patient experiencing some of the above-mentioned symptoms must visit a doctor to evaluate the condition in detail.

What Are The Indications For Lymphoma?

Different people have different signs and symptoms of Lymphoma, which may differ as per the site of origin. Some of the very common ones include:

  • Painless swelling in one or more lymph nodes (often in the upper chest, armpit, neck, or groin)
  • Unexplained or persistent fever
  • Fatigue
  • Unexplained Weight loss
  • Loss of appetite
  • Itchy skin
  • Persistent cough or chest pain
  • Lymph node pain after drinking alcohol
  • Rashes or lumps on the skin
  • Drenching sweats, particularly at night
  • Tenderness or abdominal bloating due to an enlarged spleen
  • Shortness of breath with normal activity

What Are The Red Flags For Paediatric Cancer?

Every kid exhibits different signs and symptoms for different types of paediatric cancers. Some of the very common ones include:

  • Continuous unintended weight loss
  • Headaches with early morning vomiting
  • Increased swelling in the joints, bones, back, or legs with persistent pain
  • Lump or mass formation especially in the neck, abdomen, chest, pelvis, or armpits
  • Development of excessive bruising, bleeding, or rash
  • Constant, persistent or frequent infections
  • A whitish colour formation behind the pupil
  • Nausea that persists
  • Constant tiredness or noticeable paleness in skin
  • Eye or vision changes
  • Recurring or persistent fevers without any infection

Symptoms of cancer may vary according to the type of cancer and its origin.

What Are The Benefits Of Robotic-Assisted Surgery?

Some of the major benefits of robotic-assisted surgery include:

  • Allows the surgeon to access and operate in confined spaces in the body
  • Faster recovery (a quicker return to normal activities)
  • Greater visibility with the three-dimensional camera and greater camera magnification for viewing intricate anatomy
  • Less blood loss
  • Less pain
  • Lower risk of complications, including surgical site infection
  • Shorter hospital stay
  • Smaller, less visible scars
  • Unmatched precision

What are the Various Indications for Liver Transplant?

A liver transplant is an option for people suffering from liver failure due to end-stage liver disease (ESLD) such as:

  • Acute Liver Failure

Also termed as fulminant hepatic failure is a condition that occurs when a healthy person’s liver suffers from a massive injury that results in signs and symptoms of liver insufficiency.

  • Chronic End-Stage Liver Disease/Cirrhosis

It is a condition that generates due to repeated injury to the liver for many years. In such conditions, the liver loses its tendency of repairing itself and the disease is termed as an end-stage liver diseases. The only cure to such condition is a liver transplant.

The common causes that lead to such conditions of liver failure include:

  • Accumulation of fat in the liver, Nonalcoholic steatohepatitis (NASH)
  • Alpha-1 antitrypsin deficiency
  • Chronic alcohol abuse
  • Chronic viral hepatitis (hepatitis B, C and D)
  • Copper accumulated in the liver (Wilson's disease)
  • Cystic fibrosis
  • Destruction of the bile ducts (primary biliary cirrhosis)
  • Genetic digestive disorder (Alagille syndrome)
  • Infection, such as
    • Syphilis
    • Brucellosis
  • Inherited disorders of sugar metabolism
    • Galactosemia
    • Glycogen storage disease
  • Iron buildup in the body (hemochromatosis)
  • Liver disease caused by your body's immune system (autoimmune hepatitis)
  • Medications
    • Methotrexate
    • Isoniazid
  • Metabolic syndrome
  • Poorly formed bile ducts (biliary atresia)
  • Scarring and hardening of the bile ducts (primary sclerosing cholangitis)
  • Severe Obesity

What are the conditions we treat under Orthopaedic/Bone And Joint Rehabilitation Program?

We offer a rehabilitation program for a patient suffering from following problems such as:

  • Arthritis
  • Back pain/problems
  • Elbow pain/problems
  • Foot pain
  • Ankle injuries
  • Knee injuries
  • Work-related injuries
  • Sports-related injuries
  • Cartilage injuries
  • Hip problems
  • Osteoporosis
  • Neck and Shoulder pain/problems
  • Hand and Wrist pain/problems

The incidence of fall in Geriatric Patients

The incidence of fall in old patients is very high as they are more prone to loss of balance due to many reasons such as eyesight weakness, Central Nervous System (CNS) disorder, etc. Our preventive program promotes awareness activities to minimise the risk of fall in senior citizens and ensure that they do not sustain injuries due to fall. Some of the common instructions offered by our team of doctors include:

  • Use of a stick in the hand while walking
  • Use the staircase railing while climbing up and climbing down the stairs
  • Prevent the sudden turning of the head/body.
  • Not to stand to wear trousers or pyjamas. We instruct them to sit down and wear comfortably.
  • To turn on one side while getting out of the bed.
  • Do not get up fast from the bed, instead get up from the bed, sit for some-time and then get out of the bed.
  • Look down at the footpath while walking since they often are not in walkable conditions.
  • Do not bend down to lift heavy objects instead, bend your knees and lift the heavy object in a half squatting position.
  • Do not indulge in running, jogging, skipping rope, walking for more than 20 minutes; instead distribute your program equally in the gymnasium.
  • Develop your muscle strength by exercising in the gymnasium with bearable weights (as suggested by your doctor)
  • Check-up with the neurologist, ophthalmologist, physician and orthopaedic, who may diagnose your conditions which may contribute to preventing/precipitating fall.

GYNAEC-UROLOGY SURGERIES

Gynaec-urology is a branch of Urology Surgeries Unit that deals with diagnosing and treating the most common urological conditions in females such as:

  • Chronic urinary tract infections (UTIs)
  • Interstitial cystitis
  • Mesh complications
  • Overactive bladder
  • Pelvic organ prolapse
  • Pelvic pain
  • Sexual dysfunction
  • Sexually transmitted diseases
  • Stress urinary incontinence (urine leakage) 
  • Urethral syndrome
  • Urinary fistula
  • Urinary incontinence

Our team of female urologists, gynaecologists, oncologists, nephrologists and other medical staff at the unit follows a multidisciplinary approach to treat a variety of female urological conditions. The surgeries we perform at our state-of-the-art unit include:

  • Minimally Invasive Sling procedures to provide sling support under the tube that carries urine.
  • Periurethral Bulking Agents to narrow down the urethra by injecting a bulking agent in order to stop leakage.
  • Vaginal Prolapse Repair is performed to repair and support the weakened pelvic floor structures using grafting of a patient’s own tissue or synthetic material.
  • Hysterectomy is conducted on patients with severe uterine prolapse. It involves the removal of uterus.
  • Robotic-Assisted Sacrocolpopexy is done to repair pelvic organ prolapse. 
  • Sacral Nerve Stimulation (Interstim) Therapy is conducted to treat bladder and bowel problems in female targeting communication problem between the brain and nerves that control bowel function.
  • Bladder and Urethral Reconstructive Procedures are performed to remove the bladder and create a new way to pass urine. 
  • Vesicovaginal Fistula Repair is performed to close the vesicovaginal fistula permanently without affecting the ureter.

We perform all the surgeries under the effect of anaesthesia in our fully equipped operating theatres. A patient might take two to four weeks to recover after the surgery and has to take some precautions as advised by the doctor in order to avoid any future complication and improve the quality of life.

Emergency Care Units:

Our Centre for Critical Care strives to cater to management of critically ill patients from medical and surgical specialities with life-threatening conditions and multi-organ failure requiring comprehensive and constant monitoring. We have different dedicated ICUs offering outcome-oriented programs for various emergency conditions. These include:

  • Medical Intensive Care Unit (MICU)
  • Surgical Intensive Care Unit (SICU)
  • Cardiac Intensive Care Unit (CICU)
  • Paediatric Intensive Care Unit (PICU)
  • Neonatal Intensive Care Unit (NICU)
  • Neurosciences Intensive Care Unit (NICU) (CCU 4)
  • Organ Transplant Intensive Care Unit (OICU) (CCU 4)

Medical Conditions We Treat

We provide care to patients with a wide variety of complex medical problems including:

  • Blood Infections
  • Cancer Problems
  • Diseases Of The Blood
  • Respiratory Problems
  • Gastrointestinal Problems
  • Kidney Problems
  • Liver Problems
  • Lung Problems
  • Poisoning
  • Traumatic brain injury
  • Overdose of drugs

Conditions We Treat

We provide care to patients with a wide variety of complex health problems including:

  • Post-operative high-risk conditions
  • Vascular conditions
  • Gastrointestinal conditions
  • Neurological conditions
  • Organ (Liver, Renal, Renal-Pancreas) Transplantation conditions
  • Orthopaedics conditions
  • Otolaryngology conditions
  • Urology conditions
  • Thoracic, Oral Maxillo-Facial conditions
  • Nephrological Conditions
  • Obstetrics and Gynaecological Surgery conditions
  • Oncological Conditions
  • HPB Conditions
  • Experiencing shock, cardiac arrest or sepsis

Conditions We Treat

We provide emergency care to patients with a wide spectrum of health conditions such as:

  • Acute heart attacks
  • Myocardial infarctions
  • Coronary interventions
  • Acute coronary syndrome
  • Life-threatening cardiac arrhythmias
  • Severe heart failure
  • Heart transplantation
  • People recovering from cardiac surgery

What Are The Advanced Facilities Provided At The Neonatology and Neonatal Intensive Care Unit?

Some of the cutting edge facilities offered at Neonatal Intensive Care Unit include:

  • Radiant Warmer: These are small body warming beds, used to maintain the body temperature of babies and limit their metabolism rate.
  • Infant Incubator: These are specially designed enclosed bed in which an infant is kept in a controlled environment for observation and care.
  • Phototherapy: Advanced treatment option that treats a variety of medical conditions (such as jaundice) in children with the help of exposure to fluorescent light bulbs or other sources of light.
  • Multi-Monitors: Helps in keeping track of babies overall health. These monitors include:
    • Electrode-Chest Leads: Helps in keeping track of the baby’s heartbeat and breath
    • Pulse Oximetry (Oxygen Saturation Monitor): Helps in measuring the level of oxygen in the baby’s tissues and blood.
    • A Temperature Probe Records: It records the baby's temperature timely and reflects the same on the monitor.
    • Blood Pressure Monitor: It is used to measure the baby’s blood pressure using a blood pressure cuff or an arterial line.
  • Feeding Tubes (To feed Premature Babies): It is a tube used to feed premature babies. It enters through the baby’s mouth or nose and goes into the stomach
  • An Intravenous Catheter (Or IV): It is a tube that is inserted into the veins of the baby for providing medicines and fluids. Treatment with an IV is known as a "drip" or "infusion."
    • Lines: It is an advanced version of IV that is used to when there is a requirement of providing a greater amount of fluids and medicines to the baby.
  • Oxygen Hood Or Nasal Cannula: It is used for providing extra oxygen to babies without using the ventilator
  • Neonatal Ventilator: It is a machine that is used to provide extra oxygen to babies whenever required.
    • High-Frequency Oscillatory Ventilator (HFOV): It is a mechanical ventilator that is used for premature babies with very low birth weight and has structurally and functionally immature lungs.
  • T-piece Resuscitator or NeoPuff: It is a manually operated, gas-powered resuscitator that is designed to provide breaths at a set flow to infants with consistent Positive End Expiratory Pressure (PEEP) and Peak Inspiratory Pressure (PIP).
  • Patent Ductus Arteriosus (PDA) Ligation Facility: PDA is a heart defect found in newborn babies. PDA ligation is a catheter-based procedure performed under general anaesthesia to treat babies with a heart defect.
  • Neonatal Flexible Bronchoscopy: It is a diagnostic facility that helps in determining lung and airway problems in new-born babies.

Conditions We Treat

Conditions we treat at our comprehensive neurosciences intensive care unit include:

  • Stroke
  • Traumatic Brain Injury
  • Cerebrovascular disorders
    • Subarachnoid Haemorrhage
    • Intracranial Haemorrhage
  • Subdural Haematoma
  • Brain Tumour
  • Severe head or spine trauma
  • Encephalitis
  • Status Epilepticus
  • Meningitis and other central nervous system infections
  • Coma
  • Severe or deteriorating demyelinating illness
  • Guillain-Barre syndrome
  • Neuromuscular disorders (Myasthenia Gravis)
  • Severe autonomic instability
  • Recent major surgical procedures (spine surgery, carotid artery surgery, angioplasty, endovascular procedures)

Conditions We Treat:

The Organ Transplant ICU patients receive care for:

  • Kidney transplantation
  • Liver transplantation
  • Heart Transplantation
  • All post-transplant patients return to the unit for any subsequent admission, to provide continuity of care.

Clinical Features

Based on the aetiology of ALF, the timing and indications of the clinical features of ALF may vary. The major indications of ALF range from simple symptoms to severe ones. These include

Simple symptoms

  • Abdominal pain
  • Fatigue
  • Malaise
  • Nausea 
  • Vomiting 

Severe symptoms

  • Hypotension
  • Sepsis
  • Hepatic encephalopathy (drowsiness, confusion, cognitive impairment, slowed mentation, and euphoria to deep coma)

With these symptoms, patients may also develop coagulation abnormalities (Prolonged PT/INR). This increases the risk of bleeding. However, due to further testing the chances to diagnose ALF may be delayed or even missed and the opportunity to provide definitive therapy is also lost. Therefore to make an early diagnosis of ALF, it is important to have a high index of suspicion.

The course of treatment for ALF is similar to that of multiple organ failure. The pathophysiology for ALF include

  • Loss of hepatocyte function
  • The release of toxins and cytokines

This is due to liver necrosis causing severe systemic inflammation and secondary bacterial infections from decreased immunity in ALF.
 

Seven (7) common conditions that require surgery

1. Slipped Or Herniated Disc

It is a condition of nerve compression which arises when the disc in the lower back area of the spine starts degenerating (weakening). People within 25 to 40 years of age are more prone to a rapid model of nerve compression due to high activity levels. The chances of slipped disc increases in patients who are obese, have a sedentary lifestyle or an individual who occasionally indulges in unaccustomed strenuous activity at one end of the spectrum versus who challenges the mechanical endurance of the back with very strenuous activity.

Slipped disc, also termed as Prolapsed Intervertebral Disc (PID) represents acute or repetitive failure of the disc due to abnormal forces transferred to it when the supporting muscles are inefficient to carry the pressure. This protrusion in the disc causes a mechanical compression and the nucleus pulposus (disc gel) causes severe inflammation of nerve, resulting in enhanced pain.

Treatments: In order to treat a slipped disc, a patient is advised to take complete bed rest for over 3-6 weeks, thereby, reducing the force on injured disc and allowing it to heal. During the course of recovery, the pain is controlled with medications, steroids, injections and physiotherapy. Once the pain is reduced to tolerable limits, the doctor advises a patient to gradually get back to daily activities. A patient is also advised to perform some exercises on a regular basis.

However, in most complex cases of a herniated disc, doctors remove the fragment by performing a minimally invasive (key-hole) surgery. The major aim of this surgical treatment is to remove loose fragments and free the nerve, thereby relieving the pain and annulus (disc covering) starts healing naturally. A patient can resume daily tasks within a week of the surgery.

2. Stenosis Or Narrowing Of Nerves In The Elderly

Represents a slow progressive compression of neural elements. The spine is a part of the human body that starts degenerating with ageing. It is an ongoing process that accelerates after 30 years of age. 

The wear and tear in the spine results in loss of turgidity and compressibility of the disc. This reduces the effective space available for nerves in the neural foramen and central canal, resulting in narrowing of nerves and space, as long as possible.

The rate of narrowing of nerves and effective space varies from person to person. However, an individual can reduce the effect of stenosis with the help of regular exercises and lifestyle modification. 

If a condition of “slow progressive functional paralysis" arises, then surgical intervention is a must. Though a true paralysis is rare, the activities slow down to an extent wherein routine activities are painfully restricted.

3. Slippage Of Bone Or Spondylolisthesis 

Spondylolisthesis is a Greek word which is bifurcated as spondylos, meaning vertebrate, and oliothesis, meaning slipping. It means the abnormal slipping or dislocation between two vertebrae. It’s a pure mechanical failure where a link in the central pillar is unstable

What Are The Symptoms?

The symptoms of spondylolisthesis vary from person to person, some may experience no symptoms while others may experience chronic low back pain, leg pain, or neurogenic claudication from spinal stenosis. 

The pain may arise due to weakness of spine or abnormal movement at the level of the spondylolisthesis causing irritation or inflammation. This pain is typically relieved with proper rest and worsens with activities such as standing and walking. This posture-related pain or type of activity is referred to as mechanical pain. 

In other patients, symptoms may include leg pain (sciatica, radiculopathy) or even weakness and or numbness due to irritation of nerve roots that can be stretched or compressed by the slipped vertebrae. 

However, in adult patients, the slippage may be a result of other degenerative changes, such as arthritis or spondylosis of the spine, such as enlarging ligaments (hypertrophy), disc bulging, bone spurs and facet joint overgrowth. These changes affect the spinal canal by narrowing it, leading to neurogenic claudication and spinal stenosis.

Tests And Diagnosis

  • X-ray: X-rays provide an overall assessment of the bone anatomy as well as the curvature and alignment of the vertebral column. Flexion/extension or dynamic X-rays (that show the spine in motion) are obtained to learn if there is any instability or abnormal /excessive movement in the spine at the affected levels.
  • Magnetic Resonance Imaging (MRI): It is an advanced imaging technique that provides detailed images of soft tissues like nerve roots and spinal cord. MRIs are useful in locating stenosis and its complexity by identifying nerve root or spinal cord compression.
  • Computed Tomography (CT) scan: This scan uses X-rays and a computer to provide images that are more detailed than general X-rays.

Treatments

Non-operative treatment is usually recommended for patients as the first line of treatment to patients’ experiencing mechanical pain. The careful use of over the counter anti-inflammatory medications is suggested for the management of pain. However, for chronic pain spinal injections are also given to patients.

Along with medication, your doctor may also suggest undertaking physical therapy to work on posture, balance and spinal mechanics. This therapy is often combined with strengthening of back, abdominal muscles and flank to provide dynamic support to the lower lumbar spine.

Some weight loss, reconditioning, and lifestyle modifications and ergonomic efficiencies may also be useful.

For severe, progressive and intolerable pain in back/legs that does not improve with conservative treatments such as medication, physical therapy, and activity modulation, surgery is suggested. The objective of the surgery is to relieve the pressure that is on any of the nerve roots and to strengthen the attachment between the vertebrate.
Surgery is also suggested to patients with numbness and/or weakness. However, in adult patients with spondylolisthesis, this usually consists of decompression and spinal fusion.

4. Spinal Deformity


5. Osteoporosis
 

6. Infection 
 

7. Trauma Or Fractures 

Heart Valve Surgery

The Cardiothoracic and Vascular Surgery Unit at Nanavati Super Speciality Hospital is home to highly experienced Cardiac surgeons who work together as a multidisciplinary team with cardiologists and other health care professionals. Our team strives to provide coordinated, comprehensive care to patients suffering from various kinds of heart valve diseases such as valvular stenosis, congenital valve disease, bicuspid aortic valve disease, acquired valve disease, mitral valve prolapse, etc.
Our unit is well-equipped with state-of-the-art facilities and offers advanced treatment options minimally invasive approach to repair or replace heart valves.


