Kovai Medical Center and Hospital (KMCH), Coimbatore, Tamil Nadu

for Minimally Invasive Key Hole Bypass Surgery

Overview

Kovai Medical Center and Hospital (KMCH) is a 750- bed Multi-disciplinary advanced super specialty hospital and it is situated in a clean and serene atmosphere, spread over a sprawling 20 acre piece of land, away from the hustle and bustle of city life. The hospital offers total and comprehensive health solutions for a wide range of diseases. Comprehensive infrastructure, Cutting edge technology, latest Hi Tech medical equipments in all specialized branches of healthcare and the committed team of medical experts make KMCH a trusted brand. KMCH has emerged as the most sought after multi super specialty hospital in the Kongu region over the past two decades and has many firsts to its credit and has won many accolades for providing excellent healthcare at affordable cost. The standard of treatment at KMCH is comparable to the best of hospitals anywhere in the world.

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Location

Nearest International Airport - Coimbatore International Airport 1.5 km. Nearest Domestic Airport - Coimbatore International Airport 1.5 km. Nearest Railway Station - Thrissur railway station 7.4 km.

Languages spoken

English, Hindi, Arabic, Tamil, Translators can be arranged for other Languages

Services

Medical records transfer

Airport pickup

TV in the room

Special dietary requests accepted

Private rooms for patients available

Parking available

Pharmacy

Translation services

Interpreter services

Local transportation booking

Local tourism options

Restaurant

Procedures

Ophthalmology 4 procedures

Cataract Surgery

This is a procedure where the lens in one’s eye that has become cloudy (cataract) is removed and replaced with an artificial Len (called IOL or intraocular Len). Cataract is a condition that leads to loss of vision by clouding of one’s natural eye Len that lies behind the pupil and iris. It is performed by an ophthalmologist.

Detached Retina Treatment

The retinal detachment is an emergency condition where the pulls from the bold vessel that supply it with nutrients and oxygen. It’s accompanied by floaters (cobwebs or specks) and flashes in one's vision. If not fixed leads to blindness. The condition can be managed via various treatment modalities by an ophthalmologist. The notable procedures include vitrectomy, pneumatic retinopexy and scleral buckle procedure.

Retinoblastoma

An eye cancer that begins in the back of the eye (retina), most commonly in children. Retinoblastoma may occur in one or both eyes. Retinoblastoma has few, if any, symptoms at first. It may be noticed if a pupil appears white when light is shone into the eye, sometimes with flash photography. Eyes may appear to be looking in different directions. Treatments include chemotherapy, radiation and laser therapy.

Glaucoma

A group of eye conditions that can cause blindness. With all types of glaucoma, the nerve connecting the eye to the brain is damaged, usually due to high eye pressure. The most common type of glaucoma (open-angle glaucoma) often has no symptoms other than slow vision loss. Angle-closure glaucoma, although rare, is a medical emergency and its symptoms include eye pain with nausea and sudden visual disturbance. Treatment includes eye drops, medication and surgery.

Gastroenterology 2 procedures

Cholecystectomy

This is a surgical procedure used to remove the gallbladder i.e., pear- shaped organ below the right lobe of the liver where bile is stored. The gallbladder can be removed due to inflammation (cholecystitis), gallstones if it leads to pancreatitis, gallbladder cancer, and biliary colic. The procedure can either be open or laparoscopic. Laparoscopic surgery is minimally invasive and only performed by a laparoscopic surgeon. Currently, advanced laparoscopic surgeries use single incisions, a technique called single incision laparoscopic surgery (SILS) or laparoendoscopic single site surgery.

Liver Biopsy

This is biopsy taken form the liver. It is a medical procedure that is done to diagnose, assess severity or monitor response to treatment of liver diseases.

General Surgery 4 procedures

Bone Marrow Transplant (Autologous)

This is a surgical procedure which involves a process where unhealthy bone marrow tissue is replaced with a healthy one. In an autologous transplant, your own blood-forming stem cells are collected. You are then treated with high doses of chemotherapy. The high-dose treatment kills the cancer cells, but it also gets rid of the blood-producing cells that are left in your bone marrow.

Hernia Repair

A hernia is an abnormal protrusion in whole or part, through an OPENING, pathological or anatomically in the walls of its containing cavity, e.g., the abdominal cavity. Hernia Repair procedures involve returning this displaced tissue to their proper place. There are different types of Hernia Repair surgeries, i.e., Herniorrhaphy (tissue repair) and hernioplasty (mesh repair) where a mesh is usually sewn over weakened areas.

Appendectomy

This is the surgical removal of the appendix. It is performed after a patient suffering from acute appendicitis. It can be performed as laparoscopic or as an open procedure.

Laparoscopic Cholecystectomy

A laparoscopic cholecystectomy is a surgery during which the doctor removes your gallbladder. This procedure uses several small cuts instead of one large one. A laparoscope, a narrow tube with a camera, is inserted through one incision. This allows your doctor to see your gallbladder on a screen.

Dentistry 3 procedures

Dental Crown

Is a procedure used to install a dental crown after damage. Normally, it requires at least two visits to a dentist. In the first visit, dentist examines the teeth to ensure it can support the crown then starts filling the crown to ensure it can support the crown. The dentist then takes an impression of the teeth and send to the dental lab so that permanent crown is made. In the second visit, the permanent crown is installed. Several types of crowns are available, i.e., porcelain, ceramic, stainless steel, resin, and gold. The procedure can be undertaken for cosmetic reasons or repair damaged the tooth.

Dental Checkup

This is a visit to a dentist. The dentist will carry out an inspection of the teeth and surrounding soft tissue to identify problems one may not be feeling or seeing. People with low risk for dental diseases need to visit a dentist at least once a year while high-risk individuals need 3 to 4 visits a year.

