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Gamma Knife Surgery in India

Overview:

gamma knife surgery India, cost gamma knife surgery India Gamma Knife surgery is

recognized worldwide as the preferred stereotactic radio surgery treatment for brain

tumors, arteriovenous malformations and brain dysfunctions such as trigeminal neuralgia.

The Gamma Knife is actually not a knife, but a machine that directs 192 beams of highly

focused cobalt gamma radiation to destroy brain tumors and abnormalities. This surgery

removes the physical trauma and the majority of risks associated with conventional

surgery.

Gamma Knife History:

Swedish neurosurgeon Dr. Lars Leksell and a colleague, Börje Larsson, developed the first Gamma Knife model in 1968 during their search for a non-invasive modality to treat functional brain disorders. Subsequently, the Gamma Knife was proven to be beneficial in treating brain tumors and arteriovenous abnormalities. Continuing refinement through 1975 resulted in the forerunner of today’s Gamma Knife. In 1987, the Gamma Knife was introduced to the United States.

The latest and most advanced version of the Leksell Gamma Knife, the Perfexion, was unveiled in 2006 and became available to the people of the United States in 2007. The Robert R. Smith Gamma Knife Center at Central Mississippi Medical Center became the sixth hospital in the United States to obtain the Gamma Knife Perfexion in October 2007.

Conditions Treated with Gamma Knife Surgery:

Gamma knife is proved to be very beneficial in treating many conditions which were considered to be non-treatable. Some of the conditions that can be treated from Gamma knife are as follows:

� Small intracranial AVMs (Arteriovenous Malformation, an artery and vein that have not formed properly) or cavernous angiomas (not greater than 4 cm)

� Benign tumors including: acoustic neuromas, meningiomas, and pituitary adenomas craniopharyngiomas

� Tumors located at the base of the skull in the pineal region'

� Metastatic brain lesions & other partially resected tumors

� Trigeminal Neuralgia

� Parkinson's disease or other movement disorders

� Medically intractable epilepsy

� Intractable pain in patients with disseminated cancer

� Especially significant, Gamma Knife treatment has helped patients with tumors once deemed inoperable due to location; patients considered at high risk for conventional surgery due to medical condition; patients with tumors recurrent after surgery and/or radiation therapy; and patients whose tumors were not totally removed by surgery.

� Each doctor will record patient’s medical history, perform a physical examination and obtain consent to perform the Gamma Knife procedure.

� Throughout your Gamma Knife treatment, your referring physician will play an active role in helping to determine the best treatment plan and in monitoring patient’s progress.

Gamma Knife Surgery Procedure:

Gamma Knife surgery requires the expertise of several specialists, including a physicist, a neurosurgeon, a radiation oncologist, an anesthesiologist (for children and patients with special problems) and a specially trained registered nurse.

� To minimize discomfort, the patient is first given something to relax, and then a metal frame is fitted securely around the patient's head. Because the headframe is rigid and fixed in place with a pin, the tumor or lesion can be plotted with exceptional precision using a CT or MRI scan.

� Three-dimensional planning software is then used to design a treatment that hits the exact contours of the tumor or lesion with an effective dosage of radiation.

� By studying these images, your doctor can locate the abnormality within the brain accurately then precisely focus the gamma radiation beams on the abnormality.

� Your head will be held still during the session while 192 small radiation beams are focused simultaneously at the target. The size of the focal spot can be adjusted and multiple focal spots can be combined together to deliver a high radiation dose precisely to one target or to multiple targets of almost any shape, anywhere in the brain.

After Gamma Knife Surgery Procedure:

When procedure is complete, the head frame will be removed. If you had an angiogram, you might have to lie quietly for several more hours. Some patients experience a mild headache or minor swelling where the head frame was attached, but most report no problems. Your doctor will tell you whether or not he wants you to stay overnight for observation or if you can go home immediately. Either way, you should be able to return to your normal routines in another day or so.

Preparations before Gamma Knife Surgery Procedur:

There are many important aspects, which should be considered before going

for Gamma Knife procedure. Some of them are mentioned below:

� One to two days before patient will need to visit the hospital for

blood tests and to meet with the doctors who will perform the

procedure. Patient will also meet with a neurosurgeon and a

radiation oncologist.

� The first step in preparation is to fit the patient into the Gamma

Knife helmet, or head frame. This holds the patient's head

completely still while the tumor or other abnormality is precisely

imaged and mapped using MRI, CT and other imaging technology.

