Procedure Details

This is an operation to remove part of the tongue and adjacent tissues. At the same time,reconstructive surgery is performed to restore normal appearance and speech. A tracheostomy may be performed to assist breathing postoperatively, and a skin graft may be needed to replace removed tissue. Carried out under general anesthesia, the procedure may take several hours. A lengthy hospital stay is usually necessary.Hemiglossectomy and subsequent reconstructive surgery are major procedures and as such entail risk. At present, this operation is the treatment of choice for some types of tongue cancer.Hemiglossectomy may be performed when a malignant growth is found in the tongue.Diagnosis depends on microscopic examination of cells obtained at biopsy (tissue sampling).Important decision on treatment are based on staging, a process to determine the extent of the primary growth in the tongue and whether it has metastasized (spread) to another part of the body.A graft may be needed to replace tissue removed during surgery. If skin cover only is needed, a thin layer of skin (split-skin graft) may be taken from the thigh and placed over the wound. When tissue loss is greater, a full-thickness graft of skin, underlying muscle, and blood vessels, may be taken from the chest, back or forehead and used to reconstruct the tongue and mouth.

Article by
Dr. Balabhai, Nanavati Hospital
Mumbai

Loop Electrosurgical Excision Procedure (LEEP) for Abnormal Cervical Cell Changes:

The loop electrosurgical excision procedure (LEEP) uses a thin, low-voltage electrified wire loop to cut out abnormal tissue. LEEP can:

Cut away abnormal cervical tissue that can be seen during colposcopy camera.gif.
Remove abnormal tissue high in the cervical canal that cannot be seen during colposcopy. In this situation, LEEP may be done instead of a cone biopsy.

LEEP is also known as large loop excision of the transformation zone (LLETZ).

A vinegar (acetic acid) or iodine solution, which makes abnormal cells more visible, may be applied to the cervix before the procedure is done.
How it is done

LEEP is usually done at your doctor’s office, a clinic, or a hospital as an outpatient procedure. You do not have to spend a night in the hospital.

You will need to take off your clothes below the waist and drape a paper or cloth covering around your waist. You will then lie on your back on an exam table with your feet raised and supported by footrests (stirrups). Your doctor will insert a lubricated tool called a speculum camera.gif into your vagina. The speculum gently spreads apart the vaginal walls, allowing the inside of the vagina and the cervix to be examined.

Medicine is injected to numb the cervix (cervical block). If a cervical block is used, an oral pain medicine or pain medicine given into a vein (intravenous, or IV) may be used along with the local anesthetic.
What To Expect After Surgery

Most women are able to return to normal activities within 1 to 3 days after LEEP is performed. Recovery time depends on how much was done during the procedure.
After LEEP

Mild cramping may occur for several hours after the procedure.
A dark brown vaginal discharge during the first week is normal.
Vaginal discharge or spotting may occur for about 3 weeks.
Pads should be used instead of tampons for about 3 weeks.
Sexual intercourse should be avoided for about 3 weeks.
Douching should not be done.

When to call your doctor

Call your doctor now or seek immediate medical care if:

You have severe vaginal bleeding. You are passing clots of blood and soaking through your usual pads each hour for 2 or more hours.
You have pain that does not get better after you take pain medicine.
You have signs of infection, such as:
Increased pain.
Vaginal discharge that smells bad.
A fever.

Why It Is Done

LEEP is done after abnormal Pap test results have been confirmed by colposcopy and cervical biopsy. LEEP may be used to treat cell changes on the cervix. These include:

Minor cell changes called low-grade squamous intraepithelial lesions (LSIL) that may be precancerous and that persist after a period of watchful waiting.
Moderate to severe cell changes that can be removed.

How Well It Works

LEEP is a very effective treatment for abnormal cervical cell changes. During LEEP, only a small amount of normal tissue is removed at the edge of the abnormal tissue area.

After LEEP, the tissue that is removed (specimen) can be examined for cancer that has grown deep into the cervical tissue (invasive cancer). In this way, LEEP can help further diagnosis as well as treat the abnormal cells.

