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Oncologists, particularly medical oncologists, play a crucial role in managing cancer patients through various therapeutic approaches. Our medical oncologists are trained to understand the complex nature of cancer, its progression, and its impact on the body.<\\/p>\\n<p>We at Billroth understand that collaboration between medical oncologists and other healthcare professionals is essential for providing comprehensive and effective cancer treatment. The department of medical oncology at Billroth is a dynamic and evolving one that combines medical expertise, cutting-edge research, and compassionate patient care.<\\/p>\\n<h3>How our medical oncologists work,<\\/h3>\\n<ol>\\n<li>Diagnosis: Medical oncologists work closely with other specialists to accurately diagnose cancer. They interpret diagnostic tests, such as biopsies and imaging studies, to determine the type, stage, and extent of the disease.<\\/li>\\n<li>Treatment Planning: Oncologists devise comprehensive treatment plans tailored to individual patients. This may involve a combination of surgery, chemotherapy, immunotherapy, targeted therapy, and\\/or hormone therapy, depending on the type and stage of cancer.<\\/li>\\n<li>Chemotherapy: Medical oncologists are often associated with administering chemotherapy, a systemic treatment that uses drugs to kill or slow the growth of cancer cells. They monitor patients for side effects and adjust treatment as needed.<\\/li>\\n<li>Immunotherapy and Targeted Therapy: With advancements in cancer research, medical oncologists utilise immunotherapy and targeted therapy to enhance treatment precision. These therapies focus on specific molecular or immune system targets, minimising damage to healthy cells.<\\/li>\\n<li>Patient Care and Support: Medical oncologists provide ongoing care, monitoring patients for progress and managing the side effects of treatment. They also offer emotional support and coordinate care with other healthcare professionals, such as surgeons and radiation oncologists.<\\/li>\\n<li>Clinical Trials: Oncologists often engage in clinical trials, contributing to the advancement of cancer treatment. By participating in research studies, they explore innovative therapies and contribute to the development of new standards of care.<\\/li>\\n<li>Palliative Care: Medical oncologists play a crucial role in addressing symptoms and improving the quality of life for patients, particularly in the advanced stages of cancer. 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(18719, 3657, '_elementor_data', '[{\"id\":\"6cef713\",\"elType\":\"container\",\"settings\":{\"flex_direction\":\"column\"},\"elements\":[],\"isInner\":false},{\"id\":\"4eb40c8\",\"elType\":\"section\",\"settings\":{\"background_background\":\"classic\",\"background_image\":{\"id\":3283,\"url\":\"https:\\/\\/billrothhospitals.com\\/wp-content\\/uploads\\/2023\\/11\\/cardi.jpeg\",\"alt\":\"\",\"source\":\"library\",\"size\":\"\"},\"background_position\":\"top center\",\"background_size\":\"initial\",\"padding\":{\"unit\":\"px\",\"top\":\"330\",\"right\":\"0\",\"bottom\":\"330\",\"left\":\"0\",\"isLinked\":false},\"background_overlay_background\":\"classic\",\"content_width\":{\"unit\":\"px\",\"size\":1200},\"margin_tablet\":{\"unit\":\"px\",\"top\":\"0\",\"right\":0,\"bottom\":\"0\",\"left\":0,\"isLinked\":false},\"padding_tablet\":{\"unit\":\"%\",\"top\":\"\",\"right\":\"\",\"bottom\":\"\",\"left\":\"\",\"isLinked\":false},\"background_overlay_opacity\":{\"unit\":\"px\",\"size\":\"\"},\"margin_mobile\":{\"unit\":\"px\",\"top\":\"0\",\"right\":0,\"bottom\":\"0\",\"left\":0,\"isLinked\":false},\"padding_mobile\":{\"unit\":\"em\",\"top\":\"3\",\"right\":\"2\",\"bottom\":\"5.3\",\"left\":\"2\",\"isLinked\":false},\"background_ypos\":{\"unit\":\"vh\",\"size\":-17},\"layout\":\"full_width\",\"stretch_section\":\"section-stretched\",\"background_repeat\":\"no-repeat\"},\"elements\":[{\"id\":\"bea96eb\",\"elType\":\"column