Suggested Treatment Centers

1.  Indraprastha Apollo Hospitals, New Delhi

The Apollo Hospitals Group is today recognized as the "Architect of Healthcare" in India. Its history of accomplishments, with its unique ability of resource management and able deployment of technology and knowledge to the service of mankind, justifies its recognition in India and abroad. Their mission is "to bring healthcare of international standards within the reach of every individual. We are committed to the achievement and maintenance of excellence in education, research and healthcare for the benefit of humanity"

Apollo's capabilities have received international acclaim resulting in the replication of its Indian models at international locations. Apollo group is also in talks with private healthcare groups and government authorities in Nigeria, South Africa, Tanzania, Mauritius, Yemen, Muscat, Bahrain, Vietnam, Malaysia, Thailand and other neighboring countries to establish its presence.

World Class Clinical Efficiencies
+ Among the few providers of quaternary care for complicated medical conditions, Apollo
   saves millions of lives everyday.
+ Touched the lives of over 10 million patients till date.
+ Over 4,00,000 Preventive Health checks done.
+ Has the largest and the most sophisticated sleep laboratories in the World.
+ Has pioneered orthopedic procedures like Total Hip and knee replacements, the Illizarov
    procedure, and the Birmingham Hip Resurfacing technique.
+ Has performed over 750,000 major surgeries and over 10,00,000 minor surgical
    procedures till date.
+ Has performed over 49,000 cardiac surgeries at a 98.5% success rate.
+ Has performed over 2,00,000 angiograms, 16,200 angoplasties (PTCA) and 3,500 mitral
    balloon valvuoplasities.
+ First heart transplant patient is alive, 7 years after the operation.
+ Has performed over 9,400 renal transplants.
+ 130 Bone Marrow Transplants performed at high success rates.
+ Over 30 Liver transplants done (Live and cadaver)
+ Has over 4,000 specialists and super specialists, 3,000 medical officers spanning 53
    clinical departments in patient care.

International Affiliations
+ Apollo Hospitals is recognized as a training centre by the National Board of Examination in
   India for post-graduate training in 16 medical departments.
+ The Department of Radiology at Apollo is recognized by the Royal College of Radiologists,
   United Kingdom for training for fellowship examinations like FRCR.
+ Recognized as a centre for conducting research work leading to Ph.D. of the Anna
   University, Chennai, in medical physics and digital signal processing.
+ Apollo Hospitals is recognized by the Royal College of Physicians and Surgeons in
   Edinburgh for training postgraduates in radiology, surgery and trauma care.
+ Apollo Hospitals is the only International training organization for the American Heart
   Association Technical support from Texas Heart institute and Minneapolis Heart Institute for
   Cardiology and Cardio Thoracic surgery.
+ Apollo Hospitals has exchange programs with the Hospitals in the US and Europe.
+ Apollo Hospitals have an association with Mayo Clinic & Cleveland Heart Institute, USA.
+ Apollo Hospitals is also associated with Johns Hopkins University. Indraprastha Apollo
   Hospitals, New Delhi

Indraprastha Apollo Hospital, New Delhi has become the first Indian Hospital to be cleared for accreditation by the Joint Commission International (JCI), which is the gold standard for US and European Hospitals.

Indraprastha Apollo is the largest corporate hospital outside the United States. It is the third super specialty tertiary care hospital set by the Apollo Hospitals Group, jointly with the Government of New Delhi, India's capital. It is a 695 bedded hospital, with the provision for expansion to 1000 beds in future.

The hospital is at the forefront of medical technology and expertise. It provides a complete range of latest diagnostic, medical and surgical facilities for the care of its patients.
The hospital started functioning from July 1996.

Some of the specialties handled by Apollo Hospital, New Delhi are as follows;