LEEP is as effective as cryotherapy or laser treatment. If all of the abnormal cervical tissue is removed, no further surgery is needed, though abnormal cells may recur in the future. In some studies, all the abnormal cells were removed in as many as 98% of cases.1
Risks

Infection of the cervix or uterus may develop (rare).
Narrowing of the cervix (cervical stenosis) that can cause infertility may occur (rare).
After a woman has had LEEP, she has a higher risk of delivering a baby early

Psoriasis and Eczema
Treatment & Cure

Psoriasis & Eczema are non-infectious skin diseases that cause red, scaly rashes and patches on the skin. Though they are similar, the symptoms for psoriasis and eczema are usually different. Both Eczema and psoriasis cause painful swelling, bleeding cracks, severe scaling, itching, burning and plaques. Both psoriasis plaques and eczema rashes affect any part of the skin including scalp, palms, elbows, and knees, nape of the neck, genitals and soles of feet. Psoriasis is found in all age groups and most commonly it appears between 15 and 35. It is considered as a hereditary disease that passes down to the next generation whereas eczema is considered as allergic reaction that leads to long-standing irritation.
Herbal Treatment for Psoriasis and Eczema

Padanjali is an Ayurvedic psoriasis treatment centre that provides the best treatment for psoriasis and eczema. We provide herbal treatment for psoriasis especially hand psoriasis treatment, baby eczema treatments, eczema face treatment, infant eczema treatment, treatment for scalp psoriasis, skin psoriasis, guttate psoriasis, plaque psoriasis, genital psoriasis, eczema scalp treatment, severe eczema treatment, hand eczema treatment, eczema in children and infant eczema treatments. Treatment for eczema and psoriasis requires utmost care and therefore we recommend beginning your treatment program after the consultation with our Physician- Dr. Parameswaran Nair.

The treatment for psoriasis can start after initial consultation with doctor through phone or internet. A complete cure for psoriasis and eczema requires certain precautions before and during the period of medication

Global Treatment services pvt ltd has awarded the best Medical Tourism company of the Year’ at the International India Medical Tourism Congress (IIMTC) 2015 Event held at Delhi recently. IIMTC is the only medical tourism and global healthcare conference of its kind in India. It serves as a platform for all the key stakeholders of the medical tourism industry including the government authorities to meet together, share knowledge and develop networks which can considerably lift the medical tourism industry as a whole.

What Is Shingles?

Shingles (herpes zoster) occurs when the dormant chickenpox virus (varicella-zoster) is reactivated in your nerve tissues. Early signs of shingles include tingling and localized pain. Most, but not all, people with shingles develop a blistering rash. Typically, the shingles rash lasts two to four weeks, and most people make a complete recovery.

Doctors are often able to quickly diagnose shingles from the appearance of the rash.

Symptoms:

Early symptoms of shingles may include fever and general weakness. You may also feel areas of pain, burning, or a tingling sensation. A few days later, the first signs of rash appear. You may begin to notice pink or red blotchy patches on one side of your body. These patches cluster along nerve pathways. Some people report feeling shooting pains in the area of the rash.

During this initial stage, shingles is not contagious.

Blisters:

The rash quickly develops fluid-filled blisters (vesicles) similar to chickenpox. They may be accompanied by itching. New blisters continue to develop for several days. Blisters appear in bunches over one area and do not spread to your whole body. Blisters are most common on the torso and face, but they can occur elsewhere. In rare cases, the rash appears on the lower body.

You can’t catch shingles. However, direct contact with active blisters can spread the virus that causes chickenpox to nonresistant people

Scabbing and Crusting

The blisters sometimes erupt and ooze. They may then turn slightly yellow and begin to flatten. As they dry out, scabs begin to form. Each blister can take one to two weeks to completely crust over. During this stage, your pain may ease a little, but it can continue for months or, in some cases, for years.

Once all blisters have completely crusted over, there is no danger of spreading the virus.

The Shingles “Belt”

Shingles often appears around the rib cage or waist. This appears to form a “belt,” or a half belt. You might also hear this formation referred to as a “shingles band” or a “shingles girdle.” This classic presentation is easily recognizable as shingles. The belt can cover a wide area on one side of your midsection. Its location can make tight clothing particularly uncomfortable.