What Is Heart Valve Surgery?

A human heart has four valves which are responsible for controlling the one-way blood flow through the heart’s four chambers. When a person acquires heart valve disease (also called valvular heart disease), one or more valves in the heart are unable to function properly. 
The four heart valves include:

  • Mitral valve 
  • Tricuspid valve 
  • Pulmonary valve 
  •  Aortic valve

The surgery performed to repair or replace a valve in the heart is termed as Heart valve surgery. It is an advanced surgical procedure that is performed to prevent any lasting damage to a patient’s heart valve and heart.

What are the various types of Heart Valve Surgery?

The different types of heart surgeries we perform at the unit include:

  •  Heart Valve Repair Surgery

As the name suggests, this type of surgery is performed to repair the faulty valve. The various procedures involve:

  • Commissurotomy/ Valvulotomy: For the treatment of a tight valve
  • Annuloplasty/ Valvuloplasty: For the treatment of a leaky valve
  • Decalcification: For the removal of excessive calcium build-up

Heart Valve Replacement Surgery

When the heart valves are damaged and cannot be repaired then an advanced heart valve repair surgery is performed to replace the faulty valve. The various artificial valves are used for replacement purpose. Such as: 

  • Mechanical Valves:  Made up of long-lasting and durable plastic or metal materials
  • Biological Valves or Bio-Prosthetic Valves: These are specially prepared natural valves that come from animals like cows and pigs and human donors.
  •  Auto-Graft Valves: These are valves prepared from the patient’s tissue

How is Heart Valve Surgery Performed?

The Heart Valve Surgeries are performed under the effect of anaesthesia. A patient is put on a bypass machine which drains the blood coming to the heart, purifies it and sends it back to the body. The heart is stopped, chamber of the heart is opened & the valve which is dysfunctional is either repaired or replaced. The chamber is then closed & health is started again.
However, cardiologists can also perform a non-invasive catheter procedure called a Balloon Valvuloplasty to treat a valve with a narrowed opening. The doctor uses a catheter with a balloon on the tip to perform the procedure. This catheter is inserted into the patient’s blood vessel through the arm or groin and guided to the affected valve. The balloon is then inflated in the valve, which expands the opening of the heart valve. The doctor then removes the catheter and balloon.
After the heart valve surgery, a patient can return to their daily activities, such as working, driving and exercise in a few weeks. Our team of experts offers after surgery program to educate patients about self-care and design exercises to help them improve their overall health and recover faster after heart surgery.
 

Can I get both hips operated at the same time?

It depends on how badly both hips are affected. Both hips can be replaced in one sitting if a patient is young. Generally, in case of an elderly, hips are replaced one at a time. Nanavati Super Speciality Hospital is known for bilateral hip replacement, revision arthroplasties.

What are the indications for this surgery?

Arthroscopy is an advanced form of surgical treatment, which was proposed to evade the need of traditional surgery. The surgery is performed under the following indications:

Various types of Intra-articular joint disorders

  • Ligament tears caused by an injury 
  • Persistent pain and swelling in the joint
  • Cartilage Tears
  • Tendon ruptures
  • Recurrent Joint dislocations
  • Some joint fractures
     

How is knee pain treated?

The early-stage treatment of knee arthritis involves management of pain with mild medication, weight reduction, and physiotherapy.

However, for end-stage or chronic arthritis which involves a severe decrease in joint space and a consequently significant amount of pain, a surgeon replaces the worn articular cartilage with artificial long-lasting bearing surfaces called modern knee replacement. 
 

What are the Sign/Symptoms for Orthopaedic Trauma Surgery?

Trauma care surgeries are performed in a variety of cases which include:

  • Polytrauma– Multiple fractures with multiple organ involvement. 
  • Bone fracture or dislocation because of the accident, causing polytrauma (multiple fractures)
  • Road traffic accidents 
  • Accidental joint damage
  • Limb amputation
  • Osteoporotic fracture in elderly patients
  • Gunshot wounds 
  • Chronic injuries
     

Treatment Programs

Nanavati Super Speciality Hospital provides children with high-quality paediatric care from birth to adolescence and stands among one of the best medical institutions in India. It offers tailored paediatric services and has dedicated units, which are further streamlined into various sub-disciplines of paediatric care, such as: 

  • General Paediatrics
  • Neonatology and Neonatal Intensive Care
  • Paediatric Intensive Care
  • Paediatric Surgery & Paediatric Urology
     

How does Chemotherapy work?

Unlike healthy body cells which divide and reproduce in an orderly and controlled manner, cancer cells reproduce without proper control. Depending upon the advancement of cancer in a patient’s body, a doctor advice chemotherapy treatment to control the improper growth of cancer cells.

Chemotherapy drugs work by interfering with processes inside cancerous cells. It enters the bloodstream and travels around the body damaging cancerous cells so that they cannot divide and grow properly. Chemotherapy drugs also tend to affect healthy cells which are present in the body. Therefore, a patient can also experience a few side effects which are usually temporary, as healthy cells recover quicker than cancerous cells. However, the permanent damage with most chemotherapy treatments is rare.
 

Support Services

We at the Centre for Chest & Respiratory Diseases, offer world-class services that start with your treatment and goes beyond to the aftercare. We pay attention to every detail of your problem and demonstrate abiding passion for excellence in treating the most complex cases related to pulmonary diseases.

Our never-ending support services help patients to overcome every aspect of the treatment and live a disease-free life. Some of the major support services we offer include:

  • Post-operative pulmonary rehabilitation
  • Lifestyle changes
  • Counselling & assisting smoking de-addiction 
  • Asthma education and counselling

Is Chemotherapy painful?

Chemotherapy is a painless process and a patient must not feel any pain. However, if you feel any pain or unusual sensation during the treatment, immediately inform your doctor or respective staff.  

Consult a doctor for advice if the site of injection is painful, sore or red, even after going home.
 

Symptoms For Asthma & Allergy

A person suffering from allergic conditions may experience symptoms like:

  • Chest tightness
  • Coughing
  • Family history of allergy/asthma
  • Problem in breathing
  • Shortness of breath
  • Wheezing
     

Conditions We Treat

Some of the major conditions we treat include:
Airway stricture (due to benign and malignant causes)

  • Carcinoid tumours
  • Compressed airways
  • Congenital airway stenosis
  • Endobronchial tumours
  • Fibrosing mediastinitis
  • Granulomatosis with polyangiitis (Wegener's granulomatosis)
  • Lung cancer
  • Recurrent respiratory papillomatosis
  • Relapsing polychondritis
  • Tracheomalacia
  • Tuberculosis (TB)
     

Pulmonary Function Testing Procedures

PFT can be performed in two different ways. These include:

  • Spirometry: A spirometer is a device that comes with a mouthpiece which is hooked up to a small electronic machine and is used to measure a patient’s efforts multiple times. The process provides information about the rate of airflow and estimates lung size.
  • Plethysmography: It is a process used to measure the volume of the lungs. For performing the test a patient has to stand or sit inside an air-tight box that looks like a telephone booth, and use a mouthpiece for breathing in and out.
     

Seven (7) common conditions that require surgery

1. Slipped Or Herniated Disc

It is a condition of nerve compression which arises when the disc in the lower back area of the spine starts degenerating (weakening). People within 25 to 40 years of age are more prone to a rapid model of nerve compression due to high activity levels. The chances of slipped disc increases in patients who are obese, have a sedentary lifestyle or an individual who occasionally indulges in unaccustomed strenuous activity at one end of the spectrum versus who challenges the mechanical endurance of the back with very strenuous activity.

Slipped disc, also termed as Prolapsed Intervertebral Disc (PID) represents acute or repetitive failure of the disc due to abnormal forces transferred to it when the supporting muscles are inefficient to carry the pressure. This protrusion in the disc causes a mechanical compression and the nucleus pulposus (disc gel) causes severe inflammation of nerve, resulting in enhanced pain.

Treatments: In order to treat a slipped disc, a patient is advised to take complete bed rest for over 3-6 weeks, thereby, reducing the force on injured disc and allowing it to heal. During the course of recovery, the pain is controlled with medications, steroids, injections and physiotherapy. Once the pain is reduced to tolerable limits, the doctor advises a patient to gradually get back to daily activities. A patient is also advised to perform some exercises on a regular basis.

However, in most complex cases of a herniated disc, doctors remove the fragment by performing a minimally invasive (key-hole) surgery. The major aim of this surgical treatment is to remove loose fragments and free the nerve, thereby relieving the pain and annulus (disc covering) starts healing naturally. A patient can resume daily tasks within a week of the surgery.

2. Stenosis Or Narrowing Of Nerves In The Elderly

Represents a slow progressive compression of neural elements. The spine is a part of the human body that starts degenerating with ageing. It is an ongoing process that accelerates after 30 years of age. 

The wear and tear in the spine results in loss of turgidity and compressibility of the disc. This reduces the effective space available for nerves in the neural foramen and central canal, resulting in narrowing of nerves and space, as long as possible.

The rate of narrowing of nerves and effective space varies from person to person. However, an individual can reduce the effect of stenosis with the help of regular exercises and lifestyle modification. 

If a condition of “slow progressive functional paralysis" arises, then surgical intervention is a must. Though a true paralysis is rare, the activities slow down to an extent wherein routine activities are painfully restricted.

3. Slippage Of Bone Or Spondylolisthesis 

Spondylolisthesis is a Greek word which is bifurcated as spondylos, meaning vertebrate, and oliothesis, meaning slipping. It means the abnormal slipping or dislocation between two vertebrae. It’s a pure mechanical failure where a link in the central pillar is unstable

What Are The Symptoms?

The symptoms of spondylolisthesis vary from person to person, some may experience no symptoms while others may experience chronic low back pain, leg pain, or neurogenic claudication from spinal stenosis. 

The pain may arise due to weakness of spine or abnormal movement at the level of the spondylolisthesis causing irritation or inflammation. This pain is typically relieved with proper rest and worsens with activities such as standing and walking. This posture-related pain or type of activity is referred to as mechanical pain. 

In other patients, symptoms may include leg pain (sciatica, radiculopathy) or even weakness and or numbness due to irritation of nerve roots that can be stretched or compressed by the slipped vertebrae. 

However, in adult patients, the slippage may be a result of other degenerative changes, such as arthritis or spondylosis of the spine, such as enlarging ligaments (hypertrophy), disc bulging, bone spurs and facet joint overgrowth. These changes affect the spinal canal by narrowing it, leading to neurogenic claudication and spinal stenosis.

Tests And Diagnosis

  • X-ray: X-rays provide an overall assessment of the bone anatomy as well as the curvature and alignment of the vertebral column. Flexion/extension or dynamic X-rays (that show the spine in motion) are obtained to learn if there is any instability or abnormal /excessive movement in the spine at the affected levels.
  • Magnetic Resonance Imaging (MRI): It is an advanced imaging technique that provides detailed images of soft tissues like nerve roots and spinal cord. MRIs are useful in locating stenosis and its complexity by identifying nerve root or spinal cord compression.
  • Computed Tomography (CT) scan: This scan uses X-rays and a computer to provide images that are more detailed than general X-rays.

Treatments

Non-operative treatment is usually recommended for patients as the first line of treatment to patients’ experiencing mechanical pain. The careful use of over the counter anti-inflammatory medications is suggested for the management of pain. However, for chronic pain spinal injections are also given to patients.

Along with medication, your doctor may also suggest undertaking physical therapy to work on posture, balance and spinal mechanics. This therapy is often combined with strengthening of back, abdominal muscles and flank to provide dynamic support to the lower lumbar spine.

Some weight loss, reconditioning, and lifestyle modifications and ergonomic efficiencies may also be useful.

For severe, progressive and intolerable pain in back/legs that does not improve with conservative treatments such as medication, physical therapy, and activity modulation, surgery is suggested. The objective of the surgery is to relieve the pressure that is on any of the nerve roots and to strengthen the attachment between the vertebrate.
Surgery is also suggested to patients with numbness and/or weakness. However, in adult patients with spondylolisthesis, this usually consists of decompression and spinal fusion.

4. Spinal Deformity

5. Osteoporosis
6. Infection 
7. Trauma Or Fractures 

Technology We Use

Our Paediatric Intensive Care Unit offers the most advanced facilities using the latest therapies and state-of-the-art facilities to deliver care to children. These include: 

  • High-Frequency Oscillatory Ventilation (HFOV): It is an advanced method that works by sending small, rapid puffs of air into the lungs and help children suffering from breathing problems. It is one of the safest options for small lungs and highly efficient than high-pressure, conventional ventilation methods.
  • Extracorporeal Renal Replacement Therapy (ERRT): It is an advanced renal replacement therapy that aids the functioning of the kidney in children suffering from severe kidney injuries or kidney diseases. The unit also offers other types of renal replacement therapy such as haemodialysis, peritoneal dialysis, continuous renal replacement therapy (CRRT) and sustained low-efficiency dialysis (SLED).
  • Plasmapheresis: Plasmapheresis is used to treat conditions arising due to poisoning and certain immunological disorders such as autoimmune encephalitis, thrombotic thrombocytopenic purpura (TTP), etc. Plasmapheresis involves exchanging blood plasma which helps in filtering the blood and removes harmful antibodies.
  • Inhaled Nitric Oxide: It is a breathing machine that provides nitric oxide, causing blood vessels in the lungs to dilate and hold oxygen that circulates throughout the body. It helps in treating a variety of respiratory problems like pulmonary hypertension, etc.
  • Isolation Facility: Comprehensive facility designed especially for organ transplant/burns/ plastic surgery patients, using with negative and positive pressure to minimise the spread of airborne infections.
  • HDU, Central-oxygen, Compressed Air and Multipara Monitor
  • Non-Invasive and invasive BP Monitoring, CVP Monitoring
  • Flexible Fibre-optic Bronchoscopy for ICU and Non-ICU cases
  • Sedation for all procedures within and outside PICU
  • Heated, Humidified High-Flow delivered by Nasal Cannulae (HHHFNC) for respiratory problems like bronchiolitis and post-extubated patients.

IGRT (Image-Guided Radiation Therapy)

IGRT precisely target cancer with radiation therapy. It improves the chances of killing cancer by reducing the risk of damaging normal body tissues and structures. In IGRT, CT scans or X-rays provide real-time image guidance for constant imaging during radiation therapy, to improve the precision and accuracy of treatment delivery. IGRT is most suitable for tumours of prostate, urinary bladder, lungs and gynaecological cancers.

Heart Pumps (Ventricular Assist Device (VAD))

The Heart Centre at Nanavati Super Speciality Hospital offers multiple innovative treatments for people with advanced heart failure, including offering ventricular assist devices-heart pumps to treat complex heart problems, such as amyloidosis, restrictive cardiomyopathy, and other high-risk conditions. Our experts follow a multidisciplinary team-based approach in order to provide a coordinated, patient-centric treatment plan to each patient under our care.

What Are Ventricular Assist Devices (VAD)?

A ventricular assist device (VAD) is a heart pump that helps pump blood from the lower chambers of your heart (the ventricles) to the rest of your body. Also known as a mechanical circulatory support device, VAD is implanted in people who have weakened hearts or heart failure.

How Do Ventricular Assist Devices (VAD) Work?

VAD is a mechanical pump that is a surgically implanted in the left side of the chest, around the heart in a sac known as the pericardial space. The pump is connected to the heart at the bottom of the left ventricle through a driveline cable, where it draws oxygen-rich blood through the pump and pushes it into the aorta. From the Aorta, the blood can flow to the rest of the body.

Diagnostic Procedure

 

Sr. No.

OPD investigations

1

Cardiology Consultation

2

BMI ≤ 35 / ≥ 20

3

2D Echo

4

X-ray Chest

5

CPET and VO2 Max

6

CBC

7

RFT

8

LFT

9

Blood Group

10

Triple H

11

Thyroid Profile

12

Lipid Profile

13

HbA1C

A doctor will evaluate the patient’s current medical condition by performing some diagnostic tests to ensure that he is healthy enough for an implant. The diagnostic process includes Comprehensive Heart Failure Work- up which comprises of prep work-up.

Benefits of VAD

For the patient awaiting a heart transplant, VAD is a life-saving therapy. VAD or Left Ventricular Assist Device (LVAD) is capable of restoring the functions of the failing heart, thereby eliminating the need for a transplant.

Result

Depending upon your medical condition you may be able to return to many of the daily life activities, such as returning to work, exercising, being sexually active, driving, participating in hobbies, etc.

Ultra-Modern Facilities

Engineered to very high safety standards, the operating theatres at the centre are outfit with cutting edge surgical equipment and technology giving surgeons and patients alike peace of mind. With a high quality of treatment using the best possible imaging service by employing cutting-edge direct digital equipment, our professionals are trained to deliver the best solutions for almost all types of orthopaedic conditions.

What are the various treatment options available for the management of Sports Injury?

Some of the general treatment options that are helpful for the management of sports injury include:

  • PRICE Therapy

It is one of the best treatment options for minor injuries such as sprains and strains. It can be initiated at home for three or four days to get relief from the mild injury.
The word PRICE stands for

    • Protection – The therapy helps in protecting the affected area from further injury
    • Rest – Take rest; avoid exercise or any other physical activity that puts pressure on the point of injury
    • Ice – Apply ice pack on the affected area every two to three hour for around 15 to 20 minutes.
    • Compression – To limit the swelling try using elastic compression bandages
    • Elevation – Keep the injured body part raised above the level of the heart to reduce swelling.
  • Medication

A patient can take pain relief medicines or painkillers to ease the pain. These medicines can be paracetamol, ibuprofen, and other non-steroidal anti-inflammatory drugs (NSAIDs). A patient can also apply ointments on the affected area to ease pain and reduce any swelling.

  • Corticosteroid Injections

A corticosteroid injection is recommended in case of severe or persistent inflammation. It helps in relieving the pain caused by the injury. The relief from the pain is for a short duration. If necessary a corticosteroid injection can be repeated for two or three injections a year.

  • Arthroscopy Surgery

Surgery in any sports injury is usually performed when all non-operative treatment options fail to work. The doctor suggests the patient and his family about the possible treatment, for the patient’s injury and they have to make a final decision on the same.
The surgical treatments offered by our team of specialists depending upon the severity of the injury. We follow a Minimally Invasive approach to perform surgery which requires a smaller incision and speed up the recovery time and has many benefits over traditional surgery.

  • Physiotherapy

It is a specialist treatment recommended to patients recovering from a long term injury. It includes massage, manipulation, and exercises to strengthen the surrounding muscles, improve range of motion and help the injured area to return to normal function.
A physiotherapist at our Sports Injury Unit will develop an exercise programme to help patients strengthen the affected body part and reduce the risk of the injury recurring.

Types Of Bone Marrow Transplant

The Bone marrow transplant process may vary depending upon the types of donor and transplant procedures. Generally, there are two types of transplant processes:

  • Autologous Bone Marrow Transplant: In this process, the bone marrow or stem cells are harvested from the patient’s own body and frozen (cryopreserved) for future use. 
  • Allogeneic Bone Marrow Transplant: In this process, the bone marrow or stem cells are harvested from a donor’s body. A donor can be a relative usually a brother or sister or an unrelated donor whose bone marrow matches with the patient’s bone marrow and must be an HLA (Histocompatible Leukocyte antigen) match. In this type of transplant, the bone marrow is given to the patient on the very same day.

