England Patient’s Experience about Incisional Hernia Surgery Hyderabad India

Harold Martinn England patient describes about his Hernia Surgery and his stay in Hyderabad India. 

“I was admitted to my local NHS Hospital for a bowel resection. I don’t know who did it as they were short of consultants and mine was off sick. I think the surgeon was just temporary. Anyway I am quite big, diabetic and my chest can be a problem too. They made a huge incision right down the middle of my abdomen. Afterwards the recovery was bad, the wound was infected. I was in hospital for 5 weeks and even then I had an infection when I went out, it took weeks to settle with a nurse coming in 3 days a week. Two months later a huge rupture developed that took over the whole of my stomach. I couldn’t bend over and my movement was severely restricted. The first consultant I saw said it was too big to fix. Then I started my research on the Internet where I came across Indian Health Guru Consultant’s website in India. I was operated using a new technique where the mesh is put under the muscle so that there is less chance of infection and ulceration of the skin over the mesh. The anaesthetist did an epidural so the pain was blocked and it helped me to get my chest clear afterwards. I was looked after on the high dependency unit with my own nurse all the time. It was such a contrast to the first operation. The hernia repair operation has been a great success and I know this is the best chance of no recurrence. I feel so well now that I have a new lease of life. I want to thank Dr Dheeraj Bojwani & Indian Health Guru Consultant’s staff for their skill and professionalism ”

Harold Martinn

England

 India is fast emerging as one of the most sought after global health destinations. It has outgrown its mentors in their own feat. Medical tourism in India is no longer confined to people combining their Hernia Surgery with quick visits to the Taj Mahal .Low cost treatment is the main appeal that pulls medical tourists to India, but this is no longer the only attraction. India boasts of a very strong medical infrastructure that provides state-of-the-art international standard services to several patients who throng India for an attractive amalgamation of cost-effective and world-class treatment. The costs incurred in medical treatments here in India are almost one-tenth of what patients have to spend in most of the western countries.  Most of the medical tourists find the infrastructure and technology at par with that in USA, ENGLAND and Europe. The good facilities provided in India are certainly beneficial but also the skyrocketing medical costs and long waiting lists to get treated by the specialists in the western countries are helping Indian medical tourism industry. 

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

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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.

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Femoral Hernia Surgery – Destination India.

 

 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, 

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Benefits of Cholecystectomy Surgery In India

 

What is a Cholecystetomy?

Cholecystectomy is the surgical removal of the gallbladder, which is located in the abdomen beneath the right side of the liver. Gallbladder problems are usually the result of gallstones. These stones may block the flow of bile from your gallbladder, causing the organ to swell. Other causes include cholecystitis (inflammation of the gallbladder) and cholangitis (inflammation of the bile duct).

Purpose of getting Cholecystectomy Surgery done:

 A cholecystectomy is performed to treat cholelithiasis and cholecystitis. In cholelithiasis, gallstones of varying shapes and sizes form from the solid components of bile. The presence of these stones, often referred to as gallbladder disease, may produce symptoms of excruciating right upper abdominal pain radiating to the right shoulder.

The gallbladder may become the site of acute infection and inflammation, resulting in symptoms of upper right abdominal pain, nausea, and vomiting. This condition is referred to as cholecystitis. The surgical removal of the gallbladder can provide relief of these symptoms. Cholecystectomy is used to treat both acute and chronic cholecystitis when there are significant pain symptoms. The typical composition of gallstones is predominately cholesterol, or a compound called calcium bilirubinate.

 Preparation before Cholecystetomy Surgery:

Stop smoking and get your weight down. If you know that you have problems with your blood pressure, your heart, or your lungs, ask your family doctor to check that these are under control. Check the hospital’s advice about taking the pill or hormone replacement therapy (HRT). Check you have a relative or friend who can come with you to hospital, take you home, and look after you for the first week after the operation. Bring all your tablets and medicines with you to hospital. On the ward, you may be checked for past illnesses and may have special tests, ready for the operation. Many hospitals now run special preadmission clinics, where you visit for an hour or two, a few weeks or so before the operation for these checks. 

