Laparoscopic Surgery

Laparoscopic surgery, also called minimally invasive surgery (MIS), bandaid surgery, or keyhole surgery, is a modern surgical technique in which operations are performed far from their location through small incisions (usually 0.5–1.0 cm).

There are a number of advantages to the patient with laparoscopic surgery versus the more common, open procedure. Pain and bleeding are reduced due to smaller incisions and recovery times are shorter. Almost no visible scars & no loss of work or activity. The key element in laparoscopic surgery is the use of a laparoscope, a long fiber optic cable system which allows viewing of the affected area by snaking the cable from a more distant, but more easily accessible location.

Laparoscope is attached to a fiber optic cable system connected to a cold light source to illuminate the operative field, which is inserted through a 5 mm or 10 mm cannula. The abdomen is usually insufflated with carbon dioxide gas. This elevates the abdominal wall above the internal organs to create a working and viewing space. CO2 is used because it is common to the human body and can be absorbed by tissue and removed by the respiratory system. It is also non-flammable, which is important because electrosurgical devices are commonly used in laparoscopic procedures.

Laparoscopic surgery includes operations within the abdominal or pelvic cavities, whereas keyhole surgery performed on the thoracic or chest cavity is called thoracoscopic surgery. Laparoscopic and thoracoscopic surgery belong to the broader field of endoscopy.

GEN. SURGERY

"General Surgery" is a discipline of surgery having a central core of knowledge embracing anatomy, physiology, metabolism, immunology, nutrition, pathology, wound healing, shock and resuscitation, intensive care, and neoplasia, which are common to all surgical specialties. A general surgeon has specialized knowledge and experience related to the diagnosis, preoperative, operative, and postoperative management, including the management of complications, in nine primary components of surgery, all of which are essential to the education of a broadly based surgeon:
• Alimentary tract
• Abdomen and its contents
• Major laparotomies, cancer surgeries.
• Minimally invasive procedures & surgeries of all kind.
• All kinds of paediatrics, Geriatric & plastic surgeries.
• Breast, skin, and soft tissue •
All kinds of paediatrics, Geriatric & plastic surgeries.Head and neck, including trauma, vascular, endocrine, congenital and oncologic disorders - particularly tumors of the skin, salivary glands, thyroid, parathyroid, and the oral cavity
• Vascular system, excluding the intracranial vessels and heart
• Endocrine system, including thyroid, parathyroid, adrenal, and endocrine pancreas
• Surgical oncology, including coordinated multimodality management of the cancer patient by screening, surveillance, surgical adjunctive therapy, rehabilitation, and follow-up
• Comprehensive management of trauma, including musculoskeletal, hand, and head injuries. The responsibility for all phases of care of the injured patient is an essential component of general surgery.
• Complete care of critically ill patients with underlying surgical conditions, in the emergency room, intensive care unit, and trauma/burn units

GYNAE & OBST

An obstetrician is a physician who has successfully completed specialized education and training in the management of pregnancy, labor, and pueperium (the time-period directly following childbirth). A gynecologist is a physician who has a successfully completed specialized education and training in the health of the female reproductive system, including the diagnosis and treatment of disorders and diseases. Typically, the education and training for both fields occurs concurrently.

An obstetrician/gynecologist is a physician specialist who provides medical and surgical care to women and has particular expertise in pregnancy, childbirth, and disorders of the reproductive system. This includes preventative care, prenatal care, detection of sexually transmitted diseases, Pap test screening, family planning, etc.

An obstetrician/gynecologist—commonly abbreviated as OB/GYN—can serve as a primary physician and often serve as consultants to other physicians. OB/GYNs can have private practices, work in hospital or clinic settings, and maintain teaching positions at university hospitals. OB/GYNs may also work public health and preventive medicine administrations.

