Narayana Superspeciality Hospital, Gurgaon

for Blood Cancer Treatment Leukemia

Overview

Narayana Superspeciality Hospital is a world-class medical facility catering to the healthcare needs of the NCR region. Featuring experienced medical professionals and the latest in medical infrastructure, the hospital represents Narayana Health’s commitment to quality medical care and patient service. Narayana Superspeciality Hospital has been built from the ground-up to be a state-of-the-art facility; with expertly planned and well-equipped sections, including a spacious OPD area and comfortable patient rooms which allows the hospital to cater to both In-Patients and Out-Patients in equal measure. The world-class medical equipment and infrastructure at the hospital ensures that it is capable of providing a wide range of treatment; from complex to routine, from paediatric to adult. The hospital’s location also conferrers on it several key advantages It is the closest superspeciality hospital from Indira Gandhi International Airport towards Gurugram. It has excellent connectivity via Metro and Highway to Gurugram and Delhi. It is the nearest superspeciality hospital from DLF Cyber City. It is close to major residential areas in Gurugram.

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Languages spoken

English, Hindi, Translators can be arranged for other Languages

Services

Airport pickup

Free Wifi

Phone in the room

TV in the room

Special dietary requests accepted

Private rooms for patients available

Parking available

Pharmacy

Translation services

International newspapers

Personal assistance / Concierge

Procedures

Gastroenterology 25 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.

Colonoscopy

This is an endoscopic procedure used to examine the colon (large intestine) and the Ileum (the distal sections of the small intestine) using a fiber optic camera or a CCD camera on a flexible tube that is passed via the anus. It helps in the diagnosis of ulcers (e.g., ulcerative colitis, Cohn’s disease), polyps (e.g., HNPCC) and removal or biopsy of suspected lesions of colorectal cancer. It is also used in screening for colorectal cancer. Currently, virtual colonoscopy which is virtually noninvasive is available and uses CT scans or MRI sand to reconstruct its images.

Endoscopy

It is a nonsurgical procedure done to examine a person’s gastrointestinal tract. A patient may be anesthetized or fully conscious during the process. It is used in the investigation of gastrointestinal symptoms, confirmation of diagnosis and for treatment purposes, e.g., widening and esophageal stricture. The most commonly performed endoscopic procedure is esophagogastroduodenoscopy (OGD). Endoscopy is also used to examine the respiratory tract (rhinoscopy or bronchoscopy), the ear (otoscope), the urinary tract (cystoscopy) and female reproductive tract (gynoscopy). The technology is also available for use in pregnancy, plastic surgery, orthopedic surgery, endodontic surgeries, endoscopic spinal procedure and endoscopic endonasal surgeries.

Gallstones Treatment

Treatment of gallstones is based on one's symptoms and results of diagnostic procedures. The treatment options include cholecystectomy (surgery to remove the gallbladder) and drugs meant to dissolve the stones.

Liver Transplant (Living Related Donor)

This is the replacement of a diseased liver with a healthy one from a relative.it is recommended as a treatment for an end-stage liver disease or liver failure. The donor and recipient will have to undergo DNA analysis to ensure they are a close match before the procedure is done to minimize the risk of graft rejection.

Colostomy

This is a surgical procedure where a stoma is created by dragging a healthy end of the large bowel via an incision in the anterior wall of the abdomen then sutured into place. There are several techniques of colostomy, i.e., wind colostomy, loop colostomy and double barrel colostomy.

Endoscopic Retrograde Cholangiopancreatography (ERCP)

This is a technique that combines the use of fluoroscopy and endoscopy to diagnose and treat pancreatic and biliary ductal systems conditions like bile stones.

Gastroscopy

This is a diagnostic endoscopic procedure. In the process, a flexible thin tube, i.e., an endoscope is inserted into the gullet, stomach, and the duodenum. The endoscope has a camera at its end. The most commonly used terms in hospitals to refer to the procedure are upper GI endoscopy and esophagogastroduodenoscopy (OGD).

Gastroenterology Consultation

A gastroenterologist is a physician that has unique training and experience in the management of liver and gastrointestinal diseases. In a Gastroenterology Consultation, the doctor will examine the patient’s abdomen, possibly do an endoscopic procedure, order appropriate investigations on the patient’s and formulate or review the patient's treatment plan.

