The Saint-Augustin Clinic (Elsan)
Located in the heart of Bordeaux, the Saint-Augustin Clinic offers a wide range of more than 30 medical and surgical specialties. It is equipped with a high performance technical platform, and shines by the mastery of many specialties where it proves particularly in peak.
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Ophthalmology 14 procedures
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 corneal grafting. It is a surgical procedure where a person’s diseased or damaged cornea is replaced by a corneal tissue that is donated.
Artificial Iris Implantation
During this procedure, an artificial iris made from silicon is folded then inserted into an incision that has been made in the cornea. It is a cosmetic procedure. In it, the iris is adjusted and unfolded to cove one's natural iris. This implant is used to change the color of one’s eyes. It is also sued to treat coloboma or people whose iris have been damaged by traumatic injuries.
Amniotic Membrane Transplant
Amniotic Membrane can function as a temporary graft or a basement membrane substitute in the eye. The membrane has growth factors that promote wound healing. Also, it has anti-inflammatory and anti-scarring effects. AM has two functions, i.e., as a surgical graft and as a biological bandage. AMT is used in ophthalmology to reconstruct the conjunctiva and the cornea after scaring due to disease, acute burns, and corneal persistent epithelial defects.
A Chalazion is a painless benign nodule or bulge in the lower or upper eyelids. Conservatively, it is managed by lid hygiene and warm compress. Medically, topical or intralesional steroids can be used to minimize inflammation. This can cause regression of the lesion in few weeks. An ophthalmologist best performs surgery to remove the lesion.
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.
An eye cancer that begins in the back of the eye (retina), most commonly in children. Retinoblastoma may occur in one or both eyes. Retinoblastoma has few, if any, symptoms at first. It may be noticed if a pupil appears white when light is shone into the eye, sometimes with flash photography. Eyes may appear to be looking in different directions. Treatments include chemotherapy, radiation and laser therapy.
Strabismus (ocular misalignment)
Disorder in which the eyes don't look in exactly the same direction at the same time. Causes of strabismus can include nerve injury or dysfunction of the muscles controlling the eye. The main symptom is eyes that don't look in exactly the same direction at the same time. Crossed eyes can usually be corrected with early treatment. Several treatment options exist to align the eyes. They include special eye wear, use of an eye patch and rarely surgery.
A group of eye conditions that can cause blindness. With all types of glaucoma, the nerve connecting the eye to the brain is damaged, usually due to high eye pressure. The most common type of glaucoma (open-angle glaucoma) often has no symptoms other than slow vision loss. Angle-closure glaucoma, although rare, is a medical emergency and its symptoms include eye pain with nausea and sudden visual disturbance. Treatment includes eye drops, medication and surgery.
Gastroenterology 22 procedures
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.
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.
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.
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.
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).
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.
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.
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 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.
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.
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 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.
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 22 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.
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 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.
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 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.
Ear, Nose and Throat (ENT) 18 procedures
This is a surgical procedure used to remove the adenoids (lymphoid tissue in the nasopharynx) when they are enlarged hence causing recurrent earache, chronic infections or impaired breathing via the nose. It is performed by an otolaryngologist.
This is an electronic gadget (device) used to replace the functions of the inner ear when it is damaged. The implant does the work of the Cochlear by generating sound signals for the brain. It is thus useful in persons with profound or moderate hearing loss bilaterally. The device helps one to her better. Cochlear implant surgery is done by ENT Surgeon.
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.
Sleep Apnea Surgery
This surgery is only done when other treatment modalities are exhausted. The list of surgical options that can be done to treat sleep apnea includes: tonsillectomy and adenoidectomy, tracheostomy, radiofrequency ablation, maxilla-mandibular advancement, palatal surgery, bariatric surgery, nerve stimulation and uvulopalatopharyngoplasty.
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.