OB/GYNs have a broad base of knowledge and can vary their professional focus. Many develop unique practices, providing high-quality health care for women. OB/GYNs may choose to specialize in the following areas:

• Acute and chronic medical conditions
• Adolescent gynecology
• Behavioral problems
• Cancer
• Endocrinology
• Health maintenance during pregnancy
• Infertility
• Operative gynecology
• Pregnancy and delivery
• Preventative health
•Urinary tract disorders
• All kinds of simple, complicated & high risk deliveries.
• Painless Delivery.
• Caesarian section with minimal scar & pain.
• Laparoscopic Gynae surgeries. (Oviarn, Ectopic & Lap Hysterectomy)
• Infertility services-diagnostic & therapautic-Laparoscopy & Hysteroscopy.

GENERAL MEDICINE & CARDIAC DISEASES

A cardiologist is a doctor with special training and skill in finding, treating and preventing diseases of the heart and blood vessels.

What is an F.A.C.C.?
An F.A.C.C. is a Fellow of the American College of Cardiology. Based on their outstanding credentials, achievements, and community contribution to cardiovascular medicine, physicians who are elected to fellowship can use F.A.C.C., Fellow of the American College of Cardiology, as a professional designation.

The strongest evidence of achievement for those who earn the F.A.C.C insignia comes from their peers. Letters of sponsorship from other F.A.C.C.s and medical school faculty attest to professional competence and commitment to excellence, and are necessary for election to Fellowship in the College.

When accepting election to Fellowship in ACC, each physician pledges, "cooperation and loyalty to the attainment of the ideals" of the College, the most important of which is to promote excellence in cardiovascular care.


• Non invasive cardiology, diabetology & general medical services under specialist care.
• 24 Hrs emergency & routine care for all kind of medical diseases are available in the hospital.

ORTHO & NEURO TRAUMA


Orthopedic surgery or orthopedics (alternatively spelled orthopaedic surgery and orthopaedics) is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors, and congenital disorders.

Nicholas Andry coined the word "orthopædics" in French as orthopédie, derived from the Greek words ὀρθός orthos ("correct", "straight") and παιδίον paidion ("child"), when he published Orthopedie (translated as Orthopædia: or the Art of Correcting and Preventing Deformities in Children[1]) in 1741. Though as the name implies it was initially developed with attention to children, the correction of spinal and bony deformities in all stages of life eventually became the cornerstone of orthopedic practice.

As with many words derived with the "æ" ligature, simplification to either "ae" or just "e" is common. In the US the majority of college, university and residency programs, and even the American Academy of Orthopaedic Surgeons, still use the spelling with the Latinate digraph ae. Elsewhere, usage is not uniform; in Canada, both spellings are acceptable; orthopaedics usually prevails in the rest of the British Commonwealth, especially in the UK.

• All kinds of Ortho Neuro & Trauma care is provided.
• Dedicated & isolated Ortho Neuro suite –having laminar flow, hepa filter fitted modular OT.
• All kinds of Arthroscopic services.
• Minimally invasive Ortho, Neuro & Spinal surgeries.
• Excellent Joint replacement services

EXCELLENT JOINT REPLACEMENT FACILITY

Knee replacement, also called arthroplasty, is a surgical procedure to resurface a knee damaged by arthritis. Metal and plastic parts are used to cap the ends of the bones that form the knee joint, along with the kneecap. This surgery may be considered for someone who has severe arthritis or a severe knee injury. During knee (or total knee) replacement surgery, joint surfaces are substituted or replaced by prostheses. The goal of knee replacement surgery is to resurface the parts of the knee joint that have been damaged and to relieve knee pain that cannot be controlled by other treatments. We have the honour of doing joint replacement surgeries on foriegn national & NRI patients. They went back home fully satisfied & happy.

Knee replacement surgery — also known as knee arthroplasty (ARTH-row-plas-tee) — can help relieve pain and restore function in severely diseased knee joints. During knee replacement, a surgeon cuts away damaged bone and cartilage from your thighbone, shinbone and kneecap and replaces it with an artificial joint made of metal alloys, high-grade plastics and polymers.

The first artificial knees were little more than crude hinges. Now, you and your doctor can choose from a variety of designs that take into account your age, weight, activity level and overall health. Most knee replacement joints attempt to act like your knee, with its ability to roll and glide as it bends.