Braces

These are orthodontic devices used to straighten and align teeth and possibly position them with regards to a person’s natural bite. It helps improve a person’s cosmetic appearance and general health.

Bariatric Surgery 1 procedures

Bariatric Surgery Consultation

This is a weight loss procedure. Currently, most are performed laparoscopically. These include sleeve gastrostomy, adjustable gastric band, gastric bypass and Biliopancreatic Diversion with Duodenal Switch. This consultation will provide you with details about this procedure and go on to offer details of procedure relevant to thee. We will endeavor to explain to you how the procedures work and how it will help you achieve your desired weight.

Cardiology 14 procedures

Atrial Septal Defect (ASD) Closure

An ASD is a congenital heart defect in the atrial septum that results in leakage oxygen-rich blood from left atrium to the right atrium. This increases the work of workload of the right side of the heart and if not corrected early can lead to heart failure. The defect if small can be corrected by cardiac catheterization usually by a pediatric cardiologist. A large defect often needs open heart procedures.

Cardiac Assessment

This is the systematic examination of a patient’s cardiovascular system with the aim of diagnosing cardiovascular problems. The assessment encompasses taking a comprehensive history of a patient, carrying out a thorough physical examination of a patient and finally doing investigations such as electrocardiogram, echocardiogram, central venous pressure, etc.

Coronary Angiogram

It is a type of cardiac catheterization procedure. It is performed for both interventional and diagnostic purposes. In this procedure, a dye that is radiopaque is injected into the blood vessels of one’s heart. An X-ray machine is then used to take serial images (angiograms) that give a picture of how the blood vessels are. Based on the finding, an interventional cardiologist will open the clogged vessels (angioplasty).

Coronary Angioplasty

Also known as percutaneous transluminal coronary angioplasty (PTCA) Thais is a procedure that is used to widen narrowed or blocked coronary arteries. The procedure is carried out by an interventional cardiologist. When combined with stenting, it is referred to as percutaneous coronary intervention. Is should be done within thirty minutes to 2 hours after a having a cardiac event.

Coronary Artery Bypass Graft (CABG) Surgery

Also referred to as colloquially heart bypass or bypass surgery or coronary artery bypass surgery. It is an operation done restore normal blood flow to obstructed coronary vessels hence used to manage coronary heart disease. The surgery has two main approaches, i.e., diversion of the internal thoracic artery to the left anterior descending artery in the left coronary vessel and using the great saphenous vein to create a connection between the aorta or its branch to the obstructed artery distance to the obstruction.

Cardiology Consultation

This is a hospital checkup and review by a qualified cardiologist. It involves patient assessment, treatment planning, diagnosis and cardiac interventions.

Cardiac CT

This is a painless imaging modality that uses x-rays to take detailed images of one’s heart and its blood vessels. It may or may not be done with intravenous contrast agents. The modern multidetector CT (MDCT) is highly sensitive.

Aortic Valve Repair

This is a procedure done to repair or replace aortic valves damaged by disease. Aortic valves are one of the four heart valves that help regulate the flow of blood in the heart. The surgeon will remove the damaged valves and replace them with a prosthetic one which is then screwed into place. The valves can be mechanical (made of artificial materials like carbon) or biological, i.e., from animal or human tissue.

24 Hour Blood Pressure Monitoring

This allows a patient’s blood pressure to be measured at regular intervals (20-30 minutes) over a 24 hour period, whether the patient is asleep or awake. The BP will be measure as one goes about the activities of his daily life. It helps to detect masked hypertension, sustained hypertension and white coat hypertensions. It is also good in situations like BP change due to medication, pregnancy related hypertension, borderline hypertension, fainting episodes and when it is difficult to control BP with drugs.

Heart Transplant

Heart Transplant surgery is done to replace a damaged heart with a healthy, working heart that is taken from an ‘organ donor’ who has recently died. However, in very rare cases, the diseased heart is kept in its place to support the donated heart, instead of being removed. Heart transplant is used as a last resort when all the other cardiac treatments fail to improve the health of the patient.

Minimally Invasive (Key hole) Bypass Surgery

Minimally Invasive Direct Coronary Artery Bypass is a surgical treatment for coronary heart disease that is a less invasive method of coronary artery bypass surgery, without the need to opening chest.

Permanent Pacemaker Implant (Single Chamber)

A pacemaker is a medical device that generates electrical impulses delivered by electrodes to contract the heart muscles and regulate the electrical conduction system of the heart. Single-chamber pacemaker - With this device, 1 pacing lead is implanted in the right atrium or ventricle.

Mitral & Aortic Valve Replacement (AVR MVR)

Valve replacement surgery is the replacement of one or more of the heart valves with either an artificial heart valve or a bioprosthesis. It is an alternative to valve repair.

Minimally Invasive Valve Replacement (AVR MVR)

Valve replacement surgery is the replacement of one or more of the heart valves with either an artificial heart valve or a bioprosthesis. It is an alternative to valve repair. Benefits of minimally invasive cardiac surgery (MICS) have been well recognized when compared with a standard median sternotomy, in terms of blood loss reduction, lower morbidity, shorter intensive care unit and in-hospital stay.

Diagnostic Imaging 4 procedures

MRI Scan Magnetic Resonance Imaging

This is an imaging modality that used strong radio waves and magnetic field to produce imaged of the internal structure of the body. The scanner itself is a large tube that comprises powerful magnets. One lies inside the tube while getting scanned. The machine can produce two type of images, i.e., T1-weighted and T2-weighted images. Sometimes, contrast is used to enhance the images.

Chest X-Ray

This a radiograph of the chest used to diagnose chest diseases injuries. It is done using an X-ray machine that passes X-rays through the chest into a film to create the image.

CT Scan (Computed Tomography)

This is a modern imaging technique that makes use of that makes use of computed processed X-ray measurements that are taken at different angles to produce tomographic images of specific areas of objects scanned thereby allowing the user to see the internal structure of the object without physically cutting them. It is used in the diagnosis, screening or prevention of diseases.

