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Ewings Sarcoma: Understanding Symptoms, Causes, Treatment and Prognosis

Ewings Sarcoma is a type of bone cancer that occurs mainly in children and young adults. The cancer can develop in any bone, but it is found primarily in hip bones, ribs, and long bones( thigh bone and upper arm bone).

Ewings Sarcoma affects 200 children and young adults every year. It is slightly more common in males than females.

However, thanks to ongoing research and the latest treatment options available in the top hospitals of India, like Max Healthcare, and Medanta the Medicity, people are now living longer and cancer-free.

Symptoms of Ewings Sarcoma

 Patients with Ewings Sarcoma may deal with the following symptoms:

  • Pain around the site of the tumor
  • Swelling or redness around the site of the tumor
  • Fever
  • Weight loss
  • Fatigue
  • Paralysis
  • Symptoms related to nerve compression

** These symptoms may resemble other medical conditions, too. It is essential to get an appropriate medical diagnosis from your doctor**

 What causes Ewings Sarcoma?

 The exact cause of Ewings Sarcoma is not known. However, it is said that chromosomal changes in a cell’s DNA are the primary cause of Ewings Sarcoma. These changes are not inherited. The changes develop in the children for no apparent reason.

DNA of the cell has instructions that tell the cells what to do.  In normal cells, the DNA controls  cell growth and multiplication at a fixed rate. The instructions tell the cells to die at a set time.

In cancer cells, the DNA changes and starts giving different instructions. The changes tell the cancer cells to make many more cells quickly. Cancer cells can keep living while the healthy cells keep dying.

 

The cancer cells form a mass called a tumor. The tumor can grow to invade and destroy healthy body tissue. Cancer cells can break away and spread to other body parts in time. When cancer spreads, it is called metastatic cancer.

In Ewing sarcoma, the DNA changes most often affect a gene called EWSR1. It may be tested to look for changes in this gene.

Diagnosis

The doctors at the top medical institutions in India will run a few tests to determine if your child has Ewings Sarcoma. The few tests done to diagnose the same are:

  • A Physical Exam
  • X Rays
  • Bone Scan
  • MRI
  • CT Scan
  • PET Scan
  • Blood Tests
  • Biopsies of Tumor
  • Bone Marrow Aspiration

Healthcare institutions in India like Max Healthcare are equipped with state-of-the-art diagnostic tools and facilities required to diagnose Ewings Sarcoma accurately. The hospitals here have multidisciplinary teams, including oncologists, pathologists, and radiologists, who work together to interpret precisely.

Treatment of Ewings Sarcoma

 The Ewings Sarcoma treatment will depend on the following:

  • The size of the tumor
  • The places where it has spread in the body
  • The overall health of the patient
  • The preferences of the patient

The treatment options available in India are:

Chemotherapy

 It is the first step to treat cancer. The medicines shrink the tumor, which may later be removed by surgery. If the cancer is in an advanced stage, chemotherapy helps to relieve pain and slow down the growth of the tumor.

Surgery – Limb Salvage Surgery

 The goal of the surgery is to eradicate the tumor. Surgery means removing a small portion of the bone and surrounding tissue. Amputation is rarely needed. In cases where the cancer is located in an extremity, limb salvage surgery is preferred to amputation.

The advanced surgical techniques present in India help in complete tumor removal while preserving the function of the affected limb.

Radiation

Radiation is used to treat cancer cells using powerful energy beams. It is done after the surgery to kill the remaining cancer cells. It is also done when surgery is not an option. For advanced Ewings Sarcoma, radiation therapy helps to slow down the growth of cancer cells and relieve pain, too.

Targeted Therapy

 It is a cancer treatment where medicines are used to attack the specific ways that cause cancer cells to grow. By blocking these ways, the targeted treatments cause cancer cells to die.

 

 Long-Term Prognosis of Patients with Ewings Sarcoma

 According to the American Cancer Society, the five-year survival rate of people who have localized Ewing Sarcoma is 70 %. On the other hand, for those who have metastatic cancer, the five-year survival rate is around 15 to 20 %.

As with any cancer, the long-term prognosis of Ewing Sarcoma varies from person to person.

The prognosis depends on the following factors:

  • The extent of the disease
  • The size and the location of the tumor
  • Tumors response to therapy
  • The age and the overall health of the patient
  • New developments in the treatment
  • The presence or absence of metastasis

Compared to small tumors, large tumors are difficult to remove. There are more chances of a large tumor to turn metastatic. Metastatic is the term that describes the cancer spreading to other parts of the body.

Immediate medical attention and correct treatment are essential to ensure the best possible prognosis. Continuous follow-up care is also required.

In conclusion, Ewings Sarcoma is a rare but treatable form of cancer, especially when it gets diagnosed at an early stage and is managed with the proper treatment approach. The advancement in the medical sciences and the availability of special care at the top healthcare institutions in India offer hope to families suffering from Ewings Sarcoma.

If you, too, are suffering from Ewings Sarcoma or any cancer, write to us at info@crossborderscare.com today, we will arrange the best medical treatment for you in India.

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IVF (In Vitro Fertilization): Procedure & How It Works

IVF is the treatment option for couples facing infertility issues such as sperm or egg abnormalities or other medical conditions. Damage or blockage of the fallopian tube is considered the primary reason why people choose to do IVF. At the same time, abnormalities in the sperm count or motility are considered to be the second reason why people go for IVF.

In recent years, India has emerged as the top destination for cutting-edge medical female infertility treatments. With the advancement in technology, major hospitals in India like Apollo fertility, Birla Fertility and ART have been offering the best IVF treatments to couples struggling with infertility.

In this blog, we will tell you precisely what IVF is, how it works, and what infertility treatment options these leading healthcare institutions in India offer.

What is IVF?

 IVF stands for In Vitro Fertilization. It is an assisted reproductive technology in which the sperm and the egg are fertilized outside the human body.

It is a complex process in which the eggs are removed from the female ovaries. The eggs are then combined with the sperm in the lab and allowed to fertilize. After fertilization, the fertilized egg, also known as the embryo, is placed inside the female uterus.

Why do you need IVF?

 People choose IVF for numerous reasons. Some people try IVF if other treatment options have failed, while some try it because the females have passed the maternal age. It is also a procedure for those who want to have a baby without a partner.

IVF is an option for you if you are dealing with:

  • Blocked fallopian tubes
  • Endometriosis
  • PCOS
  • Fibroids in uterus
  • Unexplained infertility

Procedure Details

The complete IVF treatment can be broken down into the following steps:

Step 1: Birth Control Pills

 Before starting the treatment, the doctor will prescribe you birth control pills or estrogen. This will control the timing of your menstrual cycle. Birth control pills will also increase the number of mature eggs during the egg retrieval process.

Step 2: Ovarian Stimulation

The next step is ovarian stimulation. Ideally, during the natural cycle, a group of eggs in your ovary will mature each month. But only one egg gets mature enough to ovulate. The other immature eggs disintegrate.

When a female is in the IVF cycle, hormone injections are given so that the ovaries produce many eggs. That means you can have many eggs instead of just one egg. However, the frequency of hormone injections will depend on your medical history, age, and your response to the treatment.

The two steps involved in the ovarian stimulation process are :

Monitoring

The response of the medication by the ovaries will be monitored by ultrasound and blood hormone levels. Monitoring occurs every two weeks.

