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It is a surgical procedure to remove the uterus. It may also involve removal of the cervix, ovaries, fallopian tubes and other surrounding structures. Usually performed by a  gynecologists’ , a hysterectomy  may be total or partial.


  1. Total hysterectomy- Surgeon removes your uterus and tour cervix but not your ovaries
  2. Hysterectomy with oophorectomy – The surgeon removes your uterus one or both the ovaries and sometimes your fallopian tubes
  3. Radical hysterectomy – Surgeon removes your uterus , cervix , the top portion of your vagina , most of the tissue that surrounds the cervix and sometimes the pelvic lymph nodes
  4. Supra cervical hysterectomy – Surgeon removes the body of you uterus, but leaves your cervix intact


  1. Abdominal Hysterectomy:

Surgeon removes your uterus through a 6-8 inch long incision in the abdomen. The  doctor might recommend this technique for

  • Removal of ovaries and fallopian tubes
  • An enlarged uterus
  • Large fibroid
  • Endometriosis , cancer

2.Vaginal Hysterectomy:

Surgeon removes your uterus through vagina . This technique is most often used to treat uterine prolapse or when vaginal repairs are necessary for related conditions. It involves the least surgery pain as external scar is not present

     3.Minimally Invasive Robotic Hysterectomy:

Surgeon removes your uterus through small incision on the lower abdomen . He or she inserts a laparoscope – a thin , flexible tube containing a video camera through a cut in your belly bottom . Uterus is removed in sections through the laparoscope tube or through the vagina

     4. Minimally invasive Robotic Hysterectomy:

Surgeon uses a combination of high definition 3D magnification , robotic technology and miniature instruments to view manipulate and remove your uterus. 4-5 small incisions in your abdomen is made to allow small robotic arms and surgical tools to reach your uterus



  • Hot flushes
  • Night sweats
  • Vaginal dryness
  • Difficulty sleeping
  • Mood swings and irritability
  • Weight gain
  • Hair loss
  • Dry skin
  • Incontinence
  • Loss of bone density
  • Rapid heart beat

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It is a small pouch that sits just under the liver. It stores bile produced by the liver


Gall stones are hardened deposits of digestive fluid that can form in your gall bladder. It range in size from as small as a grain of sand to as large as a golf ball


  • Abdominal pain so intense that you cant sit still or find a comfortable position
  • Yellowing of your skin and the whites of your eyes
  • High fever with chills


  • If there is too much cholesterol in your bile
  • If bilirubin content is high in bile
  • If gall bladder doesn’t empty  correctly


  • Common type- Cholesterol gall stones
  • Pigment gall stones –  dark brown or black stones form when your bile contains too much bilirubin


  • Females
  • Age 40 or older
  • Over weight or obese
  • Pregnant
  • Sedentary
  • High fat diet
  • Family history
  • Diabetes
  • Sickle cell anemia or leukemia


  • Inflammation of the gall bladder
  • Blockage of common bile duct
  • Gall bladder cancer


  • Abdominal ultrasound
  • CT
  • Blood test


Most people with gall stones that doesn’t  cause symptoms will never need treatment . Treatment is decided depending upon the symptoms and diagnostic testing

Treatment options include:

  • Medications to dissolve gall stones
  • Surgery to remove the gall bladder -Cholecystectomy – It is recommended if gall stones frequently reoccur.  Once your gall bladder is removed bile flows directly from liver into small intestine , rather than being stored in your gall bladder


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alzheimers 11


Its a progressive neurological disorder that causes the brain to shrink and brain cells to die . The early signs of the disease include forgetting recent events or conversations .As the disease progresses , a person with this disease will develop severe memory impairment and loss the ability to carryout every day task


It is thought to be caused by the abnormal build up of proteins in and around brain cells. Proteins such as amyloid , deposits of which form plaques around brain cells


  • Memory loss
  • poor judgement leading to bad decision
  • loss of spontaneity and sense of initiative
  • Taking longer to complete normal daily tasks
  • Repeating questions
  • Trouble handling money and paying bills
  • Wandering and getting lost
  • Losing things or misplacing them in odd places


  • Pre clinic alzheimers disease
  • Mild cognitive impairment
  • Mild dementia
  • Moderate dementia
  • Severe dementia


  • Cognitive and memory tests to assess the persons ability to think and remember
  • Neurological function tests to test their balance , senses and reflexes
  • Blood and urine tests
  • A CT scan or MRI scan of the brain
  • Genetic testing


There is no known cure for Alzheimers disease. Treatments can however relieve its symptoms and improve quality of life for the person and their family and care givers

  • Effective management of any condition occurring alongside  alzheimers
  • activities and day care programs
  • involvement of support groups and services

To get opinion from our network of hospitals visit or send email to