\",\"settings\":{\"_column_size\":100,\"space_between_widgets\":0,\"margin\":{\"unit\":\"px\",\"top\":\"0\",\"right\":\"0\",\"bottom\":\"0\",\"left\":\"0\",\"isLinked\":false},\"padding\":{\"unit\":\"%\",\"top\":\"0\",\"right\":\"20\",\"bottom\":\"0\",\"left\":\"20\",\"isLinked\":false},\"_inline_size\":null,\"_inline_size_tablet\":100,\"margin_mobile\":{\"unit\":\"px\",\"top\":\"0\",\"right\":\"0\",\"bottom\":\"0\",\"left\":\"0\",\"isLinked\":false},\"padding_mobile\":{\"unit\":\"px\",\"top\":\"500\",\"right\":\"0\",\"bottom\":\"500\",\"left\":\"0\",\"isLinked\":false}},\"elements\":[],\"isInner\":false}],\"isInner\":false},{\"id\":\"7e30aec\",\"elType\":\"container\",\"settings\":{\"flex_direction\":\"column\"},\"elements\":[{\"id\":\"c09d5da\",\"elType\":\"container\",\"settings\":[],\"elements\":[{\"id\":\"8d3f5dc\",\"elType\":\"widget\",\"settings\":{\"eael_adv_tab_layout\":\"eael-tabs-vertical\",\"eael_adv_tabs_icon_show\":\"\",\"eael_adv_tabs_tab\":[{\"eael_adv_tabs_tab_title\":\"Overview\",\"_id\":\"b7304c7\",\"eael_adv_tabs_tab_content\":\"<h2><strong>Department of Interventional Cardiology<\\/strong><\\/h2>\\n<p>Cardiology is the branch of science (medical science) that deals with disorders in the functions of the heart. It involves the medical diagnosis and treatment of disorders of the heart. Some of the defects include coronary heart disease, heart failure, congenital heart disease, valvular heart disease, etc.<br \\/> <br \\/> The heart is the most primordial organ, which is the circuit for blood circulation. Blood from the heart is pumped to various parts of the body through the lungs and receives blood back into it. It plays a key role in the pumping process so that all parts of the body receive an adequate amount of blood. If any malfunction happens in this pumping process, it will affect other parts of the body too.<\\/p>\\n<p>We at Billroth have one of the country&rsquo;s first flat-panel modular cathlabs, an ECMO, and a round-the-clock functioning surgical cardiothoracic team. In addition to the above, the state-of-the-art cath lab is equipped with recent advancements such as OCT, Electro Physiology Lab, Provisions for Fractional Flow Reserve (FFR), IVUS, IVL, and Rotab.<\\/p>\\n<h3><strong>Our services include: <\\/strong><\\/h3>\\n<h4><strong>Coronary Angiogram<\\/strong><\\/h4>\\n<p>Coronary catheterization, also known as coronary angiography or cardiac catheterization, is a medical procedure used to visualise and assess the coronary arteries that supply blood to the heart muscle. This diagnostic test is crucial in identifying blockages, narrowing, or other abnormalities in these arteries. During coronary catheterization, a thin, flexible tube (catheter) is threaded through blood vessels, usually starting from the femoral artery in the groin or the radial artery in the wrist. Guided by fluoroscopy and contrast dye, the catheter is carefully advanced to the coronary arteries. Once in position, contrast dye is injected into the coronary arteries, making them visible on X-ray images. These images, known as angiograms, help cardiologists evaluate blood flow, identify any obstructions, and determine the extent of coronary artery disease.<\\/p>\\n<p>Coronary catheterization is not only diagnostic but can also serve therapeutic purposes.<\\/p>\\n<h4><strong>Angioplasty and stent placement (PTCA)<\\/strong><\\/h4>\\n<p>Angioplasty and stent placement are commonly performed during the same procedure if a blockage is identified. Angioplasty involves inflating a small balloon to widen the narrowed artery, while a stent&mdash;a small mesh tube&mdash;is often placed to maintain the vessel\'s patency.<\\/p>\\n<p>Coronary catheterization plays a crucial role in diagnosing and treating coronary artery disease by providing detailed images of the heart\'s blood vessels. It enables timely intervention, helping improve patient outcomes and manage cardiovascular health.