Archive for the 'blood coagulation profile' Category

A USA patient decided to get his gall bladder removed in India. He chose Indian Health Guru Consultants for laproscopic cholesystectomy (gall bladder removal).

Mark Nelson, Michigan Patient on his laproscopic cholesystectomy surgery in India-

“I am a resident of Michigan, USA decided to get my gall bladder removal surgery (laproscopic cholesystectomy) done in India. I had been suffering from gall bladder stones for the last three years .I had taken medicines for stone removal but they brought only temporary relief. My condition was worsening day by day. I was suffering from acute stomach ache and vomiting constantly. The pain hampered his every day life. My doctor advised me to undergo gall bladder removal surgery as a permanent solution to the problem. I learnt about Indian Health Guru Consultants by searching the web for better options for gall bladder surgery than were available in USA. I found that the wait for the surgery was too long and I could not even endure the thought of prolonging my misery through that long wait. The second factor was cost. Being uninsured I couldn’t afford the high cost of surgery in USA.  After learning about Indian Health Guru Consultants I e- mailed my medical reports to Dr. Dheeraj Bojwani. I am highly pleased with the prompt action that Dr. Dheeraj took in my case. I received very quick replies to my e mails. I got the answers as soon as I sent the mails. Thanks to Dr. Dheeraj, all formalities regarding my visa and travel arrangements and hotel stay were done at a lightening speed. I was in Mumbai just 15 days later and was driven straight to the hospital. Dr. Dheeraj was there to personally look after all the arrangements. The surgery was performed on the very next day and in three days’ time I was out of the hospital. I must especially thank Dr. Dheeraj for arranging the sightseeing trip in Mumbai and to the historical Ajanta caves. I could return back to Michigan and resume work very quickly. My surgery and the holiday in India cost just a fraction of what I would have spent on the surgery in USA 

Mark Nelson

Michigan 

India has become the uncontested leader in the delivery of healthcare of international standards within the Asian subcontinent. India has become the healthcare destination for the global community. Many USA patients prefer to get their surgery in India rather than wait for their insurance providers to approve their surgery procedures. It is common knowledge that the uninsured population in America cannot afford the high surgery costs of Laproscopic cholesystectomy  surgery. Resultantly, there has been a surge of resident Americans to travel abroad for surgery. This trend is extending to the non-resident Indians as well. Many Indians have settled in other countries like Canada, Australia, UK and UAE for various reasons. Most of these International patients prefer India as their choice for surgery. 

To know more about Hospitals in India and the Laproscopic Cholesystectomy Surgery packages available in Hospitals,

http://www.indianhealthguru.com  

International Patient Experiences & Photos 

 International Patient Testimonials       

Trans Vaginal Tape Surgery in India-Go Get it.

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What is Trans Vaginal Tape Surgery?

  

Surgeries for Vaginal Tape Surgery help control involuntary leakage of urine by supporting the structure of the urethra and bladder.

  

Description of the Procedure Trans Vaginal Tape Surgery:

There are several different types of suspension surgery.

Tension Free Vaginal Tape procedure:

  

Two incisions are made above the pubic bone, and one in the vagina. A nylon mesh-like tape is used to form a hammock under the urethra. This hammock closes off the urethra when a cough or sneeze pushes it open. No sutures are needed to hold the tape in place as the mesh holds onto the surrounding tissue until scar tissue grows into the mesh.

Sling procedure:

  

This procedure is performed through an incision in the vagina. Like the vaginal tape procedure, a hammock or sling is made under the urethra that prevents incontinence by closing off the urethra when pushed down by a sneeze, cough, or other stressor. The sling can be made out of a synthetic material or using the body’s fascia, which is a strong material that surrounds muscle.

Retropubic suspensions:

  

An incision is made in the lower abdomen. The surgeon places sutures (surgical threads) near the bladder neck and urethra. The threads are then secured to the pelvic bone or other structures in the pelvis. This supports the bladder by forming a cradle for it.