+ Anesthesiology
+ Apollo Cancer Institutes
-  Medical Oncology
-  Pediatric Oncology
-  Radiation Oncology
-  Surgical Oncology
+ Apollo Cardiac Centre
-  Cardiothoracic & Vascular Surgery
-  Electrophysiology
-  Interventional Cardiology
-  Non-invasive Cardiology
+ Laboratory Science
-  Biochemistry
-  Clinical Pathology
-  Histopathology
-  Hematology
-  Microbiology
-  Immunology & Molecular Biology
+ Critical Care
+ Dermatology
+ Dietetics and Nutrition
+ E.N.T.
+ Emergency and Trauma Centre
+ Endocrinology
+ Fetal Medicine
+ Gastroenterology
+ Gynaecology & Obstetrics
+ Holistic Medicine & Acupuncture
+ Hyperbaric Oxygen Therapy
+ Internal Medicine
+ Interventional Radiology
+ IVF
+ Multi Organ Transplantation
+ Apollo Neuroscience Centre
-  Bio Feedback
-  Neurology
-  Neurophysiology
-  Neurosurgery
+ Nuclear Medicine
+ Nephrology
+ Ophthalmology
+ Orthopedics
+ Apollo Centre for Advanced Pediatrics
-  Child Psychology
-  Neonatology
-  Pediatric Gastroenterology
-  Pediatric Hematology
-  Pediatric Surgery
-  Pediatric Orthopedics
-  Adolescent Medicine
+ Palliative Medicine
+ Physiotherapy & Rehabilitation
+ Psychiatry and Psychology
+ Radiology
-  Interventional Radiology
+ Respiratory & Sleep Medicine
+ Rheumatology
+ Transfusion Medicine
+ Urology & Andrology
+ The Neuro-rehabilitation Unit
+ Apollo Surgical Science Centre
-  Dental Surgery
-  Cardiothoracic Surgery
-  Neurosurgery
-  Vascular Surgery
-  Joint Surgery
-  Plastic & Cosmetic Surgery
-  General Surgery

2.  Manipal Hospital, Bangalore, India 

Established in 1990, the Manipal Hospital is a landmark, multi-specialty health destination managed by Asia's largest hospital management group. We are a tertiary care hospital with state-of-the-art technology and 650-bed strength, providing sophisticated and specialized medical services at affordable costs in over 39 specialties. The warm ambience of the hospital, its team of cheerful and dedicated doctors, and over 1700 well-trained support staff ensure that the best in healthcare services is given to all our patients. It is our sacrament to enrich and preserve, to inspire and be inspired by life.

The parent company, the Manipal Group, is renowned worldwide for its pioneering work in education and healthcare spanning five decades. Its Healthcare Division runs 11 hospitals with 1250 doctors and 4250 beds, 7 government associate hospitals with 2565 beds, 7 rural health centers and 14 Medical Colleges with over 9000 students and 275 faculty staff. Manipal group has ventured beyond the boundaries created by history, geography, nationality, genders, socio-economic strata and found opportunities to create wealth of different kind – in the form of health, knowledge and social security – working towards a better future.

3.  MIOT Hospitals, Chennai

MIOT Hospitals is a Leader in Orthopedics and Nationally and Internationally known for their adoption of Professional standards.

The Truly Global Hospital with World Class Specialties in India in the field of Joint Replacement Surgeries, Orthopedics and Trauma. Now Has Specialized Centre for Thoracic & Cardio Vascular Care, Centre for Neurology and Neuro Surgery, and Other Specialties.

A Multi Crore, Multi Specialty Hospital with German Collaboration. An International Hospital in Chennai and the country

"Medicine is not a trade; it is a calling where the physician not only thinks with his head but also with his heart." Prof. Dr.P.V.A. Mohandas

The Madras Institute of Orthopaedics and Traumatology (MIOT), had its genesis as an independent wing of Vijaya Hospital, where Padmashree Prof. Dr.P.V.A. Mohandas and his team performed many a surgical impossibility in the field of Orthopaedics. Subsequently, his international travel exposed him to the highly impressive standards of hygiene and competence of medical services in the West He grew obsessed with an overpowering desire to provide similar standards of professional health care in India. He left no stone unturned, no expense spared until in February 1999 MIOT opened its doors to the public. Thus, the seed of desire sown with dedication and nurtured with concerted effort, sprouted and now stands before us as the imposing structure of MIOT - the virtual brainchild of Dr. Mohandas.

MIOT Hospitals became a corporate body in early 1994 in tune with the evolving hospital culture overseas. This multi-crore, super-speciality hospital, nationally and internationally acclaimed for its professional standards, has collaborators in Australia, Germany and USA. The Hospital taps the advantage of this collaboration by sending its Doctors and Nurses to Germany periodically as part of its upgradation programme.

What meets the physical eye is the stately concrete masterpiece of functional, modern architecture standing in a sprawling 22 acre site, but what accosts the mind's eye is the world that lies within ….. the surge of emotions that it houses …..concern, care and compassion that seek to wipe away the pain, anxiety and helplessness of the ailing in an endeavour to usher in smiles. The power of the emotions housed within has transformed a concrete structure into a Noble Messiah of the Medical Profession. MIOT has drawn a list of celebrities from Presidents of India and Chief Ministers of several States to popular film stars and Diplomats from Germany, U.S.A., Gulf, U.K., Sri Lanka, Bangladesh, Dubai and the Maldives.