Images are downloaded to an advanced 3-D modeling simulator to

complete the treatment plan.

Gamma Knife Surgery Follow-up:

The effects of your treatment will occur over time. Radiation treatments are designed to stop the growth of tumors or lesions,

which means that the effect will be seen over a period of weeks or months. Your doctor will stay in contact with you to assess

your progress, which may include follow-up MRI, CT or angiography images.

Advantages of Gamma Knife Surgery:

� As Gamma Knife radio surgery is performed without incisions or general anesthesia, many of the usual risks

associated with conventional neurosurgery, such as neurological deficit, infection and bleeding, are reduced.

� FDA approved to treat brain metastases

� Patients return to pretreatment activities within days, requiring little or no rehabilitative services.

� Gamma Knife is a recognized as the safe treatment option. It has been in use for more than 15 years and over 300,000

patients worldwide have benefited from this treatment.

� Provides unlimited reach to areas of the brain, and with future fixation devices, reach into the cervical spine area

� Provides less chemotherapy interruption than standard radiation therapy.

� Added features to increase patient comfort while still providing one of the most accurate stereotactic radiosurgical

procedures for the brain

� Gamma Knife technology allows treatment of inoperable lesions. The procedure offers hope to patients who were

formerly considered untreatable or at very high risk during open skull surgery.

� The cost of the procedure is often 25% to 30% less than traditional neurosurgery.

� Reimbursed by most insurance payers.

Gamma Knife Surgery Risks:

There are some risks and side effects associated with gamma knife surgery, though they are not as serious and occur far less

frequently than with other more conventional types of brain surgery.

� Some of the negative side effects include things like nausea and headaches, both of which are usually related to the

application and removal of the head brace required for the operation of the gamma knife’s guiding system.

� Temporary imbalance, numbness and physical weakness are also side effects that can occur as a result of gamma

knife treatments.

These complications and risks are usually minimal.

Cost of Gamma Knife Surgery in India:

In comparison to conventional surgery, Gamma Knife offers patients many benefits in terms of results and low costs. Cost savings include:

� Lower treatment cost - Gamma Knife treatment is 30 to 70 percent less expensive than hospitalization for craniotomy and surgical resection

� Fewer charges because most patients are released within 24 hours

� Faster recovery eliminates the hidden costs of long convalescence

Gamma Knife Surgery India:

India is the most sought option for international patients, as they get quality treatment at reasonable price. Cost is not the only concern the services that the patients get is benchmarked and incomparable. So, patient prefers getting the gamma knife surgery done in India. Some of the reasons are:

� Indian Government keeps providing incentive and guide line for the benefit of tourists and patients, by making more ready and targeted knowledge delivery and information provision for international patients.

� With patient safety as priority, the government, ensures, strict compliance to the international health standards.

� Medical Tourism, also known as Global Health, is one of the fastest growing industries in Global Healthcare to seek out affordable and high quality medical care.

� The hospitals in India are among the most advanced medical outsourcing facilities in the world, with specific programs carefully designed to attract medical tourisms.

� The major goal of medical tourism is to provide quick and professional health care service to local and international patients.

� India offers low cost treatment option that attracts a huge crowd of international patients.

So, India echoes a safe and beneficial alternative to those patients who have faced the problems of long waiting lists and expensive medical treatments back home. And a great opportunity to make India the most preferred medical destination and compelling reason of medical facilities well with in the reach.

Gamma Knife Surgery in India- Plan with Dheeraj Bojwani Group:

Dheeraj Bojwani Group is one of the leading medical tourism companies in India. It is pioneer in providing best healthcare services for Gamma knife surgery in India at low cost. You just have to send us a query regarding your Gamma knife surgery and within 24 hours an assistant will contact you for further details and interaction. From that point everything will be taken care of by that patient coordinator, like arranging VISA, accommodation, appointment with the doctor with round the clock services to make your medical tour hassle free. We provide well qualified and professional doctors, surgeons, physicians, and medical staff who aid you in recovery from your ailment and ensure a safe and healthy journey back home.

