The Calcutta Medical Research Institute (CMRI) CK Birla Hospitals, Kolkata
The Calcutta Medical Research Institute (CMRI) CK Birla Hospitals, Kolkata
for Breast Cancer Treatment
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.
CMRI (The Calcutta Medical Research Institute) — the flagship hospital of the CK Birla Group of Hospitals, has been a strong name in providing health care services for over 48 years. This multi-speciality tertiary unit is based on three key principals —Clinical Excellence, Ethical Conduct and Patient Centricity. Going beyond National borders; to Bangladesh, Bhutan, Nepal and Myanmar, this institution is a hallmark of trust in the medical sector.
Centrally located with 440 beds and state-of-the-art infrastructure, CMRI is an ISO 9001:2008 certified hospital accredited by the NABH, NABL & CAP (College of American Pathologists) recognised for its Quality Healthcare Service Delivery.
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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.
It is also known as blepharoplasty. It’s a surgical procedure meant to improve the appearance of one's eyelids. It can be performed on the lower lid, upper lids or both. It’s performed by plastic surgeons and helps correct deformities, disfigurations, and defects of the eyelids. It’s used to treat sagging or loose skin that creates a fold and disturb natural contour of the eye, remove fatty deposits that make ones eye puffy, remove bags below the eye, correct drooping lower lid and remove fine wrinkles and excess skins in lower lids.
Age-Related Macular Degeneration (AMD) Treatment
Currently, there is no specific treatment for dry AMD, but the patient can slow their condition by taking minerals and vitamins daily. There are however the wet AMD can be managed with Anti-VEGF drugs which helps decrease the number of abnormal vessels in one’s eye. Laser surgery can also be used to manage it.
This is type of refractive error in which the eyes don’t focus light evenly on the retina resulting in blurring of vision. It can also lead to night blindness, headaches and eyestrains. The condition is corrected with contact lenses, refractive surgery and eyeglasses.
Vitrectomy (Retinal Detachment Repair)
Retinal detachment repair is eye surgery to place a retina back into its normal position. The retina is the light-sensitive tissue in the back of the eye. Detachment means that it has pulled away from the layers of tissue around it. Most retinal detachment repair operations are urgent. A detached retina does not get a supply of oxygen. This causes the cells in the area to die, which can lead to blindness. If holes or tears in the retina are found before the retina detaches, the eye doctor can close the holes using a laser.
Ptosis (lazy eye)
Ptosis is a drooping or falling of the upper eyelid. The drooping may be worse after being awake longer when the individual's muscles are tired. This condition is sometimes called "lazy eye", but that term normally refers to the condition amblyopia.
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.
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.
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.
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.
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.
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.
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.
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.
Hiatal Hernia Surgery
This is a surgery done to correct a hiatal hernia. Hiatal Hernia is the abnormal protrusion of part of the stomach through the diaphragm.
Umbilical Hernia Repair
An umbilical hernia is a pouch or bulge the forma in the anterior abdominal wall. It arises when part of the intestine push through a weak area in the anterior wall near the umbilicus. The operation aims to fix the hernia. It is done when the hernia gets largest than one inch or is causing a disfigurement or is accompanied by pain.
It is also known as bone transplanting. This is a surgical procedure used to replace a missing bone to repair bone fractures that are complex, fail to heal in right way or pose a substantial health risk to the patient. It is that is used to repair problems with joints or bone, especially from trauma. It is also useful in ensuring that bone grows around an implanted device properly.
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.
It is a procedure done by a dentist. A bridge is a fixed dental prosthesis used to replace a missing tooth by permanently joining an artificial tooth with an adjacent dental implant or teeth. There are four type of dental bridges, i.e., cantilever bridge, Maryland Bridge, traditional bridge and implant supported bridges.
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.
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.
These are surgical components that are used in dental procedures to create an interface between the jawbone or the skull to support dental prostheses like bridges, facial prostheses, denture, crown or to act just as an orthodontic anchor.
This is a technique that is used to rehabilitate an edentulous patient or a patient whose teeth are badly broken down, decayed or compromised due to gum disease. It is a prosthodontics surgical technique in which all the teeth will get supported on four dental implants. The four implant support a prosthesis with fixed 10-14 teeth that place immediately after surgery. All-on-four implant has the following benefits, i.e., shorter installation time, prevent future bone loss, and ensure the arch is restored fully.
Cosmetic Dentistry Consultation
A cosmetic dentist is a dental practitioner that will help you change your appearance by changing your smile, gum, bite, and teeth. The consultation focuses on improving one's appearance regarding position, size, color, shape, and smile. The consultation helps you get a professional opinion before you make any final decisions.
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.
Gastric Bypass Surgery
This is a surgical procedure where the stomach is divided into a smaller upper pouch and a much larger remnant pouch after which the small bowel is rearranged to connect with both. It is currently performed endoscopically. It used to manage type 2 diabetes, morbid obesity, sleep apnea, etc.
