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Robotic Assisted Thoracic Surgery (RATS) in India

One of the major advancements in thoracic surgery is Robotic Assisted Thoracic Surgery in recent times. The da Vinci® Xi surgical robot enables thoracic surgeons to perform surgery in limited operating field with great precision thanks to its 3D HD imaging, magnification and snake like movement. In essence, Robotic surgical system provides an additional option for thoracic surgeons to offer minimally invasive surgery (MIS) to their patients.

The da Vinci Xi surgical robot system

It is constituted by three main components – the vision cart, the master console, from which the surgeon controls robotic instruments and the robotic surgical cart.

Advantages of Robotic Assisted Thoracic Surgery

  1. Key hole surgery – Scar less cosmetically compliant incisions with almost none postoperative complications like pain, bleeding and infections are the cornerstones of such advanced robotic surgeries.
  2. High definition (HD) 3D binocular vision for Visualization of the operating area
  3. Seven degrees of freedom of wrist movements provides for precision surgery at narrow anatomical space.
  4. Minimal hospital stay,

Robotic Assisted Thoracic Surgery performed using the da Vinci® Xi surgical robot

  1. Lung Cancer
  2. Lobectomy for Bronchiectasis
  3. Lung hydatid Cyst surgery
  4. Esophageal Cancer
  5. Thymoma and Thymic Carcinoma
  6. Thymectomy for Myasthenia Gravis
  7. Chest Wall Tumors
  8. Neurogenic Tumors Excision
  9. Carcinoid Tumors excision
  10. Diaphragmatic hernia repair

Who performs the surgery?

The operating surgeon controls the robot from console area and robots mimics the movements of surgeon’s hands hence it is called robotic assisted surgery.

How is it performed?

Robotic System consists of mainly three parts such as:

  1. A console where operating surgeon sits and controls its robotic arms and camera.
  2. A movable Robotic cart with four robotic arms
  3. An endovision vision cart in order to provide 3D high definition magnified vision.

Two surgeons are involved in the surgery –one surgeon sitting at surgeon console controls all movements of the robot arms with its attached instruments and a second surgeon at patient cart side introduces robotic operating instruments. The hallmark of robotics is its 3D high definition vision which enables surgeons to spare vital structure during surgery. The robotic arms mimics the movement of surgeons hands providing utmost precision, control and dexterity.

 What are the benefits to the patient?

  1. Very small skin incisions are made for introduction of robotic instruments. This translates into faster healing, lesser scar and faster recovery from the surgery.
  2. Early ambulation of the patient in the post-operative period is possible due to lesser pain and finally early discharge from the hospital.
  3. Due to advancement in robotic arms and instruments, very precise lymph node dissection is possible in anatomically narrow space in oncosurgery procedures.
  4. Quicker return to the active lifestyle is possible due to less chronic pain and early discharge from the hospital.
  5. Precision dissection results in lesser blood loss during surgery

How does a Robotic thoracic surgery different from traditional open surgery?

Conventional open surgery through thoracotomy or sternotomy requires a long incision cutting through skin, muscles of chest wall and bones. Robotic surgery is performed by introducing specialized instruments through small skin incisions usually three or four in numbers. This results in lesser postoperative pain and faster postoperative recovery.

Who can undergo Robotic thoracic surgery?

The indications for robotic lung surgery are same for conventional thoracic surgeries using VATS techniques. All mediastinal and lung surgeries that are being performed through VATS technique can be safely performed using the robotic technology.

Advantages of Robotic thymectomy for thymoma and Myasthenia Gravis

Robotic thymectomy is performed form left side approach using three ports.  The surgeon can achieve a radical procedure, essential for improving the oncological outcomes in thymoma patients and a positive MG remission rate.

Role of Robot in Lung cancer surgery

In recent times the robotic system has improved drastically in order to provide world class treatment of lung cancers. Over the past 2 decades of application, the surgical system has proven its positive oncological radicality and outcome in lung cancer surgery, respecting the surgical and oncologic principles.

Post-operative management of patients undergoing robotic thoracic surgery

Patient is kept in ICU for post-operative monitoring overnight. Pain control is through intravenous analgesia in all robotic thoracic procedures. The chest tubes are removed mostly on post op day 1 for robotic thymectomy patients when the output is serosanguineous. For lung cancer surgery, the chest tubes are usually removed on day 3 or day 4 after surgery.

How soon a patient can be ambulatory after robotic thoracic surgery

Robotic surgery enables us to mobilize patient out of the bed very early, usually postop day 1 due to lesser pain and fewer small skin incisions.

What kind of anesthesia is used for Robotic thoracic surgery?

All robotic thoracic surgical operations are performed under general anesthesia care using elective single lung ventilation with the use of double lumen endotracheal tube.

What are the preoperative investigations needed for undergoing Robotic thoracic surgery?

The preoperative investigations are similar to any conventional thoracotomy or VATS surgery. It includes a pulmonary function test, Stress echocardiography for cardiac function, and blood tests to evaluate renal function, liver function, coagulation profile and CBC.

Is Robotic thoracic surgery cost effective?

Robotic surgical instruments have limited numbers of uses and involve disposable instruments which are costlier than conventional open or VATS surgery. However, shorter hospital stay, earlier return to active lifestyle translates it into a cost-effective procedure.

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Indian penile prosthesis vs  imported prosthesis surgery in India

Indian penile prosthesis vs  imported surgery in India

Dr Shailesh Chandra Sahay , Associate Director at  Max Super Speciality Hospital at Uro Oncology and kidney transplant unit explains  about cost effective penile implant surgery in India.