Gastrointestinal Perforation Repair

This is a procedure done to repair a hole in the gastrointestinal tract. It is performed during an exploratory laparotomy where the hole is looked for and the damaged area corrected.

Liver Transarterial Chemo Embolization (TACE)

This is a procedure done to manage liver cancer. Embolization is a procedure that slows or blocks the blood supply for an organ or tissue. In this case, it is used to block the blood supply to a live tumor so that that cancer cells can die. Chemoembolization is when the embolization material is used to deliver chemotherapy. Liver TACE, hepatic atrial blood supply to the tumor is blocked.

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.

Esophageal Cancer Surgery

This is a procedure done to treat cancer of the esophagus. The diseased area is resected. It is commonly done to manage earl stage (stage 1 and 2) esophageal cancer. It can be combine with chemotherapy and radiotherapy. Surgical options available included minimally invasive esophagectomy, open esophagectomy, and endoscopic mucosal resection.

Intra-Abdominal Adhesions Surgery

Adhesion are complications of radiation therapy, inflammatory processes and abdomino-pelvic surgeries. These adhesions can cause infertility, intestinal obstructions, chronic pelvic pain, and dyspareunia. These surgery is meat to manage these effects of adhesions so as to improve the patients overall quality of life.

Bile Duct Cancer Surgery

This is a procedure done to manage cancers of the distal and perihiler bile ducts. The surgery removes the bile duct and all the sentinel lymph nodes, along with sections of the liver, pancreas, gallbladder, and small bowel depending on the patient disease statue.

Choledochotomy

This is a surgical procedure done to in which the common bile duct is to looks for an remove bile stone within it. It can be done as a laparoscopic operation or an open procedure.

Capsule Endoscopy

Capsule endoscopy is a procedure that uses a tiny wireless camera to take pictures of your digestive tract. A capsule endoscopy camera sits inside a vitamin-size capsule you swallow. As the capsule travels through your digestive tract, the camera takes thousands of pictures that are transmitted to a recorder you wear on a belt around your waist. Capsule endoscopy helps doctors see inside your small intestine — an area that isn't easily reached with more-traditional endoscopy procedures. Traditional endoscopy involves passing a long, flexible tube equipped with a video camera down your throat or through your rectum.

Cystogastroctomy

Cystogastrostomy is a surgery to create an opening between a pancreatic pseudocyst and the stomach when the cyst is in a suitable position to be drained into the stomach. This conserves pancreatic juices that would otherwise be lost. This surgery is performed by a GI surgeon to avoid a life-threatening rupture of the pancreatic pseudocyst.

Endoscopic Submucosal Dissection

Endoscopic submucosal dissection (ESD) is an advanced surgical procedure using endoscopy to remove gastrointestinal tumors that have not entered the muscle layer. ESD may be done in the esophagus, stomach or colon. Application of endoscopic resection (ER) to gastrointestinal (GI) neoplasms is limited to lesions with no risk of nodal metastasis. Either polypectomy or endoscopic mucosal resection (EMR) is beneficial for patients because of its low level of invasiveness. However, to ensure the curative potential of these treatment modalities, accurate histopathologic assessment of the resected specimens is essential because the depth of invasion and lymphovascular infiltration of the tumor is associated with considerable risk for lymph node metastasis. For accurate assessment of the appropriateness of the therapy, en bloc resection is more desirable than piecemeal resection. For a reliable en bloc resection of GI neoplasms, a new method of ER called endoscopic submucosal dissection (ESD) has been developed.

Endoscopic Ultrasound-Guided Fine Needle Aspiration Biopsy (EUS-FNA)

Endoscopic ultrasound-guided fine needle aspiration biopsy (EUS-FNA) is currently performed on a routine basis at many endoscopic centers and it is evident that this procedure has a major impact on the therapeutic management of patients by obtaining a definite tissue diagnosis from lesions outlined by endosonography.

Percutaneous endoscopic gastrostomy (PEG) Placement

Percutaneous endoscopic gastrostomy (PEG) is a method of placing a tube into the stomach percutaneously, aided by endoscopy.