Transvaginal suspensions:

  

 The surgeon performs this procedure through the vagina, and through a small incision made in the lower abdomen. Sutures are placed near the bladder neck and urethra from the vagina and abdominal incision. The threads are then tied to the abdominal wall or the pelvic bone. This supports the bladder by placing it back into its normal position.

Laparoscopic bladder suspension:

  

This procedure uses 2-3 small incisions and special instruments to tie the bladder to the pelvic bone. The surgeon uses a telescope to perform the surgery. The surgery usually takes about 1 – 1½ hour.

Advantage of Trans Vaginal Tape Surgery:

 The TVT sling’s main advantage is that a sling is placed, providing new support to failed native tissue, with less morbidity than traditional sling procedures. There is no need to harvest graft material. In other words, create another incisions to take a graft from another part of the body. Therefore… less incisions and needless to say less pain. Additionally, intraoperative assessment is possible via a cough test, as the procedure is performed under local, spinal or epidural anesthesia. The patient is actually asked to cough with a full bladder at the very end of the operation and when leakage occurs the TVT sling is gently adjusted to correct the leakage. 

After Procedure of Trans Vaginal Tape Surgery:

After surgery patient will be monitored in a recovery room until patient is awake. Patient will most likely have a catheter in place to drain urine. At first, urine may look bloody, but this will resolve over time. When patient is able to empty bladder completely, the catheter will be removed. Depending upon the procedure, patient may be up and walking the same day or the day after surgery. Patient will be advised to avoid strenuous activities and lifting for three months, so that sufficient healing can take place.

 Why travel to India for Trans Vaginal Tape Surgery:

 India has one of the best qualified professionals in Health Industry due to the country’s excellent healthcare education and training, in fact Indian Doctors offer 36% of the medical services in the US and UK. Moreover, modern use of technology and world class facilities in Healthcare centers in India has made India a major player in Medical Tourism. Price factor is one of the major reasons for the growth of Medical Tourism in India. As correctly stated above “First World treatment’ at Third World prices”, India can offer some treatments even at one-tenth or one-sixteenth of the cost of treatments in UK or US. Tourism in India has been on high demand recently. India being the Land of Diverse Culture and Scenic Beauty attracts tourists from all over the world. In India, a tourist can visit all sorts of places depending upon his choice like visiting places with high mountains, vast deserts, scenic beaches, historical monuments, and religious temples. So, international patients can have their medical treatment in India along with a great yoga holiday or trip to the world famous places like Taj Mahal.  

To know more about Hospitals in India and the Trans Vaginal Tape Surgery packages available in Hospitals, 

 http://www.indianhealthguru.com  

 International Patient Experiences & Photos 

 International Patient Testimonials  

Transurethral Resection of the Prostate Surgery – Tourism To India

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What is Transurethral Resection of the Prostate (TURP)?

Transurethral Resection of the Prostate (TURP) is a surgical removal of part of the prostate gland. The prostate gland is part of a man’s reproductive system. It makes and stores seminal fluid, a milky fluid that nourishes sperm and forms part of semen. The prostate is about the size of a walnut. It is located below the bladder and in front of the rectum.

Who is an ideal candidate for Transurethral Resection of Prostate?

If a person have any of the urinary symptoms i.e. if a person is unable to completely empty his bladder or experiences pain, urgency for urination, has blood in the urine, has extremely slow stream of urine due to cancerous or non-cancerous (Benign Prostatic Hypertrophy) enlargement of the prostate gland, has stones in the urinary bladder; then he is an ideal candidate for Transurethral Resection of Prostate.

Preparations Prior to Procedure of Transurethral Resection of Prostate-Doctor will likely do the following:

  • Physical exam
  • Review of medications and supplements
  • Blood tests including complete blood count, renal function, PSA (prostate-specific antigen)
  • Urine tests including urine culture
  • Ultrasound of kidney, bladder, prostate
  • Urodynamics to assess degree of obstruction
  • X-rays of kidneys and chest

How a Transurethral Resection of the Prostate (TURP)is performed:

A TURP is performed by passing a thin tube up the urethra via penis.  The tube is a telescope, so the surgeon can see inside urethra.  The blockage is removed using an instrument attached to the telescope that can cut away the abnormal areas.  This operation usually means about 2 or 3 nights in hospital.TURP is done under a general anaesthetic, but for some men, it is done with a spinal anaesthetic.  This means patient is awake, but cannot feel anything below the level of the anaesthetic injection into spine.Doctor will suggest a spinal anaesthetic if there are reasons why Patient shouldn’t have a general anaesthetic, for example if patient’s lungs are not as healthy as they might be. Postoperative Care for Transurethral Resection of the Prostate (TURP):There will be a catheter in the bladder to drain urine. The urine may be bloody, but do not be alarmed. This is normal. Water may be flushed through the catheter into bladder to wash out blood and clots.

  • Always keep the catheter drainage bag below the level of the bladder.
  • Do breathing and coughing exercises regularly.
  • Rest in bed until the next morning and perhaps longer. The nurse can assist the first time you get out of bed.
  • Clean the area where the catheter enters the urethra several times a day with soap, water, and a washcloth.
  • Drink lots of fluids, especially during the day, to help flush the bladder.
  • Avoid heavy lifting or exertion for three to four weeks.
  • Avoid sexual activity for four to six weeks after surgery.
  • Avoid consumption of alcohol, caffeine, and spicy foods that may over-stimulate the bladder.

Outcome of Transurethral Resection of the Prostate (TURP):

Recovery from surgery should take about three weeks. Symptoms such as frequent or painful urination will continue for a while but should lessen during the first six weeks. If there is blood in your urine, lie down, relax, and drink a glass or two of fluid. The next time you urinate the bleeding should have stopped. If it doesn’t, call doctor.

Although sexual activity should be avoided for four to six weeks after surgery, the TURP procedure should not affect your sex drive or ability to have sex. The procedure may damage the muscle valve located at the bladder that directs semen into the urethra and out the penis. If this happens, most of your sperm will flow into your bladder and be expelled when you urinate (this is called retrograde ejaculation). This should not, however, be considered a method of birth control. Some sperm may make it into ejaculation. If you are hoping to conceive children in the future, talk to your doctor about the possibility of developing retrograde ejaculation after the TURP.

Transurethral Resection of the Prostate in India:

 India is fast emerging as the medical tourism destination of choice to the world combining the best of Western and Eastern health care systems.60, 000 cardiac surgeries were performed in 2004 that matched international standards. Multi organ transplants such as renal, liver, heart, bone marrow transplants are successfully performed by some of the best qualified specialists in the world in state of the art squeaky clean hospital facilities; all this at 20-30% of the cost in the European Union and North America. India also remains the preferred destination for a natural approach to health including Indian holistic systems of Ayurveda, Yoga and Siddha aside from Homeopathy. Medical Tourism India is a unique venture facilitating individually customized, high quality, low cost medical care when you desire, without waiting, coupled with the joy of exotic retreats, sports for those so inclined, great food experiences, art culture and music and for those who wish to combine work and play- business opportunities galore.  To know more about Hospitals in India and the Transurethral Resection of the Prostate Surgery packages available in Hospitals, 

 http://www.indianhealthguru.com  

 International Patient Experiences & Photos 

 International Patient Testimonials  

Hysterectomy Surgery -get it in India.

What is a Hysterectomy?

 A hysterectomy is an operation for removing a woman’s uterus (womb). The uterus is where a baby grows, when a woman is pregnant. In some cases, the ovaries and fallopian tubes also are removed. These organs are located in a woman’s lower abdomen (see image below). The cervix is the lower end of the uterus.  The ovaries are organs that produce eggs and hormones. The fallopian tubes carry eggs from the ovaries to the uterus. 

What is a Hysterectomy recommended for?

Hysterectomy may be needed if a patient has one of the following conditions:

Gynecologic cancer:

If a patient has a gynecologic cancer — such as cancer of the uterus or cervix — a hysterectomy may be the best treatment option. Depending on the specific cancer that the patient has and how advanced it is, other options might include radiation or chemotherapy.