Diagnostic X-Rays

This is noninvasive imaging modality that involves exposing parts of one’s body to a small dose of ionizing radiation to produce images of inside the body. They are used for investigating patient’s complaints, e.g., chronic cough, abdominal pains, bone injuries and fever.

Ear, Nose and Throat (ENT) 6 procedures

Laryngeal Surgery

These are surgeries done on the larynx to remove various pathologies such as laryngeal cancer, laryngeal papilloma, laryngeal granulomas, etc. Total laryngectomy (open) is the complete removal of the larynx while partial is incomplete removal. This normally depends on the location and stage of cancer. Endoscopic laryngeal surgeries are getting common. Microlaryngeal surgeries are used to operate on one's vocal cord. Laser surgery is a recent addition.

Laryngectomy

This is the surgical removal of the larynx and then separating it from the nose, esophagus and the moth. It can be total or partial. In total, the entire larynx is removed while in partial, only a portion is exercised. It is commonly used in the treatment of laryngeal cancers. It is a procedure performed by ENT surgeons.

Thyroidectomy

This is the surgical removal of part or whole of the thyroid tissue. The Parathyroid gland is usually preserved. It can be partial thyroidectomy where part of the thyroid is preserved, or it can be total thyroidectomy where the whole of the thyroid tissue is removed. It is commonly indicated for lived conditions like goiter, thyroid malignancies, etc.

Laryngoscopy

This is the endoscopic examination of the larynx and the back of the throat. The larynx is part of the throat. The procedure is carried out ear nose and throat specialists. There are two types of laryngoscopy procedures, i.e., direct laryngoscopy and indirect laryngoscopy.

Neck Dissection

This is a surgical procedure in which the fibrofatty content of the neck is removed as a treatment for metastasis to the cervical lymph nodes. Head and neck malignances commonly metastasize to the cervical lymph nodes. There are various surgical options available i.e. radical neck dissection, modified radical neck dissection, selective neck dissection and extended radical neck dissection.

Functional Endoscopic Sinus Surgery (FESS)

Functional endoscopic sinus surgery is a minimally invasive surgical treatment which uses nasal endoscopes to enlarge the nasal drainage pathways of the paranasal sinuses to improve sinus ventilation.

Gynecology 8 procedures

Cervical Polyp Removal

Cervical polyps are figure –shaped, red smooth growths in one's cervix. They commonly present as abnormal per vaginal bleed. They occur in multiparous women after the age of 20. They are diagnosed during a pelvic exam. There are removed surgically by gently twisting then tying its base before removing via special forceps. A solution then applied to stop any bleed.

Gynecologic Laparoscopy

It is a new alternative technique to open surgeries. It allows a surgeon to look into one's pelvis. It can be sued to remove adhesions, manage ectopic pregnancies, manage ovarian cysts, hysterectomy, oophorectomy, and myomectomy, do female sterilization (tubal ligation), diagnose & treat endometriosis and cancer investigation and lymph node sampling in cancer treatment.

Antenatal Care (ANC)

This is a type of preventive health care that aims at providing expectant mothers regular checkups to prevent and treat potential health care problems in the course of pregnancy while at the same time creating awareness on healthy living for the benefit of child and mother.

Cervical Biopsy

This is a surgical; procedure where a small amount of tissue is taken out from the cervix. The sample collected is taken to the laboratory for histological analysis to determine whether there is cancer and if present, which type. It is commonly done after abnormalities are detected in a Pap smear or routine pelvic exam including VIA/VILI. There are three types of biopsies, i.e., cone biopsy, endocervical curettage and punch biopsy.

Hysterectomy

This is the surgical removal of the uterus. It is a procedure done by gynecologists. It can either be total (where the entire uterus, fallopian tubes, cervix and upper third of vagina is resected) or partial. The option depend upon the patient choice and the indication for the operation.

Hysteroscopic Myomectomy

Hysteroscopic myomectomy is a technique that can be performed only if fibroids are within or bulging into the uterine cavity (submucosal). This procedure is performed without any incisions and virtually no postoperative discomfort. Anesthesia is needed because the surgery may take one to two hours and would otherwise be uncomfortable. A small telescope, the hysteroscope, is passed through the cervix and the inside of the uterine cavity can be seen. A small camera is attached to the telescope and the view is projected on a video monitor. This magnifies the picture and also allows the physician to perform the surgery while sitting in a comfortable position.

Ovarian Cyst Removal

Ovarian Cyst Removal is a surgery to withdraw cysts (a sac filled with fluid) from one or both of your ovaries. The surgery can be performed as Laparoscopic Surgery or Open Surgery. Most of the surgeons and patients prefer laparoscopic method, nowadays.

Laparoscopic Hysterectomy

A laparoscopic hysterectomy is a minimally invasive surgical procedure to remove the uterus. A small incision is made in the navel through which a tiny camera is inserted. The surgeon watches the image from this camera on a TV monitor while performing the procedure.

Neurosurgery 7 procedures

Craniotomy

These are a surgical procedure where bone flaps are temporarily removed from the skull to give access to the brain. The bone flaps are created by specialized tools. Sometimes it’s done under the guidance of CT scans or MRI scans to localize the areas of treatment (stereotactic Craniotomy). A craniotomy is used in stereotactic biopsy of the brain, stereotactic radiosurgery & stereotactic aspiration of hematomas, cysts or abscesses. A craniotomy is also useful in aneurysmal clipping and removal of brain tumors. Are of various types, i.e., translabarynthine Craniotomy, retro-sigmoid Craniotomy, extended bifrontal Craniotomy and supra-orbital Craniotomy.