<\\/p>\\n<h4><strong>Balloon valvuloplasty<\\/strong><\\/h4>\\n<p>Balloon valvuloplasty is a minimally invasive medical procedure used to treat stenosis, a condition where heart valves become narrowed, hindering proper blood flow. During the procedure, a catheter with a deflated balloon is guided to the narrowed valve. Once in position, the balloon is inflated, stretching the valve and improving blood flow. This method is commonly employed to address aortic and pulmonary valve stenosis.<\\/p>\\n<p>The benefits of balloon valvuloplasty include its less invasive nature compared to open-heart surgery, shorter recovery times, and reduced hospital stays. However, its effectiveness may vary, and the procedure might need to be repeated over time. While it can provide relief, its long-term success depends on the underlying cause of the valve stenosis.<br \\/> <br \\/> The whole procedure takes place after the patient is anesthetized. Heart function, blood pressure, and other important criteria will be monitored at regular intervals. It means a complete blockage in the coronary artery. CTO has vastly improved in technology compared to the earlier treatment procedure. It involves the steering of special guided wires and cathers across the blockage.<br \\/> <br \\/> Some of the symptoms of coronary artery CTO are nausea, cold sweat, fatigue, rapid and irregular heartbeat, dizziness or lightheadedness, angina or chest pain, and pain in the upper body and arm.<\\/p>\\n<p><strong>Coronary Intravenous Lithotripsy<\\/strong><\\/p>\\n<p><strong>Coronary<\\/strong> Intravascular Lithotripsy (IVL) is a medical procedure designed to treat calcified coronary artery lesions, a condition often encountered during percutaneous coronary interventions (PCI). This innovative technique utilises lithotripsy, which traditionally has been associated with the treatment of kidney stones, to disrupt calcified plaques within coronary arteries.<\\/p>\\n<p>During the procedure, a specialised catheter equipped with lithotripsy technology is advanced to the target lesion site. The catheter emits sonic pressure waves, creating microscopic shockwaves that fracture the calcified deposits without causing damage to the surrounding vascular tissue. This process, known as \\\"vascular lithotripsy,\\\" facilitates the expansion of the narrowed artery, allowing for the successful deployment of stents and restoring blood flow.<\\/p>\\n<p>Coronary IVL offers several advantages, including the ability to modify calcified lesions without extensive vessel trauma and reducing the risk of complications associated with conventional treatment approaches. The technique has demonstrated effectiveness in improving procedural success rates, minimising vessel dissections, and optimising stent expansion in challenging cases.<\\/p>\\n<p><strong>Coronary Artery Atherectomy; Rotational Arthrectomy; Coronary Rotablation<\\/strong><\\/p>\\n<p>Coronary artery atherectomy is a medical procedure aimed at treating coronary artery disease by removing atherosclerotic plaque from the blood vessels supplying the heart. Unlike angioplasty, which compresses the plaque against the vessel walls, atherectomy involves physically cutting or grinding the plaque, allowing for the restoration of blood flow.<\\/p>\\n<p>There are various methods of coronary artery atherectomy, including directional, rotational, and laser atherectomy. During directional atherectomy, a catheter with a cutting device is used to shave off the plaque, while rotational atherectomy employs a high-speed rotating burr to ablate the obstruction. Laser atherectomy uses laser energy to vaporise or break down the plaque.<\\/p>\\n<p>This procedure is typically considered when traditional treatments such as angioplasty and stenting are less effective or not feasible due to the nature of the plaque or vessel anatomy. Atherectomy can help open narrowed arteries, improve blood flow to the heart muscle, and relieve symptoms like chest pain.