Types of Allogeneic Bone Marrow Transplant:

  • HLA (Immune)-Match Related Donor (Siblings) Transplant:  The bone marrow or stem cells come from the relative of the patient, who is usually a sibling (brother or sister) who's HLA (Histocompatible Leukocyte antigen) matches completely with the patient.
  • HLA (Immune)-Matched Unrelated Donor Transplant: The bone marrow or stem cells come from the unrelated donor whose HLA (Histocompatible Leukocyte antigen) matches completely with the patient.
  • Haplo Identical Donor Transplant: The bone marrow or stem cells comes from HLA (Histocompatible Leukocyte antigen) half-matched (haplotype) donors such as biological parents of the patient or half-matched siblings.
  • Umbilical Cord Blood Transplant: Umbilical cord blood cells are collected from a newborn baby's umbilical cord right after birth. These stem cells are very immature so the need for perfect matching is eliminated. The stem cells collected from the cord are frozen and stored until they are used for a transplant.

After the harvest, the bone marrow or stem cells are filtered to remove fat or other particles and then taken to the laboratory for processing, after which they are counted, screened, and ready to infuse.

The type of transplant patient has to undergo depends upon the unique medical needs of the patient. A doctor will evaluate the patient’s medical condition and will suggest the treatment plan accordingly. The goal of a bone marrow transplant process is to treat a variety of blood disorders and certain types of cancer.

How is Breast Cancer Diagnosed?

At Nanavati Hospital, we offer you the most advanced diagnosis and treatment techniques for breast cancer, irrespective of its complexity. Our doctors conduct several tests to diagnose cancer, these tests include:

  • Sonograms (Breast ultrasound)
  • Mammography
  • Magnetic resonance imaging (MRI)
  • Core Biopsy (ultrasound-guided)
  • Molecular Testing

How Is Head, Face And Neck Cancer Diagnosed?

At Nanavati Hospital, we offer you the most advanced diagnosis and treatment techniques for head, face, and neck cancer, irrespective of its complexity. Our doctors conduct many tests to diagnose cancers of Head, face and neck cancer. These tests include:
•    Physical examination
•    Ultrasound of the neck/CT/ MRI/ PET Scan
•    Biopsy
•    Laboratory tests 
•    Endoscopy
•    Molecular Testing
 

How is Thoracic Cancer Diagnosed?

Our team of highly experienced oncologists performs a wide spectrum of tests to diagnose the cancer. These tests include:

  • Sputum Cytology
  • Bronchoscopy& Guided biopsies (EBUS)
  • CT (Computed Tomography) scan & guided core biopsy.
  • PET CT Scan
  • Tumour markers
  • Pulmonary Function Tests 
  • Molecular testing

Neonatal Surgery

It is a branch of paediatric surgery that is dedicated to treating premature and critically ill new-borns requiring comprehensive care to deal with congenital problems necessitating surgical correction. We at the unit strive to offer advanced, intensive family-centred care to new-borns suffering from a wide spectrum of medical conditions. Our nationally recognised neonatologists first evaluate a patient’s medical condition through prenatal screening and then counsel parents, making them learn about their new-born’s condition and the course of treatment that need to be followed. 

We also have a dedicated neonatal intensive care unit which is facilitated with state-of-the-art life-supporting system. Our ultra-modern operating rooms are well-equipped with the latest in equipment, to treat complex conditions in new-borns. Our multidisciplinary neonatal surgical team includes surgeons, intensive care physicians, intensivists, respiratory therapists, physiotherapists, highly trained nurses and other surgical specialists, offers a patient-centric treatment plan to provide the best possible outcomes.

Neonatal surgeries we offer:

  • Anorectal Malformation
  • Diaphragmatic Hernia
  • Duodenal and other Intestinal Atresia
  • Hirschsprung’s Disease
  • Malrotation
  • Pyloric Stenosis 
  • Tracheoesophageal Fistula & Oesophageal Atresia
     

Treatment Approaches:

The modern era of cancer treatment is constantly evolving, with breakthroughs and discoveries we strive to offer a more specialised degree of care. Our medical and radiation oncologists, haematologists, surgeons and other cancer specialists, work together to provide the most comprehensive, advanced diagnostic and treatment services to our patients.

  • Medical Oncology Program

Our Medical oncologists at Nanavati Hospital are typically the physicians who take the lead in helping patients fight cancer with most eclectic Cancer treatment facilities. Our team of highly qualified experienced, and dedicated medical oncologists administer safe and patient-centric chemotherapy often employed in combination in immunotherapy & targeted therapy. The department extends its compassionate support and services by offering optimum palliation to patients who are beyond the scope of active chemotherapy treatment.

  • Radiation Oncology Program

Radiation Oncology Program offered at the Cancer Centre uses sophisticated equipment and advanced radiological technology to treat cancerous tumours. The department is well-equipped with technology such as Halcyon Linear Accelerators, Brachytherapy, Simulators, etc. that make it one of the best Radiation Oncology Hospitals in India. Our radiologists use advanced techniques like CT, MRI, PET CT scan, IMRT, SBRT, IGRT, etc. to detect cancer more accurately and pinpoint its exact location in the body, offering higher, more effective radiation treatment.

  • Surgical Oncology Program

Depending upon the patient’s cancer type and stage, as well as age and overall health, our surgical oncologists offer the most advanced cancer treatments, which involves the surgical removal of malignant tumours associated with cancer.

  • Robotic Surgery Program

Robotic Surgery has become a new standard of care for many oncological (cancer) specialties including head and neck, thorax and lung, thyroid, gynaecological, gastrointestinal and urological cancers. Our team of internationally-trained oncologists offers an integrated robotics program to deal with complex oncological cases through small incisions with the advantages of enhanced 3-dimensional vision, combined with the precision, dexterity and control of the robotic platform.

  • Cytoreductive Surgical (CRS) Program

Cytoreductive surgery is a complex surgical procedure, which aims at the removal of all visible tumours in the abdominal cavity. In selected cases, CRS is used in conjunction with Hyperthermic Intraperitoneal Chemotherapy (HIPEC) to treat advanced peritoneal carcinomatosis.

  • Cancer Reconstructive Surgery Program

Reconstructive surgery is performed to correct anatomical defects that may have occurred due to the cancer-related treatments. Our team of highly experienced reconstruction surgeons uses state-of-the-art microvascular surgical techniques to achieve the best possible outcomes for repair related damage so that you or your loved ones will have the highest quality of life possible.

  • Haematology & Bone Marrow Transplant Program

Our haematologists and transplant surgeons focus on delivering state-of-the-art cancer therapy to patients battling cancer. They follow a multidisciplinary approach to treat patients suffering from malignant and non-malignant diseases, including leukaemia, myeloma, lymphoma myelodysplastic syndromes, and other hematologic conditions through bone marrow transplant. Our program strives to integrate each patient into everyday life.

How is Genitourinary Cancer Diagnosed?

The doctor performs various tests to diagnose and stage cancer to develop an effective treatment plan. Diagnostic and staging procedures could include:

  • Blood Tests like PSA level can suggest the presence of prostate cancer
  • Imaging studies help us to look directly at the affected organ, as well as potential sites that the disease may have spread (staging). Some the best imagining facilities at the unit include:
    • Computed Tomography (CT)
    • Magnetic Resonance Imaging (MRI)
    • Ultrasound or Positron Emission Tomography (PET)
    • Endoscopy like cystoscopy or ureteroscopy to look at the affected site and take biopsies
    • Tissue biopsies to determine the type and grade of the tumour. This may be done endoscopically or under ultrasound or CT-guided for Genitourinary Cancer
  • Molecular tissue testing

How Is Lymphoma Diagnosed?

At Nanavati hospital, we offer you the most advanced diagnosis and treatment techniques for treating Lymphoma, irrespective of its complexity. Our doctors conduct many tests to diagnose cancer and learn if the cancer has spread to another part of the body. Lymphoma is often diagnosed using the following tests:

  • LN Biopsy & Immuno-histochemistry
  • Positron Emission Tomography - Computed Tomography (PET/CT) scan
  • Bone marrow biopsy
  • Blood investigations
  • Molecular tissue testing
  • Tests for other organ functions before starting treatment
     

How is Paediatric Cancer Diagnosed?

At Nanavati Hospital, we offer the most advanced diagnostic and treatment techniques for paediatric cancer, irrespective of complexity. Our doctors examine the patient and advice specific tests to assess the type, location and extent of the disease involvement. A few commonly used tests in cases of suspected cancers are:

  • Magnetic resonance imaging (MRI) or CT scans
  • PET CT scans
  • X-rays
  • Biopsy of the mass or Lymph nodes to run for Histopathology/IHC
  • Bone Marrow Aspirations and Biopsies
  • Molecular tissue testing

What Are The Various Robotic Surgical Programs Offered By Nanavati Cancer Centre?

Cancer can affect any part of the tissues, organs, and structures in the body. The treatment varies for different types of cancer and some cases require surgery as a treatment option.

Nanavati Cancer Centre is equipped with latest Robotic system and facilities, thus offering comprehensive care to a patient suffering from cancer. The advanced technology of the Da Vinci Xi System facilitates our expert surgeons to tackle the most complex cases of malignancy with effectiveness and also provides rapid and faster recovery with better aesthetic outcomes and minimum scarring. The department offers highly advanced Robotic programs including:

Head and Neck Cancer Surgical Program

The program helps to treat various head and neck cancers such as Thyroid Cancers, Oropharyngeal Cancers (base of the tongue, tonsils etc.), Cancers of the Larynx (voice box) and Cancers of Salivary Glands, among others.

Thorax and Lung Cancer Surgical Program

The various surgeries performed under this program including Robotic-assisted Thoracic Surgery (RATS) like lobectomy, pneumonectomy, lung cancer resection, thymectomy and esophagectomy.

Thyroid Cancer Surgical Program

Complex thyroid cancer surgery can be performed using the robotic platform.

Gynae-Oncology Surgical Program

For women diagnosed with gynaecological cancer like endometrial cancer, ovarian cancers, and cervical Cancer, we at Nanavati Cancer Centre offer gynaecological oncology services including robotic procedures like Myomectomies, Hysterectomies, and lymphadenectomy.

Gastrointestinal Cancer Surgical Program

The gastrointestinal oncology team at Nanavati Cancer Centre deals with a range of surgeries including radical pancreatic surgeries, colectomies, gastric and liver resections, etc. for common GI malignancies. These surgeries can be performed with the robotic approach as well.

Urological Cancer Surgical Program

Urologic oncology has been at the forefront of robotic surgery since the beginning. Today, Prostate, Kidney and Urinary Bladder cancer can all be tackled robotically and are associated with improved perioperative outcomes with no compromise in cancer cure. The slender, wristed instruments and magnified view of the robot allow excellent access to urologic organs which are difficult to reach with open or laparoscopic techniques.

Are you a Candidate for a Liver Transplant?

Our team of highly experienced doctors evaluate a patient’s overall medical condition to know if he/she is fit for a liver transplant or not. The need for liver transplant occurs if a patient experiences conditions such as:

  • Abdominal swelling due to Ascites
  • Altered Sensorium
  • Blood in Stools (Black colour stool)
  • Blood in Vomit
  • Hepato- Cellular Cancer
  • Kidney injury due to liver diseases

Important Health Checkups for the Musculoskeletal System

The maximum potential and importance of the health checkups can be determined when an individual undergoes the health checkup and the results, indicate the risk condition of developing a musculoskeletal system disorder. Very often, we ignore our physical health due to our busy lifestyles, where taking out time for ourselves is something we do not care to afford. Moreover, in some cases, when an individual is concerned about his/her health and keeps a track on his/her diet and exercise, the chances of acquiring a musculoskeletal disorder are still possible. In all of these circumstances, health checkups prove to be a life-saving boon.

Health checkups are efficient in determining the progression of any problem in the individual, thereby helping in early diagnosis of the problem which aids in a successful course of treatment for that respective problem.

ANDROLOGY SURGERIES

Andrology is a sub-discipline of Urology Surgeries Unit that deals with diseases and conditions specific to men such as male infertility, male sexual and reproductive health. The conditions we treat under this disciple include:

  • Erectile Dysfunction
  • Male Factor Infertility
  • Gender Dysphoria
  • Priapism
  • Peyronie's Disease
  • Scrotal, Epididymal, and Testicular Disease

Our andrologists at the unit treat patients with advanced medication and surgical procedures. The surgeries we perform include:

  • Vasectomy is a male sterilization which is a permanent contraception method of birth control.
  • Vasectomy Reversal or Vasovasostomy surgery is performed for the reversal of vasectomy and enabling a male patient to reproduce again.
  • Simple Orchiectomy, Subcapsular Orchiectomy & Inguinal Orchiectomy involve the removal of one or both testicles to treat conditions such as testicular cancer.
  • Intracavernosal Injection therapy is given to patients suffering from sexual disorders and who fails to respond to oral medications.
  • Penile Implant surgical placement of an implantable device in a male’s penis to treat conditions such as erectile dysfunction, Peyronie’s disease, etc. 
  • Vacuum Erection Devices is a device with an acrylic cylinder with an external pump and a band, attached externally to the penis to aid a patient (male) suffering from erectile dysfunction.

We follow a patient-centric, minimally invasive surgical approach to perform the above mentioned surgeries. Our team of experts strives to provide the most comprehensive care to males suffering from urological disorders and fertility issues. 

Technology We Use:

  • Extracorporeal membrane oxygenation (ECMO)
  • Evidence-based physical therapy (EBPT)
  • Continuous Renal Replacement Therapy (CRRT)
  • Slow Low-Efficiency Dialysis (SLED)
  • Invasive Ventilation including Prone Ventilation, Recruitment Maneuvers, Airway pressure release ventilation (APRV)
  • Non-invasive Ventilation- CPAP & BIPAP
  • Cardiac Pacing
  • Haemodialysis
  • Upper and lower GI endoscopy (to control bleeding)
  • Video-bronchoscopy
  • Intra-aortic balloon pump (IABP)

Technology We Use:

  • Extracorporeal membrane oxygenation (ECMO)
  • Evidence-based physical therapy (EBPT)
  • Continuous Renal Replacement Therapy (CRRT)
  • Slow Low-Efficiency Dialysis (SLED)
  • Invasive Ventilation including Prone Ventilation, Recruitment Maneuvers, Airway pressure release ventilation (APRV)
  • Non-invasive Ventilation- CPAP & BIPAP
  • Cardiac Pacing
  • Haemodialysis
  • Upper and lower GI endoscopy (to control bleeding)
  • Video-bronchoscopy
  • Intra-aortic balloon pump (IABP)

Technology We Use:

  • Extracorporeal membrane oxygenation (ECMO)
  • Evidence-based physical therapy (EBPT)
  • Continuous Renal Replacement Therapy (CRRT)
  • Slow Low-Efficiency Dialysis (SLED)
  • Invasive Ventilation including Prone Ventilation, Recruitment Maneuvers, Airway pressure release ventilation (APRV)
  • Non-invasive Ventilation- CPAP & BIPAP
  • Cardiac Pacing
  • Haemodialysis
  • Upper and lower GI endoscopy (to control bleeding)
  • Video-bronchoscopy
  • Intra-aortic balloon pump (IABP)

What Are The Conditions We Treat Under The Neonatology and Neonatal Intensive Care Unit?

Some of the major conditions we treat at Neonatal Intensive Care Unit include:

  • Birth defects in the
    • Birth asphyxia
    • Brain and spine (Myelomeningocele and all other birth defects)
    • Heart
    • Kidney and urinary
    • The airway that interferes with breathing
  • Bladder and Genital Defects
  • Bone Tumours and Soft Tissue Tumours
  • Congenital Diaphragmatic Hernia
  • Conjoined Twins
  • Gastroschisis
  • Hydrocephalus
  • Infections of the bloodstream
  • Intestinal Atresia
  • Meconium Aspiration
  • Meningitis
  • Metabolic Disorders and Genetic Problems
  • Micrognathia (Robin Sequence)
  • Necrotizing Enterocolitis
  • Neuroblastoma
  • Omphalocele
  • Respiratory Distress Syndrome
  • Respiratory Failure
  • Short Bowel Syndrome
  • Tracheoesophageal Fistula

Technology We Use:

  • Extracorporeal membrane oxygenation (ECMO)
  • Evidence-based physical therapy (EBPT)
  • Continuous Renal Replacement Therapy (CRRT)
  • Slow Low-Efficiency Dialysis (SLED)
  • Invasive Ventilation including Prone Ventilation, Recruitment Maneuvers, Airway pressure release ventilation (APRV)
  • Non-invasive Ventilation- CPAP & BIPAP
  • Cardiac Pacing
  • Haemodialysis
  • Upper and lower GI endoscopy (to control bleeding)
  • Video-bronchoscopy
  • Intra-aortic balloon pump (IABP)

Technology We Use:

  • Extracorporeal membrane oxygenation (ECMO)
  • Evidence-based physical therapy (EBPT)
  • Continuous Renal Replacement Therapy (CRRT)
  • Slow Low-Efficiency Dialysis (SLED)
  • Invasive Ventilation including Prone Ventilation, Recruitment Maneuvers, Airway pressure release ventilation (APRV)
  • Non-invasive Ventilation- CPAP & BIPAP
  • Cardiac Pacing
  • Haemodialysis
  • Upper and lower GI endoscopy (to control bleeding)
  • Video-bronchoscopy
  • Intra-aortic balloon pump (IABP)

Management

In certain situations, the diagnosis of ALF may be delayed if a patient is experiencing minimal jaundice with altered mental status and absence of other features of ALF. Therefore, in such cases, it is necessary to have a high index of suspicion as early intervention. This is important to decrease morbidity and mortality.

The management of ALF must include:

  • Early identification of the aetiology of ALF and initiation of specific treatment is a must.
  • Symptomatic and supportive management of ALF (with an early transfer to the intensive care unit).
  • Discussion with liver transplant specialists must be held at the earliest and if required a patient must be immediately transferred to the liver transplant unit.
     

Advances in technology

  • Magnification Of Nerves Using A Microscope Or Endoscope improves clarity and precision. This has allowed key-hole operations with great accuracy.
  • Computer-Guided Navigation offers high precision and provides accurate guidance for placing screws around the nerves. Complex spine deformity has an effective solution.
  • 3 D C-Arm is a modern technology that helps in providing the view of spine in a 3-dimensional plane during surgery. This has been a great help in performing complex surgeries that require extra vision.
  • Neuro-Monitoring: The safety of monitoring the nerves during the surgery cannot be overemphasised. This has come a long way in minimising (1-2%) the risk of nerve complications during surgery. 
  • Advances In Anaesthesia And Hospital Care is of paramount importance to help the most painful and disabled patient get holistic care and new lease of life 

Minimally Invasive Cardiac Surgery

Our team of expert cardiac surgeons, cardiologists, anaesthesiologists and other health care professionals follow a multidisciplinary approach to treat a variety of heart conditions.

The centre is well-equipped with cutting-edge technology to perform minimally invasive heart surgery and thoracoscopic surgery. We follow a patient-centric approach and work with you to provide coordinated, comprehensive care you need.

What is Minimally Invasive Cardiac Surgery? 