Erectile dysfunction is one of the disease that no wants to talk about may be due to its social taboo or may be patient is not able to communicate that is having Erectile dysfunction. But I would say that the patients’ quality of life is the most important thing and when the patients is suffering from ED and when all the conservative treatment has been given to the patients and patient  is still not responding to the medicines then we go should go for the surgical treatment.

What is the best surgical treatment option available for erectile dysfunction patient?

So what are the surgical options available for treating erectile dysfunction or impotence? So as you know penile implant s one of the devices by which we treat such patients by putting a device inside the penile shaft here at Max Super specialty Hospital, India.  There are various types of penile implant available in India. And normally what we are doing we are offering all sorts of penile prosthesis to our ED patients.

Shah penile prosthesis vs American made AMS prosthesis

The cheapest penile implant available in India is Shah prosthesis that we are using that’s basically a malleable silicon implant that we place inside the penile shaft and patients gets discharged very next day of the surgery. And after a month’s time he is able to do all his sexual activities like a normal person. He will have a firm erection with excellent satisfaction rate.

There are other implants also available which are imported ones that comes with the name of AMS which are quite costlier and we are doing those also however all the patients are not able to afford it. so I would say that if I do ten implants then almost nine gets Indian Shah prosthesis and let me tell you that inspite being a very economical implant the results are excellent so those patients who have operated by me they are quite satisfied and I have got received a single complaint till date by those patients.

So if you see the cost then I would say AMS costs twenty times higher than Shah Prosthesis. Indian version is very cheap and durability is also very good. So its all depends on patient’s affordability and budget but I would say that if you are looking for a cheaper but effective options for your erectile dysfunction than the Indian prosthesis is excellent choice and patients from various countries like Iraq and Congo are coming to us to avail such options with excellent sexual satisfaction.

What is the cost of penile implant surgery in India?

Indian made shah penile prosthesis costs you around 3000$ whereas AMS will cost around 18000$.

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Robotic Surgery – Types, Importance & How Does it Works

Robotic Surgery – An Overview

Robotic surgery is an advanced form of minimally invasive surgery that utilizes computer-controlled robots to perform intricate surgical tasks that may be challenging or less effective for human surgeons. Due to its accuracy and better patient results, this surgical method has grown in popularity in India.

Robotic hands are more flexible and petite than human hands, allowing them to maneuver through the body’s microscopic places. Moreover, robotic surgery’s utilization of mechanical components results in smoother and more regulated motions, reducing tissue stress while being performed. Technology development has completely changed the medical industry with 15 advanced surgical robotic systems including Da Vinci X, Da Vinci Xi, Next Gen Versius, ExcelsiusGPS and CORI surgical system that has been used at the Top hospitals in India.

How Does Robotic Surgery Work?

During an automated surgery session, the surgeon controls the robotic arms holding the surgical instruments from a unique console with hand and foot controls. The robot’s movement scale, which governs how far its arm tip moves for every inch the surgeon’s hand moves, can be changed by the surgeon.

A tiny 3D camera is put into the patient’s body to provide a clear picture of the surgical field. This camera delivers a magnified 360° view of the surgical site to a high-quality monitor. A second surgeon or surgical technician stays near the patient to ensure the surgical tools are correctly positioned and operating.

Robotic surgery has revolutionized the medical industry in India by giving doctors more control and precision during complicated surgical procedures. Both patients and surgeons like it because it offers shorter hospital stays, quicker recovery times, and a lower chance of complications.

Why Is Robotic Surgery Important?

Significant improvements in the field of medicine have led to longer and healthier lives. Yet, it’s crucial to consider all choices, including minimally invasive techniques like robotic surgery, if you or a loved one needs surgery.

With the use of robotics, surgeons can now carry out delicate operations with more accuracy and less trauma, including hernia repair, gallbladder removal, hysterectomy, and prostatectomy. These and other advantages of robotic surgery are available in India.

A high-definition 3D camera and miniature instruments are put into the body during a robotic surgery, while the surgeon operates the instruments from a console close by. The surgical system subsequently executes the procedure by precisely translating the actions of the surgeon.

Robotic surgery has many benefits for the majority of patients, including

●     Less pain and bleeding after the procedure,

●     Smaller and fewer scars,

●     More accuracy in joint replacements,

●     Faster recovery times,

●     Shorter stays in the hospital,

●     A lower risk of infection.

Robotics Surgery For Eye Conditions

Technology development has completely changed the medical industry, particularly in surgery. Robotic eye surgery is a stunning example of how technology has permeated the operating room, making surgery more precise and minimally invasive.

Robotic arms and complex computer algorithms are used in robotic eye surgery to perform difficult procedures like making incisions, removing tissue, and fixing damage. The risk of human error is decreased thanks to this fine degree of control, which also enables surgeons to provide the best patient results.

Faster recovery times, a lower chance of problems, and enhanced vision are just a few advantages of robotic eye surgery. Robotic eye surgery comes in various forms, each intended to treat a particular eye disease. Robotic eye surgery can change how we approach eye surgery, from cataract surgery to vision correction surgery.

Centre for Sight and Eye 7 Hospitals specializes in FEMTOSECOND robotic surgery. Bladeless Femto Laser Surgery is a form of eye surgery where all the surgical steps are the same as those followed in basic eye surgery, except that a computerized laser is used to perform cataract surgery. As no blades and needles are used in the surgery, the Bladeless Femto Laser Surgery is much more precise than standard eye surgery. This surgical procedure is widely used to remove cataracts.