<\\/p>\\n<p><strong>Closure of ASD (Atrial Septal Defect) and PFO (Patent Foramen Ovale)<\\/strong><\\/p>\\n<p><strong>Closure<\\/strong> of ASD (Atrial Septal Defect) and PFO (Patent Foramen Ovale) are medical procedures aimed at addressing congenital heart defects.<\\/p>\\n<p>ASD closure involves the sealing of a hole in the atrial septum, the wall that separates the upper chambers (atria) of the heart. This hole, known as an atrial septal defect, allows blood to flow between the atria, potentially causing complications. Closure is typically performed through minimally invasive techniques or, in some cases, open-heart surgery.<\\/p>\\n<p>The PFO closure addresses a similar opening, the patent foramen ovale, which is a small flap-like opening in the atrial septum. This passage exists in everyone before birth but should naturally close soon after. In some individuals, it persists, potentially allowing abnormal blood flow. Closure procedures for PFO can be performed through catheter-based interventions, which are less invasive than traditional surgery.<\\/p>\\n<p>Both ASD and PFO closures aim to prevent complications associated with these defects, such as the risk of stroke, heart failure, or other cardiovascular issues. The choice of procedure depends on various factors, including the size and location of the defect as well as the patient\'s overall health.<\\/p>\\n<p><strong>Transcatheter Aortic Valve Implantation (TAVI) and Transcatheter Aortic Valve Replacement<\\/strong><\\/p>\\n<p>Transcatheter Aortic Valve Implantation (TAVI) and Transcatheter Aortic Valve Replacement (TAVR) are minimally invasive procedures designed to address aortic valve stenosis, a condition where the aortic valve narrows, restricting blood flow from the heart to the rest of the body.<\\/p>\\n<p><strong>Transcatheter Aortic Valve Implantation (TAVI)<\\/strong>:<\\/p>\\n<p>TAVI involves the insertion of a replacement valve through a catheter, usually delivered via the femoral artery or other access points, without the need for open-heart surgery. This method is particularly beneficial for high-risk patients or those deemed unsuitable for traditional surgical approaches.<\\/p>\\n<p><strong>Procedure Steps:<\\/strong><\\/p>\\n<ol>\\n<li>Access Point: A catheter is typically introduced through the femoral artery, although other access points such as the transapical or subclavian route may be used.<\\/li>\\n<li>Valve Placement: The replacement valve, often made of bioprosthetic material, is positioned within the diseased aortic valve. The new valve is usually a balloon-expandable or self-expanding device.<\\/li>\\n<li>Deployment: The replacement valve is expanded, pushing aside the old valve leaflets and effectively taking over the valve\'s function.<\\/li>\\n<\\/ol>\\n<p><strong>Advantages:<\\/strong><\\/p>\\n<p>Minimally Invasive: Avoids the need for open-heart surgery.<\\/p>\\n<p>Rapid Recovery: generally shorter recovery time compared to traditional surgical procedures.<\\/p>\\n<p>Suitable for High-Risk Patients: Ideal for individuals who may be at high risk for complications with conventional surgery.<\\/p>\\n<p><strong>Transcatheter Aortic Valve Replacement (TAVR):<\\/strong><\\/p>\\n<p>TAVR is essentially synonymous with TAVI and is often used interchangeably. The procedure involves replacing the aortic valve with a bioprosthetic valve through a catheter-based approach, eliminating the need for extensive surgical incisions.<\\/p>\\n<p><strong>Indications:<\\/strong><\\/p>\\n<p>Aortic Valve Stenosis: Primarily used to treat aortic valve stenosis in elderly patients.<\\/p>\\n<p>High-Risk Patients: Especially beneficial for individuals at high surgical risk.<\\/p>\\n<p><strong>Pacemaker Implantation <\\/strong><\\/p>\\n<p><strong>Pacemakers:<\\/strong><\\/p>\\n<p>Pacemakers are implantable devices that regulate heart rhythms by sending electrical impulses to the heart muscle. They are primarily used to treat bradycardia, a condition characterized by a slow heartbeat. Modern pacemakers are small, battery-operated devices implanted under the skin, typically in the chest. They consist of leads (wires) connected to the heart and a pulse generator that houses the battery and electronics. Pacemakers ensure the heart beats at a normal rate, improving blood flow and overall cardiac function.