Procedure of Cholecystectomy Surgery:

Open cholecystectomy:This is the “traditional” surgical technique for removing the gallbladder and is performed under a general anaesthetic. A single incision is made below the rib cage.  Through the incision the surgeon can view the area and remove the gallbladder. The cystic duct is tied off or closed with surgical clips.  The common bile duct is left intact.  The incision in the skin is closed with dissolvable stitches or staples. If staples are used, they will be removed 7-10 days after the operation.  A hospital stay of up to five days is common after open cholecystectomy.Laparoscopic Cholecystectomy :

Laparoscopic cholecystectomy is less invasive than an open cholecystectomy and is the most commonly used surgical technique for removing the gallbladder. It has a faster recovery time and a shorter hospital stay.In a laparoscopic cholecystectomy four small incisions are made in the abdomen.  A telescope-like instrument (a laparoscope) is inserted through one incision and surgical instruments are inserted through the other incisions. The laparoscope has a camera and a light on its tip allowing the surgeon to view the inside of the abdominal cavity on a television monitor.  The abdominal cavity is then inflated with carbon dioxide gas to provide a clear field of vision and to give the surgeon room to operate.  The gallbladder is located and the cystic duct is tied off or closed with surgical clips.  The gallbladder is then removed through an incision in the belly button (umbilicus).  The incisions in the abdomen are closed with paper tapes (steri-strips) and are covered with small waterproof dressings. The operation is performed under general anaesthetic and the patient can usually be discharged after a one-night stay in hospital. Cholecystectomy may be delayed if there is acute inflammation of the gallbladder.  Antibiotics may also be given if cholecystitis is present. When the gallbladder is removed, bile is still produced by the liver and excreted through the bile duct.  Instead of being stored by the gallbladder until needed, it flows directly into the duodenum and is excreted from the body.  

 After the Surgery of Cholecystectomy – In Hospital

If you have had the keyhole operation, your wounds are injected with a pain-killing drug during the operation. They are usually only a little uncomfortable. Ask for tablets or even injections if the wounds are troubling you. You may notice some discomfort in your shoulder tips for a day or two. The special gas used to help the surgeon see clearly in your tummy during the operation causes this. It settles down. If you have had the open operation, the wound is painful and you will be given injections and later tablets to control this. Ask for more if the pain is still unpleasant. A general anaesthetic will make you slow, clumsy and forgetful for about 24 hours. Do not make important decisions during that time. If you have had the keyhole operation you will have 4 little wounds; if you have had the open operation you will have just one wound. The wounds will have a dressing, which may show some staining with old blood in the first 24 hours. In the keyhole operation the wound dressings will be changed before you go home if they are stained. Keep the dressings on for a week until you are seen at a follow up visit. In the open operation there may be stitches or clips in the skin. Any plastic drain tube is removed when it stops draining – usually after 48 hours. If there is a thick tube, this means you have needed an additional procedure to get rid of misplaced stones. This drain is taken out after 10 days. You can wash the wound area as soon as the dressing has been removed. Soap and tap water are entirely adequate. Salted water is not necessary. After the keyhole operation most patients can go home the day after the operation. Some can even go home the same day. You can stay longer if you are not feeling fit enough to go home so soon. For the open operation, if you have only had a gallbladder removal, plan to go home in 5 days after the operation. If you have had more done, 10 days is a sensible time for planning. Please ask the nurses about sick notes, certificates etc.

Why should one go for Cholecystectomy Surgery to India?

Traveling India for Cholecystectomy surgery can give you access to top quality health care quickly and cheaply. Our mission is to make your journey absolutely successful – in terms of treatment, in terms of outcomes and in terms of experience. India has one of the world’s most extensive health care systems supported by a long tradition of health and medicine dating back to Ayurveda. Indian doctors routinely post-graduate train at American and European university hospitals and they are the backbone of both the National Health Service in the United Kingdom and hospitals in the United States. Last year alone 150,000 patients visited India for medical treatment. The came from countries around the world: USA, Canada, UK, Tanzania, Kenya, Uganda, the Middle East, Sri Lanka, Mauritius, the Central Asian Republics. Surgery in India is safe, expert and supported by high quality equipment and well trained nursing and ancillary staff. The hospitals in India are staffed with specialists who also act as consultants in the West. Many are world-recognized experts. These are very highly experienced surgeons in India.

 

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

 http://www.indianhealthguru.com 

 International Patient Experiences & Photos 

International Patient Testimonials