Gamma Knife surgery in India is available in following cities;

Mumbai Hyderabad Kerala

Delhi Pune Goa

Bangalore Nagpur Jaipur

Chennai Gurgaon Chandigarh

Some of the common countries from which patients travel to India for surgery are:

USA UK Canada

Australia New Zealand Nigeria

Kenya Ethiopia Uganda

Tanzania Zambia Congo

Sri Lanka Bangladesh Pakistan

Afghanistan Nepal Uzbekhistan

ABOUT INDIA

Located in South Asia, bordered by Pakistan, Nepal, China and Bangladesh, India is South Asia's largest, sovereign, democratic republic. India has an edge over other countries when it comes to offering comprehensive, cost-effective and timely medical care: it also offers an exotic, adventure-filled or cultural -if you wish array of destinations to discover and revel in for the travelers. Indian cities like Mumbai, Hyderabad, Goa, Bangalore, Nagpur, Kerala, Delhi, Pune, Jaipur, Chennai, Gurgaon, and Chandigarh offers best medical tourism service.

Mumbai - Formerly known as Bombay, is the commercial & financial capital city of India. Mumbai is famous for many things, including its thriving Bollywood film industry, teeming bazaars, colonial-style buildings, Art Deco structures and a superb choice of restaurants, often being rated as the dining capital of India. The tourist district of Colaba in Mumbai is a great place to start exploring this great city.

Hyderabad – Hyderabad city is a great place to visit in the state of Andhra Pradesh. The place has witnessed a continuous growth for last many years. Hyderabad has become a tourist hotspot following ever increasing number of tourists during past few years. Hyderabad has a well-founded reputation as one of the safest cities in the world.

Goa - The country's smallest state and famed for its colonial Portuguese and Catholic past, most tourists visit Goa for its endless selection of sandy beaches and coastal attractions. Standing proudly next to the Arabian Sea, Goa is a particularly compact state and often feels like a large town, being easy to travel. Around Goa, tourists will soon realize that the state has much more to offer than simply stunning beaches, fishing, water scooters, windsurfing and scuba diving.

Bangalore - Beauty lies in the eyes of beholder and if you want to see one of the most beautiful places in India then Bangalore is the word for it. Bangalore has earned sobriquets like 'Silicon Valley of India', 'Pub Capital of India', and 'City of Gardens'. Pleasant climate with colorful gardens with lakes and glittering nightlife, Bangalore has made its own attraction for travelers as one of the most charming cities in India,

Nagpur - Nagpur is the largest city in central India, but with its friendly atmosphere and dependable transportation, you’ll instantly feel at home. The city of Nagpur has a well-built infrastructure, is a clean and affluent city which makes a good jumping-off point for a series of trips into the far eastern corner of Maharashtra.

Kerala - Natural beauty, clean air and primordial greenery amidst the vast expanse of water and sky, typifies the state of Kerala – better known as God's own country. Kerala is famous for its alternative medical therapies such as Ayurveda, which help to rejuvenate and revitalize the body. The region is also home to India’s only virgin tropical rain forest – the Silent Valley National Park, supporting an overwhelming range of life forms, many of which are highly endangered, and endemic to this part of the planet.

Delhi - "Welcome to The Capital City of India - New Delhi" Delhi is famous as Capital city of India is located in North India. Delhi is truly a symbol of the old and the new; a blend of ancient well preserved monuments and temples along with jam-packed burger joints and up market shopping malls. Delhi has state of the art Hospitals and the best qualified doctors.

Pune - Once referred to as the Oxford of the east, Pune continues to be a stronghold for academics and culture. An array of factors like availability of efficient and experienced doctors, comparatively low treatment costs, hospital facilities of international standards and many more have made Pune one of the top destinations for medical tourism.

Jaipur - Jaipur is one of the most popular destinations on a tourist's itinerary. The magnificent forts, beautiful havelis and colourful bazaars make Jaipur a popular tourist destination among tourists. Jaipur has pioneered health and medical tourism in India.

Chennai - Chennai is one of the most developed urban centers in the Indian subcontinent. The city forms the capital of Tamil Nadu state and is the fourth largest metropolitan city in India. They have some of the very best hospitals and treatment centers in the world. Each hospital is equipped with state of the art facilities. The technology brought into practice is the very latest, including robotic surgery.

Gurgaon – It is one of the four important satellite cities of the National Capital Region and is often referred to as the 'Millennium City.' Gurgaon has recently emerged as the latest hub for Medical Tourism. Apart from being IT hub and a favorite haunt for MNC offices, the city has a number of world class hospitals that not only treat Indian citizens but also people from outside.

Chandigarh - Chandigarh is a rare epitome of modernization co-existing with nature's preservation. It is here that the trees and plants are as much a part of the construction plans as the buildings and the roads. India’s first planned city, Chandigarh is a rich, prosperous, spic and span, green city rightly called “THE CITY BEAUTIFUL”.