Ophthalmic Shingles:

Ophthalmic shingles affects the nerve that controls facial sensation and movement in your face. In this type, the shingles rash appears around your eye and over your forehead and nose. Ophthalmic shingles may be accompanied by headache. Other symptoms include redness and swelling of the eye, inflammation of your cornea or iris, and drooping eyelid. Ophthalmic shingles can also cause blurred vision or double vision.

Widespread Shingles

According to the U.S. Centers for Disease Control and Prevention (CDC), about 20 percent of people with shingles develop a rash that crosses into multiple areas of skin. When the rash affects three or more areas, it is called disseminated (widespread) zoster. In these cases, the rash may look more like chickenpox than shingles. This is more likely to happen if you have a compromised immune system.

Healing

Most people can expect the rash to heal within two to four weeks. Although some people will be left with minor scars, most make a complete recovery with no visible scarring.

In some cases, pain along the site of the rash can continue for several months or longer (post-herpetic neuralgia).

You may have heard that once you get shingles, you can’t get it again. The CDC doesn’t have figures regarding recurrence of shingles, but the CDC and the Mayo Clinic caution that shingles can return multiple times in some people.

Peak flow meter:

A peak flow meter is a portable, easy-to-use device that measures how well your lungs are working. If you have asthma, your doctor may recommend that you use a peak flow meter to help track your asthma control.

In addition to watching for worsening signs and symptoms, such as wheezing or coughing, you can use a peak flow meter to help you decide when you need to act to keep your asthma under control. Regular use of your peak flow meter can give you time to adjust your medication or take other steps before your symptoms get worse. A peak flow meter can be useful for adults and children as young as preschool age.

A peak flow meter allows you to measure day-to-day changes in your breathing. Using a peak flow meter can help you:

Track the control of your asthma over time
Show how well your treatment is working
Recognize signs of a flare-up before symptoms appear
Know what steps to take when you have signs of an asthma flare-up
Decide when to call your doctor or get emergency care

RESULTS:

Once you and your doctor have established your peak flow zones, you’ll use a color-coded system based on your symptoms and your peak flow. This system tells you what to do when you are in each zone.
Green, yellow and red: Understanding your peak flow zones

Your doctor will use your personal best to set your peak flow zones. Each zone is determined by your peak flow rate and symptoms. The color code for each zone reflects progressively more-severe symptoms:
Green zone = stable

Your peak flow rate is 80 to 100 percent of your personal best, an indication that your asthma is under control.
You probably have no asthma signs or symptoms.
Take your preventive medications as usual.
If you consistently stay within the green zone, your doctor may recommend reducing your asthma medication.

Yellow zone = caution

Your peak flow rate is 50 to 80 percent of your personal best, an indication that your asthma is getting worse.
You may have signs and symptoms such as coughing, wheezing or chest tightness – but your peak flow rates may decrease before symptoms appear.
You may need to increase or change your asthma medication.

Red zone = danger

Your peak flow rate is less than 50 percent of your personal best, an indication of a medical emergency.
You may have severe coughing, wheezing and shortness of breath. Stop whatever you’re doing and use a bronchodilator or other medication to open your airways.
Your asthma action plan will help you decide whether to call your doctor, take an oral corticosteroid or seek emergency care.

Peak flow: Just one tool for asthma control

Using a peak flow meter can be an effective tool for managing your asthma — but there are other things you need to do:

Use an asthma action plan. An action plan is a simple but important part of managing your asthma. It helps you keep track of which medications to take, when to take them and what doses you need, based on whether you’re in your green, yellow or red zone.
Meet with your doctor. Even if your asthma’s under control, meet with your doctor on a regular basis to review your action plan and revise it as needed. Asthma symptoms change over time, which means your treatment may need to change, too.
Avoid your triggers. Pay attention to things that trigger your asthma symptoms or make them worse and try to avoid them.
Make healthy choices. Taking steps to stay healthy — for example, maintaining a healthy weight, getting regular exercise and not smoking — can make a big difference in reducing your asthma symptoms
Article by
Fortis Healthcare

Arthroscopy:

Arthroscopy (ahr-THROS-skuh-pee) is a procedure for diagnosing and treating joint problems. During arthroscopy, a surgeon inserts a narrow tube containing a fiber-optic video camera through a small incision — about the size of a buttonhole. The view inside your joint is transmitted to a video monitor.