Esophageal Manometry

Esophageal manometry is a test to measure how well the esophagus is working. During esophageal manometry, a thin, pressure-sensitive tube is passed through your nose, down the esophagus, and into your stomach. Before the procedure, you receive numbing medicine inside the nose. This helps make the insertion of the tube less uncomfortable. After the tube is in the stomach, the tube is pulled slowly back into your esophagus. At this time, you are asked to swallow. The pressure of the muscle contractions is measured along several sections of the tube. While the tube is in place, other studies of your esophagus may be done. The tube is removed after the tests are completed. The test takes about 1 hour.

Biofeedback

During a biofeedback session, electrodes are attached to your skin. Finger sensors can also be used. These electrodes/sensors send signals to a monitor, which displays a sound, flash of light, or image that represents your heart and breathing rate, blood pressure, skin temperature, sweating, or muscle activity. When you're under stress, these functions change. Your heart rate speeds up, your muscles tighten, your blood pressure rises, you start to sweat, and your breathing quickens. You can see these stress responses as they happen on the monitor, and then get immediate feedback as you try to stop them. Biofeedback sessions are typically done in a therapist's office, but there are computer programs that connect the biofeedback sensor to your own computer. A biofeedback therapist helps you practice relaxation exercises, which you fine-tune to control different body functions. For example, you might use a relaxation technique to turn down the brainwaves that activate when you have a headache

Liver Transplant (ABO Incompatible transplant)

This is the replacement of a diseased liver with a healthy one from a relative.it is recommended as a treatment for an end-stage liver disease or liver failure. 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

Liver Cirrhosis Treatment

Hepatitis and chronic alcohol abuse are frequent causes. Liver damage caused by cirrhosis can't be undone, but further damage can be limited. Initially patients may experience fatigue, weakness and weight loss. During later stages, patients may develop jaundice (yellowing of the skin), gastrointestinal bleeding, abdominal swelling and confusion. Treatments focus on the underlying cause. In advanced cases, a liver transplant may be required.

Cardiology 23 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.

Bentall Procedure

This is a cardiothoracic operation that involves the replacement of a composite graft of the aortic root, ascending aorta and the aortic valve with implantation of coronary arteries into the graft.

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.

Atrioventricular Fistula Treatment

This is a procedure used to correct abnormal connections between the atria and ventricles of one's heart. The surgery requires the deformity be repaired to ensure that the correct flow of blood in one’s heart is achieved.

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.

Atrioventricular Septal Defect (AVSD) Treatment

Atrioventricular Septal Defect is a congenital malformation of the heart that allows the mixing of blood from the right and left sides of the heart. It can be due to the absence of the persistence of fetal interatrial foramen or the complete absence of part or whole of the septum. The management of the condition is surgical.

Aortopulmonary Window Repair

Aortopulmonary Window is a rare defect of the heart in which there is a hole connecting the aorta and the pulmonary artery abs a result failure of the conotructal ridges to fuse. As spontaneous closure does not occur, once a diagnosis is made, Aortopulmonary Window Repair surgery is the only solution.

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.

Abdominal aortic aneurysm (AAA)

An enlargement of the aorta, the main blood vessel that delivers blood to the body, at the level of the abdomen. An abdominal aortic aneurysm (AAA) can be life-threatening if it bursts. Abdominal aortic aneurysms are most common in older men and smokers.

Radio frequency (RF) Ablation heart rhythm correction

Catheter ablation is a procedure that uses radiofrequency energy (similar to microwave heat) to destroy a small area of heart tissue that is causing rapid and irregular heartbeats. Destroying this tissue helps restore your heart's regular rhythm.

Permanent Pacemaker Implant (Double 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. A pacemaker consists of a small, battery-powered generator and one or more leads. In a single-chamber system, one lead is used, most commonly pacing the right ventricle. Dual-chamber pacemakers have two leads, placed in the right atrium and right ventricle.

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.

Double valve replacement (DVR including two valves)

A double valve replacement is a replacement of both the mitral and the aortic valve, or the entire left side of the heart. This type of surgery is not as common as the others and the mortality rate is slightly higher.