Subdural Hematoma (SDH) Surgery

SDH is an intracranial hemorrhage that takes place beneath the meningeal Dura matter and may be associated with other traumatic brain injuries. They can be spontaneous, iatrogenic like from lumbar punctures or traumatic. SDH can be acute or chronic. SDH surgery involves a craniotomy to decompress brain tissue, stop active bleeding and possibly evacuate the hematoma.

Brain Aneurysm Repair

This is an endovascular surgical procedure. A catheter is usually guided via a small cut in one's groin to an artery and then passed through the vessel to the brain where an aneurysm is situated. Alternatively, the surgery can be performed alongside open craniotomy.

Brain Tumor Surgery

Surgery is the common modality for managing many malignant and most benign tumors. The operation is performed by a neurosurgeon. It helps relieve seizures, remove tumors, take biopsies and enable chemotherapy or radiotherapy. Common techniques used include craniotomy, craniotomy, partial or complete removal, shunting, transsphenoidal surgery, LITT, etc.

Cranioplasty

This is the surgical repair of a deformity or defect in the skull. The defect is normally as a result of a previous injury or surgery. It might also be a congenital defect. The surgery is performed for cosmetic reasons and patient psychological wellbeing.

Deep Brain Stimulation (DBS) Surgery

This is a surgical procedure that is done to implant a device that send electrical stimulus signals to brain regions responsible for body movement. Electrode is placed deep in the brain and then connected to a stimulating device. DBS helps remove symptoms of slowness of movement, tremor, walking problems and stiffness that is caused by dystonia, essential tremor or Parkinsonism disease.

Skull Base Surgery

This is minimally invasive, highly specialized neurosurgical technique for diagnosis, evaluating and treating cancerous or benign growths located on the base of the skull, the upper vertebrae of the spine and the underside of the brain.

Oncology 21 procedures

Breast Cancer Treatment

Treatment of breast cancer depends on the stage. The treatment may involve radiotherapy, surgery or medications. The types of surgeries used included mastectomy (radical mastectomy or simple mastectomy, modified radical mastectomy, patery modified radical mastectomy), breast-conserving surgery, lumpectomy and lymph node dissection. Medical therapy involves chemotherapy for breast cancer or systemic hormonal therapy like tamoxifen.

Cervical Cancer Treatment

Treatment of cervical cancer depends on the stage though other factors like the site of the tumor, ones desire for children, overall health, age, and type of cancer. While in stage 0 (CIS), the condition can be managed by loop electrosurgical procedure, simple hysterectomy, cone biopsy, cryotherapy and laser therapy. At stage 1a, cone biopsy is preferred. At stage 1A2, cone biopsy or radical trachelectomy with pelvic lymph node dissection is preferred, but for those who don’t desire fertility, EBRT and radical hysterectomy are desirable. At stage 1B and 2A, surgery and radiation or concurrent chemoradiation are desirable. At stage 2B, 3 and 4A chemo-radiation is used. At stage 4B, chemo-radiotherapy to try to slow down the tumor.

Chemotherapy

Chemotherapy is the use of drugs to treat diseases. But in medicine, it is commonly used when referring to the medical treatment of cancer that utilizes one or more antineoplastic medications as part of a standardized chemotherapeutic regimen. They are given with the intent to reduce symptoms, prolong life or cure cancer. Each cancer has a specific regiment that has been prepared for its management. Medical oncologists administrate chemotherapeutic regiment.

Acute Leukemia Treatment

The statement of acute leukemia depends on the subtype of leukemia. Treatment empathizes long-term cemetery with antineoplastic drugs. Various combination of chemotherapeutic agents has been developed for various leukemias. Oncologist use chemotherapy with or without radiotherapy and stem cell transplant.

Brachytherapy

Its a kind of radiotherapy where a sealed source of radiation is next to or inside the place needing treatment. A radioactive material is placed inside the body hence sometimes referred to as internal radiation. It is used in the management of cancer of the prostate, skin, cervical and breast and other tumors in the body. It can be used together with chemotherapy, surgery or EBRT.

Bladder Cancer Treatment

Medical and surgical modalities are used treatment of bladder cancer. The surgery done is either partial or complete Cystectomy. This involves partial or complete removal of the bladder. Medical therapy includes chemotherapy and radiotherapy.

Cancer Screening

The goal of this exercise is to detect cancers before their symptoms manifest. The test encompasses medical imaging, blood tests, urinalysis and other tests. It is common knowledge that the benefit of having a cancer screen done outweighs outweigh anybody harm that may result from the process. When cancerous tissues are detected early, they are easy to cure or treat. The most common cancers that are routinely screened are breast, colon, oral, prostate, pancreatic, lung, bowel and cervical cancers.

Chronic Leukemia Treatment

The treatment of chronic leukemia depend on a person’s age, reason for treatment, disease risk group, stage of cancer, signs and symptoms of disease, patient preference and overall health. Treatment options included targeted drug therapy, chemotherapy, bone marrow transplant, and immunotherapy.

Glioblastoma Treatment

Glioblastoma (Glioblastoma multiform) is a malignant tumor that affects the spinal cord and the brain. It is usually quite aggressive hence can spread quickly and grow fast. Treatment includes radiotherapy, chemotherapy and surgery (craniotomy and radiosurgery).

Laryngeal Cancer Treatment

Laryngeal Cancer is a condition which cancerous cells form from larynx tissues. The most common presentation include ear pain and sore throat. Laryngectomy (total) in addition to thyroidectomy and nodal removal followed by radiotherapy is the most common mode of treatment.

Cancer Staging

Staging is the process used to find out the amount of cancer in the body and their locations. The information is used by doctors to formulate the patient treatment plan and to determine their prognosis. There are four different ways staging is done i.e. pathological staging, post-neoadjuvanat or post-therapy staging, clinical staging and restaging (done when cancer recurs after treatment). The four factors used in staging include: site of primary tumor, the tumor size, the involvement of lymph nodes and metastases. Tests done to enable staging process include imaging tests, pathological tests, surgical reports, laboratory tests and physical examination.