Departments of the Hospital:
+ Department of Orthopaedics
+ Department of Diabetology
+ Department of Oral & Maxillo-Facial Surgery
+ Department ENT & Head Neck Surgery
+ Department of Pulmonary Medicine & Critical Care
+ Department of Dermatology
+ Department of General Surgery
+ Department of Radiology and Imaging Sciences
+ Department of Spinal Surgery
+ Department of Ophthalmology
+ Department of Obstetrics & Gynecology
+ Department of Neurosurgery
+ Department of Cardiology
+ Department of Nephrology
+ Department of Gastroenterology Surgery & Minimally Invasive GI surgery
+ Department of Preventive Health Care
+ Department of Neurology & Neurosciences
+ Department of Joint Replacement Surgery
+ Department of Weight Loss Surgery (Bariatric Surgery)
+ Department of Accident & Trauma Care
+ Department of Interventional Radiology
+ Department of Nuclear Medicine
+ Department of Thoracic & Cardiovascular Care
+ Department of Children’s Cardiac Care
+ Department of Trauma Surgery
+ Department of Paediatric Orthopaedics
+ Department of Orthopaedic Oncology
+ Department of Micro-Vascular and Plastic Surgery
+ Department of Rheumatology
+ Department of Urology
+ Department of Paediatrics
+ Department of General Medicine
+ Department of Physiotherapy & Rehabilitation
+ Department of Endocrinology
+ Department of Dental
+ Department of Master Health Check and Special Check

Specialties of the Hospital:

Keyhole Surgery
Keyhole surgery is possible due to the latest miniaturized technology attached to scopes like the bronchoscope featured here.

Through a small hole a Telescope with video camera is introduced into the abdomen. Images from the camera are projected onto the monitor.

Surgeons can do any type of surgery by viewing the monitor with additional 0.5cm holes in the abdomen.

- Advantages
- Absolute tension free repair
- Both sides can be repaired simultaneously through same entry

Joint Replacement & Revision Surgery
"Management of Arthritis" is a specialty of MIOT Hospital. In Arthritis all the movements in the Joints are restricted by pain. Beyond a certain stage, pain killers, injections, massage or any other form of healing may not be adequate. Once restriction of movements occurs in the joints, there is need for replacement.

MIOT gives a beginning, almost where hope has ended. A pioneer in Joint Replacement Surgery in India, MIOT Hospitals has specialized in this area for over two and a half decades and has to its credit rich experience in replacement surgery of hip, knee, shoulder and elbow.

Joint Replacement Surgery is undoubtedly the most significant and scientific development in this century for it helps the patient to bounce back to normalcy within a span of ten days.

Revision surgery demands a high level of planning, customized component design and the ability to overcome bone deficiency caused by wear and tear. Not many surgeons in the world can perform revision surgery, and MIOT is one of the few places with the technology and expertise in this field.

Knee Replacement
Surgery of the hip and knee may be required for a number of reasons - degeneration, injury, disease or simple ageing of the joint. In these cases, an artificial joint is inserted. But even artificial joints have a limited life and need to be replaced after around 15 years. Artificial joints cause erosion of the surrounding bone and tissue, which poses a challenge for the insertion of another joint.

Actually, the doctor tries and saves as much of the patient's bones, ligaments and muscles as possible. The new knee replaces only the rough cartilage at the ends of the bones with smooth metal and plastic coverings. This helps ease the pain caused by the bones rubbing during activity or while in bed at night.

Physical therapy will be very important after surgery to regain the motion and strength in the new knee. Pain medication will be provided to help make these tasks easier. Over the next few days normalcy gradually returns.

Hip Replacement
Once there is trouble experienced in the hip area, it becomes hard to walk or stand. Gradually a person's ability to enjoy daily activities suffers. For most patients, joint replacement surgery provides relief from pain. Hip replacement surgery has been performed for decades to help relieve pain and increase mobility for people with severe arthritis.

Doctors replace diseased hips with implants made of metal or medical grade plastic. Today, with advances in implant design and surgical techniques, doctors are focusing on ways to help reduce recovery time and improve comfort after the operation. World class equipment and surgical expertise in this area at MIOT make the recovery time of patients faster and less time off their feet after surgery.