This is a procedure done to correct perforation in the pars tensa of the eardrum. When the procedure is combined with the reconstruction of the ear ossicles, the procedure is termed tympanoplasty. The operation is normally done while the patient is lying supine with the face turned to one side such that the side being operated lies upward. The procedure is carried out otolaryngologists. There are two major techniques currently being used, i.e., the overlay technique and the underlying technique.
Ossicular Chain Reconstruction
This is a procedure done to treat conductive deafness. It sis a middle ear procedure that is performed by otolaryngologists. Damage middle ear bones i.e. stapes, malleus and incus can be replaced in the process.
This is a procedure done to straighten the nasal septum that lies between the two nasal septums. The submucous septum is resected and reconstructed. It is done to correct a nasal septum that deviates.
This is a surgical operation done to reconstructs the eardrum or the middle ear bones. There are five type of Tympanoplasty procedures i.e. type l to type V Tympanoplasty procedures.
This is a surgical procedure in which the fibrofatty content of the neck is removed as a treatment for metastasis to the cervical lymph nodes. Head and neck malignances commonly metastasize to the cervical lymph nodes. There are various surgical options available i.e. radical neck dissection, modified radical neck dissection, selective neck dissection and extended radical neck dissection.
This is the surgical removal of part or whole of the tongue. It is done to manage malignant tumors like oral cancers.
Facial Nerve Paralysis - Nerve Repair
Dynamic and static reconstruction procedures are employed for facial reanimation in patients suffering from facial nerve paralysis. However, dynamic strategies tend to be more successful and fruitful and should be offered to each patient considering reconstruction, unless health risk contraindications exist. The most common approaches for reconstruction are direct facial nerve repair with or without grafting, nerve transfer, cross-facial nerve grafting, and muscle transfer (either regional muscle or free-muscle neurotized transfer)
A mastoidectomy is surgery to remove cells in the hollow, air-filled spaces in the skull behind the ear. These cells are called mastoid air cells. This surgery used to be a common way to treat an infection in mastoid air cells. In most cases, the condition was caused by an ear infection that spread to the bone in the skull. Mastoidectomy may be used to treat colesteatoma, complications of an ear infection (otitis media), infections of the mastoid bone that do not get better with antibiotics and to place a cochlear implant
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.
Plastic and Cosmetic Surgery 15 procedures
It is a prosthesis (saline or silicon) used to change the shape, contour, and size of one's breast. It adds volume to ones existing breast thereby creating a fuller chest. They are used in plastic and reconstructive surgeries to rectify congenital problems, restore natural breast mound after mastectomy or cosmetically in breast argumentation procedures.
Also known as mastopexy .it is a plastic surgery mammoplasty procedure used for raising sagging breast tissue on a lady’s chest by modifying and changing the contour, the elevation, and size of the breasts. Done by women whose breast have changed due to breastfeeding, pregnancy, gravity, aging, heredity and weight fluctuations. The procedure helps rejuvenate one's figure by creating a rest profile that is uplifted and more youthful.
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 plastic surgery procedure done on patients with excess fat, tissues, and fat that linger after a significant weight loss. Depending on the position of the excess skin, patients can choose to undergo lower, mid or upper body lift.
This is a surgical procedure that involves the reduction than the addition of surgical implants in a patients chin. The procedure can take the form of argumentation of chins using implants or chin height reduction or rounding of the chin by osteotomy.
This is a cosmetic procedure done to correct a patient’s jawline. It is commonly done on patients suffering from bruxism or patient who presents with a complaint of having rectangular or square jawlines thus making one's facial structure to look squarish. Treatment involves Botox injection. Jaw reduction surgeries are available.
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.
Varicose Veins Treatment
Varicose Veins are enlarged and gnarled vein that appears commonly in the feet and legs. Treatment usually helps though the condition is incurable. Treatment involves using devices like compressing stocking and elastic bandage. Weight loss and physical exercise also help. Medical procedures included sclerothrapy, ambulatory phabectomy, and laser therapy and radiofrequency ablation. Surgery involves vein stripping.