Fibroids. Hysterectomy is the only certain, permanent solution for fibroids — benign uterine tumors that cause persistent bleeding, anemia, and pelvic pain or bladder pressure. Non surgical treatments of fibroids are a possibility, depending on discomfort level and tumor size. Many women with fibroids have minimal symptoms and require no treatment.

Endometriosis.  In endometriosis, the tissue lining the inside of patient’s uterus (endometrium) grows outside the uterus on ovaries, fallopian tubes, or other pelvic or abdominal organs. When medication or conservative surgery doesn’t improve endometriosis, the patient might need a hysterectomy. Uterine prolapse.  Descent of the uterus into the patient’s vagina can happen when the supporting ligaments and tissues weaken. Uterine prolapse can lead to urinary incontinence, pelvic pressure or difficulty with bowel movements. Hysterectomy may be necessary to achieve satisfactory repair of these conditions.

Persistent vaginal bleeding.  If periods are heavy and irregular or last many days each cycle, a hysterectomy may bring relief when the bleeding can’t be controlled by any surgical methods. Other conditions — including fibroids, endometriosis and uterine prolapse — have alternative treatments that patient can try first. Types of Hysterectomy Surgery:

·         Complete or total. Removes the cervix as well as the uterus. (This is the most common type of hysterectomy.)

·         Partial or subtotal. Removes the upper part of the uterus and leaves the cervix in place.

·         Radical. Removes the uterus, the cervix, the upper part of the vagina, and supporting tissues. (This is done in some cases of cancer.)

Procedure of Hysterectomy Surgery:

Hysterectomy is a very common operation. The uterus may be completely or partially removed, and the tubes and ovaries may also be removed at the time of hysterectomy. A partial (or supracervical) hysterectomy is removal of just the upper portion of the uterus, leaving the cervix intact. A total hysterectomy is the removal of the entire uterus and the cervix. A radical hysterectomy is the removal of the uterus, the tissue on both sides of the cervix (parametrium), and the upper part of the vagina. A hysterectomy may be done through an abdominal incision (abdominal hysterectomy), a vaginal incision (vaginal hysterectomy), or through laparoscopic incisions (small incisions on the abdomen — laparoscopic hysterectomy).   

Abdominal vs. Vaginal Hysterectomy Surgery:


Hysterectomy can be performed through an incision in abdomen (abdominal hysterectomy) or through vagina (vaginal hysterectomy). The suitability and the selection of the procedure depends on specific situation.

Abdominal Hysterectomy


In abdominal hysterectomy, the surgeon cuts through skin and connective tissue in patient’s lower abdomen to reach the uterus. The surgeon uses one of the two types of abdominal incisions for the hysterectomy. A vertical incision starts in the middle of patient’s abdomen and extends from just below the patient’s navel to just above the patient’s pubic bone. A horizontal bikini-line incision (Pfannenstiel incision) lies about an inch above the patient’s pubic bone.The advantage of an abdominal procedure is that the surgeon can see the patient’s uterus and other organs and has more room to operate than if the procedure is done vaginally. For this reason, the surgeon may opt for the abdominal procedure if the patient has large tumors or if the doctor suspects the presence of cancer.On the other hand, abdominal hysterectomy can mean: Patient will be in the hospital longer. Patient will experience greater discomfort than following a vaginal procedure. Patient will have a visible scar on her abdomen.
Vaginal Hysterectomy


In a vaginal hysterectomy, the surgeon reaches uterus by making a circular incision around the cervix. This approach is best for benign conditions that lead to hysterectomy when the uterus isn’t too large. It’s often the best approach for uterine prolapse. With a vaginal hysterectomy, the patient won’t have any external scarring. The patient may also recover more quickly because she doesn’t have to wait for  a large abdominal incision to heal and the nerve signals from the top of the vagina aren’t perceived in the same manner as those from the skin.However, vaginal hysterectomy gives the surgeon less room to operate and no real opportunity to view the patient’s pelvic organs.Laparoscopically assisted vaginal hysterectomy allows the doctor to view the patient’s pelvis and to remove uterus vaginally, when it otherwise would require a large abdominal incision. The surgeon makes a small incision near navel to insert a thin device (laparoscope) that allows the surgical team to see inside the patient’s abdomen. Through other tiny incisions, the surgeon uses special surgical instruments to detach the uterus and then remove it through the patient’s vagina.