Minimally Invasive Heart Surgery is a safe and effective technique that is performed on or inside the heart using small incisions. It is an advanced surgical procedure with lower postoperative patient morbidity when compared with other traditional treatment approaches.

What are the Various Types Of Minimally Invasive Cardiac Surgery?

There are many types of cardiac procedures performed at the centre using Minimally Invasive Cardiac surgery, such as

  • Atrioventricular Septal Defect Surgery
  • Coronary Artery Bypass Grafting
  • Maze procedure for Atrial Fibrillation
  • Patent Foramen Ovale (PFO) repair
  • Removal of Cardiac Tumours (Myxoma, Fibroelastoma)
  • Valve Surgery

How Is Minimally Invasive Cardiac Surgery Performed?

The Minimally Invasive Cardiac surgery involves making one or more small incisions between the ribs. The surgery is then performed using advanced, high-definition endoscopic system that has a tiny camera attached to it, which is inserted into the incision, for providing a better view of the heart on the monitor. Surgeons then use special surgical tools 

What are the benefits of Minimally Invasive Cardiac Surgery Over Open-Heart Surgery?

Minimally Invasive Cardiac surgery comes with many benefits over traditional open-heart surgery. These include:

•    Less pain
•    Lower risk of infection and bleeding
•    Short incision, therefore, less scarring
•    Shorter hospital stays after surgery
•    Shorter recovery time

However, a doctor will first evaluate a patient on the basis of age, general health, medical history, and specific heart concern to decide which type of surgical treatment is best for the patient.
 

Is hip replacement painful?

There are a few modern methods available that can effectively control pain such as patient-controlled anaesthesia (PCA), continuous epidural anaesthesia, and a combination of certain drugs.

What are the steps required for the preparation of the surgery?

Arthroscopy is a minimally invasive surgery as it does not involve large incisions unlike traditional surgery where the incision is large and so is the risk to patient. A patient needs to keep a few things in mind before undergoing Arthroscopy, which includes:

  • Inform your doctor about your medical history if you are on any current medication
  • Listen to your doctor’s advice about the surgery procedure very carefully
  • Get the required tests done for the surgery
  • The doctor will examine the affected area and prepare the treatment plan according to your current condition

What is Knee Replacement?

Knee replacement or knee resurfacing is a procedure that involves the replacement of worn-out carti-lage (along with a bit of bone) with an implant made up of metallic on one side and special plastic on the other end. A surgeon uses special tools (jigs), to create a shape for properly fixing the implants using special bone types of cement.

These implants offer immediate bone fixation and permit a patient to perform daily activities like walk-ing, load-bearing, etc. with ease and offer very low friction to the joint.

Knee replacement surgery is a very common surgery in India and is considered the most effective and successful treatment in dealing with osteoarthritis. Modern knee implants can withstand wear and last for up to 25 years.
 

What are the steps required for Preparation of the Surgery?

Orthopaedic trauma care covers the spectrum of injuries that range from simple isolated fractures to severe life-threatening accidents with multiple broken bones. Thus it is an emergency condition and all the necessary decisions are taken by doctors and surgeons if a patient is not in a condition to take any decision.

All the necessary screening, tests and treatment protocol is performed by our doctors in an emergency, with a primary focus on stopping the bleeding and providing necessary first aid. If planned surgery is to be done, then the consent is taken from the next of kin/family member /accompanying person (s) of an unconscious patient.
 

Support Services

Paediatric Occupational Therapy and Rehabilitation unit at the Centre for Child Health is a dedicated unit offering comprehensive care for every child with multiple congenital or acquired acute/chronic diseases and disorders. Some of the services we provide include:

  • Child and Family Counselling
  • Child Psychology
  • Functional Independence in Activities of Daily Living
  • Nutrition Information
  • Speech Therapy
  • Strengthening and Stretching Exercises

How is Chemotherapy treatment administered?

Patients receive chemotherapy treatment in two ways:

  • Orally, by tablet or capsule 
  • By injection 
    • Into the bloodstream through a vein, using an infusion (drip) or syringe (bolus)
    • In fluid spaces- interracial chemotherapy (spinal fluid), intraperitoneal chemotherapy (peritoneal cavity)

Sometimes, chemotherapy needs to be administered through a Peripherally Inserted Central Catheter (PICC Line). It is a small tube that is inserted into a large vein of a patient’s chest or arm and helps in collecting blood samples and helps in delivering chemo medicines and other fluids. A PICC line can stay at chemo port for a long period. The consultant will discuss various modalities in detail with you.
 

How do I go about getting the treatment?

The chemotherapy treatment you receive depends upon the type of cancer you are suffering from and its advancement. Accordingly, the amount of time taken to give chemotherapy can vary from a few hours to several days.

Most chemotherapy can be given in less than a day so people can be treated as an outpatient or day case. However, at times patients have to stay in hospital overnight for their first chemotherapy treatment and receive the remaining as an outpatient or day patient.

If the treatment plan demands several days of chemotherapy and/or extra fluid, then a patient has to stay in the hospital for a few days. However, your doctor will discuss in detail about such condition before commencing your treatment.
 

Treatment Procedures

Living with allergies and asthma can be irritating and may lead to discomfort. We at the unit help you overcome these problems and offer complete care, which involves:

  • Understanding your medical condition
  • Recognising the patient’s signs and symptoms 
  • Learning about triggers causing asthma and how to avoid them
  • Comprehensive treatment

Patients experiencing asthma and allergy have to undergo some diagnostic tests which include a skin prick test, blood tests, spirometry test, peak flow tests, and lung function tests to check for allergies. According to these diagnostic results, a doctor will evaluate a patient’s condition and design an effective treatment plan. Some major treatment options we offer at the unit include:
 

Diagnostic & Treatment Procedures

Some of the advanced treatment options that we offer under the Interventional Pulmonology unit include:

  • Flexible Bronchoscopy - It is an advanced minimally-invasive, video-assisted interventional pulmonology procedure that is performed using a thin, flexible bronchoscope for diagnostic and therapeutic interventions of TransBronchial Lung Biopsy (TBLB)/ TransBronchial Needle Aspiration (TBNA)/ foreign body removal. The bronchoscope has an HD camera attached to its tip which displays images from inside the lung on a video screen and helps doctors to perform a range of interventional pulmonology procedures, such as:
    • Bronchoscopic Electrocautery: It is used for diagnosing and treating endobronchial (within the airways) obstructive lesions such as tracheobronchial stenosis, benign tumours, lung cancers, and subglottic stenosis. The procedure is performed using various instruments like hot forceps, snare, knife powered by cautery, which passes through a bronchoscope inside the lungs. 
    • Bronchoscopic Argon Plasma Coagulation (APC): This procedure involves the use of heat produced by argon gas to target the tissue near the tumour, without actually touching it.
    • Bronchoscopic Cryotherapy: The procedure is used to remove granulation tissue from stents or anastomoses, malignant airway tumours, and treat a variety of benign disorders, by using extreme sub-degree temperature.
    • Bronchial Thermoplasty: The procedure is used to treat cases of severe asthma that have not shown improvement through medication. It involves the use of a heat probe that is applied directly on the walls of the airways which destroys the smooth muscle layers. The constriction of the smooth muscle layers is caused by asthma symptoms.
    • Bronchoscopic Laser Ablation:  This procedure involves the use of a laser beam with a high degree of precision to remove trachea-bronchial tumours, subglottic stenosis and trachea-bronchial stenosis.
    • Tracheobronchial Stenting: This process involves the removal of an obstruction in the airways that can be caused due to cancers or benign diseases like subglottic stenosis, tracheal, and trachea-oesophageal fistula. 
  • Pleural Aspiration - The procedure is used to extract the fluid accumulated outside the lungs in the chest cavity using a cannula/needle for diagnosis of pleural diseases or therapeutic benefit.
  • Pleurodesis - This procedure is performed to treat recurrent pleural effusions (fluid around the lungs) using a small tube that is inserted into the chest cavity to spray a chemical around the lungs. With time the inflamed lung lining (pleura) sticks back tightly to the inner chest wall, thereby preventing fluid from accumulating around the lungs.
  • Medical Thoracoscopy / Pleuroscopy - It is a diagnostic procedure that is used to diagnose medical conditions related to the pleura (lining of the lungs). The pleural space is examined using thoracoscopy/ pleuroscopy that provides a view of the outside edges of the lung, which is not possible with bronchoscopy.
  • Pulmonary Hypertension - It involves diagnosis and management of high blood pressure, which affects the arteries in the lungs and right side of the heart. A procedure called right heart catheterisation may also be needed.
     

PFT Measures

  • Tidal Volume (VT): It is the amount of air a person inhale or exhale while breathing normally.
  • Minute Volume (MV): It is a measure of the amount of air one can exhale in a minute.
  • Residual Volume: It is used to measure the amount of air left in the lungs after exhaling all the air with full pressure.
  • Total Lung Capacity:  It is a measure of the total volume of the lungs after filling it with as much air as a person can take.
  • Vital Capacity (VC): It is a measure of the total volume of air one can exhale after inhaling the maximum amount of air according to his/her capacity.
  • Functional Residual Capacity (FRC):  It is a measure of the amount of air left in the lungs after exhaling it normally.
  • Forced Vital Capacity (FVC): It is a measure of the amount of air a person can exhale with force and quickly after inhaling, up to his/her maximum capability.
  • Forced Expiratory Volume (FEV): It is a measure of the amount of air that expires during the first, second, and third seconds of the FVC test.
  • Forced Expiratory Flow (FEF): It is a measure of the average rate of flow of air taken during the middle half of the FVC test.
  • Peak Expiratory Flow Rate (PEFR): It is a measure that provides the fastest rate at which a person can force the air out of the lungs.

These tests come with no side-effects. The values of PFT measures are based on factors like age, height, sex, race, and may vary from person to person. However, a doctor uses these values to design an effective, patient-centric treatment plan.
 

Advances in technology

  • Magnification Of Nerves Using A Microscope Or Endoscope improves clarity and precision. This has allowed key-hole operations with great accuracy.
  • Computer-Guided Navigation offers high precision and provides accurate guidance for placing screws around the nerves. Complex spine deformity has an effective solution.
  • 3 D C-Arm is a modern technology that helps in providing the view of spine in a 3-dimensional plane during surgery. This has been a great help in performing complex surgeries that require extra vision.
  • Neuro-Monitoring: The safety of monitoring the nerves during the surgery cannot be overemphasised. This has come a long way in minimising (1-2%) the risk of nerve complications during surgery. 
  • Advances In Anaesthesia And Hospital Care is of paramount importance to help the most painful and disabled patient get holistic care and new lease of life 

Conditions We Treat

We provide care to patients with a wide variety of complex medical and surgical conditions including:

  • Endocrine and Metabolic Conditions
    • Diabetic
    • Hyperosmolarity Metabolic Syndrome 
    • Ketoacidosis 
  • Gastrointestinal Conditions
    • Bleeding 
    • Bowel perforation
    • Malrotation
    • Pancreatitis 
    • All post GI surgical Cases
  • Heart Conditions
    • Congenital heart defects 
      • Atrial septal defect (ASD) 
      • Patent ductus arteriosus (PDA) 
      • Patent foramen ovale (PFO) 
      • Ventricular septal defect (VSD )
    • Acquired heart defects 
    • Arrhythmias
    • Cardiomyopathy & Myocarditis 
    • Congenital and acquired heart block
    • Hypoplastic left heart syndrome 
    • Post cardiac surgery patients
    • Rheumatic heart disease 
    • Complex heart conditions/diseases
  • Haematology and Oncology Conditions
    • Acute and Chronic Graft versus host disease (GvHD)
    • Diffuse Alveolar haemorrhage
    • Febrile Neutropenia
    • Haematological malignancies & solid organ malignancies
    • Hypersplenism
    • Leukaemia
    • Post bone marrow transplant patients
    • Thalassemia
    • Tumour lysis syndrome
    • Veno occlusive Disorders
  • Infections: - We have advanced technology which helps in diagnosing serious life-threatening infections in the fastest possible way
    • Multidrug-resistant organism
      • Methicillin-Resistant S. aureus (MRSA)
      • Vancomycin Intermediate-Resistant S. Aureus (VISA)
      • Vancomycin-Resistant S. Aureus (VRSA)
  • Kidney Conditions
    • Acute and Chronic Kidney failure management
    • Post Kidney transplant 
  • Neurological Conditions (Infections and autoimmune)
    • Acute Disseminated Encephalomyelitis (ADEM)
    • Complex Neurological Hydrocephalus conditions
    • Encephalitis 
    • Guillain-Barré syndrome (GBS) 
    • Head injuries
    • Meningitis 
    • Post-op neurosurgical patient
    • Post-op shunt surgical patient
    • Seizures 
    • Stroke 
    • Trauma
  • Orthopaedic Conditions
    • Osteomyelitis
    • Post-trauma cases management
  • Poisoning
    • Carbon monoxide poisoning 
    • Dog bites
    • Drug poisoning/ Methemoglobinemia
    • Snake or spider bites 
    • Tetanus
  • Respiratory Conditions
    • Acute Respiratory Distress Syndrome (ARDS)
    • Apnoea 
    • Asthma
    • Chronic lung disease 
    • Empyema 
    • Foreign body Aspiration
    • Pneumonia/ Bronchiolitis
    • Pneumothorax
    • Trauma 
  • Other multi-organ injuries

We at the unit offer excellent counselling for patients and relatives, with empathy and psychological support to the family during their entire stay.
 

SBRT (Stereotactic Body Radiation Therapy)

Stereotactic Body Radiation Therapy (SBRT) is a treatment procedure similar to the central nervous system (CNS) stereotactic radiosurgery, except that it deals with tumours outside of the CNS. Stereotactic Body Radiation Therapy involves the delivery of a single high dose radiation treatment or a flow fractional radiation treatment (usually up to 5). A high potent biological dose of radiation is delivered to the tumour with highly precise treatment fields improving the cure rates for the tumour in a manner previously not achievable by standard conventional radiation therapy.

Heart Transplantation

The Heart Transplantation Unit at Nanavati Heart Centre is a dedicated unit providing the most comprehensive care to patients with advanced heart problems including heart failure. Our transplant unit follows a multi-disciplinary approach to evaluate and treat patients who may require a heart transplant.

Our team of specialists consists of highly renowned advanced heart failure/ transplant cardiologists, interventional cardiologists, cardiothoracic surgeon, electrophysiologists, cardiovascular imaging specialists, and cardiovascular surgeons focuses on treating the most complex cases of heart failure using a patient-centric approach. The goal of a heart transplant is both to improve the patient’s longevity and quality of life.

What Is a Heart Transplant?

A heart transplant is a surgical process which involves the removal of the diseased heart from the patient’s body and replaces it with a healthy heart acquired from the deceased organ donor (the one who is declared brain dead by the doctors). It is a medical treatment procedure that is reserved for people who have tried medications or other surgeries, but their conditions haven't sufficiently improved.

How does a patient get a Heart Transplant?

To get a heart transplant, the patient is first put on a transplant waiting list and waits for a donor to become available. When the heart is available for donation it is matched with the patient based on blood type, body size, and UNOS status (based on the recipient's medical condition). Doctors even consider the length of time the recipient has been waiting.

Once the heart is available it is harvested from the donor’s body and transplanted in a patient’s body. During the process, the patient is placed on a heart-lung machine to help the body receive vital oxygen and nutrients from the blood even though the heart is being operated on.

Diagnostic procedure:

To evaluate your medical condition, the doctor may conduct several diagnostic tests like:

  • Blood Tests
  • Cardiac Catheterisation
  • Cardiac Computerized Tomography (CT) Scans
  • Cardiac Magnetic Resonance Imaging (MRI)
  • Chest X-Ray
  • Coronary Angiogram
  • Echocardiogram
  • Electrocardiogram (ECG)
  • Metabolic Stress Test
  • Myocardial Biopsy

Benefits of Heart Transplant

It has been observed that people who have received heart transplant enjoy a high quality of life and can return to their daily life activities. Woman with heart transplant can also become pregnant.

Result

Most patients can live up to 20 years after the heart transplant. However, they have to take immunosuppressants for lifetime to prevent organ rejection and fight infection.

The experience you can trust

We are known for our outstanding reputation in providing leading-edge patient-centric care and comfortable environment, together with continuous advancement in technology and facilities we meet the entire medical needs of the patient from our end. We work with hundreds of the most experienced professionals and healthcare specialists from across the world to provide our patients with:

  • Advanced medical, surgical and physiotherapy treatments
  • Access to the pioneering technology and the latest drugs
  • Acquiring the best treatment from the internationally recognised orthopaedic surgeons
  • Use the latest digital technology to support all types of treatments

With an ethos of safety and quality patient care, Nanavati’s orthopaedic department has spearheaded several game-changing developments in the field of orthopaedics and treated most of the complex cases with the state-of-art facilities.

What are the steps required for the preparation of the surgery?

Surgery in any sports injury is usually offered if non-operative treatment options fail to work or in some serious injuries. Minimally invasive surgery or Arthroscopy surgery is commonly performed in sports injuries, which help in faster recovery.

Bone Marrow Transplant Phases

BMT process consists of three main phases which include:

  • Phase 1: The Pre-BMT
  • Phase 2: Stem cell transfusion- Day
  • Phase 3: The Post-BMT

What Are The Possible Treatments For Breast Cancer?

Our multidisciplinary team of nationally and internationally oncologists offers a personalised treatment plan to patients diagnosed with breast cancer. Some of the advanced treatment options we offer include:

  • Surgical Process: Surgery is performed by the experts to remove the cancer tumour from the affected part. There are two types of surgeries performed for breast cancer:
    • Mastectomy: To remove the whole breast along with the removal of axillary lymph nodes.
    • Breast Conservation Surgery: To remove the tumour with surrounding healthy breast tissues with removal of axillary lymph nodes.
    • Sentinel Node Biopsy: This procedure is done for prevention of lymph oedema after breast cancer surgery. It is performed in selected cases, where clinically and radiologically axillary lymph nodes (located in armpits) are not involved. In this procedure, only limited lymph nodes at the lower level are selectively removed. It is performed by using Radioisotopes, gamma camera and probe.
    • Microsurgical Breast Reconstruction

It is an advanced surgical procedure that is used as a part of breast cancer treatment. After removal of the part or whole of a breast for cancer, it involves transferring of tissue (skin and fat) from the affected part of the patient’s body (breast) to the chest for reconstruction. This transplantation process requires the use of a microscope to connect small blood vessels. The surgeon during the surgery takes skin, fat, and muscle from the patient’s own body to create a new breast mound and reconstruct the breast.

  • Radiation Therapy: Radiation therapy is a very important tool used in the fight against cancer and the treatment of as many as 50% of all cancer patients. Radiation can be given post-operatively and post-chemotherapy for local control and palliation of distant metastases. Radiation therapy is often given in locally advanced cancers where surgical intervention or chemotherapy is not possible. Radiation therapy is a safe & effective procedure where radioactive isotopes or high-energy photons, electrons or other particles are used to destroy the cancer cells. There are two types of radiation
    • External Beam Radiotherapy (EBRT)
    • Brachytherapy or interstitial (HDR)

Radiation Oncologist is the specialised doctor for this treatment. Radiotherapy regimens or schedules and protocols are specific for different tumours and hence the time for treatment differs from case to case.