As being a pioneer name in the field of robotic eye surgery Dr. Mahipal S Sachdev has introduced Femtocatarct technology and iLASIK technology for treating cataracts in India. Robotic cataract eye surgery has various advantages over traditional cataract eye surgery. Dr Rahil Chaudhary,Senior Consultant, Eye 7 hospital holds Guinness world record holder for contoura vision lasik surgery by carrying 250 procedures in a single day.

Major robotic specialities

  • Bladeless and Robotics eye surgery
  • Robotic cataract eye surgery
  • Smile laser eye surgery
  • Contoura vision surgery

Robotics GI Surgery

At GI Robotic Surgery it offers patients the most cutting-edge, minimally invasive surgical methods possible. A team of highly qualified surgeons like Dr. Surender Dabas, Dr. Deep Goel uses the da Vinci Surgical System to carry out surgeries with greater dexterity, control, and precision.

In addition to colorectal surgery, hernia repair, and gallbladder removal. It strives to offer patients the most cutting-edge and successful surgical procedures to minimize discomfort, scars, and recovery time.

GI Robotic Surgery is dedicated to patient care excellence and works to give patients the highest possible degree of comfort, security, and happiness.

The da Vinci Surgical System is the most sophisticated platform for GI surgery currently available, with more than 2500 units installed in 1500 hospitals like Indraprastha Apollo Hospital, Artemis Hospital, Fortis Memorial, Max PPG, Medanta, Manipal hospital, Max-BLK Hospitals worldwide. One of its kind in North India, the hospital’s M6 CyberKnife Robotic System lessens pain and increases surgical precision.

It is a strong, less invasive substitute for laparoscopy and open surgery for the GI system with potential benefits for a variety of conditions. It works by transferring the surgeon’s hand motions into precise, in-body movements of the surgical tools. The surgeon can closely inspect the surgical site thanks to the system’s advanced imaging technology, which provides a 3D view of the area.

The ability to scale down the surgeon’s movements enables even tiny and precise movements. Depending on the patient’s condition and the surgeon’s level of experience, the da Vinci system may be used during GI surgery.

Robotics Gynae Surgery

Since its inception, medicine has advanced significantly, and with current technology, the potential is apparently endless. Robotic gynecology, a minimally invasive surgical treatment carried out with a robot’s assistance, is one such innovation that has completely transformed the medical sector.

Robotic gynecology, often called robot-assisted gynecologic surgery, is a surgical approach that allows gynecologists to carry out intricate treatments with greater control, accuracy, and adaptability than ever before. The surgeon controls a robot from a console in the operating room to carry out the procedure.

Robot assisted hysterectomy and Myomectomy are the two main forms of robotic gynecology operations. The ovaries, fallopian tubes, and other pelvic organs can all be operated on with robot assistance during laparoscopic surgery. On the other hand, the uterus is removed via a robot-assisted hysterectomy.

Given its increasing popularity, it is safe to conclude that Robotic Gynae is here to stay and will continue to provide a better and more efficient way of doing gynecologic surgery.

Robotic gynecological surgery uses minimally-invasive techniques to carry out gynecological procedures quickly, accurately, and precisely. BL Kapur Hospital, Apollo Hospital, Artemis Hospital, Fortis Memorial Research Institute, Manipal Hospital, Max Super Speciality Hospital, Saket, in India offers this cutting-edge surgical method for patients requiring gynecological procedures.

The hospital employs the Da Vinci robotic surgical system, which has an extremely sophisticated robotic hand with several degrees of freedom and enables surgeons to carry out delicate surgeries with more control and dexterity.

Several robotic gynecological procedures may be carried out, such as:

  • Hysterectomy using robots
  • Automatized myomectomy
  • Automated sacrocolpopexy
  • Robotic surgery for endometriosis
  • Tubal reanastomosis with robots
  • Ovarian cystectomy with robots

Robotics Heart Surgery

With the help of robotic arms, a high-definition camera, and other minimally invasive techniques, major cardiac surgeries can be performed with unmatched accuracy and precision thanks to robotic heart surgery. Robotic surgery at Max Saket, Fortis Gurugram, Manipal hospital Dwarika, Apollo hospital, can speed up patient recovery by giving doctors a 3D image of the heart and more dexterity while lowering the risk of complications.

Expert surgeons like Dr Y K Mishra, Dr. Mukesh Goel, and technicians are committed to offering patients the best possible care in Delhi. It provides a variety of operations, such as atrial septal defect repair, mitral valve replacement, and coronary artery bypass grafting.

Robotic Heart Surgery aims to advance the area of cardiac surgery and enhance the lives of the patients treated.

Robotics Surgery For Joint Replacement

The development of robotic joint replacement in orthopedics is creative and interesting. The joint implant is placed in this surgical process, and cuts are made with extreme precision utilizing a robotic arm. With many advantages over conventional techniques, this cutting-edge technology has completely changed how joint replacement surgeries are carried out.

With a computer application, a doctor can generate a 3D model of a patient’s body and make a 3D image of the patient’s body. The robotic arm uses this model to direct the surgeons like Dr Bhatacharjee, Dr Hemant Sharma, Dr Anil Arora, Dr Ashwani Mianchand, Dr Ashish Chaudhary, Dr Shubash Jangit in real time, enabling more accurate incisions and implant placement. A perfect fit and alignment of the joint implant can be achieved during surgery because of the robotic arm’s ability to make changes and repairs.