Tummy Tuck or Abdominal Wall Surgery
Abdominal wall surgery is a procedure that improves the appearance of flabby, stretched-out abdominal (belly) muscles and skin. It is also called a tummy tuck. It can range from a simple mini-tummy tuck to more extensive surgery. Abdominal wall surgery is not the same as liposuction, which is another way to remove fat. But, abdominal wall surgery is sometimes combined with liposuction. Your surgery will be done in an operating room in a hospital. You will receive general anesthesia. This will keep you asleep and pain-free during the procedure. The surgery takes 2 to 6 hours. You can expect to stay in the hospital for 1 to 3 days after surgery.
Breast augmentation is a procedure to enlarge or change the shape of the breasts. Breast augmentation is done by placing implants behind breast tissue or under the chest muscle. An implant is a sac filled with either sterile salt water (saline) or a material called silicone.
Breast Reduction Surgery
Breast reduction is surgery to reduce the size of the breasts. It is done under general anesthesia. This is medicine that keeps you asleep and pain-free. For a breast reduction, the surgeon removes some of the breast tissue and skin. Your nipples may be moved higher to re-position them for cosmetic reasons.
Eyelid Lift (Blepharoplasty)
Eyelid lift surgery is done to repair sagging or drooping upper eyelids (ptosis) and remove excess skin from the eyelids. The surgery is called blepharoplasty. Sagging or drooping eyelids occur with increasing age. Some people are born with droopy eyelids or develop a disease that causes eyelid drooping.
Face lift (Face and neck)
A face-lift (rhytidectomy) is a cosmetic surgical procedure to improve the look of your face and neck. A neck lift (platysmaplasty) is often done as part of a face-lift. You might choose to have a face-lift if your facial skin is beginning to droop, a common occurrence with aging.
Face lift - Face, neck and upper and lower eyelids
A face-lift (rhytidectomy) is a cosmetic surgical procedure to improve the look of your face and neck. A neck lift (platysmaplasty) is often done as part of a face-lift. You might choose to have a face-lift if your facial skin is beginning to droop, a common occurrence with aging. Upper lid blepharoplasty removal of excess skin, and occasionally fat from the upper eyelids in order to refresh the appearance of the eyes. It can be combined with a lower lid blepharoplasty or brow lift to give a more complete rejuvenation to the eyes and upper third of the face.
Cheiloplasty (Lip Reduction)
Cheiloplasty or lip reduction surgery is a cosmetic surgical procedure that helps to treat unusually big, fat or protruding lips.
Urology 15 procedures
Bladder Neck Incision (BNI)
This is a procedure done on men experiencing difficulty passing urine due to benign prostatic enlargement or urinary tract obstruction from a tight prostate. The patient usually presents with frequency, urgency, urine dribbling, hesitancy, poor urine stream and incomplete emptying of the balder. The operation helps relieve these symptoms of obstruction.
This is a surgical procedure that removes part or whole of the prostate gland. It is usually used in the treatment of benign prostatic enlargement (BPH), or prostate canacer.it can be performed in several ways. For prostate cancer, radical prostatectomy is recommended. The current technique for performing this include open radical prostatectomy (retropubic or transvesical), laparoscopic radical prostatectomy and robot-assisted radical prostatectomy. For benign enlarged prostate, simple prostatectomy is recommended. Newer techniques for managing BPH include transurethral resection of the prostate, transurethral laser-induced prostatectomy and Trans-urethral incision of the prostate. Noninvasive techniques include cryotherapy, laser therapy, thermal ablation and balloon dilation.
This is a surgical revision or reconstruction procedure of renal pelvis to decompress or drain the kidneys.it is performed to manage ureteropelvic junction obstructions provided the residual renal function is still adequate. Congenital hydronephrosis is its most common presentation in pediatrics.
This is the removal of the penile foreskin. It is the most commonly performed procedure in the world. In it, the foreskin is opened. Then adhesions removed before being separated from the glans and cut. The penis is then sutured. A recent study indicated that it lowers one's risk of contracting HIV by60%.
