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julia asked:


Trabeculectomy in India is in high demand as in the US as 30% of its population is estimated to be overweight. The demand for cheap and efficient healthcare is drawing medical tourists from western countries to India for their surgeries. Desperate Americans, Canadians and British tourists lead the way for the growing medical tourism industry in India. Surgical procedures are charged at a mere fraction of the price for the same surgeries in the USA, making it much easier for uninsured families to manage expensive medical bills. In fact, Indian doctors are considered to be among the best in the world and their high level of surgical expertise evolves from many years of training – after studying here many doctors train and work in the UK. What’s more, healthcare facilities are the most cost-effective in the world with private hospitals offering treatment at a fraction of the price of those in the UK. Trabeculectomy brings patients from US and Europe to India.

Trabeculectomy is a surgical procedure used in the treatment of glaucoma to relieve intraocular pressure by removing part of the eye’s trabecular meshwork and adjacent structures. It is the most common glaucoma surgery performed and allows drainage of aqueous humor from within the eye to underneath the conjunctiva where it is absorbed. This outpatient procedure is most commonly performed under monitored anesthesia care in a half awake state using a retrobulbar block or a combination of topical and subtenon (Tenon’s capsule) anesthesia.

Procedure

An initial pocket is created under the conjunctiva and Tenon’s capsule and the wound bed is treated for several seconds to minutes with mitomycin C (MMC, 0.5-0.2 mg/ml) or 5-fluorouracil (5-FU, 50 mg/ml) soaked sponges. These chemotherapeutics help to prevent failure of the filter bleb from scarring by inhibiting fibroblast proliferation. Some surgeons prefer “fornix-based” conjunctival incisions while others use “limbus-based” construction at the corneoscleral junction which may allow easier access in eyes with deep sulci. A partial thickness flap with its base at the corneoscleral junction is then made in the sclera after careful cauterization of the flap area, and a window opening is created under the flap which a Kelly-punch to remove a portion of the sclera, Schlemm’s canal and the trabecular meshwork to enter the anterior chamber. Because of the fluid egress the iris will partially prolapse through the sclerostomy and is usually therefore grasped to perform an excision called iridectomy. This iridectomy will prevent future blockage of the sclerostomy. The scleral flap is then sutured loosely back in place with several sutures. The conjunctiva is closed in a watertight fashion at the end of the procedure.

It is obvious that medical tourism is heading in the right direction with all the attention the media has been giving to it lately.  India is hoping to expand its tourist industry - and every one appreciates the step. Medical tourism, where foreigners travel abroad in search of low cost, world-class medical treatment for trabeculectomy in India, is gaining popularity. Though the quality of health care for the poor in countries like India is undeniably low, private facilities offer advanced technology and procedures on par with hospitals in developed nations. One Indian hospital director maintains, “In a corporate hospital, once the door is closed you could be in a hospital in America. “There is no doubt that the Indian medical industry’s main appeal is low-cost treatment. Most estimates claim treatment costs start at around a tenth of the price of comparable treatment in America or Britain.

To know more about trabeculectomy in India:

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Healthcare asked:


 

India offers World Class Medical Facilities rotator cuff repair surgery, comparable with any of the western countries. Hospitals of rotator cuff repair surgery in India have best medical experts, which are trained from all over the world. With the best infrastructure, the best possible Medical facilities, accompanied with the most competitive prices you will get medical treatment for rotator cuff repair surgery in India. In rotator cuff surgery a tendon is a strong cord, which joins a muscle to a bone. It enables the bone to move when the muscle contracts. The rotator (row-tay-tor) cuff is the group of tendons over the top of the shoulder joint that make your arm move. One of your tendons is torn. This is probably as a result of the tendon rubbing against the bone above. Having a torn rotator cuff gives you pain when you use your arm. You may not be able to do certain things, such as lift your arm above shoulder height.

The Operation

You will have a general anaesthetic, and will be asleep for the whole operation. A cut is made over the front of the shoulder in the line of a bra-strap. Some of the overlying bone is removed.

This gives more room for the tendons. The tear in the tendons is repaired with stitches. The skin wound is then closed with stitches. There may be a fine plastic drainage tube running from the wound.

This is to drain any residual blood from the operation. You will be in hospital one or two nights after the operation.

Possible Complications

As with any operation under general anaesthetic there is a very small risk of complications related to your heart or your lungs. The tests that you will have before the operation will make sure that you can have the operation in the safest possible way and will bring the risk for such complications very close to zero.

Wound infection sometimes occurs. You will be given antibiotics to prevent this. Very rarely, more serious complications can occur, such as further damage to the joint or damage to the nerves or blood vessels in or around the area of the operation and you might need another operation to deal with the problem.

Although this operation is successful most of the time, it is not always possible to repair a large tear. If this is the case, the overhanging bone is still removed. This will relieve the pain. The repaired tendons may come apart again. The shoulder may stiffen slightly.

Last year alone, over 85,000 patients came to have their rotator cuff repair surgery in India from over 30 countries around the world, USA, Canada, UK, Russia, the Middle East., Tanzania, Kenya, Uganda, Sri Lanka, Pakistan, Mauritius, the Central Asian Republics. Medical costs in India are only 1/3 or even 1/4 of the costs at comparable hospitals in USA, Europe or South Africa. Indian doctors are amongst the best in the world. Most of the doctors at leading hospitals have trained and worked abroad. Some even teach overseas. The quality of medical infrastructure at our associate hospitals is world class. Some of our hospitals are JCI, USA certified signifying that they meet or exceed American hospital standards. For more details of rotator cuff surgery in India please visit http://www.fly2india4health.com and enquiry@fly2india4health.com