Robotic joint replacement techniques come in various forms, including hip and knee replacements. The Hospitals like Max Healthacre, Fortis Memorial Research Institute, Medanta the Medicity,Indraprastha Apollo hospital, Artemis hospital, Aakash Hospital , CK Birla Punjabi Bagh , Sarvodya hospital, W  Partiksha has used this advanced technology to enhance the surgical results, lessen problems, and speed up patient recovery. Robotic joint replacement (Robotic Knee and Hip Replacement) presents a promising future for joint replacement surgery with its precision and accuracy.

Robotics Spine Surgery

Modern robotic technology is used in robotic spine surgery to carry out spine surgery with unmatched precision and accuracy. A highly trained surgeon controls the surgical robot used in this kind of surgery via a console. The robot is used in robotic surgery.

A preoperative CT scan or MRI helps the robot precisely map the patient’s anatomy during robotic spine surgery. The surgeon then uses the enhanced imaging capabilities of the robot to direct the surgical tools to the afflicted region of the spine. As a result, there is less tissue damage, less blood loss, and a shorter recovery period for the patient during the less intrusive and accurate procedure.

Open surgery and minimally invasive surgery are the two primary methods of robotic spine surgery. Open surgery requires a larger incision and standard surgical tools, whereas minimally invasive robotic spine surgery employs smaller incisions and specialized instruments to access the damaged portion of the spine.

The most sophisticated minimally invasive robotics procedure for spinal, orthopedic, and neurological conditions, Mazor X Stealth Edition, CORI surgical system, Next Gen Versius, Da Vinci X, and Da Vinci Xi. making it the first healthcare facility in India to do so.

Robotic spine surgery at Indian Spinal Injuries Centre, Max Super Speciality Hospital, Saket, BLK Max Super specialty, uses small incisions. It minimizes the impact on the surrounding area in contrast to traditional open spine surgery. That uses a large incision and causes significant disruption to nearby tissues. Compared to traditional open spine surgery, robotic spine surgery has less pain, a quicker recovery, and a lower risk of complications.

Surgeons can carry out difficult operations with more ease and control. Patients experience a quicker recovery period and improved surgical outcomes.

These surgeries are performed by an expert team of doctors led by Dr. H.S. Chhabra, Dr. Harshavardhan Hedge, Dr. Puneet Girdhar, who are world-renowned for their surgical expertise.

Robotics Surgery For Thoracic Conditions

Thoracic surgery is performed using robotic technology in a sophisticated surgical approach called robotic thoracic surgery. Lung cancer, esophageal cancer, and heart disease are illnesses that might affect the organs in the chest and are treated with this kind of surgery.

A surgeon directs a robotic system containing tiny instruments coupled to robotic arms while operating. The surgeons like Dr. Arvind Kumar, Dr. Pramoj Jindal, has great precision and accuracy thanks to the robotic arms placed into small incisions in the patient’s chest.

Max Healthcare, Medanta the Medicity, Artemis hospital are well renowned for their Robotic thoracoscopic surgery (RTS). Robotic thoracoscopic surgery (RTS) and robotic-assisted thoracic surgery (RATS) are the two primary varieties of robotic thoracoscopic surgery (RTS). When doing minimally invasive surgery, RATS uses a robotic system, whereas RTS uses a robotic system to make small incisions in the chest.

Faster recovery times, less discomfort, and lesser scars are just a few advantages of robotic thoracic surgery. It is a new surgical method that is revolutionizing thoracic surgery since it is both inventive and successful.

Robotics Thyroidectomy Surgery

Modern surgical methods like robotic thyroidectomy surgery have completely changed how thyroid diseases are treated. Advanced robotic technology is used in this minimally invasive treatment to remove the thyroid gland, which leads to reduced scarring, little discomfort, and a quicker recovery.

A tiny camera and robotic arms with surgical instruments are inserted into the neck through tiny incisions made by the surgeon during the surgery. The thyroid gland is subsequently removed using these devices, which offer highly accurate and exact control. The robotic arms allow for a broader range of motion than the human hand, and the surgeon may view the surgical field in high-definition, three-dimensional images.

Transaxillary and retro auricular robotic thyroidectomy procedures are the two basic subtypes. Incisions are done in the armpit for transaxillary thyroidectomies and behind the ear for retro auricular thyroidectomies. There is less scarring and less postoperative pain with both techniques.

Robotics Urology Surgery

Advanced robotic technology is used in minimally invasive robotic urology surgery to carry out surgeries on the urinary system. Shorter hospital stays, quicker recoveries, and a lower chance of complications are just a few advantages that patients can enjoy thanks to this extremely accurate and efficient surgical procedure like Prostatectomy (the extraction of the prostate), Partial and Radical Nephrectomy (the removal of a portion or the entirety of the kidney), and Pyelo/Ureteroplasty (the removal and reconstruction of a segment of the urinary tract).

A surgeon controls robotic arms that are outfitted with surgical instruments during the procedure via a computer interface. The robotic arms are put into the patient’s body through tiny incisions, and the surgeon like Dr. Rajesh Kumar Ahlawat, Dr. Anant Kumar, Dr. Sanjay Gogoi, Dr. Pradeep Bansal, Dr. Narmada Prasad Gupta, Dr. Gagan Gautam, Dr. Anshuman Agarwal, controls them from a distance while viewing the surgery site through a high-definition camera.

Indraprastha Apollo Hospital, Artemis Hospital, Fortis Memorial Research Institute , Max Healthcare, Medanta the Medicity, Manipal hospital, Max- BLK Hospitals uses Robotic urology procedures that come in various forms, such as robotic pyeloplasty, robotic cystectomy, and robotic-assisted prostatectomy. Each treatment focuses on a different urinary system region and has special advantages for patients.