ERCP UPPER & LOWER GI ENDOSCOPY

ERCP UPPER & LOWER GI ENDOSCOPY
Endoscopy is used to view the upper and lower gastrointestinal tract. There are four types of endoscopy that are used to diagnose or monitor some digestive problems:

Upper GI Endoscopy
A flexible tube equipped with a camera will be inserted through the mouth to examine the upper GI tract, which includes the esophagus, stomach and duodenum (first part of small intestine). The physician may take small pieces of tissue (called biopsy) to examine under a microscope. This procedure is also used for removal of foreign objects, dilations of strictures (abnormal narrowing) and for management of bleeding in the GI tract.

Colonoscopy (Lower GI Endoscopy)
The flexible tube with a camera is inserted through the anus to examine the large intestine (colon) and the end of the small intestine (terminal ileum). Biopsies may be collected to examine under a microscope. This procedure may also be used to remove polyps and to manage GI bleeding.

Capsule Endoscopy (Camera Endoscopy)
This allows examination of the small intestine using a small video capsule that is about the size of a large vitamin. The camera captures pictures as it travels naturally through the small intestine and transmits images to a small device outside the body. After the procedure is completed, the images can be downloaded and reviewed by the physician. The capsule passes out in stool.

ERCP
In complex or repeated cases of pancreatitis or disorders of the bile ducts, a scope test called ERCP (endoscopic retrograde cholangiopancreatography) is done to look for problems in the bile and pancreatic ducts. A flexible tube with a camera and light is passed through the mouth to the small intestine. This procedure is done by our adult gastroenterologists, who do thousands of these procedures each year.

UROLOGY (TURP / PCNL / URS )

PCNL--Percutaneous nephrolithotomy (PCNL) is a surgical procedure to remove stones from the kidney by a small puncture wound (up to about 1 cm) through the skin. It is most suitable to remove stones of more than 2 cm in size and which are present near the pelvic region. It is usually done under general anesthesia or spinal anesthesia.

URSL: - This is the endoscopic treatment of ureter stones using a mini-scope. Under general anaesthesia, the ureteroscope is passed via the urethra into the bladder and up the ureter. A laser fibre or lithoclast probe is used to break the stone into smaller pieces. These tiny stone pieces will pass out on their own. Sometimes a wire basket is used to fish out the stone pieces. This surgery takes 30 mins on average and can be done as a day case. Occasionally, a double-J (DJ) stent may need to be inserted if there be any injury to the ureter wall or if there is already gross hydronephrosis (swelling) of the kidney due to the impacted stone. The success rate for stones lodged in the lower ureter is near 100%. For stones lodged at the mid to upper ureter, there is a chance they may float up into the kidney beyond the reach of the scope.



TURP - During transurethral resection of the prostate (TURP), an instrument is inserted up the urethra to remove the section of the prostate that is blocking urine flow. TURP usually requires a stay in the hospital. It is done using a general or spinal anesthetic. What To Expect After Surgery The hospital stay after TURP is commonly 1 to 2 days. Following surgery, a catheter camera.gif is used to remove urine and blood or blood clots in the bladder that may result from the procedure. When the urine is free of significant bleeding or blood clots, the catheter can be removed and you can go home. Strenuous activity, constipation, and sexual activity should be avoided for about 4 to 6 weeks. Symptoms such as frequent urination will continue for a while because of irritation and inflammation caused by the surgery. But they should ease during the first 6 weeks.

TURBT - Transurethral Resection of Bladder Tumor (TURBT)

What is a TURBT ?
A TURBT is a procedure in which bladder tumors can be removed from the bladder wall. This is a procedure performed completely with a scope that is inserted through the urethra into the bladder. It is generally performed in the hospital setting as an outpatient with the patient anesthetized. During the procedure, a scope with a special cutting instrument is inserted through the natural channel into the bladder and then the tumor is removed. The resulting area of resection can then also be cauterized by specialized instruments.