Trigger shot

When your eggs are ready, as determined by your ultrasound reports and blood hormone levels, you will be given a trigger shot just 36 hours before the egg retrieval process. The shot is provided so the eggs mature entirely before taking them out.

Step 3: Egg Retrieval

  • The doctor will use an ultrasound to take a thin needle into each of your ovaries via the vagina. The needle is connected to a suction device to pull the eggs.
  • The eggs are put in a dish that has a unique solution. The dish will then be placed in an incubator.
  • The egg retrieval process is done 36 hours after your trigger shot.

Step 4: Fertilization

 The eggs taken out from the ovaries are then combined with the sperm in a very controlled laboratory environment. The whole procedure can be done using the traditional method, where sperms are directly added to the eggs, or the modern method, ICSI.

ICSI, also known as Intracytoplasmic sperm injection, is a process in which a single sperm is injected into each egg.

Step 5: Embryo Culture

Over the next five to six days, the development of the embryos will be monitored closely. On average, 50% of fertilized embryos reach the blastocyst stage. This is the stage most suitable for transfer to your uterus. For example, if seven eggs were fertilized, three or four might develop into the blastocyst stage. The remaining 50% typically fail to progress and are discarded.

All embryos suitable for transfer will be frozen on day five or six of fertilization for future embryo transfers.

Step 6: Embryo Transfer

 Embryo transfers are of two types:

Fresh Embryo Transfer

 In this procedure, an embryo is inserted into your uterus three to seven days after the retrieval process. The embryo is not frozen and is fresh.

Frozen Embryo Transfer

 In this, a frozen embryo from the previous IVF cycle is inserted into the uterus. These transfers can occur years after the egg retrieval process.

Embryo transfer is a straightforward procedure. The embryos are transferred to the uterus using a catheter. The entire procedure takes less than 10 minutes.

Step 7: Pregnancy

Pregnancy will occur when the embryo implants into the uterus. You will have to undergo blood tests to determine if you are pregnant or not, 9 to 14 days after the embryo transfer.

Cutting Edge IVF technologies at the top healthcare institution in India

 The top hospitals in India, like MAX, APOLLO, AND FORTIS, use the latest technology to increase pregnancy rates. That is why, if you are considering getting the IVF treatment in India, you are on your way to success. Here are some of the latest technologies deployed by these hospitals to make IVF procedures a success:

Preimplantation Genetic Testing ( PGT)

 In this technique, the embryos are tested for genetic abnormalities before being transferred to the uterus. All the top hospitals in India use the method.

Time Lapse Testing

 Due to time-lapse testing, Max and Apollo Hospitals in India have the best pregnancy rates. In this testing, the embryologists assess the fittest embryos to transfer to the uterus.

Cryopreservation

 Cryopreservation, or embryo freezing, plays a crucial role in IVF by allowing the storage of surplus embryos for future use. Max, Apollo, and Fortis hospitals use the latest techniques for rapid freezing, ensuring better preservation of embryo quality.

 

IUI

 

IUI stands for intrauterine insemination, in which the sperm are washed and processed into the uterus of the woman. The hospitals in India use the latest techniques for both IUI and sperm preparation.

Advanced laboratories

 The top hospitals in India have advanced laboratories with the latest facilities to culture embryos. This increases the rates of conception.

In conclusion, India is leading in getting the latest IVF treatments. Thanks to all the big medical institutions here and the newest technology, IVF doctors are successfully able to offer the best male infertility treatment.

 So, if you too want to become a parent and enjoy the joy of having a child, get the latest IVF treatment in India at affordable prices by contacting info@crossbordercare.com.

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Head and Neck Cancer- Symptoms, Causes and Treatment

Head and neck cancers mainly start from your mouth, throat, or voice box. These cells are also called squamous cells. It is crucial to know the complexities of the diagnosis, including different types, symptoms, and diagnosis. 

Facing head and neck cancer can be overwhelming, both for individuals and their loved ones. This blog is a space where we will discuss various aspects of this type of cancer. Let us embark on this journey exploring the symptoms, causes, and treatment.  

Symptoms of Head and Neck Cancer

  • Lump on the back of jaw, neck, or mouth
  • A mouth ulcer
  • Pain or weakness in the face
  • Neck pain
  • Difficulty moving the jaw
  • Difficulty swallowing
  • Speech problems
  • Ear pain or hearing loss
  • Neck pain that does not go away
  • Trouble breathing or speaking
  • Frequent sinus infections that won’t go away
  • A white or red patch in your gums, tongue, or inside the mouth
  • Persistent sore throat
  • Frequent headaches

Please check with your healthcare provider immediately if you notice any symptoms. They may be big signs of head and neck cancer. 

Causes of Head and Neck Cancer

Head and neck cancers mainly affect men over 50. The most common causes of this type of cancer are: 

Tobacco

Tobacco use is the most common cause of head and neck cancer. Nearly 70 to 80 % of the people suffering from this type of cancer are addicted to tobacco. Tobacco use includes smoking cigarettes, cigars, or pipes. Passive smoking can also lead to cancer. 

Drinking Too Much Alcohol

Drinking too much alcohol can also lead to the risk of head and neck cancers. If you drink, then not more than two drinks for men and not more than one drink for women should be used per day. 

Human Papillomavirus

HPV is also a main cause of head and neck cancer. It is a main cause, primarily among young adults. Up to 75 % of oropharyngeal cancers are associated with HPV infection. 

Epstein Barr Virus

EBV is also a cause of head and neck cancer. It can lead to nasopharyngeal cancer. 

Weak Immune System

A weak immune system makes it hard to fight cancer. HIV infection and recent major surgeries have both been associated with cancer that results from a weak immune system. 

Exposure to certain substances

If you are continuously exposed to certain substances like asbestos, pesticides, wood dust, and paint, it can also increase your chances of cancer. 

Radiation Exposure

Radiation treatment from malignant or benign tumors is also linked to salivary gland cancer. 

Diet

Increasing too many salt-cured foods like meat and fish can increase the risk of nasopharyngeal cancer. 

Genes

Your genes can also increase the risk of head and neck cancer. For example, people who have Fanconi Anemia inherit genes from their parents. These people are at risk of head and neck cancers. 

Poor Dental Hygiene

If you do not take care of your teeth properly, it can increase the risk of periodontal cancer and oral cancer. 

Treatment of Head and Neck Cancer

Head and neck cancer treatment can affect teeth, gums, and mouth. Here are some things you need to do before treatment:

  • Visiting the dentist
  • Consult a dietitian about improving your diet and nutrition.
  • Building up your strength by exercising
  • It’s best to quit smoking because you might not respond to treatment as well as someone who doesn’t smoke.

The three main treatment options are surgery, radiation therapy, and chemotherapy. Your healthcare provider may also recommend new treatment options that we are going to discuss in this part of the blog: 

Surgery

The main motive behind the surgery is to remove the tumor and a margin of healthy tissue surrounding it. The surgeons can also remove the lymph nodes in your neck if they suspect that cancer has spread there. 

Radiation Therapy

In radiation therapy, high-energy X-rays are directed toward head and neck cancers. You can receive radiation therapy as a standalone treatment or combined with other treatment options like surgery and chemotherapy. 