 Recovery after a Hysterectomy Surgery     

   Recovery after a hysterectomy takes time. Immediately after a hysterectomy, the patient will stay in the hospital for 1 or 2 days for post surgery care. Some women may stay in the hospital up to 4 days depending on their recovery from surgery. About 4 to 6 weeks after the hysterectomy, the doctor will examine the patient in his or her office. The patient should be able to return to all the normal activities, including having sexual intercourse, in about 6 to 8 weeks. At home, the patient may resume normal diet. She may take a bath or shower. Wash the incision with soap and water (the stitches do not have to be removed, as they will dissolve in about 6 weeks). A dressing over the incision is not necessary. If skin clips (staples) were used, they will need to be removed by the patient’s health care provider. The patient may use lotions and cremes on the skin around the incision to relieve itching. She should gradually increase her level of activity as she gains strength in the pelvic region and does not feel the pain.  Complete normal activities can be resumed within 4 to 6 weeks or sooner if the procedure was performed vaginally.The patient can travel out of town 3 weeks after surgery, including air travel. Avoid lifting heavy objects (over 10 pounds) for at least 4 weeks. Do not douche or put anything into the vagina for 4 weeks. The patient may have intercourse 4 weeks after surgery, or as directed by her health care provider. Patients can usually go back to work in 3 to 6 weeks, depending on the procedure. Hysterectomy Surgery In India:

Medical tourism has now become a common form of vacationing as it mixes tourism leisure, fun and relaxation together with wellness and health care. India, with its affordable prices and top-notch medical expertise has become a hot destination for medical tourism. Here you can easily couple your medical procedure with a healing and rest at a serene beach or mountain resort, for less than a fifth of the price anywhere else in the world. The corporate sector and the tourism industry have joined hands together to facilitate this initiative. In India our infrastructure and technology is on par with that in USA, UK and Europe, we also have some of the most qualified and experienced doctors in the world. Add to this instant administration and round-the clock attention. We offer low-cost but world-class medical treatment and couple it with a holiday that you will remember for a lifetime. India’s top-notch private hospitals are a huge draw for medical tourists from around the world.

To know more about Hospitals in India and the Hysterectomy Surgery packages available in Hospitals,  

 http://www.indianhealthguru.com   

 International Patient Experiences & Photos 

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Femoral Hernia Surgery – Destination India.

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 What is Femoral Hernia?

A femoral hernia is a loop of intestine, or another part of the abdominal contents, that has been forced out of the abdomen through a channel called the “femoral canal” – a tube-shaped passage at the top of the front of the thigh. The loop is usually only the size of a grape.A femoral hernia can cause serious medical problems if left untreated, even if there are no troublesome symptoms to begin with. Treatment is by an operation to return the herniated intestine to its proper place and close the weakness in the abdominal wall.

Symptoms of Femoral Hernia Surgery:

A femoral hernia causes a grape-sized lump in the groin, although this is not always easily noticeable.If the hernia can be manually pushed back into the abdomen it is referred to as “reducible”. However, usually this is not possible and the hernia is effectively stuck in the canal. This is an “irreducible” hernia and is a potentially dangerous condition. The blood supply to the herniated tissue can become crushed within the canal, cutting off its source of oxygen and nutrients. This is known as a strangulated hernia and emergency surgery must be performed to release the trapped tissue and restore its blood supply. A strangulated hernia is very painful and tender to the touch.Once a hernia has formed it is important to seek a doctor’s advice. A truss (a type of corset designed to hold in a hernia) should not be used for a femoral hernia as it can encourage the hernia to become strangulated.