  • Hormone Therapy: Hormone therapy is a treatment that uses medicines to slow down or stop the growth of hormone-dependent cancer, it is because certain cancers have hormone receptors on them, and hence they can safely control cancer and give the quality of life without any side-effects. Hormone therapy is often offered after surgery to reduce the risk of cancer coming back. It is can also be used before surgery in certain large cancers to downsize the tumour burden. Hormone therapy can also be used to treat cancer that has come back or has spread to other parts of the body.
  • Chemotherapy: Treatment that uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Chemotherapy is usually given to a patient either by mouth, through injection, or infusion, depending on the type and stage of the cancer being treated. We aim to give tailored made protocol for the execution of chemotherapy with minimal to no side-effects. We also try to maximise day-care chemotherapy to allow our patients to carry out their daily lifestyle activities with ease.
  • Targeted Therapy: Targeted therapy works by targeting the cancer’s specific genes, proteins, or the tissue environment that contributes to cancer growth and survival. These genes and proteins are found in cancer cells or cells related to cancer growth, like blood vessel cells. Hence it does not affect other tissues. Targeted therapy is used by itself or along with chemotherapy and immunotherapy. These agents have shown to give results as good as and sometimes better than chemotherapy with minimised side effects.
  • Immunotherapy: Cancer immunotherapy is the artificial stimulation of the immune system to treat cancer, improving the immune system's natural ability to fight cancer. It is considered as a fundamental application of the research of cancer immunology and is a growing subspeciality of oncology. The current use of chemotherapy is restricted to certain breast cancers that do not have any receptor positivity.
  • Dynamic Compression Therapy: Dynamic compression therapy an advanced form of inflatable compression therapy is being provided at Nanavati Super Speciality Hospital which reduced the lymph oedema significantly in most cases.
  • Breast Reconstruction: The procedure involves placing implants to rebuild the breast. These implants are placed on top of the pectoralis muscle, just under the skin where breast tissue naturally resides. The procedure is also known as muscle reconstruction or prepectoral reconstruction

 

What Are The Possible Treatments For Head, Face And Neck Cancer?

The team of highly experienced oncologists at Nanavati Hospital offers the most comprehensive personalized treatment to patients suffering from head, face, and neck cancer.
•    Surgical process: The surgery removes the cancerous tumour with some surrounding healthy tissues to eliminate cancer from the body. 
o    Excision: To remove a cancerous tumour with some surrounding healthy tissue, composite resections, and organ preservation surgeries, with or without lymph node dissections (removal of the cancerous lymph nodes in the neck). 
o    Reconstructive surgery: If major tissue removal is required such as removing the jaw, tongue, skin, or pharynx, then reconstructive is done to correct the anatomical defects. This is aimed at functional and cosmetic rehabilitation after major head and neck surgery.
o    Laser technology: Using advanced laser equipment, an early-stage tumour of the larynx and oral cavity can be effectively treated.
•    Radiation Therapy: Radiation therapy is a very important tool used in the fight against can-cer and the treatment of as many as 50% of all cancer patients. Radiation can be given post-operatively and post-chemotherapy for local control and palliation of distant metastases. Radiation therapy is often given in locally advanced cancers where surgical intervention or chemotherapy is not possible. Radiation therapy is a safe & effective procedure where radioactive isotopes or high-energy photons, electrons or other particles are used to destroy the cancer cells. There are two types of radiation
o    External Beam Radiotherapy (EBRT)
o    Brachytherapy or interstitial (HDR)
Radiation Oncologist is the specialised doctor for this treatment. Radiotherapy regimens or schedules and protocols are specific for different tumours and hence the time for treatment differs from case to case.
•    Chemotherapy: Treatment that uses drugs to stop the growth of cancer cells, either by kill-ing the cells or by stopping them from dividing. Chemotherapy is usually given to a patient either by mouth, through injection, or infusion, depending on the type and stage of the cancer being treated. It is used to downsize the tumour to enable surgery and can also be used post-surgery in certain cases. Chemotherapy forms a major modality for inoperable, advanced, and widespread cancers for effective-control of the disease.
•    Targeted Therapy: Targeted therapy works by targeting cancer’s specific genes, proteins, or the tissue environment that contributes to cancer growth and survival. These proteins and genes are found in cancer cells or other types of cells that are related to cancer growth, like blood vessel cells. Targeted therapy is used by itself or along with chemotherapy, radiation therapy, and immunotherapy.
•    Immunotherapy: Cancer immunotherapy is the artificial stimulation of the immune system to treat cancer, improving the immune system's natural ability to fight cancer. It is consid-ered as a fundamental application of the research of cancer immunology and are growing subspecialty of oncology.
 

What Are Possible Treatments For Thoracic Cancer?

Getting the right treatment for your cancer condition is one of the most important steps that our experienced oncologists consider in ensuring that you receive the most appropriate care. We prove personalised medical and surgical treatment to our patients according to their diagnosis results.
•    Surgical Process: To remove cancerous lung/chest/oesophageal tissues and tissues in the surrounding areas where cancer may have spread. 
o    Wedge resection: It helps in removing a small section of the lung/chest/oesophagus that contains the tumour.
o    Segmental resection: To remove the large infected part in the lung/chest/oesophagus, but not the entire lobe.
o    Video-assisted thoracic surgery (VATS):It is a minimally invasive procedure that involves the use of a thoracoscope (with a camera on its tip) that is inserted through a small incision to provide the view of am affected area. Doctor the uses small instruments to perform the surgery for the removal of  fluid and examine it for potential malignancies and other conditions
o    Lobectomy: Helps in removing the entire lobe of one lung
o    Pneumonectomy: Surgery performed to remove the entire lung.
•    Radiation Therapy: Radiation therapy is a very important tool used in the fight against cancer and the treatment of as many as 50% of all cancer patients. Radiation can be given post-operatively and post-chemotherapy for local control and palliation of distant metastases. Radiation therapy is often given in locally advanced cancers where surgical intervention or chemotherapy is not possible. Radiation therapy is a safe & effective procedure where radioactive isotopes or high-energy photons, electrons or other particles are used to destroy the cancer cells. There are two types of radiation
o    External Beam Radiotherapy (EBRT)
o    Brachytherapy or interstitial (HDR)
Radiation Oncologist is the specialised doctor for this treatment. Radiotherapy regimens or schedules and protocols are specific for different tumours and hence the time for treatment differs from case to case.
•    Chemotherapy: Treatment that uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Chemotherapy is usually given to a patient either by mouth, through injection, or infusion, depending on the type and stage of the cancer being treated. It is used to downsize the tumour to enable surgery and can also be used post-surgery in certain cases. Chemotherapy forms a major modality for inoperable, advanced, and widespread cancers for effective-control of the disease.
•    Targeted Therapy: Targeted therapy works by targeting cancer’s specific genes, proteins, or the tissue environment that contributes to cancer growth and survival. These proteins and genes are found in cancer cells or other types of cells that are related to cancer growth, like blood vessel cells. Targeted therapy is used by itself or along with chemotherapy, radiation therapy, and immunotherapy.
•    Immunotherapy: Cancer immunotherapy is the artificial stimulation of the immune system to treat cancer, improving the immune system's natural ability to fight cancer. It is considered as a fundamental application of the research of cancer immunology and is a growing subspeciality of oncology
 

Paediatric Onco-surgery

It is a sub-speciality that deals with paediatric oncological conditions. It involves the diagnosis, treatment and management of cancer in children. At Nanavati Super-Specialty Hospital, we work in collaboration with our paediatric surgical oncology team intending to create an effective treatment plan to cure cancer in children. The treatment plan we offer is designed according to the medical needs of the child, which helps in improving overall outcome for our paediatric cancer patient.

Paediatric Onco-surgeries we offer:

  • Adrenal tumours
  • Ewing’s sarcoma
  • Germ cell tumour
  • Hepatoblastoma
  • Neuroblastoma
  • Resection of Lung or Liver Metastasis
  • Rhabdomyosarcoma and other soft tissue sarcomas
  • Wilms’ tumour

Adjunct procedures we offer:

  • Hickman and chemo port insertion for chemotherapy
  • Open, endoscopic & image-guided biopsy for diagnosis
  • Brachytherapy for locally invasive tumours
  • Day-care chemotherapy
  • Radiotherapy, whole field and image-guided
     

Support Services

When you are in our care, we are a family. Our multidisciplinary team offers a patient-centric treatment plan that aims towards a cancer-free journey and reclaims a quality living. We offer support services in the form of counselling for patients and their families to help them nurture and sustain throughout the cancer journey. Our care and compassionate support not only helps in treating cancer but also help the patient to survive it.

We're here to help you strengthen your body, nurture hope, and courage, and enrich your spirit. We offer programs during the transition from cancer treatment to wellness, to help you navigate those changes and challenges while promoting your well-being.

Some of the programs and services available for our patients:

  • Nutrition Services for Cancer Patients
  • Physiotherapy & Rehabilitation
  • Patient & Family Counselling
  • Palliative Care in Cancer

What Are the Possible Treatments For Genitourinary Cancer?

Our expert team uro-oncologist surgeons, medical and radiation oncologists, nephrologist, pathologists, radiologists, physicians follows a multidisciplinary approach to develop an individualised, state-of-the-art treatment plan for our patients suffering from genitourinary cancer. This plan could include one or more treatments from the following options:

  • Surgery: Involves the removal of the tumour or diseased organ to cure the patient and/or resolve their symptoms of pain, bleeding, etc.
    • Robotic Surgery: One of the newest and most advanced surgical techniques to treat genitourinary cancer. It offers 3-D imaging, removes surgeon tremor and eliminates the inverted manipulation of instruments usually required in laparoscopic procedures. The surgeon sits at a console and controls slender instruments within the patient. These patented “wristed” instruments make surgery very precise and improve patient outcomes. (Hyperlinks to Robotics)
    • Laparoscopic Surgery (Keyhole Surgery): Involves removal of the tumour and other cancerous tissues using a minimally-invasive approach by making several small incisions through which instruments are placed in the body.
    • Open surgery: Sometimes, larger or more advanced tumours may require the traditional open surgical approach for complete removal of the disease.
  • Radiation Therapy:Radiation therapy is a very important tool used in the fight against cancer and the treatment of as many as 50% of all cancer patients. Radiation can be given post-operatively and post-chemotherapy for local control and palliation of distant metastases. Radiation therapy is often given in locally advanced cancers where surgical intervention or chemotherapy is not possible. Radiation therapy is a safe & effective procedure where radioactive isotopes or high-energy photons, electrons or other particles are used to destroy the cancer cells. There are two types of radiation
    • External Beam Radiotherapy (EBRT)
    • Brachytherapy or interstitial (HDR)

Radiation Oncologist is the specialised doctor for this treatment. Radiotherapy regimens or schedules and protocols are specific for different tumours and hence the time for treatment differs from case to case.

  • Hormone Therapy: Hormone therapy is a treatment that uses medicines to block or lower the number of hormones in the body to slow down or stop the growth of cancer. It is used because certain cancers can grow due to excessive circulating hormones in the body.
  • Chemotherapy: Treatment that uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Chemotherapy may be given by mouth, injection, or infusion, depending on the type and stage of the cancer being treated. It is used in advanced cancer to control the disease, currently used for those cancers that have spread to other parts of the body or recurred.
  • Targeted Therapy: Targeted therapy works by targeting cancer’s specific genes, proteins, or the tissue environment that contributes to cancer growth and survival. These genes and proteins are found in cancer cells or cells related to cancer growth, like blood vessel cells.Targeted therapy is used by itself or along with chemotherapy and immunotherapy. It is used in those cancers which are spread widely in the body. It is given post-surgery in certain cancers to prevent it from coming back.
  • Immunotherapy: Cancer immunotherapy is the artificial stimulation of the immune system to treat cancer, improving the immune system's natural ability to fight cancer. It is an application of the fundamental research of cancer immunology and a growing subspecialities of oncology. It is currently used as an effective modality in combination with chemotherapy or targeted therapy to control the advance and widespread cancers.

 

What Are Treatments options available For Lymphoma?

Getting the right treatment for your cancer condition is one of the most important steps that our experienced oncologists consider in ensuring that you receive the most appropriate care. We prove personalised medical and surgical treatment to our patients according to their diagnosis results.

  • Chemotherapy: This is the primary modality for achieving long term remission and possibly cure. The treatment involves the use of drugs to stop the growth of cancer cells, either by stopping them from dividing or killing the cells. Chemotherapy may be given orally or by injection, depending on the type, size and stage of the cancer being treated.
  • Targeted Therapy: Targeted therapy works by targeting cancer’s specific genes, proteins, or the tissue environment that contributes to cancer growth and survival. These genes and proteins are found in cancer cells or cells related to cancer growth, like blood vessel cells. Targeted therapy is used by itself or along with chemotherapy and immunotherapy.
  • Immunotherapy: Cancer immunotherapy is the artificial stimulation of the immune system to treat cancer, improving the immune system's natural ability to fight cancer. It is an application of the fundamental research of cancer immunology and growing subspecialties of oncology. It can be used as a bridge to transplant and maintaining remission after transplant in relapsed/refractory lymphomas.
  • Radiation Therapy: Considered as one of the very important tools in the fight against cancer. Radiation therapy can be given for localising small disease and post-chemotherapy for local control of distance metastasis. Many time Radiation therapy is given in locally advanced cancers where surgical intervention or chemotherapy is not possible. Radiation therapy is a painless procedure where radioactive isotopes or high-energy photons, electrons or other particles are used to destroy the cancer cells. Radiation Oncologist is the specialized doctor for this treatment. Radiotherapy regimens or schedules or protocols are specific to different cases. Hence the time differs from case to case.
  • Surgical Process: The surgical process aims at
    • Doing biopsies by excision by lymph nodes and involved tissue.
    • Surgical removal of the spleen in case of splenic lymphoma, removal of tumour causing compressive/obstructive symptoms or perforation
  • Stem-Cell Transplantation: Patients undergo high dose chemotherapy followed by Autologous stem cell or sometimes Allogeneic transplant in cases of relapsed or refractory lymphoma.

During the treatment, the patient is examined carefully and given combination therapies, according to his/her medical condition. Our services do not end with your treatment we also offer comprehensive support services to help reduce your stress and increase your comfort.

What Are The Possible Treatments For Paediatric Cancer?

Cancer treatment in children is not exactly the same as in adults. A paediatric oncologist focuses on providing comprehensive care to children with cancer while considering the various possibilities of treatment suitable for their age. The treatment for various cancers is different and depends on the type and extent of cancer.

Some of the therapies and processes involved in cancer care are:

  • Surgical Process: This process helps in removing the tumour and some of the healthy tissues surrounding the area affected by cancer.
  • Radiation Therapy: This process of treatment involves the use of high-energy waves to kill cancer cells by targeting the affected area.
  • Chemotherapy: Cancer cells are destroyed using powerful medicines.
  • Targeted Therapy: This therapy is used to stop the growth and survival of cancer by targeting the specific genes, proteins, or the tissue environment that contributes towards the growth of cancer.
  • Immunotherapy: This therapy is used to prompt the body's immune system or natural defences using certain medicines that aid in destroying cancer.
  • Stem-cell Transplantation: This form of treatment is used to restore the damaged /affected bone marrow using high-dose chemotherapy &/or radiation therapy followed by transplantation stem cells.

Our services do not end with your treatment, we also offer comprehensive support services to help reduce your stress and increase your comfort.

What are the Various Diagnostic Tests Required Before Liver Transplant?

Before recommending a liver transplant, a doctor must evaluate a patient’s medical condition based on some diagnostic tests. The results of these tests help our team of doctors to create a patient-centric treatment plan that offers an effective solution. Some of the major diagnostic services we offer include:

  • Imaging tests:
    • Computed Tomography (CT) scan of abdomen/pelvis
    • Electrocardiogram/Chest X-ray
    • Magnetic Resonance Imaging (MRI) of abdomen/pelvis
    • Ultrasound of abdomen/pelvis
  • Dobutamine Stress Echocardiogram (DSE)
  • Other Blood tests

RECONSTRUCTIVE UROLOGY

Reconstructive Urology is the sub-discipline of urological surgeries that focus on treating patients with morphological or functional disorders such as birth defects, cancer, neurological disorders, male and female incontinence, scar tissue in urinary tract organs, strictures and pelvic floor prolapse. We also specialise in the treatment of traumatic injuries that occur to kidney, ureter, bladder, and genitals. The major conditions we treat under the unit include:

  • Bladder trauma
  • Urethral trauma
  • Testicular trauma
  • Kidney trauma
  • Penile trauma
  • Bladder fistulas
  • Urinary fistulas
  • Vesicovaginal or ureterovaginal fistulas
  • Peyronie's disease (plaque incision and grafting, penile plication)
  • Erectile dysfunction
  • Male incontinence (artificial urinary sphincter, male sling, bulking agents)
  • Bladder augmentation
  • Urethral Stricture
  • Urinary diversion

Our team of expert urologists, reconstructive surgeons, nephrologist, andrologists and supporting staff performs the following surgeries to treat a variety of urological conditions requiring reconstruction, such as:

  • Urinary Tract and Genital Reconstruction are performed for the reconstruction of bladder, urethra, ureter, penis, and external genitalia.
  • Transition Urology/Congenital surgery is performed to treat various congenital urinary defects.
  • Tissue Transfer Techniques is used for genital and urethral reconstruction.
    • Grafts for Complicated Urethral Stricture involve the use of graft obtained from a donor’s site to replace the diseased urethral tissue in a patient.
    • Flaps Transfer involves the transfer of flaps from the donor site to the recipient site in order to treat conditions related to penile, scrotal skin and preputial.

Following post-surgery instructions, as advised by your healthcare expert, are important for you to recover and obtain the best possible outcome. We strive to offer the most exceptional care using state-of-the-art facilities in order to ensure that you receive the best treatment possib
 

Other Supportive investigations

  • Magnetic resonance imaging (MRI)
  • Computed tomography (CT)
  • Nuclear imaging
  • Electrocardiography (ECG)
  • Electroencephalogram (EEG)
  • Echocardiography
  • Ultrasound and venous Doppler

Other Supportive investigations

  • Magnetic resonance imaging (MRI)
  • Computed tomography (CT)
  • Nuclear imaging
  • Electrocardiography (ECG)
  • Electroencephalogram (EEG)
  • Echocardiography
  • Ultrasound and venous Doppler

Other supportive investigations

  • Magnetic resonance imaging (MRI)
  • Computed tomography (CT)
  • Nuclear imaging
  • Echocardiography
  • Electrocardiography (ECG)
  • Electroencephalogram (EEG)
  • Ultrasound and venous Doppler

Other Supportive investigations

  • Magnetic resonance imaging (MRI)
  • Computed tomography (CT)
  • Nuclear imaging
  • Electrocardiography (ECG)
  • Electroencephalogram (EEG)
  • Echocardiography
  • Ultrasound and venous Doppler

Other Supportive investigations

  • Magnetic resonance imaging (MRI)
  • Computed tomography (CT)
  • Nuclear imaging
  • Electrocardiography (ECG)
  • Electroencephalogram (EEG)
  • Echocardiography
  • Ultrasound and venous Doppler

Liver Transplantation

With proper diagnosis and evaluation, our team of doctors make an early decision of whether or not a patient is a candidate for liver transplantation (LT). If a patient requires a liver transplant then early transfer to our state-of-the-art transplant unit is recommended to initiate simultaneous liver transplant evaluation and ALF management. Liver transplant has shown remarkable improvement in the condition of patients suffering from ALF. 