Arthroscopy allows the surgeon to see inside your joint without having to make a large incision. Surgeons can even repair some types of joint damage during arthroscopy, with pencil-thin surgical instruments inserted through additional small incisions.

Doctors use arthroscopy to help diagnose and treat a variety of joint conditions, most commonly those affecting the:

Knee
Shoulder
Elbow
Ankle
Hip
Wrist

Diagnostic procedures:

Doctors often turn to arthroscopy if X-rays and other imaging studies have left some diagnostic questions unanswered.
Surgical procedures

Conditions treated with arthroscopy include:

Bone spurs or loose bone fragments
Damaged or torn cartilage
Inflamed joint linings
Joint infections
Torn ligaments and tendons
Scarring or tissue overgrowth within joints

Your surgeon will review the findings of the arthroscopy with you as soon as possible. You may also receive a written report, as may your primary physician.

After arthroscopic surgery to treat a joint injury or disease, healing may take several weeks. Your surgeon will monitor your progress in follow-up visits and address any problems that arise.
Article by
Fortis Healthcare

Ear tubes (tympanostomy tubes, ventilation tubes, pressure equalization tubes) are tiny cylinders, usually made of plastic or metal, that are surgically inserted into the eardrum. An ear tube creates an airway that ventilates the middle ear and prevents the accumulation of fluids behind the eardrum.

Ear tubes are often recommended for children who have persistent fluid buildup behind the eardrum, especially if the condition causes hearing loss and affects speech development. Your child’s doctor may also recommend ear tubes if your child gets frequent ear infections.

Most ear tubes fall out within six to 12 months, and the holes heal shut on their own. Some tubes need to be removed, and some holes may need to be closed surgically.

How to prepare:

You’ll receive instructions from the hospital on how to prepare your child for surgery to place ear tubes.
Information to provide may include:

All medications your child takes regularly
Your child’s history or family history of adverse reactions to anesthetics
Known allergy or other negative reactions to medications, such as antibiotics

Questions to ask your doctor or the hospital staff:

When does my child need to start fasting?
What drugs can he or she take before surgery?
When should we arrive at the hospital?
Where do we need to check in?
What is the expected recovery time?
How will the anesthetic be administered — with a face mask, injection or intravenous (IV) line?

Tips for helping your child prepare include:

Start talking about the hospital visit a few days before the procedure.
Explain that the procedure will help make his or her ears feel better or make it easier to hear.
Explain that a special medicine will help him or her sleep during the surgery.
Let your child pick out a favorite comfort toy, such as a blanket or stuffed animal, that you can take to the hospital.

Results:
Ear tubes help restore ventilation and drainage of the ear. Ear tube placement often results in:

Reduced risk of ear infections
Restored or improved hearing
Improved speech
Improved behavior and sleep problems related to frequent or persistent ear infections

Even with ear tubes, your child may still get an occasional ear infection.

Usually, ear tubes stay in the eardrum for six to 12 months and then fall out on their own. Sometimes, a tube doesn’t fall out and needs to be surgically removed. In some cases, the ear tube falls out too soon, and another needs to be put in.

Article by
Fortis Healthcare

Explain that you will be there during the procedure.

Asthma is a condition in which your airways narrow and swell and produce extra mucus. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

For some people, asthma is a minor nuisance. For others, it can be a major problem that interferes with daily activities and may lead to a life-threatening asthma attack.

Asthma can’t be cured, but its symptoms can be controlled. Because asthma often changes over time, it’s important that you work with your doctor to track your signs and symptoms and adjust treatment as needed.

Symptoms:
Asthma symptoms range from minor to severe and vary from person to person. You may have infrequent asthma attacks, have symptoms only at certain times — such as when exercising — or have symptoms all the time.