Chemotherapy

In chemotherapy, a single drug or combination of drugs is used to kill cancer cells. It is commonly used to treat advanced stages of head and neck cancers. 

Targeted Therapy

These drugs target specific types of cancer. They are most often used in combination with other treatments to treat advanced head and neck cancers. Cetuximab is a drug that targets a tumor protein called epidermal growth factor (EGFR) and is U.S. Food and Drug Administration (FDA)-approved to treat particular head and neck cancers.

Immunotherapy

Immunotherapy drugs activate (or boost) your immune system to find and kill cancer cells more easily. Certain head and neck cancers that have spread after treatment can be treated with pembrolizumab (Keytruda®) and nivolumab.

The chances of curing head and neck cancer are best if the cancer is found early. According to head and neck cancer doctors in India, small tumors are curable. Your prognosis will depend on several factors like cancer type, age, general health, and response to the treatment. The earlier a head and neck cancer is diagnosed, the better the outcomes. 

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Infertility Symptoms and Causes

Are you trying to have a baby, but it is just not happening? Millions of people around the world are facing the same challenge. Infertility is a medical term for when you cannot get pregnant despite having frequent sex with your partner.

Infertility can happen when you and your partner are suffering from any underlying disease. But there are now many safe and effective treatment options by infertility specialists in India that can boost your chances of getting pregnant.

In this blog, we will look into the symptoms and causes of male and female infertility. Continue reading to gain some valuable insights on the same:

Symptoms of infertility in women

 Common symptoms of infertility in women are:

Irregular Periods

The average women’s cycle is 28 days long. Anything longer than a few days of that is considered normal, too. For example, women who have a 33-day cycle, a 31-day cycle or a 35-day cycle are also considered normal.

But when the menstrual cycle starts varying so greatly that she fails to estimate when her next period will arrive is said to be suffering from irregular periods. This can be hormonal or due to PCOS. Both these conditions can be a major cause of infertility.

Painful or heavy periods

Most women experience cramps during their periods. But when painful periods start interfering in your daily life, then it can be a symptom of endometriosis.

No periods

It is extremely common for women to skip periods here and there. It can be due to stress or heavy workouts. But if you haven’t had your periods for a very long time, it is time to get your fertility checked.

Hormone Fluctuations

Hormone fluctuations can also lead to infertility among women. It is time you consult your healthcare provider if you experience any of the following symptoms:

  • Skin issues
  • Reduced sex drive
  • Facial hair growth
  • Hair thinning
  • Weight gain

Pain During Sex

 Some women experience painful sex their entire life. It could be related to hormonal issues, like endometriosis, or any other condition that can cause infertility.

Symptoms of infertility in men

Change in sexual desire

 Like females, male fertility is also linked to hormones. If you have experienced changes in sexual desire, it could indicate issues with infertility. Testosterone is the key hormone of male fertility. The pituitary gland produces this hormone, so any problem with the pituitary may also influence male infertility.

Erectile Dysfunction

 Hormonal changes, psychological factors, and physical issues may make it difficult to keep an erection. If it becomes a regular occurrence, then it can also be a sign of infertility.

Problem with Ejaculation

 Having difficulty in ejaculating or changes in ejaculation can also be a symptom of male infertility.

Changes in testicles

Healthy testicles are very important for male fertility. Small and firm testicles are signs of hormone issues. On the other hand, swollen and painful testicles can be a sign of infection and a symptom of male infertility.

Infertility Causes

 Infertility is defined as the inability to get pregnant after 12 months of trying. Any person of either sex who fits this definition is experiencing infertility.

Causes in Females

 Ovulation Problem

Ovulation is a monthly release of eggs. Problems in ovulation occur due to:

  • If prolactin levels become too high
  • An overactive or underactive thyroid
  • PCOS
  • The problem is the uterus or fallopian tube that prevents the egg from traveling from the ovary to the uterus

Other causes

  • A chronic condition like AIDS or Cancer
  • Primary ovarian insufficiency occurs when ovaries stop working before 40 years of age
  • Poor egg quality
  • Pelvic surgery, which can cause damage to fallopian tubes
  • Fibroids in the uterus interfere with implantation, preventing sperm from fertilizing with egg
  • Endometriosis ( when cells that grow in the lining of the uterus start growing somewhere else

Causes in Males

Numerous environmental and biological factors affect fertility in males. These factors include:

  • The inability to produce sperm cells, known as Azzospermia
  • Production of poor quality sperms known as oligospermia
  • Genetic diseases like myotonic dystrophy or Klinefeflters Syndrome
  • Malformed sperm, that is, the sperm that cannot live long enough
  • Autoimmune disorders, diabetes
  • Trauma to testes
  • Hormonal disorders that affect the pituitary gland
  • Cancer
  • Defects in tubes that transport sperms
  • Any prior surgery like vasectomy or testicular surgery can also affect sperm count

Environment Factors that affect male and female fertility

 Specific environmental factors also lead to infertility. Some major environmental causes are:

  • Exposure to industrial chemicals, pesticides, herbicides
  • Exposure to lead or any other heavy metals
  • Radiation and X Rays can also decrease the ability to reproduce
  • Overheating of testicles in males can also impair sperm function

Health and lifestyle causes

 Some other causes of male and female infertility are:

  • Drug use
  • Alcohol consumption
  • Tobacco and smoking
  • Obesity

In summary, male and female fertility are multifaceted components of the human reproductive system. While both genders face various challenges that can impact their ability to conceive, a comprehensive understanding of these factors, lifestyle choices, and available treatments by infertility specialists in India is essential for individuals and couples navigating the path to parenthood. By recognizing the interplay between male and female fertility, we can better address issues, make informed decisions, and seek appropriate support when needed.

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Minimally Invasive Atrial Septal Defect Closure: The Advancement in Cardiac Care

An atrial septal defect is a congenital disability that involves holes in the septum. The septum is a muscular wall that separates the two uppermost chambers of the heart. When these ASDs are small, they do not need any treatment. However, when these holes are large, they need repair or surgery to lower the complications involved with it.

In this blog, we are going to discuss minimally invasive ASD surgery. But before that, let us discuss what exactly ASD is.

What are the different types of ASD?

 There are four main types of atrial septal defects. These defects are:

Secundum ASD

 It is the defect that arises in the middle of the septum. It is the most common type of atrial septum defect.

Primum ASD

 This defect occurs in the lower part of the atrial septum. Small babies generally suffer from this defect. This defect is very commonly linked to Down syndrome.

Sinus venous ASD

 It occurs in the upper part of the lower back part of the atrial septum. This type of defect is linked to the right pulmonary vein or large veins in the heart.

Unroofed Coronary Sinus

 It is the rarest form of ASD. It involves a missing or incomplete wall between the coronary sinus. It is a more complex form of ASD.

Symptoms Of ASD

 Even though ASD is present from birth, many people do not experience its symptoms till adulthood. The main symptoms of ASD in children include:

  • Heart murmur
  • Being underweight
  • Growth delays
  • Respiratory infections
  • Trouble breathing
  • Easily becoming fatigued

Symptoms of ASD in Adults

 Adults start to feel the symptoms by the age of 40 years. The symptoms in adults include:

  • Fatigue
  • Shortness of Breath
  • Fast heartbeat
  • Swelling in arms and legs
  • Blue skin color

If you experience any of these symptoms, it is time you call your healthcare provider.