<\\/p>\\n<p><strong>Cardiac Resynchronization Therapy (CRT):<\\/strong><\\/p>\\n<p>CRT devices are specialised pacemakers designed to address heart failure with conduction delays, particularly in patients with left bundle branch block. These devices coordinate the contractions of the heart\'s ventricles, enhancing synchronisation and improving overall pumping efficiency. CRT involves the placement of additional leads in the heart to stimulate both ventricles simultaneously. By optimising the timing of contractions, CRT can alleviate symptoms and enhance the quality of life in heart failure patients.<\\/p>\\n<p><strong>Implantable Cardioverter Defibrillators (ICD):<\\/strong><\\/p>\\n<p>ICDs are advanced devices that combine pacemaker functionality with the ability to detect and treat life-threatening arrhythmias, such as ventricular fibrillation or ventricular tachycardia. If a dangerous rhythm is detected, the ICD delivers a shock to restore the heart\'s normal rhythm. Like pacemakers, ICDs are implanted under the skin and connected to the heart via leads. They are a crucial intervention for individuals at risk of sudden cardiac death due to ventricular arrhythmias.<\\/p>\\n<p><strong>Electrophysiology lab and ablation therapy<\\/strong><\\/p>\\n<p><strong>A<\\/strong> Cardiac Electrophysiology (EP) Lab is a specialised facility within the field of cardiology dedicated to diagnosing and treating heart rhythm disorders, also known as arrhythmias. This advanced medical setting plays a crucial role in understanding and managing irregular electrical activities of the heart.<\\/p>\\n<p><strong>Components of an EP Lab<\\/strong>:<\\/p>\\n<p>Mapping Systems: EP labs are equipped with sophisticated mapping systems that use catheters to precisely map the electrical pathways of the heart. This enables cardiologists to identify abnormal rhythms and pinpoint the origin of arrhythmias.<\\/p>\\n<p>Diagnostic Catheters: Various types of catheters are used for diagnostic purposes, allowing healthcare professionals to measure electrical signals within the heart chambers. This information aids in the accurate diagnosis of the specific arrhythmia.<\\/p>\\n<p>Ablation Technology: The cornerstone of therapeutic interventions in EP labs is ablation. Ablation involves the targeted application of energy, commonly through radiofrequency or cryotherapy, to modify or eliminate abnormal electrical pathways causing arrhythmias.<\\/p>\\n<p><strong>Ablation Procedure:<\\/strong><\\/p>\\n<p>Patient Preparation: Before the ablation procedure, patients undergo a thorough evaluation, including imaging and electrophysiological studies, to determine the most effective approach.<\\/p>\\n<p>Catheter Insertion: Guided by imaging and mapping systems, catheters are threaded through blood vessels and positioned within the heart. These catheters have specialised tips designed for diagnostic measurements and delivering ablative energy.<\\/p>\\n<p>Mapping and Localization: Cardiologists use the mapping system to locate the precise areas responsible for abnormal electrical signals. This step is crucial for determining the targets for ablation.<\\/p>\\n<p>Ablation: Energy is applied to the targeted tissue, creating lesions that disrupt the abnormal electrical pathways. This can involve either heating the tissue with radiofrequency energy or freezing it with cryotherapy.<\\/p>\\n<p>Monitoring and Confirmation: Continuous monitoring ensures the effectiveness of the ablation. Cardiologists assess the impact on the heart\'s electrical activity and confirm the successful elimination or modification of the arrhythmia.