Erectile Dysfunction Treatment
Erectile Dysfunction is the inability of a man to keep or get an erection firm to have sexual intercourse. It is commonly described as important. The condition can be managed medically. 1st the patient has to be evaluated for a treatment plan is made, the plan may incorporate assistive devices like pumps or medications.
Bladder Stone Removal
This is a procedure done to remove renal stones that have formed in the bladder or pound their way into the bladder hence causing obstruction and pain. Various procedures are used to remove the stones, e.g., percutaneous suprapubic crystolitholapaxy and open cystostomy.
This is the endoscopic examination of the bladder. During the procedure, an endoscopic tube with a light and camera at the end is inserted into one's urethra, and into your bladder to visualize the inside of the bladder.
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.
Percutaneous nephrostolithotomy (PCNL - Kidney Stone Removal)
Percutaneous (through the skin) urinary procedures help drain urine from your bladder and get rid of kidney stones. A percutaneous nephrostomy is the placement of a small, flexible rubber tube (catheter) through your skin into your kidney to drain your urine. It is inserted through your back or flank. Percutaneous nephrostolithotomy (or nephrolithotomy) is the passing of a special medical instrument through your skin into your kidney. This is done to remove kidney stones.
Ureteroscopy (URS) is a form of minimally invasive surgery using a small telescope that is passed through the urethra and into the ureter to remove a stone. Often the stone requires fragmentation with a laser which then allows the smaller fragments to removed with a grasping device.
A penile prosthesis is another treatment option for men with erectile dysfunction (ED). These devices are either malleable or inflatable. The simplest type of prosthesis consists of a pair of malleable (bendable) rods surgically implanted within the erection chambers of the penis.
Radical cystectomy is the removal of the entire bladder, nearby lymph nodes (lymphadenectomy), part of the urethra, and nearby organs that may contain cancer cells. In men , the prostate, the seminal vesicles, and part of the vas deferens are also removed.
Radical prostatectomy is an operation to remove the prostate gland and tissues surrounding it. This usually includes the seminal vesicles and some nearby lymph nodes. Radical prostatectomy can cure prostate cancer in men whose cancer is limited to the prostate.
Neurology 10 procedures
Chronic Cerebrospinal Venous Insufficiency (CCSVI) Treatment
CCSVI is a term used to describe the compromise of blood flow in veins draining the CNS. Failure to treat the condition can, in the long run, predispose one to multiple sclerosis. It is commonly diagnosed using a Trans-cranial Doppler ultrasound, an MRI scan or Doppler sonography. It can be managed by a surgical procedure known as venous angioplasty where a surgeon will insert a balloon to keep veins open, clear a blockage & restore blood flow to spinal cord and brain.
Parkinson's Disease Treatment
The disease is only diagnosed after a proper history then physical and neurological exam. Imaging scans are not diagnostic by only help rule out other disorders. The disease is not curable but can be controlled using drugs like carbidopa-levodopa, dopamine, MAO-B inhibitors and, COMP inhibitors, anticholinergic and amantadine. When surgery is advisee, deep brain stimulation can be done.
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.
Dementia is the overall term used to describe a range of clinical conditions that are associated with the decline in one’s memory or thinking skills to the extent that one is unable to perform his/her normal daily life activities. The treatment if Dementia depends on its cause. Once the cause is determined, the condition will improve once the cause is properly managed.
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.
Trigeminal Neuralgia Treatment
Trigeminal Neuralgia is a chronic pain in the face arising from disorders that damage cranial nerve V i.e. trigeminal nerve. Treatment included injections (e.g. Botox injection and glycerol injection), medications (anticonvulsants, and antispasmodic agents) and surgery (microvasculer decompression, brain stereotactic radiosurgery). Other include balloon compression and radiofrequency thermal lesioning.