What are the causes behind ASD?

 The exact cause of ASD is not known. However, some factors can raise the risk of having a baby with ASD. These factors include:

  • Alcohol Consumption
  • Smoking tobacco
  • Taking certain medicines

How is ASD Diagnosed?

 The tests to diagnose ASD include:

  • ECG
  • Chest X-ray
  • THE
  • TEE
  • ICE

Treatment of ASD

 The Traditional Approach

 The standard way to repair ASD is traditional open heart surgery, in which the chest of the patient is opened, the heart is stopped temporarily, and the surgeon patches the hole in the septum.

This method, though highly successful, is an extensive procedure that has a long recovery time. It requires an incision in the breastbone, and a heart-lung machine is used to maintain the flow of blood circulation.

The procedure comes with many potential complications, like infection, scarring, bleeding, and long hospital stays.

The Minimally Invasive Revolution

In recent years, cardiac surgeons have started using minimally invasive techniques in repairing ASD. This approach uses small incisions and also does not require a heart-lung machine. There are two primary procedures followed in the minimally invasive approach to ASD surgery:

 

Transcatheter ASD Approach

It is the least invasive approach of the two approaches that we are going to discuss in this blog. It involves inserting a catheter through a small incision in the neck, guiding it to the heart. Using special tools and imaging, the surgeon then places an Amplatzer ( closing device) into the hole. Once the device is in position, it is released into the hole.

This method is mainly used to treat people who have small holes, and it also has a shorter recovery time. Patients can go home the same day.

Video-Assisted Thoracoscopic Surgery

 It is another minimally invasive approach to ASD surgery and has several advantages. In this method, a small incision is made between the ribs and a thoracoscope, and small surgical instruments are inserted to repair the hole. The surgeon sees the entire procedure on the monitor, and without stopping the heart, he patches the hole. It is a more suitable procedure for complex ASDs.

What are the benefits?

 The benefits of minimally invasive ASD surgery

  • Minimal Scarring: Minimally invasive procedures result in smaller incisions and less postoperative pain. Recovery is often faster and less painful for patients.
  • Hospital Stays Are Shorter: Many patients who undergo minimally invasive procedures can go home within 24 hours or less after surgery.
  • Recovery is faster: Less trauma to the body means patients can get back to work and daily activities sooner.
  • Surgery Site Infections: Fewer incisions mean fewer surgical site infections, which are potential complications.
  • Reduced Blood Loss: Minimally invasive techniques usually result in less blood loss during surgery, so you don’t need to get transfused.
  • Better Cosmetics: Patients love smaller scars and less visible signs of surgery, which improves their self-esteem and body image.

The evolution of cardiac surgery towards a minimally invasive approach represents a significant improvement when it comes to the repair of congenital disabilities. People can now benefit from these surgeries as they have better outcomes and also give improved life quality to the people. ASD can now be treated better with a minimally invasive approach. The growing trend towards minimally invasive options is no doubt a positive development in the field of cardiac surgery.

 

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Surgical Treatment Options for Erectile Dysfunction

There are a lot of surgical treatment options that are available for treating Erectile dysfunction. Most of the patients get rid of this problem after undergoing treatment. However to better understand how erectile dysfunction is treated, we must first understand what erectile dysfunction actually is. In this article we will discuss the surgical treatment options for erectile dysfunction, its advantages, erectile dysfunction surgery cost in India and what to expect after the surgery.

What is Erectile Dysfunction?

Erectile dysfunction (ED) is a medical disorder that is marked by a regular inability to obtain or sustain an erection that is strong enough for sexual activity. There can be numerous causes for it that may include physical ones such as insufficient blood flow to the penis, psychological ones such as stress or anxiety, or a mix of both. Men of all ages can go through ED. But in most cases as men age, it seems to afflict them more frequently. Depending on the underlying reason and uniqueness of each patient suffering erectile dysfunction, treatment options range from dietary adjustments and counseling to prescription drugs or medical technologies. For a precise diagnosis and the best course of therapy, it is important to speak with a healthcare professional.

What are the Reasons for Erectile Dysfunctions?

There are multiple variables that can contribute to erectile dysfunction (ED). These factors can either be due to mental problems, chronic illness or several other factors. Here are a few of the main causes of ED:

  • Low blood supply:Reduced blood supply to the penis is one of the most frequent causes of erectile dysfunction. This may be caused by diseases like diabetes, high blood pressure, or atherosclerosis, which narrows the arteries. Damage to the nerves that govern erections can result from diseases like multiple sclerosis or accidents.
  • Hormonal Imbalance: Low levels of testosterone in particular people might cause a hormonal imbalance that can lead to ED.
  • Penile Anomalies: The penis can develop structural problems that may ultimately lead to ED, such as Peyronie’s disease (scar tissue inside the penis).
  • drugs: certain drugs, including certain sedatives, antihypertensives, and antidepressants, can cause ED.
  • Stress and anxiety: High amounts of stress, worry, or performance pressure might affect one’s capacity to achieve and sustain an erection.
  • Depression: Sexual function can be impacted by mental health problems, such as depression.
  • Relationship Issues: ED can be exacerbated by relationship issues, communication problems, or unresolved disputes.
  • Obesity and lack of exercise: Being overweight or obese might result in hormonal changes and poor blood flow, which raises your risk of developing ED. Lack of exercise can lead to obesity and worsen cardiovascular health in general, which can compromise erectile performance.
  • Smoking and alcohol : Smoking harms blood vessels, which might result in vascular issues that exacerbate ED. Prolonged heavy drinking can harm the liver and nerves, which can result in ED.

Chronic problems

  • Diabetes: High blood sugar levels can harm neurons and blood vessels, increasing the likelihood of ED.
  • Heart disease: Problems with blood flow, such as coronary artery disease, can affect erections.
  • Disease of the Kidneys: Kidney issues can result in hormonal imbalances that impair sexual performance.
  • Disorders of the nervous system: Nervous disorders such as Parkinson’s disease or multiple sclerosis, can impede the brain’s communication with the penis, resulting in ED.
  • Trauma or Surgery: Surgery, particularly on the prostate, bladder, or spinal cord, can result in ED. Another cause could be physical trauma to the pelvic region.
  • Aging: Although it is not a direct cause of ED, aging frequently results in physiological changes that can raise the risk of ED, such as decreased blood flow and lower testosterone levels.

What are the Surgical Treatment Options for Erectile Dysfunction?

Erectile dysfunction is a very serious problem and requires immediate treatment or it can get worse. It can seriously hamper your personal life and affect your confidence. There are a lot of treatment options available for it but it is advised that you must consult a doctor before. The doctor will thoroughly go through your case and choose the best course of treatment. In most of the cases of erectile dysfunction, doctors usually recommend surgical treatment options because they are highly successful and more safe. Here are some of the surgical treatments that are available for treating erectile dysfunction:

 

  • Penile Implants (Penile Prosthesis): These surgically implanted devices provide men the ability to get an erection whenever they choose. There are mostly two kinds:
    • Inflatable implants: Inflatable implants are made up of two cylinders inserted into the penis, a pump in the scrotum, and a standard fluid reservoir implanted in the abdomen. An erection is produced when the pump is started because it moves fluid from the reservoir to the cylinders.
    • Malleable Implants: Implants that are malleable or semi-rigid are flexible rods that are inserted into the penis. They can be manually adjusted for sexual action and are always somewhat firm.
  • Penile revascularization: Penile revascularization is a surgical treatment designed to increase blood flow to the penis, especially when ED is caused by a blockage or decreased blood flow. In order to reestablish normal blood flow, it includes navigating around restricted or obstructed arteries.