The procedure of Femoral Hernia Surgery:

The Femoral Hernia surgery is generally performed through an incision about 10cm long either over the hernia itself or on the lower abdomen. The procedure involves opening up the femoral canal, returning the loop of intestine or intestinal covering back to the abdomen, and then patching up the canal to repair the defect that let the hernia through in the first place. The top of the femoral canal may be reinforced by a mesh made of a synthetic material that does not irritate the body. If the hernia has become strangulated, and part of the intestine damaged, the affected segment of intestine may need to be removed and the two ends of healthy intestine connected. This is more complex surgery and requires a longer stay in hospital.

Post-operative care after Femoral Hernia Surgery:

Aftercare depends on several factors: the patient’s age and general health status; the type of surgery (open or laparoscopic); and the type of anesthesia administered. Immediately after the procedure, the patient will be taken to the recovery area of the surgical center and monitored for signs of excessive bleeding, infection. An uncomplicated femoral hernia repair is usually performed on an outpatient basis, which allows the patient to go home within a few hours of the surgery.Once home, painkillers should be taken as advised by the doctor or nurses. Whether recovering from open or keyhole surgery, it will be necessary to take it easy for the first two or three days. The surgeon will give specific advice about resuming normal activities. In general people will be able to move around freely but should avoid strenuous exercise and lifting for at least the first few weeks. Most people continue to experience some discomfort for a few weeks after the operation, but this will gradually settle.Adults should avoid heavy lifting for several weeks after a hernia repair. The surgeon can give the patient advice about specific weight limits on lifting. Contact sports and vigorous exercise should be avoided for about three weeks after a femoral hernia repair. Many patients will be able to return to most of their daily activities in a few days, with complete recovery taking about a month, in patients without other medical conditions.

Benefits of Femoral Hernia Surgery:

The benefits of the Femoral Hernia Repair procedure as compared to other hernia repair procedures are numerous Patients are fit to resume normal activities soon after surgery. There have been many instances of patients who require little or no pain medication. Although pain is relative, studies show that most patients can return to work as early as within 1 week of surgery. The Femoral Hernia Repair is designed for use in a tension-free surgical technique that requires only one anchoring stitch to hold the mesh in place. This results in minimal pain, and early return to activity.

Femoral Hernia Surgery in India: 

Hernia surgery in India offers some of the best facilities combined with surgeons whose expertise is equal to the best available in any country. While Indian healthcare is renowned worldwide, the growth in medical tourism has seen a large part of this growth come in Minimal invasive surgery like Hernia surgery. The concept has broad appeal, as Indian private facilities offer advanced technology and high-quality procedures on par with hospitals in the major industrialized countries at a fraction of the cost, with some treatments just a tenth of the price of comparable western hospitals! Once in India you can be rest assured about your proper diagnosis and medication. Furthermore, if situation demands, surgery packages are also within your reach. Medical Treatment in India is amid the best in the world, facilitated by the most skilled doctors and up to the minute super sphere hospitals of India.   

 To know more about Hospitals in India and the Femoral Hernia Surgery packages available in Hospitals, 

 http://www.indianhealthguru.com 

 International Patient Experiences & Photos 

International Patient Testimonials  

Laparoscopic Pyeloplasty -Destination India

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What is a laparoscopic pyeloplasty?

A laparoscopic pyeloplasty is a minimally invasive surgical procedure for correcting a kidney ureteropelvic junction obstruction. Laparoscopic pyeloplasty is suitable for patient with ureteropelvic junction obstruction of the kidney. 

 Who is an ideal candidate for Laparoscopic Pyeloplasty Surgery? If a patient have obstruction of the ureteropelvic junction (UPJ) which can be caused by congenital abnormalities like horseshoe kidney, fibrous scarring due to stone or previous operation, or if patient have a blood vessel which may cause ureteropelvic junction (UPJ) to kink or if patient have a stone that gets impacted in the upper part of ureter, then patient is an ideal candidate for Laparoscopic Pyeloplasty.

What to expect prior to the Laparoscopic Pyeloplasty surgery:

Once surgical date is secured, patient will receive a form along with a letter of explanation to take to patient’s primary care physician or family doctor in order to have the following preoperative testing done prior to surgery.