Robotics Weight Loss Surgery

Robotic weight loss surgery uses a robot to perform weight loss procedures, making it a minimally invasive surgical technique. A surgeon like Dr. Arun Prasad, Dr. N.C.Peters, Dr. Vivek Bindal, Dr. Adarsh Chaudhary, Dr PradeepChowbey operates the robotic arms from a console while using a small camera and surgical instruments that are attached to them. This method enables more control and precision throughout the procedure, resulting in less discomfort and scarring, a quicker recovery, and fewer issues.

The three primary forms of robotic weight loss surgery are the Roux-en-Y gastric bypass, the sleeve gastrectomy, and the adjustable gastric band. A small pouch is made at the top of the stomach after a Roux-en-Y gastric bypass, and the small intestine is then directed to this pouch. A big section of the stomach is removed during a sleeve gastrectomy to make room for a smaller stomach, and an adjustable gastric band is wrapped around the stomach to form a smaller pouch. At Manipal hospital, BLK Hospital, Apollo Hospital, Max Hospital, Medanta, RG Stone, Fortis Memorial this Robotic surgery is performed by a well-trained and highly educated medical professional by using some of the most advanced Robotic facilities available in India.

For those who are obese and have tried alternative weight loss techniques without success, robotic weight loss surgery is a viable choice. Its many advantages have gained popularity as a weight loss surgical option. Robotic bariatric surgery is a cutting-edge method that offers a reliable solution for individuals seeking to achieve lasting weight loss. This approach is both safe and efficient, allowing medical professionals to conduct various weight loss procedures such as gastric bypass and sleeve gastrectomy.

The Robotic system enables the surgeon to sit at a console in close proximity to the patient during surgery and manipulate small instruments with great control. Moreover, the system includes an optic camera that offers high-definition 3D visuals for doctors to observe. Overall, this technology enhances surgical accuracy and precision by providing a magnified, three-dimensional view of the operating field.

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Nerve Spearing Robotic Prostatectomy in India

Enjoy your sex life after robotic prostate cancer surgery in India!

Dr Shailesh Chandra Sahay, Associate Director at Max Super Specialty Hospital at Uro Oncology and kidney transplant unit. Explaining about Nerve Spearing Robotic Prostatectomy which can save your sex life in India. Prostate cancer is one of the most common cancers in metropolitan’s cities. It can be easily detected by blood test like serum PSA test that detects the prostate cancer in men.

Why would I prefer Nerve Spearing Robotic Prostatectomy?

The latest technology for operating prostate cancer is robotic. So, in robotic surgery what we are doing is we are making small holes in the abdomen through these holes we go inside, and we reach to the prostate gland and remove it.

The advantage of robotic surgery is minimal invasive, it doesn’t affect patients sex life as it can easily preserve prostate nerves during surgery due to it high end optic vision, flexibility and 3D imaging, it is very safe, no blood loss, no infection, and patients’ recovery is very fast and rapid.

So, if you compare robotic with open and laparoscopic surgery then the robotic surgery is nowadays has become standard care for operating all sorts of prostate cancer.

We are doing it max super specialty hospital, Delhi. And we are proud to say that none of our patient dill date has had received single blood transfusion for prostate cancer.

So, the surgical outcome has been excellent and normally the patient the patient is discharged in 48 to 72 hours post operatively.

The cancer control part then I would say the best treatment choice for prostate cancer is the robotic surgery and if the patient has metastatic disease, then we offer chemotherapy or radiotherapy or hormonal therapy.

How does robotic surgery save patient’s sex life after prostate surgery?

We also have some techniques by which we try to preserve sexual functions even after prostate surgery we can have nerve spearing technique by which we try and spare the sexual nerve in selected patients.

So that they resume their sexual activity even after prostate cancer surgery, so this is an advantage of robotic surgery and its advanced techniques.

What is the cost of Nerve Spearing Robotic Prostatectomy in India?

Robotic radical prostatectomy would cost around 7500$ in a private room in a top-notch hospital in India.

Looking for world -class robotic prostate cancer surgery in Indian hospitals! contact us, cross border care will guide you during each step of your treatment 

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Robotic Surgery in India – An Overview

Look no further! Robotic Surgery is world class and cost effective in India

Given its cost-effective and quality-at-par healthcare solutions and world-class treatment, India is fast emerging as the hub of Robotic Surgery in India. As compared to other developed countries like USA or UK, India provides affordable medical facilities and people from abroad; especially from neighbouring countries visit India to avail top-notch healthcare facilities.

India is poised to become a world leader in robotic surgeries like Robotic Thyroidectomy, Robotic Lung Cancer Surgery, Robotic Prostatectomy and Robotic Weight Loss Surgery, with its almost a dozen of globally and nationally accredited hospitals that provide world-class robotic surgeries in a cost-effective manner. Let’s dive deep into each of them.

‘Scarless’ surgery for females via Robotic Thyroidectomy

Traditionally, as part of the robotic thyroidectomy process, a scar is left behind in the neck but for cosmetic reasons, this was a major cause of concern especially among young females. However, as part of the latest development, scarless thyroidectomy surgery via trans-axillary (armpit) route is made possible in India using high end Da Vinci robotic system.

Top Doctors for Thyroid Cancer:

  • Dr Surender Dabas -MBBS, MS, DNB (Surgical Oncology)
  • Dr Kalpana Nagpal – Certified Robotic Surgeon (Head & Neck Surgery)

Top Hospitals for thyroid Cancer Treatment:

  • BLK-Max Super Specialty Hospital, New Delhi
  • Apollo Hospital, New Delhi

Approximate cost to get scarless Robotic Thyroidectomy done in India:

US$6000

Minimally Invasive Robotic Lung Cancer Surgery

Over the years, Indian hospitals and doctors have gained specialization in providing best lung cancer surgical outcomes using latest and most advanced robotic surgical tools. The robot-assisted minimally invasive process reduces painful recovery time for patients while improving the results. This also means shorter duration of stays in the hospital thereby reducing the overall treatment cost significantly.