This is a surgical procedure done to induce weight loss in a patient. Partial gastrostomy is done in which a larger portion of the stomach will be removed leaving only 15% of its original weight intact. It permanently reduced the size of one’s stomach despite the fact that sometimes dilation may occur later in life. In can be achieved through an open or laparoscopic surgery.
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.
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.
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).
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.
This is a hospital checkup and review by a qualified cardiologist. It involves patient assessment, treatment planning, diagnosis and cardiac interventions.
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.
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.
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.
Full Body PET CT Scan
This is an imaging modality that allows physicians to see diseases in one’s body. It utilizes a special dye that has a radioactive tracer. This tracer is injected into one's vein and after that distributed in the body where it’s absorbed by tissues and organs. It helps doctor s to see how well they are working. It measures oxygen use, glucose metabolism, blood flow, etc. It helps show problems at cellular level hence useful in detecting brain disorders, heart problems, central nervous system problems like seizure and memory disorders. It also shows the response to cancer to chemotherapy.
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.
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
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.
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.
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.
Ear, Nose and Throat (ENT)
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.
It is a test done to test one’s ability to perceive sound. The machine used to do the test is called an audiometer. It measures ones hearing acuity based on variations in sound tone, pitch, and intensity. It helps grade conduction deafness and rules out sensorineural hearing loss.
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.
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.
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.
Tonsillectomy is a surgical procedure in which both palatine tonsils are removed from a recess in the side of the pharynx called the tonsillar fossa.
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.
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.
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.
This is a procedure used to obtain a sample of a tumor in the breast for purposes of laboratory and histological analysis. Various breast sampling techniques are available, e.g., FNA, incisional biopsy, excisional biopsy, and core 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.
This is the clinical examination of one's breasts by medical practitioners to check them for any abnormalities. The physical exam is done by the health professional during one's routine medical checkup or when someone has complications related to breast. The exam should only be carried out by a professional trained in breast exam techniques. The results will be complemented either by mammograms or breast ultrasound.
This is the surgical removal of uterine fibroids especially symptomatic ones. The procedure aims to conserve the uterus for possible future deliveries.
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.
Hysteroscopy gets its name from the thin, lighted tool used to view the womb, called a hysteroscope. This tool sends images of the inside of the womb to a video monitor. Before the procedure, you will be given medicine to help you relax and block pain. Sometimes, medicine is given to help you fall asleep. During the procedure the provider places the scope through the vagina and cervix, into the womb, gas or fluid may be placed into the womb so it expands. This helps the provider see the area better and pictures of the womb can be seen on the video screen.
Laparoscopic Myomectomy uses a small telescope placed through the belly button along with several small instruments to remove fibroids from the uterus. The technique of actually removing the fibroid from the uterus is similar to that of an abdominal myomectomy except we use small instruments placed through the abdominal wall. Once the fibroid is freed from the uterus it needs to be removed from the abdomen. In order to remove a large fibroid from a small incision we use an instrument called a morcellator, to cut it into pieces small enough to be removed through the small incisions.
Also known as an "open" myomectomy, an abdominal myomectomy is a major surgical procedure. It involves making an incision through the skin on the lower abdomen, known as a "bikini cut," and removing the fibroids from the wall of the uterus. The uterine muscle is then sewn back together using several layers of stitches. You will be asleep during the procedure. Blood loss during the surgery may require a blood transfusion. Some women store their blood before the operation in order to receive their own blood rather than blood from the blood bank. Most women spend two nights in the hospital and four to six weeks recovering at home. After the procedure, you will have a four-inch horizontal scar near your pubic hair or "bikini" line.
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.
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.
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.
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.
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.
This is a procedure done to treat epilepsy in order to reduce or stop the seizures. There are different types of epilepsy surgical procedure. This includes removal of the area in the brain causing this seizures or separating the part of the brain causing these tumors from the rest.
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.
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.
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.
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.
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.
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.
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.
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.
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 (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 (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.
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.
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.
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.
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.
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.
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.
Plastic and Cosmetic Surgery
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.
Also known as Brachioplasty, is a procedure to provided increased contour and reshape the upper arms and at the same time connect the area to the chest wall. Techniques for Brachioplasty included minimal incision Brachioplasty, liposuction of the arm, traditional Brachioplasty, fish-incision Brachioplasty, extended Brachioplasty, superficial fascial system suspension, use of molds and non-excisional Brachioplasty.
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.
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.
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).
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.
This is a minimally invasive surgical procedure sued to treat the compression of the spine following a fracture. The spinal compression fractures usually occur majorly in spinal vertebral bones weakened by osteoporosis. It helps relieve pain and correct deformities.
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.
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.