Nephrology 4 procedures
Kidney Transplant (Living Related Donor)
This is the transplant of a healthy kidney to patients with an end-stage renal disease or no functional kidneys. Kidneys are important because they remove wastes and toxins from the body apart from producing important hormones in the body. The kidney can be taken from a live donor or deceased donor. There recipient and donor can be genetically related or non-related depending on whether a biological relationship existed between them. India has very nice centers where this can be done successfully.
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
Physical Medicine and Rehabilitation 14 procedures
It is a medical therapy where low temperatures are used generally or locally. It is used to treat a variety of lesions (malignant or benign). Cold substances like liquid nitrogen are used to freeze then remove the lesions.
This is a treatment that is used to relieve pain that is caused by compression of nerve tissue in various parts of the body. It can be surgical or non-surgical. Notable examples include spinal decompression surgery where components of the spine realigned to release pressure ion pinched nerves.
This is the use of electrical energy in medical treatment. The therapy varies in waveforms, effect, and frequencies. Commonly used forms of electrotherapy included deep brain simulators and transcutaneous electrical nerve stimulation.
It is also known as a spinal adjustment. It is a term used by chiropractors to delineate the approaches to manipulating the spine. The chiropractor applies manipulation to the vertebrae, to reduce that subluxation and provided an effective lower back pain relief. All these manipulations should be done by a trained health professional in a hospital.
Chiropractic is a medical profession that is committed to the management of musculoskeletal and nervous system disorders via non-surgical methods. Chiropractors have a special focus on spinal manipulation a treatment of surrounding structures. It is commonly used in the management of lower back pains (acute and chronic). Chiropractic techniques included Garston, Activator, Extremity manipulation, Trigenics, Gonstead, Thompson, Distraction, Korn specifoica, Atlas orthogonal, and diversified techniques.
This is a physical treatment that is primarily used by occupational therapists, massage therapists, physical therapists, athletic trainers, osteopathic physicians, osteopaths, and physiotherapist to manage musculoskeletal disability and pain. It incorporates joint mobilization, muscles manipulation, kneading and joint manipulation. There are many styles of manual therapy. This included myotherapy, osteopathy, Rolfing, sotai, shiatsu, massage therapy, bone sitting, anma, acupuncture, bodyworks, etc.
This is physiotherapy. It makes use of mechanical movements and force, manual therapy, electrotherapy and exercise therapy. It helps improve the patient’s quality of life via diagnosis, examination, prognosis and physical interventions.
Bone and Joint Screening
These are tests done to detect bone and joint diseases like cancers earlier. The test is commonly done when a patient present with bone and joint complains like pain. A bone screening test is widely used to diagnose osteoporosis. This is done by carrion out a bone mineral test.
Lymphatic Drainage Massage
This is a technique used to help increase the flow of lymph. The increased flow helps improve the immune function and remove harmful substances from tissues which are then neutralized in the lymph nodes. Apart from this, the procedure helps improve healing after surgery, improves breastfeeding, and relax a patient. Manual lymph drainage is the commonly used technique.
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 devices that is fitted into the knee joint to give it support, especially when the person has pain that is emanating from the knee. They are used to provide support to the knee ligaments and the patella while one recovers from injury, to prevent injury, play sports, or to relieve pain in the knee. There are four categories of knee braces available i.e. functional, unloader, prophylactic and rehabilitative braces.
Bioptron Lamp Irradiation Treatment
Bioptron lamb is an optical device that emits light with wavelengths similar to the section of the electromagnetic spectrum that is naturally emitted by the sun, but it lacks UV light. The therapy acts naturally to support the body’s balancing and regenerative properties thereby helping the body to bring out its innate healing potential. The light produces bio-stimulation, i.e., stimulate the body’s biological processes positively hence strengthening the body’s functionality. It has no side effects and works naturally. Treatment is individualized and depends on one’s problem and the state of the area under treatment. It is used in dermatology, rheumatology, stomatology, cosmetology, cardiology, sports medicine, etc.