Limb Lengthening
The limb lengthening process works by gradually growing new bone and soft tissues (skin, muscle, nerves, blood vessels, etc). This new growth is called tissue regeneration. Bone and soft tissue regenerate when they are distracted (pulled apart) at a very slow rate of approximately 1 mm per day. If the rate of distraction is faster than this, bone may fail to form between the two ends of the bone that are being pulled apart and soft tissues, such as muscle, may experience contracture (get too tight) or nerves may become paralyzed. If the rate of distraction is too slow, premature consolidation may occur (the bone may consolidate too soon), preventing the lengthening device from further pulling it apart. The lengthening devices used could be external fixators or those that are fully implanted inside the bone.

There are two phases of lengthening until the bone is fully healed : the distraction phase and the consolidation phase. The former is the lengthening phase. After the desired length is obtained, the newly regenerated bone is still very weak because of lack of calcium within it. The hardening and calcification of this new bone is called the consolidation phase.

Neuro Surgical Care
The Department of Neurosurgery in MIOT is equipped with excellent dedicated state of the art Operation Theatre with fully equipped recovery suite.

The Department is headed by a senior, competent and experienced Neuro Surgeon who leads the team of professionals who are dedicated towards patient care.

On an average around 125 major neuro surgical operations per year are being performed with an excellent outcome.

Specialized Neuro Surgeries
Micro Neuro Surgical Operations are being regularly performed for Brain Tumors like Meningotomas, Gliomas, Pituitary tumors, skull base tumors and Posterior fossa tumors.

Bleeding into the Brain due to head injuries, hypertension and aneurysin are being successfully treated.

Back Pain, Neck Pain, Disc Prolapse at neck (cervical), back (lumbar), Spinal Cord Tumors, Basilar Invaginations and Birth Defects in Spinal Cord are treated micro surgically in a minimally invasive and maximally effective way.

Intractable Facial Pain, Infections of the Brain and Tumors Optic Nerve and various other neuro surgical procedures are being successfully operated and comprehensively treated in our state-of-the-art and most modern infrastructure.

Computer Assisted Brain Surgery

At MIOT CT Scan assisted Virtual brain surgery is performed prior to the actual surgery, in order to achieve and obtain the precision in planning the surgical procedure. This helps surgeons to get the precise details of the following

- Brain tumor site
- Brain tumor size
- The distance of the tumor from the skull
- Volume of the brain tumor
- Three dimensional views of the tumor

Computer Navigated Joint Replacement Surgery
The problem is the long term survival of the joint. Like any other artificial component, artificial joints have a life, some last 20 to 25 years. To make them permanent, scientists the world over have researched the material to make them survive longer, from high density polyethylene to ceramics, then to titanium and then reverted back to steel. Metal on metal. It did not solve the problem. We also changed the design of the joints, without much success.

We switched over from cemented to uncemented joints where bonding is obtained by porous coating. This has enhanced the life of the joint by a few years.

Now it is the considered opinion of scientists that if the implant can be implanted with correct anatomical alignment, with zero error, we can improve on the longevity of the artificial joint. The computer is also monitoring every step of the Surgeon, constantly guiding him to perform the surgery with Zero Error. This we think is the greatest achievement of modern surgery.

The important point here is that just as any persons fingerprint is different, Every persons anatomical knee axis is slightly different.

Benefits of Computer Navigated Surgery

This surgery will ensure the patients total knee components will be implanted in the original anatomical axis with 0 degree or near 0 degree error.

It will lessen the time of the operation because of 5 cuts on the femur are made with one instrument jig.

Because no intramedullary rods are used to position the femoral instrument, the incidence of fatal fat embolism will be less.

Accurately positioned knees will be constantly possible with every patient. With anatomically implanted components with regards to the axis of the limb, component wear should be minimized and hence the life span of the knee should definitely increase.

General Surgery & Laparoscopic/ Endoscopic Surgery
MIOT has the most competent team of General and Gastroenterology Surgeons who are widely known for their ability to perform complex procedure and surgeries. Their skills are highly appreciated by every patient who has come to our hospital in the hour of need.

These surgeon's highest degree of skill in MIOT are always supported by appropriate, adquete and advanced instrumentation to perform the successful surgery on every patient.

Specialized Tests / Procedures
- Diagnostic & Therapeutic Upper GI Endoscopy & Colonoscopy
- Open Gastrointestinal Surgery
- Laproscopic Cholecystectomy / Adhesolysis / Appendicectomy / Hernia
  Repair
- Therapeutic Endoscopic Procedures
-Variceal Injection Sclerotherapy
- Variceal Banding
- Endoscopic Stenting
- Endoscopic Foreign Body Retrieval
- Per Cutaneous Endoscopic Gastrostomy
- Colonoscopic Procedures
- Polypectomy / Snowing