Patients Testimonial:

Mr. Sultan Popal, Afghanistan

Gamma Knife Surgery in India

I am Sultan Popal from Afghanistan. I got my laser spine surgery in Kerala, India. I came through the Dheeraj Bojwani Group. Thanks for making my medical journey so smooth and hassle free. I saw the website of Dheeraj Bojwani group while surfing the internet. I found the information satisfactory. This was exactly what I was looking for. I sent them my query through email. Soon their executive called me up and updated me with all the necessary details. They asked for my medical reports and got them studied by a team of senior surgeons. Within a few weeks, all the arrangements were made. When I reached the airport, I was received by my driver who took me to the hospital where I got my Gamma Knife Surgery in India. I really liked the ambience at the hospital. The hospital staff was very friendly and always ready to help. The surgeons who performed Gamma Knife Surgery in India had tremendous experience in their field. The back pain that I had been experiencing disappeared, immediately after I got my surgery. I would highly recommend Gamma Knife Surgery in India to people suffering from pain.

Thank you, Mr. SIltan Popal Afghanistan

Ms. Debbie Walker, USA

Gamma Knife Surgery in India

I am Debbie, I learnt about dheerajbojwani website through research on the internet for Gamma Knife Surgery in India. I had

many questions and concerns - all of which were answered promptly and with professionalism. Upon arrival in India for

Gamma Knife Surgery in India I was greeted with a pleasant smile which put me to rest I felt I am at the right place. They took

care and they always were there for me and made me feel at home. Gamma Knife surgeons of Bangalore hospital were real

very professional and superb! They are awesome who understand the meaning of giving care to their patients. I am absolutely

pain free now and can do all the things I couldn’t do before my Gamma Knife Surgery. I was never treated so well at a

hospital, anywhere in the world, the services provided were exceptional. The veteran Gamma Knife surgeons of Bangalore

hospital played a vital role in giving me my quality of life back and the best part of it is all this costed me peanuts. People

should know the option to come to India for treatment is real and its one to be seriously considered."

Thank you

Debbie

USA

Knee Replacement Surgery in India

Knee replacement surgery also known as knee arthroplasty is procedure to replace the weight-bearing surfaces of the knee joint to relieve the pain and disability of osteoarthritis. It may be performed for other knee diseases such as rheumatoid arthritis and psoriatic arthritis. The procedure has been proven to help individuals return back to moderately challenging activities such as golf, bicycling, and swimming. Total knees are not designed for jogging, or sports like tennis and skiing (although there certainly are people with total knee replacements that participate in such sports). Knee replacement is a routine surgery performed on over 600,000 people worldwide each year. Over 90% of people who have had Total Knee Replacement experience an improvement in knee pain and function.

Knee Replacement Surgery Candidates A person would be considered a candidate for knee replacement if there is:

• Daily pain • The pain is severe enough to restrict work, recreation and ordinary activities of daily living

• Significant stiffness in the knee

• Significant instability (constant giving way) of the knee • Significant deformity (knock-knees or bow-legs) that hinders normal function of the knee

• Damage from arthritic conditions, such as osteoarthritis, rheumatoid arthritis or post-traumatic arthritis

Success Rate of Knee Replacement Surgery: Knee replacement surgery is recognized as a miracle of modern surgery. Most orthopedic experts consider replacement to be the best method of handling arthritis in the knee. Knee replacements have literally put hundreds of thousands of Americans back on their feet and allowed them to enjoy their golden years.

Knee Replacement Surgery Preparations:

• If you smoke, cut down or quit. Smoking changes blood flow patterns, delays healing and slows recovery.

• If you drink, don't have any alcohol for at least 48 hours before surgery.

• Ask your doctor for pre-surgical exercises. If you are having hip or knee replacement surgery, doing exercises to strengthen your upper body will help you cope with crutches or a walker after surgery.

• Your primary care physician or an internist will conduct a general medical evaluation several weeks before surgery. This examination will assess your health and your risk for anesthesia. The results of this examination should be forwarded to your orthopaedic surgeon, along with a surgical clearance.

• Shortly before your scheduled surgery, you will probably have an orthopedic examination to review the procedure and answer any last-minute questions.

• You may need to take several types of tests, including blood tests, a cardiogram, a urine sample and a chest X-ray.

• Advice your surgeon of any medical conditions you have and of all the medications you are taking. You may need to stop taking certain medications or your surgeon may recommend substitute medications until your surgery. Medications such as corticosteroids, insulin or anti-coagulants will need to be managed before and after surgery.