Enhanced External Counter Pulsation

EECP® Therapy is a safe, non-invasive, outpatient treatment option for patients suffering from ischemic heart diseases such as angina and heart failure. The EECP machine is manufactured in USA & is approved by The United States Food & Drug Administration and is widely used across the world. EECP® was approved by the FDA in 1995 as a treatment for coronary artery disease and angina, cardiogenic shock and for use during a heart attack. In 2002, the FDA approved EECP® as a treatment for congestive heart failure. It has undergone rigorous clinical trials at leading universities and EECP® has been the subject of more than 100 scientific studies published in leading medical journals throughout the world. The treatment is currently recommended by American College of Cardiology / American Heart Association and European Society of Cardiology guideline for cardiac patient’s treatment. EECP® is a safe, non-invasive, outpatient treatment for heart disease that is used to relieve or eliminate angina. Treatments are usually given for an hour each day, five days a week, for a total of 35 hours. Additional hours may safely and effectively be prescribed to this regimen after evaluation of the patient’s response towards the treatment. If it is evaluated that additional hours will result in greater relief of symptoms, then it may be advised to the patient accordingly. In certain circumstances, adjusting the patient’s treatment regimen to two hours per day can make it more comfortable for the patient to complete a course of EECP therapy. During the treatment, you lie on a comfortable treatment table, and large blood pressure cuffs are wrapped around your legs and buttocks. These cuffs inflate and deflate at specific times between your heartbeats. A continuous electro cardiogram (ECG) is used to set the timing so the cuffs inflate while the heart is at rest, when it normally gets its supply of blood and oxygen. The cuffs deflate at the end of that rest period, just before the next heart beat. The special sensor applied to your finger checks the oxygen level in your blood and monitors the pressure waves created by the cuff inflations and deflations.In the process, EECP® develops new pathways around blocked arteries in the heart by expanding networks of tiny blood vessels (“collaterals”) that help increase and normalize blood flow to the heart muscle. For this reason, it is often called the “Natural Bypass”. Unlike bypass surgery, balloon angioplasty, and stenting procedures, EECP® is non-invasive, carries no risk, is comfortable and is administered in outpatient sessions.

Neurosurgery 11 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.

Peripheral Nerve Surgery

This is practiced by surgeons from various backgrounds with expertise in plastic and reconstructive surgery, neurology, pain medicine, and orthopedics hence the need for a multidisciplinary care. The surgeries included entrapment neuropathies, nerve sheath tumors like schwannomas and acute nerve injuries.

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.

Chiari Malformation Treatment

Chiari Malformation is a condition in which tissues of the brain protrude into the spinal canal via the foramen magnum. This can lead to hydrocephalus or syringomyelia. Treatment involves monitoring of the condition and surgery. Surgical procedures done include Decompressive craniectomy & laminectomy.

Brachial Plexus Injury Treatment

An operation to correct brachial plexus injuries should be performed within 6-7 months the injury as, beyond this period, the prognosis is poor. Teat such as MRI, CT, nerve conduction studies and electromyogram are usually done to determine the extent of the injury. Treatment can either be surgically or non-surgical, i.e., occupational therapy or physiotherapy or splinting /orthosis.

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.

VP Shunt Surgery

VP shunting is a surgical procedure that primarily treats a condition called hydrocephalus. This condition occurs when excess cerebrospinal fluid (CSF) collects in the brain's ventricles. CSF cushions your brain and protects it from injury inside your skull.

Oncology 31 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.

Whipple Procedure

Whipple Procedure also known as kaush-Whipple Procedure, pancretoduodectopmy, pancreaticoduodenectomy is a major surgical procedure dome to remove cancer of head of pancreas. It involves the removal of the common bile duct, the gallbladder, the duodenum and portions of the stomach.

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.

CyberKnife Treatment

This is a non-invasive treatment for benign and malignant tumors and other conditions that need radiotherapy. It is a flameless radiosurgery robotic system that uses targeted radiation to destroy tumor in the body. It is designed to minimize the exposure of healthy tissues and organs to radiation. It is pain free, does not need hospitalization or general anesthesia, spare healthy tissues, non-invasive and one only need one to five sessions to complete treatment.

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.

High-Intensity Focused Ultrasound (HIFU)

This is a new medical technology that is under development and can be used to treat a wide range of disorderds.it is a treatment modality that aims to kill cancerous cells using high frequency sound waves. It is only useful in the management of a single tumor or a section of a larger tumor hence not useful for highly malignant cancers.

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.