Top Doctors – Lung Cancer Surgery:

  • Dr Arvind Kumar – Reputed Robotic and Thoracic Surgeon
  • Dr Pramoj Jindal – Elite Robotic, Thoracic & Lung Cancer Surgeon

Top Hospitals – Lung Cancer Surgery:

  • Max Superspeciality Hospital
  • Medanta the Medicity

Approximate cost to get scarless Robotic Lung Cancer Surgery done in India:

US$9000

Restore Sex Life even after Robotic Prostatectomy

Many men get concerned about their sexual life after a prostate surgery. However, thanks to the advanced robotic prostatectomy process available in Indian hospitals that is explicitly designed to spare the tiny nerve bundles surrounding the prostate helps in preserving the sexual potency. Hence, sex after prostate removal is very possible and enjoyable for most men.

Top Doctors for Minimal Access Prostatectomy:

  • Anant Kumar – Urologist & Renal Transplantation Surgeon
  • Sanjay Gogoi – Robotic Prostatectomy Specialist
  • Narmada Prasad Gupta – Reputed Urologist and Certified Robotic Prostatectomy Surgeon
  • Anshuman Agarwal – Urology and Robotic SurgerySenior Consultant

Top Hospitals for Prostate Cancer Treatment:

  • BLK-Max Super Specialty Hospital, New Delhi
  • Indraprastha Apollo Hospital, New Delhi
  • Manipal Hospital
  • Max Superspeciality Hospital
  • Medanta the Medicity

Approximate cost to get Robotic Prostatectomy done in India:

US$7500

Highly Precise Robotic Weight Loss Surgery

Highly specialised bariatric surgeons in India partner with the patient on their weight loss journey using top-notch robotic surgical tools that makes the surgery precise and Scarless. Hospitals in India with dedicated robotic surgery unit and trained staff have advanced skills and right equipments that are required for great results that too at an affordable cost.

Top Doctors for weight Loss Surgery:

  • Dr Pradeep Chowbey – Minimal Access, Metabolic and Bariatric Surgeon
  • Dr Atul N.C. Peters – Bariatric Minimal Access and General Surgeon
  • Dr Randeep Wadhawan – Minimal Access and Bariatric Surgeon

Top Hospitals for Weight Loss Surgery:

  • Max Superspeciality Hospital
  • Manipal Hospital

Approximate cost to get scarless Robotic Weight Loss Surgery done in India:

US$8000

Need assistance with Robotic Surgery to be performed in India? Contact us today!

 

 

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Advantage of Robotic Proctectomy Explains Dr. Shailesh Chandra Sahay

Advantage of Robotic Proctectomy Explains Dr. Shailesh Chandra Sahay

I am Dr Shailesh Chandra Sahay, I am working at Max Super Specialty Hospital Saket Delhi, India as Associate Director at uro oncology and kidney transplant unit I have done Mch Urology from all India Institute of Medical Sciences (aims) New Delhi, and I have been working in this hospital since 2010. It’s almost 12 years.

My area of interest is

  1. Uro oncology
  2. Robotic surgery ,

Now prostate cancer is one of the most common cancers in metropolitan’s cities. It can be easily detected by blood test like serum PSA test that detects the prostate cancer in men.

The latest technology for operating prostate cancer is robotic. So in robotic surgery what we are doing is we are making small holes in the abdomen through that holes we go inside and we reach to the prostate gland and remove it.

The Advantage of Robotic Proctectomy is minimal invasive, it doesn’t affect patients sex life as it can easily preserve prostate nerves during surgery due to it high end optic vision, flexibility and 3D imaging, it is very safe, no blood loss, no infection, and patients’ recovery is very fast and rapid.

So if you compare robotic with open and laparoscopic surgery then the robotic surgery is nowadays has become standard care for operating all sorts of prostate cancer. We are doing it max healthcare Delhi. And we are proud to say that none of our patient dill date has had received single blood transfusion for prostate cancer. So the surgical outcome has been excellent and normally the patient the patient is discharged in 48 to 72 hours post operatively.

The cancer control part then I would say the best treatment choice for prostate cancer is the robotic surgery and if the patient has metastatic disease then we offer chemotherapy or radiotherapy or hormonal therapy

Need assistance with robotic surgery to be performed in India?

Contact us today!

 

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Minimal Access Heart Bypass Surgery in India  

Are You Looking For Minimal Access CABG Surgery in India?

Know You Doctor – Vaibhav Mishra 

Hello everyone, my name is Dr Vaibhav Mishra, I am a cardiac surgeon, and presently I am the director and head of the cardiac surgery at max hospital, New Delhi. I did my cardiac surgery from Mumbai and then had further training in Melbourne, Australia and in wellington, New Zealand. Coming back to India I have done about 6000 cardiac surgeries all with excellent results. I am a specialist in Minimal Access CABG Surgery.

Know Your Procedure –Minimal Access CABG Surgery

What we do differently over here is minimal invasive cardiac surgery done through small cut. And you get a 4-6 cm small cut on the left side of the chest right side of the chest depending on what we are doing, and we totally avoid sternotomy. However, this can’t be done in all the patients, but it can be done in lot of patients.