  • Physical exam
  • EKG (electrocardiogram)
  • CBC (complete blood count)
  • PT / PTT (blood coagulation profile)
  • Comprehensive Metabolic Panel (blood chemistry profile)
  • Urinalysis

Procedure of Laparoscopic Pyeloplasty Surgery:

Laparoscopic Pyeloplasty is performed under a general anesthetic. The typical length of the operation is 3-4 hours. The surgery is performed through 3 small (1cm) incisions made in the abdomen. A telescope and small instruments are inserted into the abdomen through these keyhole incisions, which allow the surgeon to repair the blockage without having to place his hands into the abdomen. A small plastic tube (called a ureteral stent) is left inside the ureter at the end of the procedure to bridge the pyeloplasty repair and help drain the kidney. This stent will remain in place for 4 weeks and is usually removed in the doctor’s office. A small drain will also be left exiting patient’s flank to drain away any fluid around the kidney and pyeloplasty repair.

What are the advantages of the procedure of Laparoscopic Pyeloplasty Surgery?


• Reduced hospital stay and faster healing
• Less postoperative pain and less need for pain medication
• Quicker return to normal activity and work
• Smaller incisions and less scarring
 

What to expect after the Laparoscopic Pyeloplasty Surgery:

During patient’s hospitalization

Immediately after the surgery patient will be taken to the recovery room and transferred to hospital room once patient is fully awake and patient’s vital signs are stable.

  • Hospital Stay: The length of hospital stay for most patients is approximately 1-2 days.

  • Diet: Patient can expect to have an intravenous catheter (IV) in for 1-2 days. (An IV is a small tube placed into patient’s vein so that patient can receive necessary fluids and stay well hydrated until patient is able to tolerate a diet; in addition it
    provides a way to receive medication). Most patients are able to tolerate ice chips and small sips of liquids the day after surgery and regular food the next day. Once on a regular diet, pain medication can be given by mouth.

  • Postoperative Pain: Pain medication can be controlled and delivered by the patient via an intravenous patient-controlled analgesia (PCA) pump or by injection (pain shot) administered by the nursing staff. Patient may experience some minor transient shoulder pain (1-2 days) related to the carbon dioxide gas used to inflate patient’s abdomen during the laparoscopic surgery.

  • Nausea: Patient may experience some nausea related to the anesthesia or pain medication. Medication is available to treat persistent nausea.

  • Urinary Catheter: Patient can expect to have a urinary catheter draining patient’s bladder (which is placed in the operating room while the patient is asleep) for approximately 2 days after the surgery. It is not uncommon to have blood-tinged urine for a few days after surgery.

  • Drain: Patient will have a drain coming out of a small incision in side. This drain is placed in the operating room around the operative site to prevent blood and fluid from building up around the kidney and pyeloplasty repair. The drainage typically appears blood-tinged. It is usually removed the day the urinary catheter is removed. If persistent high volume drainage occurs, patient may have to go home with the drain and have it removed in doctor’s office.

  • Fatigue is common and should subside within a few weeks following surgery.

  • Incentive Spirometry: Patient will be expected to do some very simple breathing exercises to help prevent respiratory infections by using an incentive spirometry device (these exercises will be explained to patient during patient’s hospital stay). Coughing and deep breathing is an important part of patient’s recuperation and helps prevent pneumonia and other pulmonary complications.

  • Ambulation: On the day after surgery it is very important to get out of bed and begin walking under the supervision of nurse or family member to help prevent blood clots from forming in patient’s legs. Patient can expect to have SCD’s (sequential compression devices) along with tight white stockings to prevent blood clots from forming in patient’s legs.

Constipation/Gas Cramps:

Patient may experience sluggish bowels for several days following surgery as a result of the anesthesia. Suppositories and stool softeners are usually given to help with this problem. Taking a teaspoon of mineral oil daily at home will also help to prevent constipation. Narcotic pain medication can also cause constipation and therefore patients are encouraged to discontinue any narcotic pain medication as soon after surgery as tolerated.

To know more about Hospitals in India and the Laparoscopic Pyeloplasty Surgery packages available in Hospitals,  

http://www.indianhealthguru.com 

International Patient Experiences & Photos 

International Patient Testimonials