Head and Neck Cancer Treatment (Throat Cancer)

Treatment of head and neck malignancies depend on the type and stage of the tumor. Treatment modalities used in the management of these malignancies included radiotherapy, surgery and chemotherapy. Surgical options included laser technology, excision, neck dissection or lymph node dissection, and reconstructive surgery. Target therapy is available.

Adrenal Cancer Treatment

Treatment of adrenal cancer depend on the stage. Stage 1 and two are treated surgically which may be combined with radiotherapy or mitotane administration. Stage 3 is treated surgically. This may be preceded by adjuvant radiotherapy or mitotane. For stage 4, a debulking surgery is done followed by radiotherapy and chemotherapy.

Bile Duct Cancer Treatment

Treatment of this condition depend on the stage. Medical procedure used included chemotherapy, transarterial chemoembolization, ERCP and radiotherapy. Surgical options available include hepatectomy and pancreatic tumor removal surgery.

Blood Cancer Treatment (Leukemia)

Leukaemia is cancer of blood-forming tissues, including bone marrow. Many types exist such as acute lymphoblastic leukaemia, acute myeloid leukaemia and chronic lymphocytic leukaemia.

Bone Cancer Treatment

Signs and symptoms of bone cancer include Bone pain, Swelling and tenderness near the affected area, Weakened bone, leading to fracture, Fatigue, Unintended weight loss.

Liver cancer Treatment (hepatic cancer)

Cancer that begins in the cells of the liver. Symptoms are uncommon in the early stages of liver cancer. Later, symptoms may include weight loss, stomach pain, vomiting and yellowed skin.

Lung Cancer Treatment

A cancer that begins in the lungs and most often occurs in people who smoke. Two major types of lung cancer are non-small cell lung cancer and small cell lung cancer. Causes of lung cancer include smoking, second-hand smoke, exposure to certain toxins and family history.

Prostate Cancer Treatment (prostatic carcinoma)

A cancer in a man's prostate, a small walnut-sized gland that produces seminal fluid. A man's prostate produces the seminal fluid that nourishes and transports sperm. Symptoms include difficulty with urination, but sometimes there are no symptoms at all.

Mouth Cancer Treatment (Oral cancer)

Cancer that develops in any part of the mouth. Risk factors include tobacco use, heavy alcohol use and human papillomavirus (HPV) infection. Symptoms include a sore that doesn't heal, a lump or a white or red patch on the inside of the mouth.

Lymphatic cancer (Lymphoma)

A cancer of the lymphatic system. The lymphatic system is the body's disease-fighting network. It includes the lymph nodes, spleen, thymus gland and bone marrow. The main types of lymphoma are Hodgkin's lymphoma and non-Hodgkin's lymphoma. Symptoms include enlarged lymph nodes, fatigue and weight loss. Treatment may involve chemotherapy, medication, radiation therapy and rarely stem-cell transplant.

Orthopedics 15 procedures

Hip Replacement

This is an orthopedic surgical procedure where a damaged hip is replaced with an implant, i.e., a prosthesis. This procedure can be performed either as hemi-replacement (only femoral head is replaced) or total replacement (i.e., total hip arthroplasty where both the femoral head and acetabulum are replaced).

Knee Replacement

Knee Replacement (arthroplasty) is an operation used to replace weight-bearing surfaces of the knee joint to relieve disability and pain. Especially in patients with osteoarthritis, psoriatic arthritis, and rheumatoid arthritis. Surgical techniques available include total knee replacement, partial knee replacement and femoral replacement.

Shoulder Replacement

Shoulder Replacement (arthroplasty) is an operation in which a prosthesis is used to replace part or all of the glenohumeral joint to relieve disability and pain. It is used to fix shoulder joint damage or relieve arthritic pain. We have the traditional shoulder total shoulder arthroplasty and the reverse total shoulder arthroplasty approach. The latter has two approaches, i.e., the deltopectoral approach and the transdeltoid approach.

Ankle Arthroscopy

Its an ankle replacement surgery done to replace damaged joint articular surfaces with prosthetic implants. It is currently a more preferred option than arthrodesis.

Autologous Chondrocyte Implantation (ACI)

This is a new type of orthopedic procedure that is used to manage to isolate full thickness joint articular surface defect in the knees. It is performed in three stages where about 2000-300 milligrams of cartilage is sampled from a less weight bearing area of a joins, isolated enzymatically then grown in a lab for six weeks before transplanting in damaged areas so that they grow and form new cartilage.

Knee Ligament Surgery (ACL)

This is a procedure done to treat knee ligament tears. It is currently done as a laparoscopic procedure, but open surgery is still practiced in some regions of the world. It helps reduce pain and improve stability in the joint.

Achilles Tendon Rupture

This is a complete tear through the tendon, usually about two inches from the calcaneal (heel) bone. The tendon it vital to activities like jumping, walking or running. The rupture is common in those suffering from Achilles tendinitis, illnesses like diabetes or on drugs like steroids and antibiotics. Surgery is essential for faster healing. However, a cast can be used to allow the leg heal naturally but will take quite long.

Ankle Fracture Treatment

Ankle fractures can be treated surgically or non-surgically. The method will depend on the degree of injury and the patient’s choice. The non-surgical options include casting and splinting.

Bone Fracture Treatment

Treatment depend on the severity of the fracture, patient choice and cost of treatment. Medically, reduction is done to fix a dislocated or Brocken bone. Devices available to fix fracture include orthopedic casts, splints, elastic bandages, and traction splint. Therapeutic physical therapy and joint manipulation can be done. Surgery included internal and external fixation.