What is the purpose of a TURBT ?
A TURBT allows your urologist to both diagnose and potentially treat various bladder disorders. The most common indication for a TURBT is bladder cancer. 75% of bladder cancers that are discovered are superficial in nature. In other words, most bladder cancers grow only on the surface of the bladder wall and not deep into the bladder wall. This allows a surgeon to remove the bladder tumor down to the level of the bladder wall without damaging the deeper layers of the bladder.

The information that is gained from this procedure will inform your surgeon as to the type of tumor or abnormality that is in the bladder, as well as how extensive it is. This can then guide your physician in determining whether or not additional treatment will be required for your condition.

What are the common symptoms following my TURBT ?
As with most procedures that require endoscopy of the urinary tract, there is often burning and some mild discomfort when urinating for several days. It is also common to have a change in the force of the urinary stream for several days and perhaps even 1-2 weeks.

Bleeding is also very common after this procedure. In the immediate hours after the procedure, there is often blood left over from the procedure that inevitably will color the urine bright red. Also, small clots may be produced and evacuated in this time period. Usually this bleeding will clear in 1-2 days.

It is also very common for a patient to experience a small episode of repeat bleeding 1-2 weeks following his/her procedure. Typically, this is a small healing scab that is released from the urinary tract 1-2 weeks after the healing process has begun. This may be associated with a small amount of bleeding that should be self-limited
.> State of art urology setup for PCNL, URS, TURP, TURBT surgeries.
> Open reconstructive & cancer surgery for kidney – ureter, bladder & prostate.
> Almost all the disease of the urinary tract, stones etc. are treated without open surgery.

PLASTIC & COSMETIC SURGERY

Plastic Surgery

• Hand Injuries / Fracture
• Face Injuries / Fracture
• Birth Difect Correction
• Reconstructive Surgery
• Miro Surgery
• Burns and Correction of Deformities

Cosmetic Surgery

• Liposuction, Tummy Tucking, Double Chin
• Breast Augmentation / Reduction / Lift
• Nose / Chin / Cheek Correction
• Prominent deformed Ear Corrections
• Hair Transplantation by FUE & FUT
• Face lift, Brow lift
• Body shaping Surgery
• White patch ( Vitiligo / Leucoderma ) Surgery

ENT

What Is an ENT Specialist?

An ear, nose and throat specialist (ENT) is a physician trained in the medical and surgical treatment of the ears, nose throat, and related structures of the head and neck. They have special expertise in managing diseases of the ears, nose and nasal passage sinuses, larynx (voice box), oral cavity and upper pharynx (mouth and throat), as well as structures of the neck and face.

The Ear

The unique domain of the ear; nose and throat specialist is treatment of ear disorders. This includes medical and surgical treatment for hearing disorders, ear infections, balance disorders, facial nerve or cranial nerve disorders, as well as management of congenital (birth) and cancerous disorders of the outer and inner ear

The Throat

Also specific to the ENT specialty is expertise in managing diseases of the larynx (voice box) and the upper aerodigestive tract or esophagus including disorders of the voice respiration (breathing), and swallowing.

The Head and Neck

In the head and neck area, an ENT specialist is trained to treat infectious diseases, tumors (both benign and malignant/cancerous), facial trauma, and deformities of the face. They perform both cosmetic plastic and reconstructive surgery.

An ENT specialist may work with a team of doctors in other medical and surgical specialties. Common ground is shared with neurosurgery in treating skull base disorders; plastic surgery in correcting cosmetic and traumatic deformities; ophthalmology in treating structural abnormalities near the eye; oral surgery in treating jaw and dental trauma; allergy in managing sinus disease; dermatology in caring for skin cancers; oncology in managing head and neck cancers; and pediatrics and family practice in caring for common infectious, congenital, traumatic, and malignant (cancerous) diseases and disorders in the pediatric and general population.

This is a specialty department that caters to ailments associated with ear, nose and throat. The department offers a full range of ENT services with a very high standard of care.

The ENT Operation theatre is equipped with the latest operating microscopes, endoscopes, carbon dioxide laser, etc. along with facilities for TV monitoring and video recording of surgical procedures.