Lymph Node Biopsy

A lymph node biopsy is the removal of lymph node tissue for examination under a microscope. The lymph nodes are small glands that make white blood cells (lymphocytes), which fight infection. Lymph nodes may trap the germs that are causing an infection. Cancer often spreads to lymph nodes. A lymph node biopsy is done in an operating room in a hospital. Or, it is done at an outpatient surgical center.

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.

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.

Gamma Knife Radiosurgery

Gamma Knife Radiosurgery is a procedure that uses radiation to treat brain tumours and anomalies of the brain. Using specialized medical equipment, high number of radiation beams are passed exactly on the tumor in the brain. This is highly precise technique and causes negligible damage to tissues near the tumor. All the beams combine on the tumor and create a strong radiation, thereby destroying the tumor.

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.

Image Guided Radiation Therapy (IGRT)

Image-guided radiation therapy is the process of frequent two and three-dimensional imaging, during a course of radiation treatment, used to direct radiation therapy utilizing the imaging coordinates of the actual radiation treatment plan.

Intensity Modulated Radiation Therapy (IMRT)

Intensity-modulated radiotherapy (IMRT) uses linear accelerators to safely and painlessly deliver precise radiation doses to a tumor while minimizing the dose to surrounding normal tissue. Your radiation oncologist will speak with you to determine whether IMRT is the most appropriate treatment for you.

Stereotactic Radiosurgery (SRS)

Stereotactic radiosurgery (SRS) is a non-surgical radiation therapy used to treat functional abnormalities and small tumors of the brain. It can deliver precisely-targeted radiation in fewer high-dose treatments than traditional therapy, which can help preserve healthy tissue.

Pancreatic Cancer

The pancreas secretes enzymes that aid digestion and hormones that help regulate the metabolism of sugars. This type of cancer is often detected late, spreads rapidly and has a poor prognosis. There are no symptoms in the early stages. Later stages are associated with symptoms, but these can be non-specific, such as lack of appetite and weight loss. Treatment may include surgically removing the pancreas, radiation and chemotherapy.

Radiotherapy

Radiation therapy or radiotherapy, often abbreviated RT, RTx, or XRT, is therapy using ionizing radiation, generally as part of cancer treatment to control or kill malignant cells and normally delivered by a linear accelerator.

Bone Marrow Cancer (Multiple myeloma)

A cancer of plasma cells. The plasma cells are a type of white blood cell in the bone marrow. With this condition, a group of plasma cells becomes cancerous and multiplies. The disease can damage the bones, immune system, kidneys and red blood cell count. Symptoms may not be present or may be non-specific, such as loss of appetite, bone pain and fever. Treatments include medication, chemotherapy, corticosteroids, radiation or a stem-cell transplant.

Orthopedics 24 procedures

Bunion Surgery

A bunion is very painful. They are bony bumps which form at the base of one’s big toe. It normally forms a union between this toe and the 1st metatarsal one. Bunion removal surgery helps correct the area of deformity that forms on foot near the big toe. The surgery is sometimes referred to as hallux valgus correction or bunionectomy.

Carpal Tunnel Syndrome Surgery

Carpal Tunnel Syndrome is the tingling, numbness, weakness plus other problems in one's hand because of pressure being applied to the median nerve as it traverses the wrist. The small space where it passes through in the wrist called the Carpal Tunnel. This surgery is meant to relive the pressure hence relieving the symptoms. The two types of Carpal Tunnel Syndrome Surgeries are open and endoscopic, all available in India.

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.

Benign Bone Tumor Removal

Benign Bone Tumors are not cancers hence do not metastasize to other areas of the body. They however greatly weaken a one. Common one tumor include giant cell tumors, osteoid osteoma, osteochondroma, and osteoblastoma. Treatment involves surgical excision of the tumor or scrapping out (curettage) of the tumor with bone grafting.

Congenital Hip Dislocation Treatment

Congenital Hip Dislocation is also known as developmental dysplasia of the hip. It is a condition where a child is born with an unstable joint due to abnormal formation of the joint in early fetal development stages. It is more common in girls than boys. Screening for the condition occurs at birth and in the first year of life. A baby younger than 6 years is treated using a Pavlik harness. If this fails, the condition is managed via surgery. Surgical options include open reduction or closed reduction, after which the hip and leg are placed in a cast for at least 12 weeks. A child who is 18 months or older is managed by pelvic or femoral osteotomy to reconstruct their hip.