We at the unit perform liver transplant from both deceased (a person who is declared brain dead) donor and living (a relative or a living person who is a perfect match) donor with great success. We also perform auxiliary liver transplantation in which a patient’s own healthy part of the liver is left in place and the diseased part is replaced with a partial left or right lobe from the donor. Thereby, providing hepatic function until the native liver of the patient regenerates.
 

FAQs

What is keyhole surgery?

Previously due to poor technical support and visualisation, surgeons used to take longer incisions to expose a small area. However, with magnification tools (loupes, microscopes and endoscopes) and specialised instruments, it is now possible to perform a discectomy through an incision less than one inch. This MIS or keyhole surgery helps in protecting the muscles and allow faster recovery.

How much bone is removed during the surgery?

During the surgery, a fenestration or small tunnel is made in the bone to gain access to the nerves and the disc. This does not result in weakening of the spine.

How much disc is removed during the surgery?

Only the herniated portion of the disc is removed. This decompresses the nerve and gives pain relief. The rest of the disc is kept intact. The hole in the disc heals naturally.

Can there be a recurrence?

The major aim of keyhole surgery is to control pain and it does not strengthen or weaken the spine. However, if a person performs an uncontrolled activity that affects the disc, then there are chances of recurrence. An individual must increase core muscle strength by exercise is the best protection against a recurrence.

Is this a safe procedure?

It is one of the safest and effective surgeries that allow a patient to immediately restore daily activity. The chances of nerve injury are minimised by the use of a microscope. The rate of complication is 1% or less.

What is Transforaminal Interbody Lumbar Fusion (TLIF)?

At times, there are chances that the disc (which is left behind) is incapable of taking normal loads and results in dynamic instability. In such cases, the segment is stabilised using an implant (screw-rod construct). This can be done by a minimally invasive approach.

Can a patient lead a normal life after a disc surgery?

The spine is like any other machine that needs maintenance for better functioning. Disc surgery is one of the safest surgeries that is used to maintain the functioning of the spine and does not refrain a person from pursuing a normal lifestyle. However, for optimal functioning of any machine, the load on it (in case of spine its body-weight) should reduce and it should be serviced core strengthening exercises, for spine) regularly.

Peripheral Vascular Surgery

The Cardiothoracic and Vascular Surgery Unit at Heart Centre offers the most comprehensive treatment to treat diseases of the vascular system using state-of-the-art technology and leading-edge minimally invasive intervention. Our team of surgeons at the unit is well versed to treat vascular conditions including peripheral artery disease, aortic disease, mesenteric disease and carotid artery disease.

Our experts provide coordinated and comprehensive treatment to people of all ages. They follow a multidisciplinary approach to provide a patient-centric treatment plan tailored to the patient’s unique medical needs.

What is Vascular Surgery?

Vascular surgery is a speciality dealing with diseases affecting abnormal conditions of blood vessels including diseases of arteries, veins and lymphatic vessels. It is an aspect which treats and repairs the network of blood vessels and reroute the supply of blood in a normal way.

What are the Different Types of Vascular Surgery?

Depending upon the vascular condition, the surgeons at the unit offer techniques to repair damaged, tightened or partially-blocked vessels. The techniques we offer include

  • Complex Aortic Aneurysm: Due to infection or weakness the body’s largest artery called aorta can widen, stretch or even burst. This surgery is performed to repair the aorta.
  • Vascular Bypass or Vascular Graft: It is a surgical process used to treat PAD (peripheral arterial blocks).  It involves cleaning of hard, blocked or narrow arteries by placing a graft in the arteries made up of artificial material.
  • Carotid Artery Surgery: When there is calcification in carotid arteries, it can lead to blockage. The surgeons perform this surgery to remove the blockage from the arteries by repairing them through endarterectomy or grafting.

How is Vascular Surgery Performed? 

The vascular surgery procedures are performed with an aim to reconstruct and repair vessels and arteries. This helps in rerouting the blood supply to various parts and organs of the body and helps them in functioning normally.  
Interventional procedures require a small incision for placing a stent-graft or performing Angioplasty (incision-less process) while preserving blood flow to kidneys, intestines, stomach and liver. 

After the surgery, a patient can return to daily activities, such as working, driving and exercise in a few weeks.
 

Can i sit cross-legged on the floor?

Although a patient may have sufficient mobility for sitting cross-legged, it is generally not recommended as sometimes the hip can dislocate. Also, it puts abnormal stress on the bonding of the bone implant.

What are the precautions to be taken before and after the surgery?

Before The Surgery: 

  • In some injuries, a period at rehabilitation centre before surgery is recommended
  • Take the medicines prescribed by your doctor on time
  • Abstain from smoking and drinking
  • You might require a pair of crutches or walking aids after the surgery
  • Eat a very light meal a day before the surgery to avoid nausea and vomiting
  • Prepare yourself both mentally and physically for the surgery

After The Surgery:

  • Avoid lifting heavy objects or indulging yourself in any kind of rigorous physical activities
  • Do not put unnecessary strain on the area, which has undergone surgery
  • Consult a physiotherapist in concurrence with the operating orthopaedic surgeon
  • Keep your wound covered and sterilised
     

What to expect from a Knee Replacement Surgery?

Joint pain and weakening of joints can hit anyone at any age and is not merely associated with the process of ageing. Many young people suffer from arthritis at a young age. The major types of arthritis which people might experience include:

Osteoarthritis: It is one of the most common forms of chronic arthritis that generally affects people of old age. The major reason behind its cause is breakage of the cartilage (a protective tissue that covers the two bones in the knee, making it a joint) in the knee that leads to stiffness while moving and pain in the joints. Thereby, adding discomfort for a person suffering from osteoarthritis and abstainment from physical activities.
 

What are the precautions one must take Before and After the Surgery?

Since most cases in trauma centre are the result of an emergency, therefore, there are only, after surgery precautions that one must take to avoid post-surgery complications.

  • After surgery precautions:
  • Follow the doctor's instructions in detail
  • Proper guidance Rehab program.
  • Do not lift heavy objects or do unnecessary physical exercises
  • Take the prescribed medicines on time
  • Avoid excessive smoking and reduce alcohol consumption
     

What are the precautions one must take to avoid infection during the Chemotherapy treatment?

Some of the major precautions involve:

  • Wash your hands carefully while in the hospital. At Nanavati Hospital we take hygiene very seriously and promote infection control practices. We have alcohol hand rub kept at each hand wash basin and by the entrance of every clinical area (wards, day unit and outpatients). It is quicker and easier to use than soap when your hands are not soiled but might be carrying "hidden bugs." Please wash your hands after using the toilet or if you are suffering from conditions such as diarrhoea.
  • Try to maintain good personal hygiene, take a bath regularly
  • Maintain oral hygiene:
    • Brush your teeth daily. Use a soft toothbrush that won't hurt your gums
    • Keep a clean mouth and rinse after meals
  • Be careful while using scissors, needles or knives. Make sure not to nick yourself.
  • Change your bed linen regularly
  • Avoid going to crowded places
  • Avoid inhalation of dust
  • Take care when handling pets
  • Try to stay away from people suffering from contagious diseases. As you are prone to catch infections such as cold, flu and measles very easily. Inform your doctor immediately if you acquire an infectious or contagious disease such as Chicken Pox.
  • Keep your surroundings clean, use a regular surface disinfectant.
  • A patient might experience the risk of infection due to the type of chemotherapy he/she is receiving. Therefore, a doctor might prescribe "preventative" antibiotics to help protect patients from the most common infections. Please ensure you take them regularly as directed.

What happens on the first day of my treatment?

On the very first day of your treatment, our highly experienced chemotherapy counsellor will provide you with details about the treatment procedure and its relevant side-effects, which may or may not occur. A patient is advised to eat a normal meal on the day of treatment.

Medical treatment

A doctor may prescribe you with medication that can effectively treat your condition. These include:

  • Short-acting inhalers (helps in opening airways for a shorter period)
  • Long-acting inhalers (helps in opening airways for a longer period)
  • Leukotriene modifiers Montelukast
  • Corticosteroids in the form of an inhaler

However, in addition to this, your doctor may prescribe other medications that will help in reducing the response of the body, when exposed to allergens.
 

FAQs

What is keyhole surgery?

Previously due to poor technical support and visualisation, surgeons used to take longer incisions to expose a small area. However, with magnification tools (loupes, microscopes and endoscopes) and specialised instruments, it is now possible to perform a discectomy through an incision less than one inch. This MIS or keyhole surgery helps in protecting the muscles and allow faster recovery.

How much bone is removed during the surgery?

During the surgery, a fenestration or small tunnel is made in the bone to gain access to the nerves and the disc. This does not result in weakening of the spine.

How much disc is removed during the surgery?

Only the herniated portion of the disc is removed. This decompresses the nerve and gives pain relief. The rest of the disc is kept intact. The hole in the disc heals naturally.

Can there be a recurrence?

The major aim of keyhole surgery is to control pain and it does not strengthen or weaken the spine. However, if a person performs an uncontrolled activity that affects the disc, then there are chances of recurrence. An individual must increase core muscle strength by exercise is the best protection against a recurrence.

Is this a safe procedure?

It is one of the safest and effective surgeries that allow a patient to immediately restore daily activity. The chances of nerve injury are minimised by the use of a microscope. The rate of complication is 1% or less.

What is Transforaminal Interbody Lumbar Fusion (TLIF)?

At times, there are chances that the disc (which is left behind) is incapable of taking normal loads and results in dynamic instability. In such cases, the segment is stabilised using an implant (screw-rod construct). This can be done by a minimally invasive approach.

Can a patient lead a normal life after a disc surgery?

The spine is like any other machine that needs maintenance for better functioning. Disc surgery is one of the safest surgeries that is used to maintain the functioning of the spine and does not refrain a person from pursuing a normal lifestyle. However, for optimal functioning of any machine, the load on it (in case of spine its body-weight) should reduce and it should be serviced core strengthening exercises, for spine) regularly.

Biological Planning & Texture Analysis

One more paradigm is introduced in the Nanavati Hospital precise & accurate cancer treatment by using biological planning, evaluation & texture analysis. During the treatment planning of cancer patients using radiation, biological planning/evaluation is used to evaluate accurate radiation dose received by tumour. It takes into consideration the biological behaviour of tumours more accurately them other so the delivered treatment is accurate & increases the chance of survival.

Texture analysis helps to find the microscopic spread of diseases which is not identified by eyes. It also identifies the hypoxic active cells. So no tumour cells are left untreated hence better survival of patients.    

Intra-Aortic Balloon Pump (IABP)

What are the precautions one must take before and after the surgery?

The various guidelines that one must follow before and after the surgery include:

Before the Surgery:

  • Some injuries need a period of Rehab before surgery is recommended
  • Take medicines prescribed by your healthcare expert on time
  • Abstain from smoking and drinking
  • You might require a pair of crutches or wheelchair after the surgery, therefore buy it in advance
  • Eat a very light meal a day before the surgery to in order to avoid nausea and vomiting
  • Prepare yourself both mentally and physically for the surgery

After the surgery:

  • Start physiotherapy as soon as possible in concurrence with the operating orthopaedic surgeon
  • Take as much rest as possible and avoid unnecessary movement
  • Stick to PRICE technique which stands for protection, rest, ice, compression, and elevation.
  • Do not take pain killers without consulting your doctor.

Bone Marrow Transplant Treatment Process

Here is all you need to know about your transplant journey. The guide is divided into six steps beginning from how to prepare for the journey and include what to expect along the way.

STEP 1: Preparation: The preparation stage starts when the patient arrives at the BMT Centre with medical assessment, guidance, informed consent and other preliminary activities start.

  • Beginning of medical Evaluation
  • Multidisciplinary treatment Modality
  • Central Venous Catheter Insertion

STEP 2: Bone-Marrow/Stem Cells Harvest: The stem cells are collected either from the bone marrow or peripheral blood by apheresis. In an allogeneic transplant, stem cells are collected from the donor and in case of an autologous transplant from the patient itself.

STEP 3: Conditioning: The first step towards transplantation starts with the conditioning stage. In this process, either chemotherapy or radiation therapy or a combination of both is given to the patient. Chemotherapy and radiation therapy are given in doses that demolish the bone marrow function and result in the greatest possibility of destroying the disease. Some conditioning treatment may be administered in the outpatient environment depending on the chemotherapy agents and radiation therapy administration schedule, thus possibly shortening the inpatient stay. The preparation, stem cell harvest and conditioning all together comprises of the pre-BMT phase.

STEP 4: Transplant: In this stage, the infusion of donor bone marrow or stem cells takes place right after the conditioning regimen has been finished. This is similar to a blood transfusion. The duration beyond the transplant day is considered as the post BMT phase.

STEP 5: Waiting For Engraftment (New Cell Growth): This stage involves close monitoring, supporting therapy, and complications management while awaiting indications of grafting.

  • Close monitoring, support and protection
  • Management of complications especially infections

STEP 6: Engraftment And Early Recovery: Signs that fresh bone marrow or stem cells are grafting (growing and developing) can be anticipated in about 2 to 3 weeks after the transplantation. Close monitoring, supporting care will persist and preparation for the patient's return to home will start.

STEP 7: Long-Term Recovery: This stage involves the discharge of the patient from the centre, discussing any continuing clinical problems, and restoring patterns of life. Patients are advised to take regular follow-ups to avoid any long-term complications.

What Are The Precautions One Must Take To Avoid Breast Cancer?

Some of the major precautions and lifestyle changes must adopt include:

  • Watch Your Weight: Obesity or being overweight increases your risk of breast cancer.
  • Breastfeed Your Baby: Women who breastfeed their baby are at very low risk of breast cancer than women who do not breastfeed at all.
  • Reduce Your Hormone Intake: User who undergoes hormone therapy is at risk of developing breast cancer. Talk to your doctor before taking hormones to relieve menopausal symptoms.
  • Avoid Use Of Birth Control Pills: Birth control pill can alter your hormones and increase your chances of breast cancer, particularly if you smoke or above 35 years of Age.
  • Opt For Regular Screening: It is must opt for regular screening for breast cancer every year,
    • Regular Self breast examination (after 20 years of age)
    • Breast Cancer Screening: Mammography, annually after 40 years of age.
  • Limit Your Alcohol Intake: Excessive intake of alcohol can increase your risk of breast cancer
  • Exercise: Women who work out every day for about 40 minutes, have a lower risk of developing breast cancer.

What Are The Precautions One Must Take To Avoid Head, Face And Neck Cancer?

Some of the major precautions one must follow include:

  • All forms of Tobacco: Avoid the use of marijuana and excessive smoking.
  • No Alcohol Consumption
  • Use Sun Block: Use sunscreen and lip balm with an adequate sun protection factor (SPF) on a regular basis.
  • Stay Protected from HPV Infection: Get the HPV vaccine and protect yourself against HPV infection. Practice safe sex.
  • Avoid Staying Under Sun For Longer Duration: Avoid excessive exposure to direct sunlight.
  • Wear Protective Gears While Working Under Hazardous Conditions: Wear a protective face mask if you get exposed to toxic fumes and dust for a longer duration.
  • Take Care of Your Dentures: Taking proper care of your dentures is necessary, poorly fitted dentures can trap tobacco and alcohol’s cancer-causing substances as well as cause cancer by chronic inflammation and injury.
  • Make Water Your Best Friend: Drink as much water as you can. It helps in removing the toxic substances from your body in the form of urine.

Dental Hygiene: Bad dental hygiene is one of the most common causesof oral cancer. Maintaining dental hygiene has been found beneficial in preventing oral malignancies.

What Are The Precautions One Must Take To Avoid Thoracic Cancer?

  • Stop Smoking: Quit smoking as smoking is the major cause of lung cancer
  • Avoid Passive Smoking: If you live with a smoker, ask them to smoke outside the house and seek a smoke-free living.
  • Maintain a balanced weight: Keep a healthy weight.
  • Exercise most days of the week: Be physically more active, exercise for at least 30 minutes daily.
  • Healthy food habits: includes fruits and vegetables in the diet
  • Avoid too much alcohol consumption.
  • Avoid the use of tobacco:  Tobacco in any form is very dangerous to health.
  •  

Day Care Surgery

Also termed as same-day surgery/ day surgery/ ambulatory surgery, is an outpatient procedure where a patient is discharged on the same day of the surgery/operation. Our team of highly experienced surgeons perform the advanced day-care surgery using modern surgical techniques such as laparoscopy and anaesthetic technological developments, intending to offer the best treatment solution in a comfortable and secure environment.

Day Care Surgery we offer:

  • Repair of Inguinal Hernia (Herniotomy- Open/Laparoscopic)
  • Umbilical Hernia Repair
  • Orchidopexy (Open/Laparoscopic)
  • Hydrocoele
  • Varicocele Ligation Surgery
  • Circumcision
  • Superficial Cyst Excision
  • Hickman Line Insertion

Are There Any Risk Factors Involved?

Some of the major factors that lead to Genitourinary Cancer include:

  • Age: Risk of developing genitourinary cancer is higher with age so never skip your check-ups
  • Gender: Most types of genitourinary cancers develop in men
  • Family history: Men with a family history of prostate cancer, Kidney Cancer or Bladder Cancer have a higher risk.
  • Genetic Disorders: Genetic mutations or syndromes can increase the risk of Genitourinary Cancer.
  • Smoking: Smoking can cause all types of genitourinary cancer
  • Alcohol: Heavy alcohol consumption is associated with many cancers including aggressive prostate cancer
  • Obesity: Men with high BMI are at higher risk of developing cancer especially kidney and prostate cancer
  • Unsafe sexual practices: This can cause transmission of Human Papillomavirus (HPV) which can cause penile cancer
  • Chemical exposure: Exposure to chemicals in the paints, leather, rubber or plastic industries can increase the risk of urinary bladder cancer. Chlorinated chemical exposure can increase the risk of kidney cancer.
  • Personal history of Radiation Treatment: Any exposure to radiation increases your risk of developing Genitourinary Cancer

What Are The Precautions One Must Take To Avoid Lymphoma?

Lymphoma can develop in anyone. However, a healthy lifestyle and balanced diet go a long way in reducing the occurrence of malignancies in general

What Are The Precautions One Must Take To Avoid Paediatric Cancer?

  • Stop Passive Smoking: try not to smoke tobacco and do not allow anyone else to smoke around your kids.
  • Keep A Balanced Body Weight:Maintaining a healthy body weight of your child can help to control the growthhormones that influence the way cells to grow.
  • Sunburn Protection:One of the reasons for skin cancer in children is exposure to the harmful UV rays.
  • Nutritious Diet: A healthy diet rich in fruits and vegetables helps them stay fit and try to avoid junk food and processed meats.
  • Encourage Exercise: A physically fit kid can avoid lots of body complications, as exercising stabilises the levels of various hormones in the body.
  • Limit Exposure to Chemicals: Make sure that your kid does not get exposed to any kind of harmful chemicals.
  • Avoid Certain Kinds of Infections: keep your child clean and help them develop good habits, as infections can cause chronic inflammation and suppress the immune system.