NEURO SURGERY

Neurosurgery has undergone a sea change since the days of Harvey Cushing. The development of bipolar cautery, the use of the surgical microscope, the availability of the ultrasonic surgical aspirator have all contributed to decreasing morbidity and mortality. Advances in neuroanaesthesia, neurosurgical intensive care and neuro-imaging technology have played a significant role. We are now in the age of Minimally Invasive Neurosurgery. The goal and the aims of treatment have shifted. It is no longer enough to save life but preserving of all functions, cosmesis and reducing pain, shorter hospital stay, avoiding discomfort are equally important. To fulfill these aims of excellence in neurological health care, Altec Hospital of has been set up as a part of Dr. Parveen Devgan vision of Excellent Health Care facilities in India.
The Altec Hospital of Neurosciences is equipped with most modern technology and equipments to cover the entire range of neurological diseases.

ICU - CARE for medical & Surgical Patients

Our ICU - fully functional & modern Intensive Care Units are at par with the best in the world. Quality drives us at Altec Laser Hospital.

The planning, infrastructure and equipment include -

• Advanced ventilators for optimal patient ventilator synchrony.
• Latest machines such as IABP / Advanced Modular Monitors & Workstations. Monitors with up to 48 hrs memory.

ICU is located on first floor. They are adjacent to the Operation Theatres. The facility has spacious & comfortable interiors which can be converted into private areas by drawing curtains. Each bed has a high end, upgradable electronic patient monitoring system. There are also high end life support ventilators available for all kind of sick and critical patients.
Each ICU has a clean air concept with two stage air filtration to provide clean air. There are rooms to cater for the immuno-compromised patients. An intensivist is a specialist physician with additional sub-specialty (fellowship) training, or equivalent qualifications, in critical care medicine. An intensivist directs the care of critically ill patients and works in collaboration with other health care professionals necessary for the care of patients in critical care units.

There is a full time intensivist who monitors the cases in the ICU. There is a team of doctors who monitor critical care units round the clock.
There is a isolated part of ICU for isolation requiring patients.
Infected/Septic patients are kept away from clean or non-infected patients.

EMERGENCY ROOM WITH MONITORS

Altec Laser Hospital offers a variety of Emergency Care services, from urgent care to trauma care. We recognize that emergencies are often stressful situations. That’s why we’re working to make sure your visit to a Altec Laser Hospital Emergency department is as smooth as possible. We’ve improved the design of our Emergency departments and our processes so that you can receive care as quickly as possible. Our Emergency departments feature health care providers, specialty-trained nurses and support staff who are well equipped to diagnose and treat your specific injury or illness. Communication plays a key role in your successful treatment in the Emergency department. The Emergency departments at Altec Laser Hospital are to medically screen each patient to determine his or her need for emergency medical treatment. If the patient has an emergency medical condition or is in active labor.

FULLY EQUIPPED 24 Hrs LABORATORY

In house, 24*7 Fully Equipped Clinical Laboratory where tests are done on clinical specimens in order to get information about the health of a patient as pertaining to the diagnosis, treatment, and prevention of disease, under the able guidance of two senior specialist pathologists, Dr. Tejinder Bhasin & Dr. Rahul Manan. They are very hardworking, honest, sincere & truthful doctors. In last 4 years, there is hardly any incidence of incorrect of false reporting by them. This is one of the reason of more then 96% succes rate of the hospital.

24 hrz Drug Store

Any medicines that you need will be provided. When in hospital, do not take any other medicine without the knowledge of your doctor, nurse or pharmacist. If you require medication when leaving the hospital, a prescription will be given to you before discharge. We have pharmacists who will answer your questions and give you information about your medicines. Please ask us to explain if there is anything you do not understand. Medical officer is always ready to answer your queries. In Altec hospital all A Class , Branded & Ethical medicines are used for the patients treatment. No generic or low standard medicine is used. Disposables are of high quality and are never reused to avoid any cross infection & promote high class care.