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.

Limb Amputation

This is the removal of a limb by surgery, medical or trauma. As a surgical measure, it is used to control a disease process affected limb like gangrene and malignancy or to control pain. It may also be carried of prophylactically to prevent these problems.

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 Ligament Surgery (MCL)

The MCL is one of the four ligaments of the knee. A Knee Ligament Surgery is done to treat torn ligament as a result of injurer. As the MCL surgery is located outside the joint, no surgical key hole are usually necessary. The torn ligament can be reattached with staples, screws and screws through a small incision.

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.

Artificial Limb Services

These services are provided to patient whose limb have been amputated so that they are able to walk again and improve their quality of life. The patient’s needs will be assessed on an individual basis and a variety of prosthetic equipment make available to support ones upper and lower limbs. Rehabilitative service are provided try a dedicated team of specialists.

Abscess Debridement

Abscess is by infectious process that features collection of pus that is surrounded by inflamed tissue. The Debridement entails incision and drainage of the lesion followed by packing then proper dressing of the wound. The patient is then made to undergo a course of antibiotics.

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.

Diagnostic Arthoscopy

Knee Arthroscopy is a surgical technique that can diagnose and treat problems in the knee joint. During the procedure, your surgeon will make a very small incision and insert a tiny camera - called an arthroscope - into your knee. This allows them to view the inside of the joint on a screen.

Diagnostic Imaging 7 procedures

Abdominal Ultrasound

This is a type of medical ultrasonography that is used to visualize anatomical structures of the abdomen. It uses the reflection and transmission of sound waves to visualize internal organs of the body via the wall of the abdomen.

Bone Mineral Densitometry (BMD)

This is a test used to assess the health of ones. It helps provides information regarding the fragility or strength of one's bones. The test measures the amount of calcium and other minerals

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.

Renal Angiogram

This is an imaging test that is done to examine the blood vessels in ones kidneys. It helps reveal blockages aneurysms or stenosis in the kidneys. Radiologist inject a contrast agent into arteries that bring blood to the kidney and X-rays used to monitor the flow. Fluoroscopy can also be used.

Abdominal CT Scan

This is a diagnostic radiological imaging test that is done to help detect diseases of the colon, small bowel and other abdominal organs or determine the cause of abdominal pain.it is noninvasive, accurate, fast and painless.

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.

Specialists

Specialists working with Narayana Superspeciality Hospital, Gurgaon

Dr. Vikas Jain General Surgery Urology

  • Diploma in Transplantation (Liverpool, UK) MS (General Surgery), DNB (Genito-urinary Surgery), MNAMS Fellowship, Renal Transplant (Barcelona, Spain)
  • Dr. Vikas Jain is an alumnus of Kasturba Medical College, Manipal. He received his urological and renal Transplant training from prestigious Muljibhai Patel Urological Hospital, Nadiad (Gujarat). He further received training in deceased donor renal transplant at Fundacio Puigvert, Barcelona (Spain). He has an extremely good academic record, with various awards and accolades to his credit, the most prestigious being Prof C K P Menon Best Paper Award for the year 2010 and European Association Urology Scholarship to visit Spain for training in deceased donor renal transplant.
  • He is an advanced laparoscopic urologist and has been popularizing “Laparoscopic donor nephrectomy (LDN)” i.e. removal of kidney from donor through “keyhole” amongst patients and fellow transplant surgeons.

Dr. Amit Goel General Surgery Urology

  • MS (General Surgery), MCh (Urology), Fellowship (Uro Oncology and Robotic Surgery)
  • Dr. Amit Goel is a Consultant with 11 years of experience. His areas of expertise are Kidney Transplants, Urological Cancer –Laparoscopic /Open , Female Urological Problems Sling and Vault Prolapse, Penile Implants, Artificial Urinary Sphincter for Incontinence. LASER for Prostate(HOLEP) and Key Hole/ Laser surgeries for Kidneys Stones – PCNL, URS, RIRS, Buccal Mucosal Graft Urethroplasties, Pyeloplasty.
  • Affiliations: American Urology Association European Urology Association Societe Internationale Urologie Urological Society of India Andrology India Indian American Urology Association Asian Urology Association Bangladesh Association of Urology Urogynecological Pelvic Floor Dysfunction and Incontinence Association, IUGA

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