 

  • Vascular surgery: Vascular surgery can repair or bypass the primary arteries that supply the penis in order to restore appropriate blood flow in circumstances where these arteries are clogged or damaged.

 

  • Penile vasoligation: A sustained erection is impossible when venous leakage, a condition in which blood leaves the penis too quickly, is present. Penile vasodilation treats this issue. In order to stop the flow of blood, veins are tied off or blocked.

 

  • Nerve grafting: Nerve grafting may be an option for men whose ED is brought on by nerve injury, such as that from prostate surgery. In order to restore function, healthy nerves must be connected to injured ones.

 

  • Penile Artery Angioplasty: This surgery uses a balloon-like device to open constricted penile arteries, much like angioplasty procedures for heart arteries.

 

When other treatments, such as medication, lifestyle modifications, or vacuum erection devices, don’t give any positive results, surgical treatment for ED is considered. The particular etiology of ED and patient-specific circumstances influence the surgery option.

 

Erectile dysfunction surgery cost in India

The erectile dysfunction surgery cost in India ranges from ₹1 lakhs to 2.5 lakhs. The cost varies from hospital to hospital and also depends upon the procedure that is being used. Private hospitals often offer complete healthcare packages that are all inclusive.

 

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Bentall Procedure: Preparation, Recovery and Long-Term Care

The Bentall surgery, commonly referred to as the Bentall procedure, is a sophisticated cardiac surgical treatment used to address a variety of diseases that affect the aorta and aortic valve. It includes synthetic or biological replacements for the aortic root, aortic valve, and ascending aorta. This procedure is usually used to treat aortic aneurysms and aortic valve problems simultaneously. This technique successfully treats both the aortic root and valve problems, increasing overall heart function and lowering the risk of complications related to aortic disorders. The choice of valve and graft material is made depending on the patient’s health and the surgeon’s preference. Bentall surgery in India is an entirely safe procedure that has helped thousands of patients.

The procedure of the Bentall Surgery

It involves replacing the aortic root, the aortic valve, and the ascending aorta. The steps of the Bentall surgery are described below:

● Anesthesia: The patient is put under general anesthesia before surgery. This guarantees that the patient will be asleep and pain-free during the procedure.

● Make an Incision: The surgeon makes A significant incision in the chest, usually via a median sternotomy. To access the heart and aorta, one must cut through the sternum, the bone that forms the breastbone. This opens up the heart and gives a clear glimpse of it.

● Cardiopulmonary Bypass (CPB): The patient is connected to a heart-lung machine (CPB) to complete the procedure. The heart can be operated on without the requirement for blood circulation since this device temporarily takes over the activities of the heart and lungs.

● Aortic Root Removal: The surgeon removes the damaged segment of the aorta, including the aortic valve and any weakening or aneurysmal tissue. This usually involves dividing the coronary arteries and removing the aortic valve.

● Replacing the aortic valve: A prosthetic valve is inserted to replace the removed aortic valve during aortic valve replacement. Mechanical (made of metal) or biological (often from a pig or cow, medicated to prevent rejection) valves are also options. The replacement valve is firmly stitched into position.

● Aortic Graft Placement: The excised aortic root and ascending aorta are replaced with a synthetic tube (graft), frequently composed of materials like Dacron. The new prosthetic valve is attached to this graft by sewing it in place. The previously separated coronary arteries are re-implanted into this transplant to ensure they receive blood flow.
● Closure: After ensuring the prosthetic valve and graft are securely in place, and blood usually flows via the coronary arteries, the surgeon sews up the chest incision. The sternum may need to be tightly closed using wires or other surgical supplies.

● Weaning from CPB: When a patient has weaned off a heart-lung machine, their heart can start pumping blood again.

● Monitoring and Recovery: Following surgery, the patient is continuously watched in the intensive care unit (ICU) to ensure steady recovery.

Preparation

Preparing for a Bentall procedure is essential to ensure the patient’s safety and the operation’s success. Here’s a detailed explanation of the process:

● Medical Evaluation: The patient receives a thorough evaluation before a Bentall treatment. This includes a comprehensive review of one’s medical history and diagnostic procedures like echocardiograms, CT scans, and angiograms. These tests aim to decide whether the patient is a good candidate for surgery.

● Discussion with the Surgical Team: The patient meets with the surgical team, which includes the anesthesiologist and the cardiac surgeon, to discuss the surgery. The patient can clear any doubts, ask questions, and learn about the advantages and disadvantages of the procedure.

● Medication Modification: Before surgery, the patient’s medications may need to be modified or temporarily halted. This includes medicines that can affect anesthesia, anticoagulants, antiplatelet drugs, etc.

● Stop smoking: Patients who smoke are strongly urged to give up before surgery since it might hinder wound healing and raise the possibility of problems.

● Dental Checkup: Dental health is crucial before heart surgery since dental infections can spread to the valves. Patients might need to get their teeth checked and treated if necessary.

● Blood transfusion: If a blood transfusion is planned during or after the Bentall procedure, patients may occasionally donate their blood before surgery.

● Fasting: The patient is told to abstain from food or drink for a certain amount before surgery, usually the night before. This lessens the possibility of aspiration.

● Final Preoperative Check: On the day of the operation, the surgical team does a last preoperative check to validate the patient’s identity, confirm the surgical procedure, and ensure all necessary tools and supplies are available.

Recovery

Here are some recovery tips to consider after undergoing a Bentall surgery in India

● Hospital Stay: Depending on the patient’s health and the surgical strategy chosen, the initial recovery phase often entails a hospital stay of seven to ten days.

● Pain management: After major cardiac surgery, pain and discomfort are typical. The medical staff will administer the proper pain management, which may entail using drugs or other pain reduction methods. It is crucial to let the medical staff know how much pain you are experiencing so that they can modify your pain management strategy accordingly.

● Monitoring: Once your health has stabilised, you will be closely watched in a regular hospital rather than the cardiac critical care unit (ICU). Heartbeat, vital signs, and other factors will be carefully monitored.

● Medication: You will be given prescriptions for drugs to help you manage different elements of your rehabilitation, including pain, blood thinners to avoid clots, and medicines to help your heart operate. Follow the directions on all prescriptions.

● Wound Care: It’s essential to take care of your surgical incision. Follow the healthcare team’s recommendations for dressing changes and wound care. Keep the incision clean and dry.

● Cardiac Rehabilitation: Your healthcare provider might advise enrolling in a cardiac rehabilitation program after discharge. Through exercise, education, and dietary modifications, this structured program aids in improving your cardiovascular health.