In normal CABG also, we have a preference for arterial graft which lasts longer, and we do not take leg veins. We take all the arterial from inside chest and try to revascularise the heart. And if it is not possible then we try to take the artery from hand which is radial artery.

And it at all, that is also not possible then we go for leg veins and even for harvesting leg veins we don’t have make a full cut, we have endovein harvesting system where a small cut is given on the knee and vein is harvested through an endoscope.

And we do entire spectrum of adult cardio thoracic surgeries including Bentalls’s , various heart tumors, paricardiactomies, and other routine cardiac surgeries.

 So we can assure you of excellent results, gratifying outcomes and if you have been diagnosed with any kind of cardiac or vascular disease please contact us and we do the best for you. Don’t worry you are in safe hands and the surgical outcomes will be excellent, it is assured.

So we at max healthcare pride in giving to the best to the patient and not just clinical outcomes, but also a empathy with clinical care is our motto, where we provide handholding and we routinely operate patients from so many different  countries and nationalities we are aware that whoso ever is involved in dealing with them so routinely operate patient from Iraq, Africa , Central Asia ,from CIS countries like Uzbekistan and Turkmenistan and Figi and so many other  countries ,we routinely operate patients from these countries.

Apart from that at max we have latest monitoring equipments 3D Echocardiography and all the latest technology available we have harmonic system to harvest the graft. And for making blood less surgery possible we have all the other gadgets and technology available.

In case you are looking for minimal access heart surgery then please feel free to contact cross border care at info@crossborderscrae.com. we will help you in guiding your heart treatment in India at affordable cost.

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Breast Conservative Surgeon in India

Breast Conservative Surgeon in India

Know Your Breast Cancer Doctor – Dr Geeta kedayaprath

I am Dr Geeta kedayaprath and I am a surgical oncologist and Breast Conservative Surgeon in India at Max Hospitals. so I have been trained specifically in the breast cancer at the royal masters hospital in the UK since the time I haven came from UK I have been dedicatedly working in the field of breast cancer, so I have been working at the max hospitals for the last 13 years and over the past 22 years of my experience I must have catered to more than 7000 -8000 patients of breasts cancer.

So my aim is to offer the entire range of surgeries that are available for the breast cancer with basic surgeries being modified radical mastectomy, but other than that, what is becoming more common is breast conservative surgery in suitable cases.

So earlier breast conservative surgery used to be just removing the lump with margins and the cosmetic results used to be not that great, but NOW with Oncoplastic surgeries it is possible to restore shape to the breast after breast conservative surgery in India. And that is particularly exciting to me and the other thing is very exciting is sentinel lymph node biopsies, so for those patients whose nodes are not involved with disease one can do a sentinel node biopsy which I have been doing for the past 18 years or so with excellent results, results meaning patients do not have swollen arms after a surgery of lymph nodes because sentinel lymph node biopsy only entails removing few  lymph nodes so you don’t see swollen arms which can be very distressing for the patient.

Other than that entire range of adjuvant treatment with the sense that you have, medical oncologist services we have excellent team of day care services, then we have state – of the art radiation technology and personnel who can handle any kind of radiation therapy that needs to be done for patients and as far as treatment goes we have a immunotherapy, targeted therapy you name it and we have it here at the Max Hospital, India.

If you are looking for the best Breast Conservative Surgeon in India then please contact us at info@crossborderscare.com. Cross Border Care will find you the best doctor your breast cancer treatment in India at affordable cost.

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Treatment options available for Obstructive Sleep Apnea in India – Trans-Oral Robotic Surgery

Treatment options available for Obstructive Sleep Apnea in India – Trans-Oral Robotic Surgery

Obstructive sleep apnea (OSA) is a health disorder, characterized in patients who display snoring accompanied with irregular breathing patterns while being asleep. The main cause of OSA is the ’obstruction in throat muscles’ – they are normally in a relaxed state but tend to fall backwards during sleep – hence the disease is referred to as obstructive sleep apnea or OSA. It affects 22% men and 17% women globally, especially middle-aged overweight adults.

Which all potential health hazards can OSA cause?

If left untreated, OSA could tremendously affect quality of life due to a lack of sound sleep. It may further lead to stroke, heart attack, diabetes, sexual disorder, stress and irritability.

When should one consult a doctor?

Many patients believe that snoring is not related to any illness and is a normal phenomenon; however one should seek consultation from a specialist doctor when:

  • Snoring starts to interrupt in getting a sound sleep for themselves as well as in others around.
  • Shortness of breath leads to off and on sleep, leading to irregular sleeping patterns.

What treatment options are available to cure sleep apnea in India?

Proper diagnosis of sleep apnea and identification of its cause is the key before treating any sleep apnea patient. Two types of treatment options are available:

  1. Non-surgical treatments include:
  2. Sleeping on either side to minimize throat muscle obstruction
  3. Following proper sleeping pattern religiously and getting adequate sleep – this could eventually help in reducing episodes of sleep apnea
  4. Saying goodbye to alcohol right before the sleeping time – this helps in increasing airways passage
  5. Regularly exercising – this could help in reducing weight that could prove beneficial in mild and moderate sleep apnea cases
  6. Quitting to smoke as smoking leads to swelling the throat that could cause obstruction
  7. Control positive airway pressure (CPAP) mask: This is the most advised treatment option for treating sleep apnea. CPAP mask allows pressurized air to pass through the nose into the airways, thus helping in prevention of obstruction that could happen due to lack of enough oxygen while sleeping. This mask is connected to the device that is supposed to be placed near bedside where patient sleeps – this device helps in pumping the pressurized air. Although it is a non-invasive treatment, but still most patient find it difficult to sleep with the CPAP mask on and are hence unable to comply with it most of the time. For such patients, treatment options include weight reduction, use of oral devices and finally a surgery.