Clubfoot Treatment

Club foot is also known as congenital talipes equinovarus. It is a combination of four thing in one i.e. cavus, adductus, varus and equinus. There are several types of clubfoot. It is a highly disabling condition if not managed early. The condition can be managed Non-operatively by Ponseti technique, Kite technique and French technique. Surgical options included: Posteromedial soft tissue release, Osteotomies, Triple arthrodesis, Achilles tenotomy and JESS.

Elbow Replacement

This s a procedure done to replace elbow joint that has been damaged by disease or trauma. It is indicated in severe loss of function, instability, joint destruction, severe pain or deformity. It is successful in relieving people of pain and improving the overall quality of life of the patient.

Knee Arthroscopy

These is a surgical procedure that is done to teat or diagnose knee joint problems like injuries and diseases. During the procedure, a small incision is made and an Arthroscope (tiny camera) inserted into the knees therapy allowing the examiner to see the inside of the joint on a live screen.

Ankle Fusion Surgery

Also known as ankle arthrodesis, is a surgical procedure done to fuse the different bones that make up the ankle joint into one piece. It is done when the joint become painful and worn out due to disease or previous trauma.

Ankle Replacement

The procedure is also known as total ankle arthroplasty. It is an orthopedic procedure done to replace the ankle joint articular surfaces that have been damaged by disease or injury with prosthetic components. It is done to treat ankle arthritis.

Acromioclavicular Joint Repair

Acromioclavicular Joint is the meeting point of the clavicle and acromion joint in the shoulder. Injuries in the joint result from trauma, fall or sports. Conservative treatment is used in management of minor injuries. Sever injuries need surgery. This may be done through an open procedure or arthroscopy. This are employed in the reconstruction of the joint.

Plastic and Cosmetic Surgery 10 procedures

Abdominoplasty

Also known as tummy task is a cosmetic procedure that is done to make the abdomen firm and thinner. It involves the removal of excess skin and fat from the lower and middle abdomen to tighten the fascia and muscles of the wall of the abdomen. The procedure is sought after by patient with sagging or loose tissue, especially after marked weight loss or pregnancy. Types of Abdominoplasty available include high lateral tummy tuck, floating Abdominoplasty, circumferential Abdominoplasty, extended or partial or complete Abdominoplasty and combined procedure, e.g., with liposuction.

Breast Lift

Also known as mastopexy .it is a plastic surgery mammoplasty procedure used for raising sagging breast tissue on a lady’s chest by modifying and changing the contour, the elevation, and size of the breasts. Done by women whose breast have changed due to breastfeeding, pregnancy, gravity, aging, heredity and weight fluctuations. The procedure helps rejuvenate one's figure by creating a rest profile that is uplifted and more youthful.

Breast Reconstruction

This is a plastic surgical technique that tries to restore the breasts to a near-normal appearance, size, and shapes following a mastectomy.

Rhinoplasty

This is a surgical (plastic and reconstructive) procedure for correcting and reconstructing the nose. It aesthetically improves the nose by resolving congenital disabilities, nasal trauma, a failed primary rhinoplasty, or respiratory impediments and restored nasal functions.

Tummy Tuck or Abdominal Wall Surgery

Abdominal wall surgery is a procedure that improves the appearance of flabby, stretched-out abdominal (belly) muscles and skin. It is also called a tummy tuck. It can range from a simple mini-tummy tuck to more extensive surgery. Abdominal wall surgery is not the same as liposuction, which is another way to remove fat. But, abdominal wall surgery is sometimes combined with liposuction. Your surgery will be done in an operating room in a hospital. You will receive general anesthesia. This will keep you asleep and pain-free during the procedure. The surgery takes 2 to 6 hours. You can expect to stay in the hospital for 1 to 3 days after surgery.

Breast Augmentation

Breast augmentation is a procedure to enlarge or change the shape of the breasts. Breast augmentation is done by placing implants behind breast tissue or under the chest muscle. An implant is a sac filled with either sterile salt water (saline) or a material called silicone.

Breast Reduction Surgery

Breast reduction is surgery to reduce the size of the breasts. It is done under general anesthesia. This is medicine that keeps you asleep and pain-free. For a breast reduction, the surgeon removes some of the breast tissue and skin. Your nipples may be moved higher to re-position them for cosmetic reasons.

Eyelid Lift (Blepharoplasty)

Eyelid lift surgery is done to repair sagging or drooping upper eyelids (ptosis) and remove excess skin from the eyelids. The surgery is called blepharoplasty. Sagging or drooping eyelids occur with increasing age. Some people are born with droopy eyelids or develop a disease that causes eyelid drooping.

Face lift (Face and neck)

A face-lift (rhytidectomy) is a cosmetic surgical procedure to improve the look of your face and neck. A neck lift (platysmaplasty) is often done as part of a face-lift. You might choose to have a face-lift if your facial skin is beginning to droop, a common occurrence with aging.

Face lift - Face, neck and upper and lower eyelids

A face-lift (rhytidectomy) is a cosmetic surgical procedure to improve the look of your face and neck. A neck lift (platysmaplasty) is often done as part of a face-lift. You might choose to have a face-lift if your facial skin is beginning to droop, a common occurrence with aging. Upper lid blepharoplasty removal of excess skin, and occasionally fat from the upper eyelids in order to refresh the appearance of the eyes. It can be combined with a lower lid blepharoplasty or brow lift to give a more complete rejuvenation to the eyes and upper third of the face.

Spinal Surgery 4 procedures

Cervical Disc Disease Treatment

The treatment of cervical disc diseases begins when your doctor takes a good history, carries out a physical examination and then order appropriate investigations. The investigations of choice of choice are CT, MRI, and X-rays that will help your doctor localize the problem. Based on this the doctor will decide whether to use the surgical or nonsurgical option. Non-surgical modalities include lifestyle modification, physiotherapy, and analgesia and heat therapy. Surgical option helps one heal fast and include cervical artificial disc replacement and anterior cervical discectomy and fusion (available in India).