<\\/p>\\n<p><strong>Post-Ablation Care:<\\/strong><\\/p>\\n<p>Following the ablation procedure, patients are closely monitored for a period of time to ensure stability and assess the overall success of the intervention. Medications may be prescribed to manage symptoms and support the healing process.<\\/p>\\n<p><strong> Highlights of interventional procedures are:<\\/strong><br \\/> <br \\/> <strong>Invasive Intervention Procedures<\\/strong><\\/p>\\n<ul>\\n<li>Daycare Coronary Angiography<\\/li>\\n<li>Multi-vessel Radial &amp; Ulnar Coronary Angioplasties<\\/li>\\n<li>Peripheral Angiography<\\/li>\\n<li>Carotid &amp; Renal Stenting<\\/li>\\n<li>Balloon Mitral Valvotomy<\\/li>\\n<li>Balloon Aortic Valvotomy<\\/li>\\n<li>Device Closure of Septal defects<\\/li>\\n<li>Pacemaker Implantations<\\/li>\\n<li>Automatic Implantable Cardioverter<\\/li>\\n<li>Defibrillator (AICD)<\\/li>\\n<\\/ul>\\n<p>Our cardiac department is fully equipped with advanced technologies to provide comprehensive treatment for our patients. The country\'s first flat-panel modular cath lab for coronary angiography and coronary angioplasty (PTCA)<\\/p>\\n<p><strong>Fractional Flow Reserve<\\/strong><\\/p>\\n<p><strong>Coronary<\\/strong> Fractional Flow Reserve (FFR) is a diagnostic technique used in cardiology to assess the severity of coronary artery stenosis or narrowing. It provides valuable information to guide treatment decisions, particularly for patients with coronary artery disease.<\\/p>\\n<p>During a coronary angiogram, a catheter is threaded through the coronary arteries, and a pressure sensor is placed at the tip. FFR involves measuring the pressure before and after a narrowed segment of a coronary artery while inducing maximal hyperemia, typically through the administration of adenosine.<\\/p>\\n<p>The FFR value is calculated by dividing the mean distal coronary pressure by the mean aortic pressure. An FFR value of 1.0 indicates normal blood flow, while values below 0.80 suggest significant narrowing and reduced blood flow. This quantitative assessment helps cardiologists determine the need for interventions such as angioplasty or stent placement.<\\/p>\\n<p>One of the advantages of FFR is its ability to provide functional information about coronary lesions, complementing traditional anatomical assessments from angiograms. This functional evaluation assists in making more informed decisions, optimising patient outcomes, and avoiding unnecessary interventions.<\\/p>\\n<p><strong>Intravascular Ultrasound<\\/strong><\\/p>\\n<p>Intravascular ultrasound (IVUS) is a medical imaging technique used to visualise the inside of blood vessels, including coronary arteries. It involves inserting a catheter with an ultrasound probe into the blood vessels to obtain detailed images. IVUS is particularly useful in assessing the condition of coronary arteries and identifying plaque buildup, helping in the diagnosis and treatment of cardiovascular diseases.&nbsp;<strong><br \\/> <br \\/> <\\/strong><\\/p>\\n<p><strong>ECMO<\\/strong><\\/p>\\n<p><strong>24-Hour<\\/strong> Coronary Care Unit<\\/p>\\n<p>4D ECHO cardiogram<\\/p>\\n<p>Holter monitoring<\\/p>\\n<p>TMT\\/Computerised ECG<\\/p>\",\"eael_adv_tabs_text_type\":\"template\",\"eael_primary_templates\":\"4477\"},{\"eael_adv_tabs_tab_title\":\"Our Doctors\",\"_id\":\"bd3bd8f\",\"eael_adv_tabs_text_type\":\"template\",\"eael_primary_templates\":\"8485\",\"eael_adv_tabs_tab_id\":\"interventional-cardio\"}],\"eael_adv_tabs_tab_caret_show\":\"\",\"neb_content_protection_password_placeholder\":\"Enter Password\",\"neb_content_protection_password_submit_btn_txt\":\"Submit\",\"eael_adv_tabs_tab_title_typography_typography\":\"custom\",\"eael_adv_tabs_tab_color_active\":\"#1C82C2\"},\"elements\":[],\"widgetType\":\"eael-adv-tabs\"},{\"id\":\"b47f06b\",\"elType\":\"container\",\"settings\":{\"flex_direction\":\"column\"},\"elements\":[],\"isInner\":true}],\"isInner\":true}],\"isInner\":false}]'),