This is a procedure done to take a sample from the prostate for histological analysis. It is dome to detect or diagnose cancer of the prostate especially after blood PSA level; rises to the level of prostate cancer. There are several options that can be used to take the sample i.e. MRI-guided biopsy, ultrasound guided biopsy, Transrectal biopsy and transurethral biopsy.
TURP (Transurethral Resection of Prostate)
Transurethral Resection of Prostate is a surgery to remove the inside part of the prostate gland. It is done in order to treat symptoms of an enlarged prostate. The surgery takes about 1 hour. You will be given medicine before surgery so you don't feel pain. You may get general anesthesia in which you are asleep and pain-free or spinal anesthesia in which you are awake, but relaxed and pain-free. The surgeon will insert a scope through the tube that carries urine from your bladder out of the penis. This tube is called the urethra. A special cutting tool is placed through the scope. It is used to remove the inside part of your prostate gland using electricity.
Anal Cyst Removal
A cyst is a sac that is abnormal containing a gas, semisolid material, and membranous lining. The four types of cysts commonly found in the perianal region include dermoid cyst, anal gland cyst, sacrococcygeal teratoma and epidermoid cyst. Treatment involves surgical excision of the cysts.
Anal Fistula Surgery
An anal fistula is an abnormal connection between the epithelized surface of the anal canal and the perianal skin. It is usually a sequela of an anal abscess. It rarely heals on it own hence need for surgery. The surgery is carried out under GA. There are several surgical options available, i.e., fistulotomy, advancement flap procedure, Seton technique, LIFT procedure, fibrin glue and bioprosthetic plug.
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.
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.
This is the administration of a vaccine to a person to stimulate their immune system thereby developing adaptive immunity against the target pathogen.
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.
Alzheimer's Disease Consultation
This is the evaluation of a patient suffering from dementia and symptoms of Alzheimer's disease. The doctor will assess the patient and prepares an appropriate treatment plan and inform the guardian on hoe w the patient should be cared for, the prognosis and booking future reviews.
Amyotrophic Lateral Sclerosis (ALS) Consultation
This is the evaluation of a patient who has ALS. The doctor will assess the patient and formulate an appropriate treatment plan and inform the guardian on hoe w the patient should be cared for, and advise on of follow up.
This is a physician-supervised program that is designed for patients with trauma, disorders or diseases of the nervous system. The program improves one's functions, reduce symptoms and greatly improve the overall well-being of a patient.
Epilepsy is recurrent seizes in one’s brain. The management of epilepsy can be done by drugs, and sometimes devices, dietary changes or surgery. Anticonvulsants are the main stray of treatment. This is however influenced by the type of epilepsy, the age of patient, pregnancy or breastfeeding.
This is a headache of that varies in intensity and is often accompanied by sound and light sensitivity and nausea. The condition can be managed by medications. The drugs can either be pain-relieving or preventive. Pain relieving medications included painkillers, triptans, ergots, anti-nausea drugs, opioids, and glucocorticoids. Preventative medications included cardiovascular drugs, antidepressants, anti-seizure drugs, painkillers, and Botox.
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.
In Vitro Fertilization (IVF)
This is an assisted reproductive technology that is used to achieve conception. It normally the only means available to achieve pregnancy when fallopian tubes are obstructed/blocked. In it, a woman egg and sperm will be left in a laboratory culture dish to fertilize after which the embryo is placed in the woman’s uterus. It is a complicated technology though useful for couples with infertility.
This is an assisted reproductive technology where the male partner’s sperm or donor sperm is injected into the female uterus at around the time of ovulation so that the fertilization can take place to achieve pregnancy.
It is a type of assisted reproductive technology. In it, the embryologist manipulates the female egg under a microscope so at to create a small hole in its zona pellucida to allow sperms to enter hence fertilize the ovum.
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.
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.
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
Acne Scar Treatment
The treatment is carried out under the supervision of a dermatologist. There are various agents available in the market that are used in the management of these scars. However, for good result, the agents should only be used after a dermatology consultation.
Acne is an inflammatory papular, pustular, and follicular eruptions involving the pilosebaceous units in the skin. It is treated medical using either local or topical agents by a dermatologist. All drugs used for the management of acne act as Anti-inflammatory, Anti-comedonal and Anti-microbial agents.
Warts are small growths on one’s skin that do not result in any pain. Some normally hurt or itch. There are five types of warts, i.e., genital warts, plantar warts, common warts, flat warts and periungual or sublingual warts. They are caused by HPV virus. They are contagious and can be spread via direct contact. Warts in the skin can be removed by applying cantharidin or salicylic acid. They can also be removed by simply cutting them off or using laser and cryotherapy to remove.
This is a visit to a skin specialist. The specialist will take your history and your skin lesions or just the general condition of the skin. The doctor will then prepare a treatment plan for you. A dermatological consult can be for cosmetic reasons or management of pathological skin conditions.