Spine Surgery

This is a surgery done on the spine to treat back pain, or other damages are done on the spine by trauma or disease scoliosis, spinal stenosis, and disc herniation. It is recommended when conservative treatments are unsuccessful. It can either be done as an open or minimally invasive procedure. Common surgical approaches are lateral, posterior and anterior. Spinal surgical techniques included laminotomy, laminectomy, microdiscectomy, disc replacement, spinal fusion, and foraminotomy.

Spinal Disc Herniation Treatment (slipped disc)

This condition can be managed medically or surgically. Pain is managed using NSAIDs and therapies like physical therapy, stretching and chiropractic techniques are useful. Medical procedures included epidural steroid injection and therapeutic ultrasound. Spine surgery is the definitive management.

Nucleoplasty

This is a minimally invasive procedure (sometimes referred to as percutaneous discectomy) used to treat patient suffering from problem caused by herniated discs such as leg pain and low back pain. It is performed by an interventional radiologist.

Urology 6 procedures

Bladder Neck Incision (BNI)

This is a procedure done on men experiencing difficulty passing urine due to benign prostatic enlargement or urinary tract obstruction from a tight prostate. The patient usually presents with frequency, urgency, urine dribbling, hesitancy, poor urine stream and incomplete emptying of the balder. The operation helps relieve these symptoms of obstruction.

Cystectomy

This is the surgical removal of part or whole (radical) of the urinary bladder. Sometimes the term is used to refer to the removal of the gallbladder or a cyst. This is commonly performed after a diagnosis of bladder cancer.

Erectile Dysfunction Treatment

Erectile Dysfunction is the inability of a man to keep or get an erection firm to have sexual intercourse. It is commonly described as important. The condition can be managed medically. 1st the patient has to be evaluated for a treatment plan is made, the plan may incorporate assistive devices like pumps or medications.

Bladder Stone Removal

This is a procedure done to remove renal stones that have formed in the bladder or pound their way into the bladder hence causing obstruction and pain. Various procedures are used to remove the stones, e.g., percutaneous suprapubic crystolitholapaxy and open cystostomy.

Kidney Stones Treatment

The treatment of renal stones included taking a lot of water to help pass these stones and use of painkiller to relive renal colonic pain. Drug used included NSAIDs, diuretics narcotics and urinary retention drugs. Medical procedures that can be done to remove the stones include laser lithotripsy, uteroscopic stone removal and extracorporeal shockwave therapy.

Percutaneous nephrostolithotomy (PCNL - Kidney Stone Removal)

Percutaneous (through the skin) urinary procedures help drain urine from your bladder and get rid of kidney stones. A percutaneous nephrostomy is the placement of a small, flexible rubber tube (catheter) through your skin into your kidney to drain your urine. It is inserted through your back or flank. Percutaneous nephrostolithotomy (or nephrolithotomy) is the passing of a special medical instrument through your skin into your kidney. This is done to remove kidney stones.

General Medicine 6 procedures

Medical Examination

This is the process by which physicians assess the body of a patient for sings disease. In medical practice, it is terms used commonly to refer to is included a clinical examination or physical examination. It is done after a comprehensive history of a patient has been taken. It thus helps in diagnosis and formulating the treatment plan.

Abdominal Examination

This is the physical examination of the abdomen to identify signs of disease; it is done in four stages, i.e., inspection, palpation, percussion, and auscultation.

Female Health Checkup

This is a gynecological procedure used to assess the female reproductive system. It involved a physical exam of the female perineum and possibly a specular exam, Apart from this various imaging and laboratory tests can be ordered to help the doctor make a proper conclusion.

General Medicine Consultation

This is a visit to a physician or general medical practitioner. The doctor will take the patient history and carry out a physical exam of all systems after which proper investigations are done and a treatment plan formulated.

Deep Wound Treatment

A deep wound is one that cuts deeper than a quarter an inch beneath the skin surface. Due to their depth, this wound is likely to involve damage to tendons, major blood vessels, ligaments or internal organs. This can lead to both external and internal bleeding. These wounds require urgent treatment to avoid complications like shock. The bleeding has to be arrested, then cl4ned and properly dressed. Antibiotics and tetanus vaccine must be administered to the patient.

Male Health Checkup

This is a collection of tests and medical checks that are be performed on male person. It varies by age groups. They help detect and prevent health problem before they advance into serious health complications. The history of the man will be taken, them he will undergo a physical examination and finally some routine tests performed on him. The tests may include urinalysis, blood samples, stool samples, x-rays of some parts of the body etc.

Neurology 1 procedures

Neurology Consultation

This is an appointment with a neurologist (physician that has subspecialized in neurology) for treatment, diagnosis or management of disorders that affect the nervous system.

Nephrology 4 procedures

Kidney Transplant (Living Related Donor)

This is the transplant of a healthy kidney to patients with an end-stage renal disease or no functional kidneys. Kidneys are important because they remove wastes and toxins from the body apart from producing important hormones in the body. The kidney can be taken from a live donor or deceased donor. There recipient and donor can be genetically related or non-related depending on whether a biological relationship existed between them. India has very nice centers where this can be done successfully.

Nephrology Consultation

This is a hospital checkup and review by a qualified nephrologist. It involves patient assessment, treatment planning, diagnosis and interventions such as permanent catheter insertion. Patients with acute or chronic kidney disease will require a frequent check-up by a nephrologist. The doctor will also monitor patients undergoing dialysis.

Kidney Dialysis

This is a procedure done to manage patients with acute kidney injury or those with end-stage kidney disease. It is needed when one's kidneys are no longer able to meet the body’s needs. It performs normal kidney functions like the removal of wastes. There are two types of dialysis, i.e., peritoneal dialysis and hemodialysis.