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It includes the heart, lungs, oesophagus, and other organs in the chest. This department plays a crucial role in managing a wide range of cardiovascular and thoracic disorders, including<\\/p>\\n<ul>\\n<li>Coronary Artery Disease,<\\/li>\\n<li>Heart valve abnormalities,<\\/li>\\n<li>Congenital heart defects, and<\\/li>\\n<li>Thoracic malignancies.<\\/li>\\n<\\/ul>\\n<p>Expert cardiothoracic surgeons lead the department, employing cutting-edge surgical techniques and technology to address complex cases. These procedures may involve coronary artery bypass grafting, heart valve repair or replacement, lung resections, and surgeries to treat aortic diseases. The department often collaborates closely with other medical specialties, such as cardiology, pulmonology, and oncology, to ensure comprehensive and multidisciplinary care for patients.<\\/p>\\n<p>State-of-the-art facilities equipped with advanced imaging, monitoring, and surgical tools enhance the precision and success of cardiothoracic procedures. The medical staff, including surgeons, anesthesiologists, and nurses, undergo specialised training to handle the unique challenges posed by surgeries in this field.<\\/p>\\n<p>Patient care extends beyond the operating room, encompassing pre-operative assessments, post-operative recovery, and long-term follow-up. The department focuses not only on treating diseases but also on preventive measures and lifestyle modifications to promote heart and lung health.<\\/p>\\n<h3><strong><u>Coronary Artery Disease<\\/u><\\/strong><\\/h3>\\n<p>When a person is diagnosed with heart disease, he is advised to undergo surgery, which may be open or closed heart surgery, depending on the complication. <strong>Closed Heart Surgery<\\/strong><\\/p>\\n<p>A closed-heart surgery is an invasive method in which the heart is not opened directly and no heart-lung bypass machine is required. This reduces the chances of complications, and it is the first step in any further procedures hat deal with the heart. Closed heart surgeries are performed by opening the chest in front or through the ribs. This surgery deals with the arteries, which carry blood from and to the heart, rather than the chamber itself. Palliative heart surgeries are often performed on young children and are carried out in different stages.<\\/p>\\n<p>Some examples of closed-heart surgeries are:<\\/p>\\n<ul>\\n<li>Ligation of Patent Ductus Arteriosus,<\\/li>\\n<li>Repair of the coarctation of the aorta and<\\/li>\\n<li>The placement of pulmonary artery bands and Blalock-Taussig shunts<\\/li>\\n<\\/ul>\\n<p>Every surgery is done by anaesthetizing the patients and providing post-surgical care such as regular monitoring of patients by keeping them in the ICU, providing intravenous medication to combat pain if any, and checking heartbeat and blood pressure at regular intervals.<\\/p>\\n<h4><strong>Open Heart Surgery<\\/strong><\\/h4>Open heart surgery is highly invasive, as the name suggests. It involves opening the chest and heart to operate on its chambers, muscles, and arteries. One of the most common open-heart surgeries is coronary artery bypass grafting. It involves grafting a healthy artery or vein to carry blood, which becomes impossible with the blocked artery. Hence, the newly attached artery brings fresh blood, bypassing the old blocked one.<br \\/> <br \\/> Today, open heart surgery has become a traditional method because of the advancements in this protocol. It involves just a small cut or incision, which is unlike the traditional method of wide opening. Open heart surgery is carried out with the help of a heart-lung machine.<br \\/> <br \\/> Open heart surgeries are usually adopted for the following:<\\/p>\\n<ul>\\n<li>Coronary heart disease, which occurs due to the narrowing and hardening of blood vessels that provide blood and oxygen to the heart,.