Mole and Skin Lesion Evaluation
This is like dermatological consult aimed at examining moles (benign pigmented lesion o the skin with histologic and clinical picture of malignant melanoma) and other lesion in the skin. This evaluation is important in that potential skin malignancies like malignant melanomas will be captured early and treated.
Mole (birth mark) is a benign disorder of melanocytes. They occur when these cells grow in cluster instead of spreading throughout in the skin. They darken after sun exposure and pregnancy. They can be removed for medical or aesthetic reasons. There are there methods of removing moles i.e. a punch excision, surgical excisions of larger moles and a shave excision.
Physical Medicine and Rehabilitation
An Orthopedic Rehabilitation program has many components, including occupational and physical therapy, sports injury rehabilitation, specialized pediatric services and minimally invasive procedures. The therapy aims to treat several conditions that affect the musculoskeletal system. The program restores the strength, motion, and activity after injury.
This is a medical procedure where patients are induced into a temporary state of loss of awareness or sensation.it may include amnesia, paralysis, unconsciousness or analgesia. It can be local or general. It is normally given before surgical procedures or in the ICU.
This is a medical imaging modality that is used to view the lumen or inside of organs and vessels in the body with a special interest in veins, arteries, and chambers of the heart. It helps reveal areas of blockage or areas with pathology. They include arteriogram, venograms, CT angiography, MR angiography. Examples microangiography, coronary angiography, etc.
Sometimes referred to as percutaneous transluminal Angioplasty or balloon Angioplasty.it is a minimally y invasive procedure that is done to widen obstructed or narrowed veins and arteries typically to manage atherosclerosis. A balloon catheter is passed over a guided wire to the narrowed vessel which is then inflated. A stent is sometimes inserted during the ballooning phase to ensure that the vessel will remain open after the balloon is deflated and removed. It has several used, i.e., Coronary Angioplasty, carotid Angioplasty and Peripheral Angioplasty.
Pulmonary and Respiratory Medicine
This is an interventional procedure that is done to diagnose pathologies of the lungs by obtaining samples that are then examined in histology or cytology under a microscope.
This is an endoscopic procedure done to visualize the inside of the airways for therapeutic and diagnostic purposes. The endoscopic instrument is inserted into the airways via either the nose or mouth and sometimes via a tracheostomy.
Tuberculosis (TB) Treatment
TB can either be pulmonary or exra-pulmonary. Treatment of TB is done in two phases it the intensive phase and the continuation phase. The intensive phase is usually a two months period of treatment with rifampicin, ethambutol, isoniazid and pyrazinamide. The continuation phase is usually a seven to eighteen months of treatment with rifampicin and isoniazid. The duration of the continuation phases is dependent of result of sensitivity tests and immune status of patient including comorbidities.
This is the review of a newly diagnosed or known diabetic patient by a diabetic care team. The doctors will take the patient history of the condition, carry out physical examinations to detect any diabetic complication, proper carryout investigations like RBS and educated the patient about his condition an, the impotence of drug compliance and possible lifestyle changes that patient will have to implement. The consult may decide to change the patient drugs.
This is a review of a patient suspected or diagnosed with endocrinological disorders such as hyperthyroidism. The patient will undergo a clinical examination and relevant investigations ordered to check the patient’s general medical condition. The patient’s medications will also be reviewed, and if failing, they will be changed. The consult can be done to a gynecologic, obstetric, medical, surgical, pediatric or even a psychiatric patient.
These are tests done to diagnose or rule our Endocrinological disorders. The test measures the level of a certain hormone in the blood, e.g., estrogen, thyroid function test, growth hormone, stimulating follicle hormone, etc.
A neonatologist is a pediatric subspecialist in the medical care of newer bone infants particularly the premature and ill new bones. The do most of their work in neonatal ICU. The consolation will enable the specialist to review the infant and prepare and appropriate treatment plan to ensure the baby turns out healthy.
In Vitro Fertilization (IVF)
In Vitro Fertilization (IVF) Package
In vitro fertilisation is a process of fertilisation where an egg is combined with sperm outside the body, in vitro.
Pediatric Cancer Treatment
Cancer in children can occur anywhere in the body, including the blood and lymph node system, brain and spinal cord (central nervous system; CNS), kidneys, and other organs and tissues.
Paediatric Cardio-thoracic Vascular Surgery
Includes neonatal repairs, arrhythmia surgery, coronary artery problems, vascular rings, tracheal abnormalities and mitral valve repair.
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.
Covers cardiology disorders such as heart defects, cardiomyopathy, connective tissue disorders, heart conditions, electrophysiology issues, and other conditions.
Specialists working with The Calcutta Medical Research Institute (CMRI) CK Birla Hospitals, Kolkata