What is the Procedure for Liver Transplant?

Liver Transplant Preoperative Details

A doctor prepares a patient for liver transplant surgery by prescribing some medicines a week or two before the surgery to avoid any sort of complications during or after the surgery.

Liver Transplant Operative Details

The liver transplantation procedure consists of three different operations which are as follows.

OPERATIONS

  1. Donor Operation: Harvesting the Liver from the donor

It is the first operation of the liver transplant procedure which involves the harvesting of liver from a donor. This harvested liver is then replaced with the diseased liver of the patient. Liver harvesting can be done from two different types of donors:

  • Deceased Donor (Cadaver): An unfortunate person who has suffered an irreversible brain injury/ brain death.
  • Living Donor: A healthy family member or someone else whose blood type is a good match with a living donor.

After harvesting the liver from a donor, our team of doctors aims at keeping the organ in working condition with the help of life support" devices and medication. The organ is kept alive using ice and special solution until it is used for transplant. In case of liver, it is advisable to transplant it within six hours of its removal.

  1. Recipient Operation: Removing the recipient's damaged Liver

It is the second operation that involves the surgical removal of diseased/damaged liver from a patient’s body by making a curved incision in the upper part of a patient’s abdomen.

  1. Implantation of the donor’s liver into the recipient

It is the third and final operation that involves replacing the patient’s liver with the donor’s liver. After the transplant, the doctor connects the suture (stitch) of the new liver to the patient’s blood vessels and bile ducts.

Summary

Since ALF is associated with significant morbidity and mortality. Therefore, we at unit promotes aggressive management of ALF and its complications. It has been observed that liver transplantation is the only life-saving modality in many patients with ALF. However, patients who are ineligible for transplant we offer plasma exchange therapy to improve their survival outcomes.

Our unit offers cutting edge technology that helps in early identification of ALF, as it is very important to decrease mortality.
 

Re-do or Re-Operative Heart Surgery

Patients who have undergone operations in the past might develop a need for Re-do or re-operative surgery due to some consequences blocked grafts, valve thrombosis, development of different diseases unrelated to surgery, structural failure of a biologic valve, etc.

The team of highly professional cardiac surgeons at Nanavati Super Speciality Hospital offer Re-do or re-operative heart surgery to improve the life expectancy of people who live long enough to require second heart operation. We offer the most comprehensive care to patients requiring the re-operative procedure or require one for the heart to function more efficiently.

What is Re-Do Or Re-Operative Heart Surgery?

As the name suggests re-do heart surgery signifies operating on a patient who has already undergone a heart surgery in the past. It can be due to many factors that a patient might require Re-do  or re-operative heart surgery such as dysfunctional valves, for the bypass surgery, for aneurysm (bulging of blood vessels) repair, for inflammation of inner heart layer due to artificial cardiac valve and other heart failures and other complications.

What are the Different Types of Re-Do Or Re-Operative Heart Surgery?

In order to avoid complications and death, various conditions such as progressive diseases like an aneurysm that usually aggravate over time and require constant management, a re-do or re-operative surgery is recommended. Surgeries may also be repeated to correct or replace a degenerated or dysfunctional prosthetic valve. Some of the re-operative heart surgeries we perform at the centre are for:
Aneurysm (bulging of blood vessels) repairs

  • Bypass surgery
  • Heart valve repair (aortic and mitral)
  • Prosthetic mitral valve endocarditis (infection of artificial cardiac valve)

Benefits of Re-do Heart Surgeries:

  • Longer life expectancy
  • Correction of pathology which has recurred.

A doctor will evaluate a patient’s condition for performing the Re-do or re-operative heart surgery and design a treatment plan accordingly. It is a very demanding and difficult surgery but our experts at Nanavati Hospital’s Heart Centre hold world class expertise in performing the surgeries with best outcomes.
 

Do I need physiotherapy?

For achieving early mobility and good hip movement physiotherapy is must and should be started immediately after surgery. You may need physiotherapy for 4-6 weeks and can be performed at our centre or home.

What are The advantages Of arthroplasty?

  • Shorter recovery period
  • Less scaring
  • Less bleeding
  • An extremely high success rate 
  • Low complication rate

Knee Osteoarthritis – when To consider surgery?

Osteoarthritis is a progressive disease, once the cartilage is lost the underlying bone starts wearing out resulting in bow knee deformity. Usually, it affects bilaterally, and at times a patient can experience severe pain on one side of the knee. A doctor may advise knee replacement surgery only in the following conditions:

  • Severe knee pain and difficulty in standing and walking
  • Progressive Bowing of knees
  • Stiffness and difficulty in climbing stairs
  • Crackling and giving way of the knee on walking
  • Reduction of overall walking with thigh and leg pain
     

Are there any Risk Factors Involved?

Since trauma care surgeries are quite complicated, therefore there are a large number of risks involved with them. The major risk factors include: 

  • Bleeding in multiple fractures
  • Deformity (Morbidity)
  • The difference in the length of limbs – depending on the nature of injuries
  • Nerve tissue damage
  • Scarring
  • Amputation
  • Allergic reactions to anaesthesia
     

 

What are the side effects of Chemotherapy?

Chemotherapy tends to attack some normal cells in the human body and may cause some side effects. The side effects a patient might experience will depend upon the particular type of drug or combination of drugs he/she is receiving. 

Side-effects experience through chemotherapy depends upon person to person. Some may not experience any side effects at all, but if you experience any, please inform your consultant.
 

Is routine blood test necessary during the treatment?

A routine blood test is necessary, before every cycle of treatment. We call this as Complete Blood Count (CBC) test. This provides detailed information about the number of red blood cells, white blood cells and blood cells called platelets in the blood.
All these blood cells are made in the bone marrow and chemotherapy can affect the bone marrow causing a temporary fall in the number of these cells. Sometimes it may be necessary to delay your treatment by one or two weeks if your blood count has not returned to normal following the last cycle of chemotherapy. It is also necessary to check that you have a normal blood count before your next cycle of chemotherapy begins.

Your oncologists will monitor your progress throughout your treatment. There are several tests which may be repeated during your treatment including Urea & Electrolytes (U&Es), Liver Function Tests (LFTs), Scans, X-rays and other Blood Tests. These are done to check on your health and see the way the chemotherapy is affecting you. These tests that a patient takes will vary according to the diagnosis and chemotherapy treatment.

Therapeutic Treatment

  • Allergy shots (immunotherapy):  It is an advanced therapy that helps in reducing your immune system's response towards certain allergy triggers. During the treatment, a patient is given a regular injection of a tiny amount of the allergens that trigger your symptoms. Over time, your immune system develops a tolerance against it and your allergic reaction diminishes.
  • Anti-immunoglobulin E (IgE) therapy:  When you are prone to a certain allergic reaction, then your immune system mistakenly identifies some specific substance as harmful and tends to release antibodies known as IgE against the culprit allergen. However, to interfere with the IgE your doctor may provide Anti-immunoglobulin E (IgE) therapy in the form of medication such as omalizumab, that interferes with IgE and helps prevent the allergic reaction.
     

Digital Mammography

Digital Mammography is a mammography non-invasive system, which creates 2D and 3D-like pictures of the breasts. It enables the doctors to trace physiological pathways of various organisation systems and improve the ability to detect early in the disease process with low radiation digital imaging and stereotactic (3D) biopsy system.

Temporary & Permanent Pacemakers

What are the advantages of sports injury management?

Advantages of the sports injury treatment include:

  • The sportsperson can return to his/her sports in most injuries
  • Surgery helps in protecting from the future damage to the cartilage
  • Surgery offers high potential for the normal functioning of the Joints

Are There Any Risk Factors Involved?

  • Ageing: As you age the risk for breast cancer increases, most of the breast cancer cases appears after 50 years of age.
  • Genetic Mutations: Women who inherit certain genes like BRCA1 and BRCA2 are at higher risk of breast and ovarian cancer.
  • Reproductive History: Women who experience early menstruation that starts before 12 years of age or have menopause after 55 years of age are at risk of developing breast cancer.
  • Having Dense Breasts: Women having heavy or dense breasts are at high risk of developing breast cancer. This is because dense breasts have more connective tissues than fatty tissues, which make it hard to detect cancer.
  • Personal History of Breast Cancer: Women diagnosed with breast cancer in the past are more likely to develop breast cancer for a second time.
  • The Family History of Breast Cancer: Having a first-degree relative either from mother’s or father’s side of the family, who have had breast cancer increases a woman’s risk of developing breast cancer.
  • Any Radiation Therapy Treatment in The Past: Women who have undergone radiation therapy to the chest or breasts before 30 years of age are also at risk of developing breast cancer later in life.
  • Be Physically Active: Women who are not active physically are at higher risk of getting breast cancer.
  • Obesity or Being Overweight: Women who have a high BMI index or get obese after menopause have a higher risk of getting breast cancer than those at a normal weight.
  • Taking Hormones Therapy: Women taking certain oral contraceptives (birth control pills) or hormone therapy after menopause have increased risk of developing breast cancer.
  • Reproductive History: Women with reproduction history after 30 years of age or women who are not breastfeeding or never had a full-term pregnancy may have increased risk of breast cancer.
  • Smoking Cigarettes and Drinking Alcohol: Studies have shown that smoking or drinking alcohol puts women at higher risk of breast cancer.

Are There Any Risk Factors Involved?

Some of the major factors that lead to the head, face, and neck cancer include:

  • Tobacco: Chewing tobacco is the single largest risk factor associated with head and neck cancer.
  • Smoking Cigarette: People who smoke excessive cigarette are at increased risk of Head, Face & neck cancer.
  • Alcohol: Immoderate drinking of alcohol drinking is the second largest risk factor for cancers of the mouth, pharynx, larynx, and oesophagus.
  • Gender: Males are twice more susceptible for developing head and neck cancer as compared to females.
  • Viral conditions: Certain kind of viruses such as Human Papilloma Virus (HPV), Epstein-Barr virus (EBV), etc. are linked to head and neck cancer.
  • Sun Exposure: Prolonged exposure to the sun (UV Rays) may increase the risk of oral and lip cancer.
  • Radiation Exposure: Radiation exposure in childhood, particularly in the head and neck region, tends to increase the risk of developing secondary head and neck cancer.
  • Malnutrition: Deficiencies of vitamins and nutrition may raise a patient’s risk of developing the diseas
  • Vaping:Vaping e-cigarettes regularly may contribute to head & neck cancers.

Are There Any Risk Factors Involved?

Some of the major factors that lead to thoracic cancer include:

  • Passive Smoking: 90 per cent of lung cancers cases are the result of continuous exposure to smoking.
  • Exposure to radon: Exposure to a naturally existing radioactive gas.
  • Occupational exposure and pollution: Breathing in hazardous substances such as arsenic, cadmium, chromium, nickel, some petroleum products, uranium, etc
  • Inherited genetic mutations: People who have family history of lung cancer are at high risk of developing thoracic cancer.
  • Avoid exposure to air pollution
  • Radiation therapy treatment: History of radiation therapy to the breast or chest.

Paediatric Urodynamic

The Paediatric Urodynamic provides studies to evaluate bladder and urethral sphincter functioning in children. The unit offers a full spectrum of paediatric urodynamic tests to analyse the inside of your child’s bladder. These tests are usually performed for the testing of conditions such as neurogenic bladder, urinary incontinence (when a child experiences trouble staying dry), has other problems peeing (urination), having a urinary tract infection (UTI), or have structural problems with their urinary system.

What Are The Precautions One Must Take To Avoid Genitourinary Cancer?

  • Regular PSA Screening with a blood test and Prostate check-up every year for men above 50 years is recommended to detect Prostate cancer early & in a curable stage.
  • Avoid the use of tobacco: Studies have shown that the use of tobacco can cause all types of Genitourinary Cancer.
  • Exercise Daily: Exercise regularly for around 30 minutes can help in maintaining better overall health including reducing the risk for many cancers.
  • Healthy diet and weight: Any heart-healthy diet is also suitable to reduce the risk of genitourinary cancer. Plenty of fruits and vegetables with a reduction in red meat is advisable. Obesity can predispose to kidney and prostate cancer so it is important to maintain a healthy weight.
  • Reduce the consumption of alcohol
  • Safe sexual practices: Use of condoms helps prevent the transmission of HPV which is responsible for the majority of penile cancer. The HPV vaccination is also available today & is very effective.
  • Testicular self-examination: Beginning from their teenage years, all men should examine their testicles once a month. This helps in detecting small lumps or nodules in an early stage.
  • Exposure to radiation: Exposure to radiation in any form can elevate the risk of cancer.
  • Limit exposure to chemicals: People working in previously mentioned industries should take precautions to minimise chemical exposure.

Are There Any Risk Factors Involved?

Some of the major factors that can contribute to Lymphoma include:

Risk Factors You Can’t Control:

  • Age: Lymphoma can be diagnosed in people of all age groups. However, the majority of people who develop Lymphoma are above 60 years of age. In many cases where children have developed Lymphoma is because of the pre-existence of immune system deficiency.
  • Family History: Traces of certainly inherited lymphoma can increase the chances of developing it into an individual. Although it is very rare, do exist.

Risk Factors You Can Control:

  • Obesity: Research has consistently shown that lymphoma is relatively more common in overweight patients.
  • Infections: Illnesses due to infections such as HIV/AIDS, Epstein-Barr virus, Hepatitis C and Helicobacter pylori, can increase the risk of developing lymphoma.
  • Radiation Exposure: People who are exposed to high levels of radiation or had a previous history of radiation therapy, are at a high risk of developing non-Hodgkin's lymphoma.
  • Weak Immune System: People with weak immune system are susceptible to lymphoma other infections.

Are There Any Risk Factors Involved?

Some of the major factors that lead to paediatric cancer include:

  • Problems with Development in the Womb:Problems in the development of a certain cell in the womb may predispose a child to early occurrence of cancer.
  • Exposure to Infections: Exposure to certain kinds of infection such as Epstein Barr virus (EBV), Cytomegalovirus (CMV), etc. can contribute to the development of certain cancers.
  • Exposure to Radiation: Exposure to any radioactive gas or radiation can elevate the risk of developing paediatric cancer.
  • Genetic: A few familial and genetic traits may predispose a child to develop cancer but there is no way of suspecting it in a healthy child.

What to Expect After Surgery?

A patient has to spend 5 to 8 days in the intensive care unit for monitoring purpose. And another 5-10 days for the recovery following which, a patient is fit for discharge. Following surgery, within 4-6 weeks a patient can resume his/her daily activities. Most people remain symptom-free and feel better, however, they have to take certain precautions and medication for a lifetime to improve their quality of life.

Lung Surgery

The Cardiothoracic and Vascular Surgery Unit at Heart Centre is a dedicated unit providing exceptional medical care to people suffering from complex disorders related to lung. Depending upon a patient’s current medical condition our team of highly-experienced health care professionals treats a broad range of lung-related issues.

From treating the infection in the chest cavity or a part of lobe in a lung to removing an entire lung (pneumonectomy); we perform several procedures using state-of-the-art technique available at the unit. We strive to offer quality lung surgical care using innovative surgical procedures to reduce complications, trauma, pain, and recovery time for patients with lung and heart diseases.

What is Lung Surgery?

A lung surgery (called thoracotomy) is a surgical procedure performed to treat the respiratory disease that has curtailed the lung function severely. It allows the surgeon to access the chest cavity to see and reach the lungs or other organs in the chest or thorax. 

What are the Different Types of Lung Surgery?

Doctors at the unit perform a variety of lung surgeries to treat many ailments depending upon a patient’s condition and state of a disease. These include:

  • Decortication
  • Lobectomy (removing one lobe from a lung)
  • Pneumonectomy (to remove a lung)
  • Bronchopleural fistula Treatment (BPF)
  • Hydatid Cyst
  • Lung transplant

How Is Lung Surgery Performed?

The Lung Surgery at the unit is performed in two ways 

  • Thoracotomy:

It is a traditional way of performing lung surgery. The procedure begins with making an incision to open the chest wall for performing the treatment. It is performed on the right or left side of the chest. The affected part is deflated with a special tube so that a surgeon can perform the surgery. Depending upon the condition to be treated, there are four different types of Thoracotomy based on the position of the incision 

  • Posterolateral Thoracotomy (incision is made along the side of the chest towards the back between the ribs)
  • Axillary Thoracotomy (incision is made near the armpit)
  • Anterolateral Thoracotomy (incision is made along the front of the chest)

•    Video-Assisted Thoracoscopic Surgery (VATS): 

It is also called a minimally invasive procedure which involves making small incisions thereby eliminating the need of opening the chest. The process involves the use of a thin, flexible tube with a tiny camera attached to its tip and other specialised tools that are passed through surgical cuts to perform surgery. This procedure is less painful and provides faster recovery as compared to the traditional Thoracotomy. 

Both procedures are performed under general anaesthesia in the operating room. A surgeon will evaluate patient’s condition and design a treatment plan accordingly, thereby, improving the surgical outcomes and quality of life of a patient.
 

For how long should a commode or raised toilet seat be used?

It is good to use a raised toilet seat for at least 3 months and even longer.

Are there any complications involved?

Since the surgery is minimally invasive, it comes with a very low complication rate, which is much lower than traditional open surgery. But, some rare complications include the following

  • Bleeding
  • Infection
  • Scarring & Stiffness
  • Nerve Damage
  • Clotting in the legs or lungs
     

Preparing for the Knee Replacement Surgery

Considered as one the most advanced form of surgery, knee replacement surgery offers the best treatment solution for people suffering from osteoarthritis. However, a patient must strictly follow the before and after surgery precautions which include:

Before the surgery

  • A patient has to undertake following diagnostic and imaging tests such as blood tests and X-rays to ascertain the damage in the knee.
  •  The surgeon will study your medical history and type of medications you were taking before the surgery for knee pain.
  • A doctor will then conclude the information to design the most comprehensive treatment plan for the patient.

During the surgery

  • If it is a planned surgery then an anaesthesiologist will evaluate a patient’s condition one day before surgery. This is because the surgery is done under the effect of regional spinal and epidural anaesthesia in selected patients and general Anaesthesia in others.
  •  An antiseptic solution is applied to the knee and wrapped with a sterile towel at night before the surgery.
  • The surgeon performs the surgery for knee resurfacing of implants using minimum access inci-sion surgical approach with bone preservation at our state-of-the-art surgical suites.
  • During the surgery, we do not use suction drain tube to allow drainage of blood. This may cause some discolouration around the knee due to accumulated blood from the surgical site, which becomes normal over 10 days.
  • To avoid postoperative pain, knee surgery is performed without a tourniquet.
  • However, when bilateral knee replacement surgery is required decision to perform second knee replacement depends on safety parameters after the first surgery.  