Kidney Transplant (ABO Incompatible transplant)

This is the transplant of a healthy kidney to patients with an end-stage renal disease or no functional kidneys. ABO-incompatible (ABOi) transplantation is a method of allocation in organ transplantation that permits more efficient use of available organs regardless of ABO blood type

Paediatrics 3 procedures

Paediatric Cardio-thoracic Vascular Surgery

Includes neonatal repairs, arrhythmia surgery, coronary artery problems, vascular rings, tracheal abnormalities and mitral valve repair.

General Paediatrics

Includes Foetal and new-born care, Paediatric Critical Care, Asthma and other respiratory conditions, Paediatric heart conditions including cardiac surgeries, Childhood epilepsy, Food allergies and digestive disorders, Paediatric surgery, Organ transplantation- Liver, Kidney, Bone marrow transplant, Diabetes and renal conditions.

Paediatric cardiology

Covers cardiology disorders such as heart defects, cardiomyopathy, connective tissue disorders, heart conditions, electrophysiology issues, and other conditions.

Specialists

Specialists working with Kovai Medical Center and Hospital (KMCH), Coimbatore, Tamil Nadu

Dr. Thomas Alexander Cardiology

  • He has been working at the Kovai Medical Center and Hospital since 1993 and has established one of the busiest interventional units in this part of the country
  • All types of coronary, rheumatic, and congenital interventions are done
  • These include Coronary Balloon Angioplasty, Stenting, Mitral and Pulmonary Valvuloplasty, PDA Coil Embolisation and ASD closure

Dr. Arthanari Kumar Prasad Plastic and Cosmetic Surgery

  • Since 3rd June 2009 Dr. Arthanari Kumar Prasad is working in the Cosmetic Surgery department as Consultant Cosmetic Surgeon at KMCH
  • Body Sculpturing
  • Breast Aesthetics

Dr. Bharath Rangarajan Oncology

  • Dr. Bharath Rangarajan, MD, DM, Consultant Medical Oncologist has been trained at the Tata Memorial Center in Mumbai
  • He has conducted trials and has experience in the field of dendritic cell immunotherapy in cancer
  • He has conducted trials and has experience in the field of dendritic cell immunotherapy in cancer
  • Hemato-oncology
  • Breast Cancer
  • Pediatric Cancers

Dr. Sara V Thomas Ear, Nose and Throat (ENT)

  • Dr.Sara V Thomas completed her MBBS at Christian Medical College and Hospital, Vellore in 1982
  • She joined Kovai Medical Center and Hospital in 1993 as Consultant ENT Surgeon and developed the ENT Department here
  • Her areas of special interest are Otoneurology, Endoscopic Sinus Surgery, Paediatric ENT and Micro Ear Surgery, Skull Base Surgery, Endoscopic Sinus Surgery & Paediatric ENT

Dr. Rajkumar K.S General Surgery

  • After post graduation, he went to UK for further qualification and higher training.
  • He obtained his fellowship (FRCS) from Royal college of surgeons of Edinburgh.
  • He completed his Laparoscopic training at Leads Institute of Minimally Invasive Therapy (LIMIT)
  • Laparoscopic Surgery
  • Thyroid operations

Dr. Vivek Pathak Nephrology

  • He started the Department here with full facilities in 1990
  • He started the renal transplant programme at KMCH 17 years back and it has been very successful
  • The success rate is nearly 99% and is equal to the best in the world
  • He is also responsible for starting steroid free kidney transplantation which is the only programme of its kind in the country

Dr. Baskar .P Neurology

  • He Joined as Consultant in the Department of Neurology in Kovai Medical Center in the year 1992.
  • His special areas of interest is in the field of Acute Brain Stroke Management, Thrombolytic Therapy, Chronic Headache, Botox Therapy for Focal Dystonia and Epilepsy

Dr. C. V. Kannaki Uthraraj Gynecology

  • Dr. C. V. Kannaki Uthraraj, did her under graduate & Post Graduate from Madras Medical College, Chennai and underwent speciality training in Obstetrics & Gynecology in Central Middlesex Hospital, London in 1990.
  • She has an experience of over 32 years
  • Conducted first test tube baby of Coimbatore, 1996

Dr.K.Pounraju Ophthalmology

  • He was Consultant at PG Institute of Ophthalmology, Joseph Eye Hospital, Thiruchirappalli for 5 years.
  • Since then he is presenting Ophthalmologist in Coimbatore.
  • He has vast experience in Ophthalmology for the past 25 years
  • He has vast experience in Ocular Trauma Management
  • He is pioneer in optic nerve injury & rupture globe management

Dr. S. G. Thirumalaisamy Orthopedics

  • Dr.S.G.Thirumalaisamy was trained in orthopaedics and trauma in India and England.
  • He is working in KMCH as consultant of Orthopaedic Department with emphasis on primary & revision hip and knee replacement surgeries as well as arthroscopic procedures of knee and shoulder.
  • After returning to India, he was appointed as Consultant Orthopaedic Surgeon and Head of the Department in KMCH in December 1999.
  • He has done more than 2000 hip and knee replacement surgeries, 600 Arthroscopic surgeries and 190 Pelvic and Acetabular surgeries.

Dr. Devdas Madhvan Nephrology

  • Dr. Devdas Madhavan did his MBBS from J.I.P.M.E.R, Pondicherry in the year 1976
  • He then obtained his MS in General Surgery from L.T.M Medical College, Mumbai, followed by MNAMS from the National Academy of Medical Sciences, New Delhi
  • He worked abroad for 12 years gaining experience in various aspects of Adult and Paediatric Urology, before returning to join Kovai Medical Center and Hospital in 1994 as Consultant Urologist, Andrologist and Transplant Surgeon.
  • His special areas of interest are Urinary Stones, Kidney Transplant and Male Impotence.

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