Bobath Concept Therapy
It is used by physiotherapists in the rehabilitation of patients with neurological disorders to promote the motor and sensory pathways and facilitate motor control and normal movement. It aims to improve mobility and movement in patients with damage to the CNS. The concept is based on the brain's ability to reorganize, recover and adapt to changes after neurological damage.
Paraplegia (Leg Paralysis)
Paraplegia is an impairment in motor or sensory function of the lower extremities. It is usually caused by spinal cord injury or a congenital condition that affects the neural (brain) elements of the spinal canal. The area of the spinal canal that is affected in paraplegia is either the thoracic, lumbar, or sacral regions. Common victims of this impairment are veterans or members of the armed forces. If four limbs are affected by paralysis, tetraplegia or quadriplegia is the correct term. If only one limb is affected, the correct term is monoplegia.
Anesthetics 1 procedures
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.
Vascular Medicine 5 procedures
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.
This is a surgical procedure that is used to reduce one's risk of developing stroke by correcting present in the internal carotid artery or the common carotid artery. The procedure helps get rid of an atherosclerotic plug that usually develops in some patients arteries.
Abdominal Aortic Aneurysm Repair
An Aneurysm is a dilated section of an artery. Abdominal Aortic Aneurysm occurs when the Abdominal Aorta enlarges and balloons outward at this point. The repair of AAA is achieved in two ways, i.e., endovascular Aneurysm repair (EVAR) and open repair.
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.
Aortic Arch Surgery
It a complex cardiothoracic operation done to manage aortic arch aneurysms. The procedure is often needed once the aneurism enlarges to a certain size, or when there is aortic dissection or when it ruptures. During the surgery, concomitant repair of other defects in the heart can be performed e.g. coronary artery blockage.
Pulmonary and Respiratory Medicine 4 procedures
Chronic Obstructive Pulmonary Disease (COPD) Treatment
COPD is a lung disease that encompasses chronic bronchitis and emphysema. The condition is incurable, but treatment can help. It is thus a lifelong disease. Treatment starts with smoking cessation. Drugs such as bronchodilators, steroids, phosphodiesterase-4 inhibitors, theophylline, and antibiotics are used. Lung therapies include oxygen therapy and pulmonary rehabilitation. Surgical solutions available included lung transplant, bullectomy, and lung volume reduction surgeries.
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 a surgical operation to remove a lung. It is commonly used in the management of lung cancers. Two types of the procedure are available i.e. extra-pleural Pneumonectomy and simple Pneumonectomy.
Endocrinology 3 procedures
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.
Maxillofacial Surgery 3 procedures
Facial Paralysis Treatment
This treatment aims to improve the function and reduce damages to the facial nerve. The paralysis of the seventh cranial nerve leads to Bell’s palsy. Facial nerve paralysis is managed medically using corticosteroids, antivirals or a combination of both.
Facial Tumor Removal
The growth and removal of these tumors (whether malignant or benign) can affect the bones and soft tissues of ones face thereby altering its shape. The surgical methods available to remove these tumors depend on the type of tumor, site, and size. The tumors can be removed by curettage, surgical excision, and cryotherapy. It is normally performed by oral and maxillofacial surgeons. Plastic and reconstructive surgeons can come in to improve the cosmetic outcome of the procedures.
Jaw Fracture Treatment
The treatment of fractures of the jaw is often surgical, though this depends on the extent of the injuries. Clean jaws normally heal on their own if properly immobilized. Surgical repair is always needed to manage multiple fractures of the jaw bone. Closed reduction in dentate patients is achieved using Eric arch bars, bridle wire or ivy loop. Open reductions using compression screw, plate fixation or wire osteosynthesis are available.
Specialists working with The Saint-Augustin Clinic (Elsan)
DR. LAURENT LOPEZ Urology
- Robotic Surgery European, Proctorprostate cancer
- Urologist SurgeonOncology/ functionnal-Urology
- MD, Oncology2002 to 2004
DR. FREDERIC CASASSUS Cardiology Vascular Medicine
- He is one of the best cardiologist in the city.
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