Long-Term Care

Here are some tips on how to take long-term care after the procedure:

● Attendance at Follow-up Appointments: Show up for all scheduled follow-up consultations with your cardiologist and heart surgeon. These consultations are crucial for keeping track of your development and modifying your treatment strategy.
● Heart-Healthy Diet: Consume a heart-healthy diet low in sodium, cholesterol, and saturated and trans fats. Consume a lot of fruits, vegetables, whole grains, lean proteins, and omega-3 fatty acid-rich meals.
● Frequent Exercise: Follow your healthcare team’s recommendations and exercise regularly. Exercise helps maintain weight, enhance overall fitness, and improve cardiovascular health. Follow your doctor’s advice at all times, but begin with easy exercises and work up to more rigorous ones.
● Alcohol consumption: Limit alcohol consumption to reasonable levels because excessive alcohol can damage the heart. The same goes for caffeine. Caffeine should be consumed with caution because it can sometimes disrupt heart rhythm.
● Stress management: Use relaxation methods, mindfulness, meditation, or counselling to manage stress healthily. High levels of stress can significantly impact heart health.

As a result, Bentall surgery in India restores health and vitality to individuals with serious heart conditions by addressing aortic root and valve issues.

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Prostatectomy: Purpose, Types, Procedure, Risks and Recovery

A prostatectomy can surgically remove the prostate gland. This can be done for various reasons, such as managing specific benign prostatic diseases or treating prostate cancer. There are many types of prostatectomies, including transurethral resection of the prostate (TURP), which removes a portion of the prostate through the urethra, and radical Prostatectomy, which removes the entire prostate gland. The exact medical issue and the severity of the case determine the treatment to be used. Prostatectomy surgery in India is a safe and effective procedure for patients who suffer from prostate-related conditions. A healthcare expert should be consulted for detailed information and counseling.

Purpose

A prostatectomy is primarily performed to treat diseases associated with the prostate gland. The patient’s condition and unique circumstances help to determine the type of Prostatectomy and surgical strategy that will be performed. Depending on the underlying ailment, this surgical technique may have several objectives:

  • Treating prostate cancer: Treatment for prostate cancer is one of the most frequent uses of a prostatectomy. If the cancer is limited and hasn’t migrated to other parts of the body, the aim is to remove the malignant prostate tissue in this scenario.
  • Benign Prostatic Hyperplasia (BPH): A prostatectomy may be performed to remove extra prostate tissue that is obstructing the urethra and causing urinary issues in cases of benign prostatic hyperplasia. In benign prostatic hyperplasia, an enlarged prostate can cause urine symptoms. This primarily aims to alleviate urinary problems.
  • Prostatitis: In extremely rare instances of severe and persistent prostatitis (prostate inflammation), a prostatectomy may be an option as a last resort to relieve symptoms that haven’t improved with other therapies.

Types

The patient’s medical condition, the size of the prostate, the existence of cancer, and the surgeon’s experience all play an important role in choosing the type of Prostatectomy that is performed. The patient must consult a healthcare professional before undergoing the procedure. Here are the main types of Prostatectomy:

  • Radical Prostatectomy: The most popular form of Prostatectomy for the treatment of prostate cancer is radical Prostatectomy. The entire prostate gland, as well as any adjacent lymph nodes, must be removed. Different methods can be used to perform a radical prostatectomy:
  • Open surgery: A significant abdominal incision is made to access the prostate.
  • Laparoscopic Prostatectomy: A minimally invasive procedure in which the surgeon is guided via a camera through small incisions.
  • Robotic-assisted laparoscopic Prostatectomy: A laparoscopic surgery in which the surgeon is helped by a robotic technology to carry out the process more precisely.
  • Robotic-assisted laparoscopic Prostatectomy: A laparoscopic surgery in which the surgeon is helped by a robotic technology to carry out the process more precisely.
  • Transurethral resection of the prostate (TURP): Benign prostatic hyperplasia (BPH) is treated with the transurethral resection of the prostate (TURP). The extra prostate tissue blocking the urethra is removed rather than the complete prostate. The urethra usually does this procedure through specialized devices.
  • Transurethral prostate incision (TUIP): Similar to TURP, transurethral prostate incision (TUIP) is used to treat BPH. To treat urinary problems, tiny incisions are made in the prostate gland. It is typically used for BPH situations that are less severe.
  • Simple Prostatectomy: This surgery is utilized when TURP or TUIP is ineffective for treating very big prostates. It entails keeping the prostate’s outer shell intact while just removing the inner portion of the prostate that is obstructing the urinary tract.
  • Laser techniques: Holmium laser enucleation of the prostate (HoLEP) and GreenLight laser therapy are two examples of laser techniques that can be used to treat BPH. These methods reduce urinary problems by vaporizing or removing extra prostate tissue with laser radiation.

Procedure

Whether it’s a radical prostatectomy for cancer or a less invasive procedure for benign disorders like BPH, the prostatectomy procedure may vary depending on the type of surgery being done. The most common method of Prostatectomy involves the following fundamental steps:

  • Preparation: The patient will normally undergo several medical examinations and tests before surgery to determine their general health and fitness for the procedure. They might also need to change their medication and adhere to certain dietary requirements.
  • Anesthesia: The patient receives either regional anesthesia, which numbs the lower body, including the surgical area, or general anesthesia, which puts them into a deep sleep.
  • Incision: An incision will be made in the abdomen or the lower section, depending on the surgical method (open, laparoscopic, or robotic-assisted). Small incisions are made to allow specialized equipment and a camera during robotic or laparoscopic treatments.
  • Prostate Removal: The surgeon meticulously dissects and removes the entire prostate gland and any potentially cancerous lymph nodes or surrounding tissues. All malignant tissue must be removed, but surrounding tissues, including blood vessels and nerves necessary for sexual and urine function, must be preserved.
  • Reconstruction: The surgeon may repair the urinary system after removing the prostate. To restore urine function, the bladder may need to be sutured back to the urethra.
  • Closure: The incisions are stitched or stapled shut by the surgeon, and the surgical site is dressed or bandaged.
  • Recovery: Patients who emerge from anesthesia are closely watched in a recovery area. The time that a patient stays in the hospital for recovery will depend on the type of surgery they underwent and their health. Everybody recovers differently following a prostatectomy, but most people need time to relax and heal.

Risks

Like any other surgical procedure, prostatectomies have possible risks. The risks may vary depending on the type of Prostatectomy performed and the patient’s health. The following are some typical dangers of Prostatectomy:

  • Bleeding: Both during and after surgery, bleeding can occur. Additional surgical operations can be required in some cases to stop bleeding.
  • Infection: The urinary tract and the surgical site are at risk of contracting an infection. Antibiotics are frequently effective in treating this, although other treatments can also be used.
  • Blood Clots: Patients undergoing surgery risk developing blood clots, which may spread to other parts of the body or the lungs.
  • Urine Incontinence: Some men who have undergone Prostatectomy may have urine incontinence, which can range from little leakage to total loss of urinary control, either temporarily or permanently.
  • Erectile Dysfunction: After a prostatectomy, men may develop temporary or permanent erectile dysfunction depending on the surgical strategy and the level of nerve-sparing treatments.
  • Damage to Surrounding Structures: During surgery, it’s possible to unintentionally harm nearby structures like the rectum, blood arteries, or nerves.
  • Complications of anesthesia: Anesthesia has its dangers, such as unfavorable reactions, respiratory issues, or allergies.
  • Recurrence: Even after a successful prostatectomy, prostate cancer patients still have the chance of a cancer relapse. This can call for additional care, such as radiation or hormone therapy.