After the surgery 

  •  A patient is kept in the recovery unit for one hour before getting transferred to to the ward.
  •  Oral intake starts approximately after 2-4 hrs of the surgery.
  •  A patient will be permitted to walk and move knee joint with the help of the physiotherapy team.
  • No urinary catheter is required for single knee replacement. The same protocol is followed with bilateral single-stage knee replacement and patient is made to stand, walk and move knee joints. However, they might require a urinary catheter.
  • Recovery 
  • For a unilateral or single-stage bilateral knee replacement surgery, the patient can start standing and walking on the day of surgery. However, he/she has to take physiotherapy sessions for better and fast recovery.
  • All patients are given complete training for walking and stair climbing before discharge. Unila-teral knee replacement patients are fit to go home on 4th day while single-stage bilateral knee replacement patients go home on the 5th day.
  • We have a special postoperative pain control protocol with epidural and I.V. medication pain control pumps.
  • Other techniques such as Navigation, Computer Assistance, Minimally Invasive Surgery, Robotic Surgery are useful for treating other deformities in thigh or leg bones.
  • Accurate alignment with perfect soft tissue balance is a goal in knee replacement surgery and can be achieved with best surgical expertise.
     

What are the precautions one must take to avoid infection during the Chemotherapy treatment?

Some of the major precautions involve:

  • Wash your hands while in the hospital. At Nanavati Hospital we take hygiene very seriously and promote infection control practices. We have alcohol hand rub kept at each hand wash basin and by the entrance of the clinical areas (wards, day unit and outpatients). It is quicker and easier to use than soap when your hands are not soiled but might be carrying "hidden bugs." Please wash your hands after using the toilet or if you are suffering from conditions such as diarrhoea.
  • Try to maintain good personal hygiene, take a bath regularly
  • Maintain oral hygiene:
    • Brush your teeth daily. Use a soft toothbrush that won't hurt your gums
    • Keep a clean mouth and rinse after meals
  • ●    Be careful while using scissors, needles or knives. Make sure not to nick yourself.
  • ●    Change your bed linen regularly
  • ●    Avoid going to crowded places
  • ●    Avoid inhalation of dust
  • ●    Take care when handling pets
  • ●    Try to stay away from people suffering from contagious diseases. As you are prone to catch infections such as cold, flu and measles very easily. Inform your doctor immediately if you acquire an infectious or contagious disease such as Chicken Pox.
  • ●    Keep your surroundings clean, use a regular surface disinfectant.
  • ●    A patient might experience the risk of infection due to the type of Chemotherapy he/she is receiving. Therefore, a doctor might prescribe "preventative" antibiotics to help protect patients from the most common infections. Please ensure you take them regularly as directed.

The signs of infection are:
o    A temperature of 38°C /100.5°F or above
o    If you feel hot and look flushed
o    If you are shivering or have hot and cold flushes
o    If you are feeling unwell, i.e. sore throat or a cough
o    If you have other signs of infection, such as urine infection 
o    If you have received treatment through a "central line" / PICC and the site looks red and feels hot. 
 

PET / CT Scan

PET/CT imaging or a PET/CT scan is a type of nuclear medicine imaging that uses small amounts of radioactive material to diagnose and determine the severity of a variety of diseases. It treats many types of cancers, gastrointestinal, endocrine, neurological disorders, heart disease and other abnormalities within the body. To aid the accurate diagnosis and treatment of a plethora of diseases, Nanavati Cancer Centre has installed the latest generation PET/CT Scan machine. 

Paediatric Radiology

It is a subset within general radiography specialising in the diagnosis of illnesses, injuries, and diseases of infants, children, and adolescents, using imaging techniques and equipment. We have a team of highly trained paediatric radiologists, paediatric anaesthesiologists, paediatric radiologic technologists, and paediatric nurses who follows a multidisciplinary approach to design a comprehensive treatment plan by involving a patient’s family. They make sure that every child under their care receives high-quality care in a comfortable and friendly environment.

The cutting-edge paediatric-specific low-radiation techniques we offer:

  • Computed Tomography (CT)
  • X-ray
  • Fluoroscopy

Non-radiation imaging modalities like 

  • Magnetic Resonance Imaging (MRI)
  • Ultrasound
     

What are the Precautions One Must Take After the Liver Transplant?

A patient must strictly follow some precautions after the liver transplant:

  • Drinking alcohol is strictly prohibited for patients suffering from liver diseases or have undergone Liver Transplant.
  • Eat healthy meals full of green fruits and vegetables and reduce the intake of fried and junk food.
  • Maintain a healthy body weight/BMI.
  • Take the prescribed medicines on time.
  • Go for regular checkups with your concerned doctor.
  • Exercise to stay fit like brisk walking and stretching.

How often do i have to take follow-up visits after the surgery?

Post-surgery your first visit will be after 10 days for stitch removal. After that, you may be asked to return in 2-4 weeks to monitor your progress and following visits will be after 3 months and 1 year of surgery. However, you can visit your doctor in any emergency condition.

What precautions should be taken after surgery?

Short- Term Precautions

  • Temperature should be monitored. Doctor to be informed if it goes above 100.5 degrees Fahrenheit.
  • Inform the doctor if there’s excessive pain.
  • If a patient experiences redness around the operated area, excessive swelling, or discharge from the wound then he/she must inform the doctor immediately.
  • Walking is recommended until advised otherwise.
  • Low chairs or low commodes should not be used.

Long Term Precautions

  • Antibiotic cover should be taken while undergoing any dental/surgical procedures. A doctor should be kept informed.
  • High impact exercise such as jumping, running etc. should be avoided.
  • Inform your doctor if there’s swelling pain or instability.
  • Care at home.
  • The toilet seat at home should have a high commode attachment or a high commode chair should be used.
  • A patient must take physiotherapy sessions regularly to facilitate walking, strengthening of the muscles around the knee and knee bending.
  • Cold compress should be applied around the knee.
  • Patient should be mobilized as much as comfortably possible.
     

What are the steps I need to take when it comes to food?

We advise you to:

  • Before handling any food items, kindly wash your hands
  • Make sure that all utensils, knives, and chopping boards are clean before preparing food
  • Ensure all food is cooked properly and is hot before serving
  • Avoid unpasteurised cheese, milk and yoghurt
  • Properly cook the eggs until the whites and yolks are solid
  • Eat freshly prepared, well cooked and nutritious diet. Include pulses, cereals, food rich in fibre and green vegetables
  • Encourage rest after meals
  • Wash your fruits properly, make sure to peel the thick layer of the fruit’s skin and consume the soft part
  • If you are not contraindicated with any other disease like diabetes, consider taking tetra packed juices
  • Avoid spicy and oily food
  • Drink plenty of water (at least 10 -12 glasses per day)
     

MRI (Magnetic Resonance Imaging)

Nanavati Cancer Centre has installed a 1.5 Tesla Volume MRI, which is the first of its kind in India. With the ability to generate 3D images, it helps a doctor to diagnose a disease or injury, and monitor how well you’re doing with treatment. MRI scanning is a non-invasive and painless procedure to create detailed images of the organs and tissues within the body.

Paediatric Anaesthesia

We have a team of well-trained paediatric anaesthesiologists committed to advancing the delivery of the most comprehensive anaesthesia care to infants and children undergoing various diagnostic, therapeutic and surgical procedures. The unit offers a multimodal approach to manage pain conditions associated with complex surgical/medical conditions as well as acute perioperative pain. We aim at providing care for neonates to young adults in a safe environment while improving outcomes for paediatric patients who require anaesthesia for non-surgical and surgical procedures.

What is the success rate of the surgery?

The success rate of the surgery remains around 90% and might come with certain complications which happen in around 10-15% of the cases.

Is hip replacement detected by a metal detector?

Yes, you should collect a “metal implant” photo id card from the orthopaedic office certifying that you’ve had a hip joint replacement. This can be shown to the security staff.
 

What are the Risks/Complications of the Procedure?

Surgical procedures of any kind carry some of the other risk factors, particularly if a patient is suffering from other medical problems such as obesity, hypertension, etc. Our team has been trained to make sure such risks are minimised and the treatment is carried out safely. However, some immediate com-plications that a patient might experience include:

Infection: Sometimes despite strict precautions,  infection can occur. Superficial infection may occur at the wound site. If a deep infection develops most of the times THR implants need to be removed with subsequent revision surgery after healing of infection.

At Nanavati Super Speciality Hospital we have

  • Specially dedicated joint replacement operation theatre.
  • Vertically oriented sterile laminar air circulation unit in the surgical zone.
  •  For every joint replacement surgery, the surgical team wears sterile space-suit so even breath-ing air from surgeon and assistant do not contaminate surgical field.
  • Daily disinfection of OT.
  • Specialised infection prevention protocol for all joint replacement surgeries.

Deep Vein Thrombosis (DVT): Despite taking precautions to prevent blood clot (thrombosis) formation in the veins of the leg post-surgery remains a common risk after knee replacement surgery. Rarely, these clots can dislodge and travel through the heart to the lungs. This is known as pulmonary embolism which can cause serious complications in rare cases.

At Nanavati Super Speciality Hospital we take special steps to avoid DVT

  • Preoperative workup
  • The faster and minimal surgical approach
  •  Immediate mobilization and walking on the day of surgery for unilateral or single-stage bilateral THR
  • DVT stockings and pump
  • DVT prevention Medications

 Aseptic Loosening of the Prosthesis (without infection): It is caused by the weakening of the bond between the new joint and the bone. Although it is expected that the new knee will last for many years, it can become loose earlier than anticipated, particularly if the patient is grossly overweight, if he/she returns to a hectic work schedule early or patient’s joint damage by accidental falling.Loosening of the

Prosthesis:  It is a treatable risk factor which involves replacement of loosened prosthesis with  new implants. It is common to see knee replacements lasting more than 30 years. At Nanavati Super Speciality Hospital we follow most modern technologies for joint replacement surgery protocol with post-surgery management to improve bone quality.

Persistent Pain: The operation may not relieve a patient of all the pain, and he or she may continue to experience some mild discomfort. The most common of all is complex regional pain syndrome, swelling, stiffness and skin changes. Other recognised risks of knee surgery include bone fractures, bruising, and urinary retention.

 

What are the side effects of Chemotherapy?

Chemotherapy tends to attack some normal cells in the human body and may cause some side effects. The side effects a patient might experience will depend upon the particular type of drug or combination of drugs he/she is receiving. 

Side-effects experience through Chemotherapy depends upon person to person. Some may not experience any side effects at all, but if you experience any, please inform your Consultant.

Some of the common and possible side effects are listed below:

  • Sore Throat - Sometimes, Chemotherapy can cause a sore or dry mouth and/or mouth ulcers. If the Chemotherapy causes the lining of your mouth and throat to become sore, or ulcerated, we would recommend you to:
    • Maintain a healthy mouth, clean your teeth twice a day using a soft toothbrush and fluoride toothpaste. Rinse your mouth thoroughly with water after cleaning
    • Clean your mouth and teeth two times a day, preferably morning and before bed
    • Remove bridges, braces, dentures, and clean them after meals. However, if mouth soreness is severe do not replace them.
    • Rinse your mouth with an antibacterial mouthwash (Chlorhexidine) four times a day - this can be prescribed by the doctors at the hospital.
    • Try adding crushed ice to drinks, eating ice cream or soft milk jellies 
    • Avoid foods with sharp edges
    • Try using a mouthwash such as one teaspoon of bicarbonate of soda dissolved in a mug of warm water if your toothpaste stings, or brushing your teeth makes you feel sick
    • Avoid intake of tobacco, neat spirits, hot spices, onion, garlic, vinegar and salty food as they might lead to irritation in the mouth
    • Avoid eating crunchy food as it may damage your gums (especially when you have low blood cell counts) 
    • Try to drink at least 10 -12 glasses of fluid a day. This can include water, tea, weak coffee and soft drinks such as apple juice, Lassi, Chaas.
    • Avoid acidic drinks rather take warm herbal teas 
    • If you have mouth ulcers, inform your doctor as you may need medicines to clear the infection and heal the ulcers 
    • If you have a problem in eating and drinking normally or the soreness fails to clear up quickly, contact your concern doctor immediately.
  • Taste:  While undergoing Chemotherapy treatment some people may experience a change in their taste of food. This is usually temporary. A patient might no longer enjoy certain foods as all kinds of food may taste the same or you may experience a metallic taste in your mouth. Sometimes there may be no taste at all. It usually does not affect taste for street bald food which should be unchanged during the time 
  • Nausea and Vomiting: Chemotherapy may cause you to feel sick, but not necessarily to vomit, although this can occur. You will be given medication before your treatment. We advise you to:
    • Avoid preparing food when feeling nauseous
    • Eat small frequent meals
    • Avoid fatty and fried food
    • Avoid very sugary or spicy food
    • Sip fizzy drinks e.g. lemonade, soda water
    • Try food or drink with ginger e.g. ginger ale, ginger biscuits and fresh ginger in cooking
    • Eat some dry biscuits or crackers
    • Drink plenty of fluids
    • If vomiting persists for more than 24 hours, please contact your Consultant.

Diarrhoea and Constipation Sometimes Chemotherapy treatment may cause a change in bowel habit. These habits can usually be managed by diet and /or medication

Diarrhoea

  • Drink plenty of fluids to replace fluid loss
  • Avoid alcohol, coffee and orange juice
  • Consume less fibre - reduce raw fruit, vegetables and cereals
  • Avoid highly spicy or fatty food
  • Contact your doctor, if diarrhoea persists for more than 24 hours 

Constipation

  • Drink plenty of fluids
  • Increase fibre (roughage), fruit and vegetable intake
  • Eat good sources of fibre e.g. whole wheat cereals, muesli, wholemeal bread and flour, brown rice, wholemeal pasta, fresh fruit and vegetables with the skin on
  • Try natural remedies for constipation- syrup of fig, prunes and prune juice
  • Try to do gentle exercises
  • Take laxatives as prescribed by your doctor
  • If your constipation persists and you experiences a change in normal bowel habits, contact your Consultant.

●    Hair Loss: Chemotherapy treatment can affect your hair. In some cases, there is no to very little hair loss while in other cases it makes your hair dry and brittle. Therefore, once you start the treatment we recommend you to:

  • Use a mild Ph balanced shampoo
  • Pat dry with a towel to remove excess water rather than rubbing the hair when you wash your hair
  • Comb / brush your hair with a wide-toothed / bristled comb or brush to reduce tension on the hair and hair follicle
  • Avoid plaiting your hair or wearing a tight band as this can damage and break your hair
  • Avoid colouring or perming your hair while undergoing Chemotherapy and for at least 3 months post-treatment
  • It is noticed that some Chemotherapy drugs do cause temporary partial hair loss or can even result in complete baldness. A patient may also lose his/her body hair including eyebrows, underarms, chest hair and pubic hair
  • Hair usually begins to fall out approximately 10 - 14 days post your treatment starts, but sometimes this can happen sooner.

●    Skin

  • During the course of treatment, you may experience dryness in the skin. To avoid skin cracking, try applying moisturizing cream to your body
  • Try to avoid too much exposure to the sun, and sit in the shade wherever possible
  • Use a high SPF sunscreen and wear loose clothes
  • If you have lost your hair, remember to protect your head, ears and the back of your neck from the sun by wearing a hat

●    Veins: When Chemotherapy is injected intravenously, the veins can sometimes become hardened and sore or darker in colour. The veins will usually return to normal form gradually. However, we at the Centre continue your treatment using other veins or a PICC / Chemo port.

●    Fatigue: It is considered as one of the very common side effects during cancer and its treatment. Doing light exercise can help you in tackling with the feeling of fatigue.

●    Other Possible Side Effects: These results due to the use of certain drugs and may include:

  • Tingling or numbness in the tips of the fingers and toes
  • Hearing loss, ringing or buzzing in the ears
  • Jaw pain
  • Muscle aches and fever
  • Watery eyes
  • The sore, dry, and red skin of hands and feet
  • If there is a likelihood of any of these side effects in your treatment, you will be informed about it beforehand.

Immunotherapy

Cancer immunotherapy is the artificial stimulation of the immune system to treat cancer, improving the immune system's natural ability to fight cancer. It is an application of the fundamental research of cancer immunology and a growing subspecialty of oncology.

Antenatal Counselling for Congenital Anomalies

Congenital Anomalies are usually the structural/functional anomalies or birth defect that affects the way a baby looks, develop, or function. About 3% to 4% of babies born each year have congenital disorders which may be there for a particular time or in some cases for the rest of their lives. Our highly experienced antenatal counsellors offer the comprehensive antenatal counselling to families for congenital anomaly based on various tests and diagnostic reports of their children. 

How soon does a patient recover from surgery?

  • After single knee replacement, a patient can stand with the assistance of a physiotherapist, 1 day after surgery and start moving with the help of a walking aid.
  • 3-4 days after surgery a patient can use slightly raised toilet seat.
  • After the discharge, a patient must try to walk, use the washroom independently with the help of a walking aid.
  •  A patient must use walking frames or crutches for 2-4 weeks after the surgery.
  •  It will take 4 weeks to achieve the full benefits of surgery.
  • In case a patient has surgery for replacement of both knees then it might take a few more weeks to recover.
     

HIPEC Technology (Hyperthermic Intraperitoneal Chemotherapy)

Hyperthermic Intraperitoneal Chemotherapy (HIPEC) is the process of delivering heating chemotherapy drugs into the abdominal cavity. This treatment is often used in combination with Cytoreductive surgery and is an effective approach for peritoneal carcinomatosis.

Frequently Asked Questions

Q. Do I need a knee replacement?

A. It depends on the extent of pain and difficulty in walking. Advice is given after analysing X-ray find-ings. It is you who are suffering from pain and you are as much a part of the decision making as your doctor.

Q. Do I need computer-assisted or navigation / MIS for my knee replacement?

A. For routine knee replacement, available jigs are extremely good and accurate. Only in cases of com-plex deformities of thigh and leg bone that computer-aided assistance may be required. Computer navigation is an evolving technology and needs time to achieve perfection in all cases. While long incisions were made earlier, nowadays we utilize smaller incisions with the help of MIS jigs.

Q. Can I get both knees operated at the same time?

A. It depends on how badly both knees are affected and how sound is your medical status. Knee re-placement for both knees can be performed in one sitting if fitness is good

Q. Is knee replacement painful?

A. There are modern methods available for pain relief, such as continuous epidural anaesthesia, patient-controlled anaesthesia (PCA) and a mix of certain drugs that can control pain very effectively. Applying cold compresses around the knee also helps in reducing swelling and pain.

Q. Can I get full bending (flexion) of the knee after surgery?

A. There are reports in the media that some knee implants are capable of giving high flexion or full bending of the knee. The degree of movement achieved depends on your mobility status before surgery, your weight, and good technique of surgery. Surgery is likely to increase your knee movements partially. Implants can only absorb high stress associated with full movement.

Q. Can I sit cross-legged on the floor?

A. Knee replacement implants are bonded to the bone with bone cement. Even though most patients can sit cross-legged, it is not recommended. Preventing excessive stress on the bond increases the life of implant significantly.

Q. Do I need physiotherapy?

A. Physiotherapy is important in achieving early mobility and good knee movement. Physiotherapy starts immediately after surgery. You may need physiotherapy for 4 weeks. This can be organized at your home or a nearby clinic.

Q. How frequently do I need to visit the hospital?

A. You are required to visit the hospital 15 days after surgery for stitch removal. After that, you may be asked to return in 10 days to track your progress. Subsequent visits are required only after 3 months, 6 months and 1 year of surgery - unless medical condition dictates otherwise.

Q. Is knee replacement detected by a metal detector?

A. Yes. You should collect a credit card shaped certificate from the orthopaedic office certifying that you’ve had a knee replacement. This can be shown to the security staff.
 

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