Asthma signs and symptoms include:

Shortness of breath
Chest tightness or pain
Trouble sleeping caused by shortness of breath, coughing or wheezing
A whistling or wheezing sound when exhaling (wheezing is a common sign of asthma in children)
Coughing or wheezing attacks that are worsened by a respiratory virus, such as a cold or the flu

Signs that your asthma is probably worsening include:

Asthma signs and symptoms that are more frequent and bothersome
Increasing difficulty breathing (measurable with a peak flow meter, a device used to check how well your lungs are working)
The need to use a quick-relief inhaler more often

For some people, asthma symptoms flare up in certain situations:

Exercise-induced asthma, which may be worse when the air is cold and dry
Occupational asthma, triggered by workplace irritants such as chemical fumes, gases or dust
Allergy-induced asthma, triggered by particular allergens, such as pet dander, cockroaches or pollen

When to see a doctor
Seek emergency treatment

Severe asthma attacks can be life-threatening. Work with your doctor ahead of time to determine what to do when your signs and symptoms worsen — and when you need emergency treatment. Signs of an asthma emergency include:

Rapid worsening of shortness of breath or wheezing
No improvement even after using a quick-relief inhaler, such as albuterol
Shortness of breath when you are doing minimal physical activity

Contact your doctor

See your doctor:

If you think you have asthma. If you have frequent coughing or wheezing that lasts more than a few days or any other signs or symptoms of asthma, see your doctor. Treating asthma early may prevent long-term lung damage and help keep the condition from worsening over time.
To monitor your asthma after diagnosis. If you know you have asthma, work with your doctor to keep it under control. Good long-term control helps you feel better on a daily basis and can prevent a life-threatening asthma attack.
If your asthma symptoms get worse. Contact your doctor right away if your medication doesn’t seem to ease your symptoms or if you need to use your quick-relief inhaler more often. Don’t try to solve the problem by taking more medication without consulting your doctor. Overusing asthma medication can cause side effects and may make your asthma worse.
To review your treatment. Asthma often changes over time. Meet with your doctor on a regular basis to discuss your symptoms and make any needed treatment adjustments.
Causes:
It isn’t clear why some people get asthma and others don’t, but it’s probably due to a combination of environmental and genetic (inherited) factors.
Asthma triggers

Exposure to various substances that trigger allergies (allergens) and irritants can trigger signs and symptoms of asthma. Asthma triggers are different from person to person and can include:

Airborne allergens, such as pollen, animal dander, mold, cockroaches and dust mites
Respiratory infections, such as the common cold
Physical activity (exercise-induced asthma)
Cold air
Air pollutants and irritants, such as smoke
Certain medications, including beta blockers, aspirin, ibuprofen (Advil, Motrin IB, others) and naproxen (Aleve)
Strong emotions and stress
Sulfites and preservatives added to some types of foods and beverages, including shrimp, dried fruit, processed potatoes, beer and wine
Gastroesophageal reflux disease (GERD), a condition in which stomach acids back up into your throat
Menstrual cycle in some women

Prevention:

While there’s no way to prevent asthma, by working together, you and your doctor can design a step-by-step plan for living with your condition and preventing asthma attacks.

Follow your asthma action plan. With your doctor and health care team, write a detailed plan for taking medications and managing an asthma attack. Then be sure to follow your plan. Asthma is an ongoing condition that needs regular monitoring and treatment. Taking control of your treatment can make you feel more in control of your life in general.
Get vaccinated for influenza and pneumonia. Staying current with vaccinations can prevent flu and pneumonia from triggering asthma flare-ups.
Identify and avoid asthma triggers. A number of outdoor allergens and irritants — ranging from pollen and mold to cold air and air pollution — can trigger asthma attacks. Find out what causes or worsens your asthma, and take steps to avoid those triggers.
Monitor your breathing. You may learn to recognize warning signs of an impending attack, such as slight coughing, wheezing or shortness of breath. But because your lung function may decrease before you notice any signs or symptoms, regularly measure and record your peak airflow with a home peak flow meter.

Identify and treat attacks early. If you act quickly, you’re less likely to have a severe attack. You also won’t need as much medication to control your symptoms.

When your peak flow measurements decrease and alert you to an oncoming attack, take your medication as instructed and immediately stop any activity that may have triggered the attack. If your symptoms don’t improve, get medical help as directed in your action plan.
Take your medication as prescribed. Just because your asthma seems to be improving, don’t change anything without first talking to your doctor. It’s a good idea to bring your medications with you to each doctor visit, so your doctor can double-check that you’re using your medications correctly and taking the right dose.
Pay attention to increasing quick-relief inhaler use. If you find yourself relying on your quick-relief inhaler, such as albuterol, your asthma isn’t under control. See your doctor about adjusting your treatment.

Article By
Fortis Healthcare