What is Trans-Oral Robotic Surgery In India?

Trans-Oral Robotic Surgery (TROS) is a highly advanced, minimum invasive surgical option for the treatment of OSA. As part of this surgery, to reduce obstruction, the surgeon reduces the base of the tongue through the oral cavity using da Vinci robot. It is considered as a safe, highly precise surgical treatment option for patients, without having them to suffer serious complications with excellent clinical results that help in improving the quality of life. In addition to eliminating the existing obstruction in the mouth, throat and nose, the da Vinci robot also empowers the TROS surgeons to perform surgery even in the deeper areas of the oral cavity. One of the major benefits in such type of robotic surgery is that it can be customized according to the patient’s need and anatomy.

What should I know before I think of undergoing TROS?

To start with, the surgeon recommends the patient to undergo the sleep study test. To prepare for this test, the patient is required at get admitted in the special sleep lab for a day. The patient is being monitored by a specialist who operates the video camera to observe and record the sleeping patterns and any visible shortcomings.

There is another alternative test namely ‘sleep endoscopy’ for those who don’t want to wear the CPAP mask during the sleep study. In this procedure, the patient will be given a medicine for sleep. While the patient is still asleep, an endoscope is inserted in the nose and throat to see the site better and understand the extent of obstruction caused to plan and prepare for the robotic surgery. These tests will enable surgeons to identify the need of TROS.

what is the cost of Trans-Oral Robotic Surgery In India?

Robotic surgery for obstructive sleep apnea will cost around 3500$ with highly trained doctor and in top raked JCI accredited hospital in India.

Know Your Doctor

Dr. Surender Kumar Dabas is one of the best robotic surgeons in Delhi. He has more than 12 Years of experience in the field of Robotic Head and Neck Surgery. In fact, he has performed the maximum number of Robotic Head and Neck Surgery in Asia. He has also started a Robotic surgeon fellowship in the area of head and neck oncology.

He is a professional Robotic surgeon who has performed various Robotic surgeries with great degree of accuracy.  He is a pioneer in Robotic Head and Neck Surgery in India.  He completed his training in the field of robotic surgery from many centers like Upenn in Philadelphia and Yonsei Cancer University, Korea. He then took up this technology to Thorax, Gynecology and Urology.

No doubt being the best robotic surgeon in India, he performs many types of complex surgeries with more flexibility, precision and control over the robotic techniques. His surgery success rate generally varies from 94% to 100%.

KALPANA NAGPAL has more than 26 years of Experience in Microscopic and Endoscopic Surgeries. Presently she is working as Senior Consultant ENT / Otorhinolaryngologist Head and Neck and Chief Robotic Surgeon at Apollo Hospital New Delhi. She has performed more than 100 successful robotic ENT, Head, and Neck Surgeries by using advanced technology. She believes that Robots are the future of surgeries as they have a great impact on the outcome of the surgeries. Not only does it reduce the complexity of the surgery but also it helps the patients with faster recovery.

She has received an ICMR Scholarship for screening secretory Otitis Media in school children. She has received Da Vinci Certification for ROBOTIC SURGERY IN SEOUL, South Korea.  She attends national and international workshops on the management of OSA (Obstructive Sleep Apnoea) and regularly visits MIMA Sleep Centre in Melbourne, Florida.Dr. Nagpal taught in New Delhi’s Deen Dayal Upadhyay Hospital and Nehru Homeopathic College. For three years, she was the President of the Doctors Forum at Indraprastha Apollo Hospitals in New Delhi.

She is a Lifetime member of Sleep CON, INDIA, and AOI, as well as a panelist at E.N.T conferences hosted at Apollo Hospitals and other locations in New Delhi. Dr. Nagpal has a number of papers to her name in a variety of periodicals.

 

 

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Robotic Thymectomy Surgery in India

Robotic Thymectomy Surgery in India – A boon for Myasthenia Greavis Patients

I am Dr Pramod Jindal, I am a lung and robotic surgeon specializing in robotic thymectomy surgery in India . I have been working as a Director of lung and thoracic surgeries at Max Super Specialist Hospital New Delhi, India.

I have an experience of about 20 years in dealing with lung and related surgeries. I have been trained at USA and Canada and thereafter in Singapore. I have worked at almost 11 centres all over the world in thoracic surgeries. Now I am practicing the same in New Delhi India,

What is myasthenia greavis and its treatment?

One of the specialties of our surgeries is dealing with thymus and its related diseases, thymus is a gland which is situated at the back side of breast bone and it is normally involved in a disease that is known as myasthenia greavis.

Myasthenia Greavis is a condition where our own body produces antibodies against our own muscles and the body keeps on becoming weak. And the only treatment or I would rather say best treatment is removing the thymus by robotic known as robotic thymectomy surgery in India.

There can be cancers of thymus gland as well and we have been doing regularly taking care surgically the thymus cancers also known as thymomas, so we do run myasthenia a clinic as well at our Max Super Specialist Hospital and I will be happy to take any of these patients suffering from any sort of disorders of thymus.

We at our centre specially cater to the international patient and we have made our specific SOPs and ways to decrease the cost to bear minimum and the overall cost of the thoracic surgeries done by robotic or any other ways are optimal particularly done by robotics. The patient’s benefits, caused in early discharged, early recovery and early getting back to his country and doing his work. So getting a tied up with us means a best advanced state of the healthcare along with optimal money spent on your healthcare.

Need assistance with robotic surgery to be performed in India?
Contact us today!