Recovery

Recovery time after prostatectomy can vary from person to person. Here is some general advice on healing that can be useful:

  • Follow Medical Advice: Comply with any prescription directions, wound care instructions, and other post-operative advice from your surgeon and medical staff.
  • Activity and Rest: While taking it easy and letting your body heal is vital, doing some light exercise is also crucial. Walking is frequently advised to enhance circulation and prevent blood clots.
  • Pain Control: If you’re in too much pain, take your painkillers as directed and let your medical staff know.
  • Diet: Comply with any dietary recommendations made by your medical experts. Healing can be aided by drinking plenty of water and eating a healthy diet.
  • Exercises for the Pelvic Floor: Kegel exercises for the pelvic floor, also known as pelvic floor exercises, can aid with bladder control. Ask the doctor to explain them in detail.
  • Avoid Heavy Lifting: To prevent strain on the surgical area, refrain from heavy lifting or hard activity for a few weeks or as directed by your surgeon.
  • Take care of the incision: Maintain the surgical incision clean and dry. Change dressings according to instructions, and report any infection-related symptoms such as edema, discharge, or increasing redness.

For prostate-related conditions, prostatectomy surgery in India offers cutting-edge solutions. With skilled surgeons and state-of-the-art facilities, patients can get effective treatments here.

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Anterior Cervical Discectomy and Fusion – Indications and Outcomes

Anterior cervical discectomy and fusion (ACDF) is a surgical treatment used to treat neck pain and neurological problems caused by degenerative cervical discs in the cervical spine. In an ACDF procedure, an orthopedic or neurosurgeon gains access to the cervical spine from the front of the neck, removes the herniated or slipped disc or discs with care, and then replaces them with a bone graft or artificial spacer.

This spinal segment is stabilized through fusion, which stops additional movement and relieves discomfort. Herniated discs, degenerative disc disease, and cervical spondylosis are among the disorders that frequently require the ACDF operation. Although it does restrict some neck movement because of the fused segment, it frequently leads to enhanced neck function and a decrease in accompanying complaints. There could be hazards with surgery, as there always are. And as with any surgery, there are potential risks and benefits that should be discussed with a healthcare professional before the procedure. Also, Anterior Cervical Discectomy and Fusion (ACDF) cost in India can vary significantly depending on factors such as the hospital, location, and the specific requirements of the procedure.

Surgical Indications

Anterior cervical discectomy and fusion (ACDF) is recommended for a number of cervical spine issues that cause pain, neurological symptoms, or spinal instability. The following are typical surgical indications for ACDF:

  • Herniated Disc: When a herniated cervical disc pushes on spinal nerves or the spinal cord and results in symptoms like neck pain, arm pain, numbness, weakness, or tingling, ACDF is frequently advised.
  • Degenerative Disc Disease: ACDF may be considered to treat symptoms and stabilize the spine when cervical discs gradually deteriorate, causing chronic neck pain, radiculopathy (nerve compression), or myelopathy (compression of the spinal cord).
  • Cervical Spinal Stenosis: Narrowing of the spinal canal in the cervical region is known as cervical spinal stenosis. If this condition exists, ACDF can assist relieve spinal cord compression, which can cause weakness, balance problems, and other neurological concerns.
  • Cervical Spondylosis: This age-related disorder affects the neck’s joints and spinal discs by causing wear and strain. When spondylosis causes discomfort, nerve compression, or instability, ACDF may be used.
  • Trauma or Cervical Fractures: In situations of cervical spine fractures, particularly those that result in instability or endanger the integrity of the spinal cord, ACDF may be required to regain stability and stop additional damage.
  • Failed Conservative Treatment: ACDF may be explored as a surgical option when conservative therapies like physical therapy, medicine, and rest fail to relieve cervical spine symptoms.
  • Tumors: Using ACDF, cervical spine tumors or infections that have spread to the spinal discs or other tissues can be removed.

Due to competitive Anterior Cervical Discectomy and Fusion (ACDF) costs in India patients often choose to undergo ACDF in India.

Procedure

Anterior cervical discectomy and fusion is a surgical treatment used to treat a variety of cervical spine disorders. Here is an overview of the procedures:

  • Anesthesia: To ensure that the patient is unconscious and pain-free throughout the treatment, general anesthesia is often administered before surgery.
  • Positioning the patient: The patient is lying on their back, and the area around their neck is exposed and cleansed. Usually on the right or left side, a tiny incision is made at the front of the neck.
  • Access to the Spine: The surgeon carefully separates and moves aside the soft tissues, such as muscles and blood vessels, to access the cervical spine. Direct access to the afflicted area is provided by this method from the front of the neck.
  • Removal of the Disc: The herniated or injured disc is then carefully removed. To increase precision, surgical tools like microscopes or surgical loupes may be employed.
  • Placement of a Spacer or Bone Graft: A spacer or bone graft is put into the vacant disc area to preserve the correct spacing between adjacent vertebrae and to encourage fusion. The transplant may be either an allograft (donor bone) or an autograft (bone taken from the patient’s own body, commonly the hip).
  • Fixation: To stabilize the spine and hold the vertebrae in place, the surgeon frequently uses hardware like metal plates, screws, or cages. The fusion process is supported by this hardware.
  • Closing the Incision: The surgeon uses sutures or staples to close the incision after making sure the graft and hardware are properly positioned.
  • Recovery: After being observed in the recovery area, the patient is sent to a hospital room for observation and post-operative care.

The affordable Anterior Cervical Discectomy and Fusion (ACDF) cost in India makes it an attractive option for both domestic and international patients seeking spinal surgery.

Post Operative Precautions

To guarantee a successful recovery and reduce problems after anterior cervical discectomy and fusion (ACDF) surgery, post-operative precautions are essential. Here are some general post-operative safety measures to take into account:

  • Neck Immobilization: You might be forced to wear a neck brace or collar to prevent your neck from moving and to give support. Pay attention to your surgeon’s recommendations for when and how to wear it.
  • Restricted activities: You must first refrain from engaging in any activity that could put stress on your neck or spine. Heavy lifting, bending over at the waist, and demanding activities fall within this category. Guidelines on when it is safe to gradually resume these activities will be given by your surgeon.
  • Medication: Follow the directions on the prescription for antibiotics and painkillers. These drugs can aid in pain management and infection prevention.
  • Proper care of incision: Maintain the surgical incision by keeping it clean and dry. Report any signs of infection, such as redness, swelling, or discharge, and adhere to any wound-care recommendations your surgeon may have given you.
  • Avoid drinking and smoking: If you smoke, it’s best to stop because it can slow down the healing process. Limit your alcohol intake as well because it may affect your ability to recover and take your medication.
  • Follow-Up Consultations: Keep all of your surgeon’s scheduled follow-up appointments. These consultations are necessary for tracking your development and correcting any issues.
  • Physical Therapy: Participate in physical therapy sessions as directed to gradually increase neck strength and mobility.
  • Driving Restrictions: Because of the neck brace and painkillers, you might not be able to drive for a certain time after surgery.

For people suffering from cervical spine conditions that cause pain and neurological symptoms, ACDF is a great surgical option. A successful ACDF depends not just on the surgeon’s skill, but also on the patient’s commitment to post-op care and rehabilitation. Patients can look forward to a brighter, pain-free future by working closely with healthcare professionals. Anterior Cervical Discectomy and Fusion (ACDF) cost  in India is typically lower than in many Western countries, it’s essential for patients to thoroughly research healthcare providers to ensure they receive safe and effective treatment.

