Procedures

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PROCEDURES

All You Need to Know About Procedures

Medical interventions for diagnosis, treatment, and management. Surgical or non-surgical, customized to patient needs, aimed at improving health outcomes and restoring function.

Bariatric Surgery

Bariatric Surgery

Organ Transplant

If you are obese and have been unable to lose weight through diet or exercise, you may be a candidate for bariatric surgery. This type of surgery restricts how much food you can consume and/or interferes with the body’s ability to absorb nutrients.

 

Why it’s done

Bariatric surgery is done to help you lose excess weight and reduce your risk of developing obesity-related health complications, some of which can be life-threatening. These include:

  • Heart disease and stroke
  • High blood pressure
  • Nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis (NASH)
  • Sleep apnea
  • Type 2 diabetes

Bariatric surgery is not usually the first step in weight loss journey. It’s typically done only after you’ve tried to lose weight through healthier eating habits and exercising more frequently. Before resorting to this type of surgery, we suggest exploring other options such as lifestyle changes.

 

Who it’s for

You may be a candidate for bariatric surgery if:

  • Your body mass index (BMI) is at 40 or above, considered extreme obesity.
  • Your BMI falls in the range of 35 to 39.9 and you have a serious weight-related health problem such as type 2 diabetes, high blood pressure, or severe sleep apnea.
  • There are some cases where people with BMIs between 30 and 34 may qualify for certain types of weight-loss surgery if they also have serious weight-related health problems.
CABG-Bypass Surgery

CABG-Bypass Surgery

Cardiovascular Procedures

A coronary artery bypass graft is a procedure whereby we take a blood vessel from another area of the body – typically the chest, leg, or arm – and attach it to the coronary artery above and below any narrowed areas or blockages. This new blood vessel is called a graft. The number of required grafts will depend on how severe your coronary heart disease is, as well as how many of the coronary arteries are narrow. The entire surgery takes place while you’re unconscious under general anesthesia, which usually lasts 3-6 hours.

 

Why it’s carried out

The average person will spend approximately 1 week in the hospital following a coronary artery bypass graft. You should schedule a follow-up appointment with your doctor about 2 months after your operation. Remember that recovery takes time and everyone heals at different rates, but most people are able to sit down after 1 day, walk after 3 days, and go up and down stairs by day 5 or 6. When you go home, you’ll need to take things easy for a few weeks. You should be able to return to most of your normal activities after about 6 weeks, including working, driving, and having sex. If you have a heavy manual job, you may need to stay off work longer. Most people make a full recovery within 12 weeks.

Cholecystectomy (Gallbladder Removal)

Cholecystectomy (Gallbladder Removal)

Organ Transplant

A cholecystectomy is most commonly performed to treat gallstones and the complications they cause. Your doctor may recommend a cholecystectomy if you have:

  • Gallstones in the gallbladder (cholelithiasis)
  • Gallstones in the bile duct (choledocholithiasis)
  • Gallbladder inflammation (cholecystitis)
  • Large gallbladder polyps
  • Pancreas inflammation (pancreatitis) due to gallstone
  1. Laparoscopic Cholecystectomy
    During laparoscopic cholecystectomy, several small incisions are made in the abdomen through which a surgeon inserts surgical instruments and a tiny video camera. The abdominal cavity is inflated with carbon dioxide gas to provide more room for the surgeon to work comfortably.
  2. Open CholecystectomyDuring an open cholecystectomy, the surgeon makes a 6-inch (15-centimeter) incision in your abdomen below your ribs on your right side. The muscle and tissue are pulled back to reveal your liver and gallbladder. Your surgeon then removes the gallbladder. The incision is sutured, and you’re taken to a recovery area. An open cholecystectomy takes one or two hours.

 

Orthopedic Surgery

Orthopedic Surgery

Orthopedic Procedures

Most people will see an orthopedic surgeon at some point in their life, and some people will see one often. Yet there is often confusion about exactly which conditions orthopedic specialists treat. Orthopedic medicine treats the musculoskeletal system. Healthcare providers in this field of medicine specialize in the diagnosis, treatment, and therapy of conditions affecting bones, joints, muscles, tendons, ligaments, cartilage, and nerves in patients of all ages, from newborn babies to the elderly.

The musculoskeletal system comprises the framework of the body and the mechanics that make it function. While orthopedics focuses on this system specifically, the reality is that just about every medical specialty has some overlap with this specialty.

While some orthopedic surgeons undergo additional training to perform specialized types of surgeries, orthopedic surgeons in general spend the majority of their time treating patients outside of the operating room. Most orthopedic specialists have a busy office-based practice. Orthopedic surgeons can also be found working in the emergency room, taking care of patients in hospital wards, or even on the sidelines of sporting events.

It takes around 10 years of schooling and training post-college to become an orthopedic surgeon, but it’s a highly in-demand specialty. And even after more than a decade of training, many surgeons further sub-specialize within orthopedics.

Pacemaker Installation

Pacemaker Installation

Cardiovascular Procedures

A pacemaker is a small device that’s placed (implanted) in the chest to help control the heartbeat. It’s used to prevent the heart from beating too slowly. Implanting a pacemaker in the chest requires a surgical procedure. A pacemaker is also called a cardiac pacing device.

Types

Depending on your condition, you might have one of the following types of pacemakers.

 

Why it’s done

A pacemaker is implanted to help control your heartbeat. Your doctor may recommend a temporary pacemaker when you have a slow heartbeat (bradycardia) after a heart attack, surgery or medication overdose but your heartbeat is otherwise expected to recover. A pacemaker may be implanted permanently to correct a chronic slow or irregular heartbeat or to help treat heart failure.

Percutaneous Nephrolithotomy

Percutaneous Nephrolithotomy

Organ Transplant

A percutaneous nephrolithotomy is an option for removing kidney stones from the body when they can’t pass on their own. “Percutaneous” means that it takes place through the skin. A surgeon creates a passage between the skin on the back and the kidney using special instruments that travel via a tiny tube in your back. Stones are located and removed from your kidney by means of special instruments passed through a tiny tube in your back.
Percutaneous nephrolithotomy is most often used to treat larger stones or when less-invasive procedures fail to work or are unavailable.

Why it’s done

Percutaneous nephrolithotomy is a medical procedure used to remove large kidney stones. This surgery is typically recommended in the following cases:

  • The patient has large kidney stones that are blocking more than one branch of the collecting system of the kidney, known as staghorn kidney stones.
  • The patient’s Kidney Stones are larger than 0.8 inches (2 centimeters) in diameter
  • Large Stones are present in the tube connecting a patient’s kidneys and bladder (ureter). -Other therapies have failed
Thyroidectomy

Thyroidectomy

Organ Transplant

Thyroidectomy is the surgical removal of all or part of your thyroid gland. Your thyroid is a butterfly-shaped gland located in the front of your neck. It makes hormones that control every part of your metabolism, from your heart rate to how quickly you burn calories.
Healthcare providers perform thyroidectomy to treat thyroid disorders. These include cancer, a noncancerous enlargement of the thyroid (goiter), and overactive thyroid (hyperthyroidism).
How much of your thyroid gland is removed during thyroidectomy depends on the reason for the surgery. If you need only part of your thyroid removed (partial thyroidectomy), your thyroid may work normally after surgery. If you need your entire thyroid removed (total thyroidectomy), you need daily treatment with thyroid hormone to replace your thyroid’s natural function.

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