 

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Lung Cancer – Types, Symptoms, Diagnosis and Treatment

Lung cancer is a deadly illness caused by the uncontrolled growth of cells in the lung tissues. Millions of people die from it worldwide, making it one of the most prevalent types of cancer. Long-term exposure to carcinogens such as radon gas, environmental contaminants, and cigarette smoke usually leads to the development of lung cancer. Small cell lung cancer and non-small cell lung cancer are the two main forms of lung cancer, each with distinctive characteristics and therapeutic choices.  Lung cancer symptoms include fatigue, weight loss, shortness of breath, chest pain, and chronic coughing. Successful lung cancer treatment depends heavily on early detection. Robotic lung cancer treatment in India is a popular and effective treatment method.

Types of Lung Cancer

There are two main types of lung cancer: non-small cell lung cancer and small cell lung cancer.

Non-Small Cell Lung Cancer (NSCLC): Making up nearly 85% of all occurrences of lung cancer, NSCLC is the most prevalent kind. It is further broken down into various types of subtypes:

  • adenocarcinoma: The most prevalent subtype, adenocarcinoma, frequently affects non-smokers or former smokers. It typically begins in the lungs’ outermost regions and can migrate to the lymph nodes.
  • Squamous Cell Carcinoma: This subtype frequently appears in the bronchial tube lining. It may result in symptoms like coughing and shortness of breath and is frequently linked to a history of smoking.
  • Large Cell Carcinoma: This subtype is less frequent and has the tendency to advance rapidly. It can occur anywhere in the lung and is frequently considered to have a dismal prognosis.

Depending on the cancer’s subtype and stage, NSCLC treatment options include surgery, radiation therapy, chemotherapy, targeted treatments, and immunotherapy.

Small cell lung cancer (SCLC): The less frequent but more dangerous kind of lung cancer is known as small cell lung cancer (SCLC). It frequently spreads and grows quickly. The two stages of SCLC are limited, which affects only one lung, and extensive, which affects more than one lung. They are significantly linked to cigarette use.

SCLC is frequently treated with chemotherapy and radiation therapy due to its aggressive nature. Since cancer has typically spread by the time of detection, surgery is rarely an option. Robotic lung cancer treatment in India can also be used for this.

Stages of Lung Cancer

A system called lung cancer staging is used to describe how far the disease has gone throughout the body. It aids medical professionals in selecting the best course of treatment. Each stage has specific treatment options, like robotic lung cancer treatment in India, with earlier stages often having a better prognosis and a wider range of treatment options.

  • Stage 0: Also referred to as carcinoma in situ, this stage denotes the presence of abnormal cells exclusively in the lining of the airways and excludes the invasion of deeper lung tissues.
  • Stage I: The cancer has not progressed to the lymph nodes or any distant sites and is contained to the lung.
  • Stage II: Though not at distant sites, the tumor may have gotten bigger and spread to surrounding lymph nodes.
  • Stage III: In this stage, the cancer has spread to the lymph nodes close by and may even have infiltrated surrounding tissues like the diaphragm or chest wall. Stage III is further broken down into sub-stages, where Stage IIIA denotes lymph node involvement on the same side of the chest and Stage IIIB denotes lymph node involvement on the other side.
  • Stage IV: At this point, the cancer has spread to distant organs such as the brain, liver, bones, or other sections of the body. This lung cancer is regarded as progressed or metastatic.

Symptoms

The type of lung cancer, its stage, and individual circumstances can all affect the symptoms of lung cancer. Lung cancer patients’ prognoses can be considerably enhanced by early detection and therapy. An efficient way for treating lung cancer is robotic lung cancer treatment in India. Typical signs include:

  • Persistent cough: A persistent cough is frequently an early indicator of lung cancer. It either doesn’t go away or gets worse over time.
  • Breathlessness: Breathlessness and breathing difficulties can result from lung malignancies that obstruct or constrict airways.
  • Chest Pain: Chest pain or discomfort brought on by lung cancer may get worse when you cough, laugh, or take heavy breaths.
  • Unexpected weight loss: A number of problems, including lung cancer, might be indicated by sudden and unexplained weight loss.
  • Fatigue: Even with little exercise, feeling exceedingly exhausted or weak is a common symptom.
  • Wheezing: Narrowed or obstructed airways can cause a whistling or wheezing sound when breathing.
  • Hoarseness: Lung tumors that are pushing on the nerves or airways can cause vocal changes, such as hoarseness.
  • Frequent Infections: Lung cancer patients may have weakened immune systems, which makes them more vulnerable to respiratory infections like pneumonia and bronchitis.
  • Coughing Up Blood: When lung cancer is more advanced, coughing up blood or bloody mucus might be a sign.
  • Loss of Appetite: As cancer gets worse, many people experience a loss of appetite and accidental weight loss.
  • Pain in bones or spine: The spine, ribs, or other bones may experience bone pain if the malignancy has spread to them.

Diagnosis

The diagnosis of lung cancer involves several steps to accurately determine the disease’s presence, type, and stage. It typically begins with a thorough medical history and physical examination. If lung cancer is suspected, various imaging tests such as chest X-rays, CT scans, and PET scans are conducted to visualize the lungs and identify any abnormalities or tumors.

  • A definitive diagnosis usually requires obtaining a tissue sample for examination. This can be done through procedures like bronchoscopy or a needle biopsy. Sometimes, a surgical biopsy may be necessary to extract a larger tissue sample for examination.
  • Once a tissue sample is obtained, a pathologist analyzes the cells under a microscope to determine if they are cancerous and, if so, what type of lung cancer it is.
  • To assess the extent of the disease, staging is conducted to determine if the cancer has spread beyond the lungs and to what extent. Staging helps healthcare professionals to determine the best treatment approach. Lung cancer is categorized into stages ranging from I to IV, with higher stages indicating more advanced disease. Modern techniques like robotic lung cancer treatment in India can also be used.

Treatment

The type of lung cancer, its stage, the patient’s general health, and personal preferences are only a few of the variables that affect how the disease is treated. Modern approaches like robotic lung cancer treatment in India are becoming increasingly popular. Treatment strategies comprise:

  • Surgery: During surgery, the tumor and adjacent lymph nodes are removed. It works well for non-small cell lung cancer in its earliest stages.
  • Radiation therapy: High-energy rays are used in radiation therapy to target and kill cancer cells. It can be combined with other treatments for advanced stages of lung cancer or used as the main treatment for early-stage lung cancer.
  • Chemotherapy: This treatment uses medication to either kill or slow the growth of cancer cells. It can be administered prior to surgery to reduce tumor size, following surgery to eliminate cancerous cells still present, or for advanced lung cancer to manage symptoms.
  • Targeted Therapy: Drugs that specifically target genetic abnormalities or proteins that fuel the proliferation of cancer cells are known as targeted treatments.
  • Immunotherapy: Immunotherapy works by enhancing the immune system’s capacity to identify and combat cancer cells.
  • precision medicine: Using precision medicine, treatment is customized according to the unique genetic composition of a patient’s tumor. It can assist in locating more effective, individualized therapy solutions.