<\\/li>\\n<li>In the replacement or repair of heart valves, through which blood flows from one chamber to another<\\/li>\\n<li>Replacement of a damaged heart with a donated heart<\\/li>\\n<\\/ul>\\n<h4><strong>Beating Heart Surgery<\\/strong><\\/h4>\\n<p>Beating heart surgery is nothing but performing an open heart without the heart-liver machine while the heart is pumping, thus not stopping it during the surgery. Our surgeons use a tissue stabilisation system to mobilise the heart when required.<br \\/> <br \\/> This surgery is carried out when the arteries cannot provide enough blood to the heart. In such cases, physicians mostly recommend coronary <strong>artery bypass graft<\\/strong> (CABG) surgery.<br \\/> <br \\/> The surgery is usually carried out using grafting techniques. The surgeon first gets a healthy vein or artery to act as a graft. One end of it is fixed inside the heart and the other end into the coronary artery just below the block, so that the blood flow bypasses the block thereby producing blood to the heart.<br \\/> <br \\/> The surgeon uses a stabilisation method to keep the heart steady. The stabilisation system consists of a heart positioner and tissue stabilisation to hold the heart in place while it is being operated. The advantage of this type of surgery is that it reduces the risk that might occur when the heart is temporarily stopped, a condition called reperfusion that occurs when the surgeon fails to restore blood to the tissues.<\\/p>\\n<h4><strong><u>Heart Valve Surgeries <\\/u><\\/strong><\\/h4>\\n<p>The human heart consists of four valves: tricuspid, bicuspid, mitral, and aortic. These play a key role in the flow of blood from and into the heart. The well-known lub and tub sound of the heart is due to the closure of these heart valves. They are vital in maintaining one-way blood flow. Thus, any defect in any of these valves is a serious criterion to be addressed immediately. Every repair and replacement is done through open-heart surgery.<br \\/> <br \\/> In the repair process, the physician adopts certain procedures. Some of them are listed below.<br \\/> <br \\/> <strong>Commissurotomy<\\/strong> is a technique to narrow the valves whose leaflets are thickened and get struck while closing. The surgeon cuts the joints where the leaflets meet to open the valve.<br \\/> <br \\/> <strong>Valvuloplasty&nbsp;<\\/strong>is a process in which the leaflets are strengthened to close tightly. It is an added support for the valve. A ring-like device is attached around the outside of the valve opening.<br \\/> <br \\/> <strong>Reshaping<\\/strong> is done to cut a portion of the leaflets, and when it is sewn again, the valve functions properly.<br \\/> <br \\/> <strong>Decalcification is used<\\/strong> to remove excess calcium storage in the leaflet, which, when removed, restores its function.<br \\/> <br \\/> <strong>Repair&nbsp;<\\/strong>is a structural support to replace or shorten the cords, which in turn supports the valves to close properly.<br \\/> <br \\/> <strong>Patching&nbsp;<\\/strong>is covering tears and holes in the leaflets with tissue patching.<br \\/> <br \\/> If a valve is completely damaged and repair is not possible, replacement is the best way to fix it. Replacement is also done when there is a valve disease that may be life-threatening. It is often done to mitral and aortic valves.<br \\/> <br \\/> Replacement can be either mechanical or biological.<br \\/> <br \\/> <strong>In the mechanical method<\\/strong>, the valve is made of plastic, carbon, or metal, which is strong and long-lasting. When blood passes through these valves, it has a chance to thicken and clot in some areas, which again becomes a problem. Hence, patients are advised to take blood-thinning medicine throughout their lives.<br \\/> <br \\/> <strong>In the biological method<\\/strong>, the valve is made up of either animal tissue or human tissue from the heart that is donated. In some cases, the patient\'s tissue is also used. This is not as strong as mechanical valves, and it needs replacements once every 10 years or so, but in this case, blood thinner medicine is not required.<\\/p>\\n<p><strong><u>Congenital heart disease<\\/u><\\/strong><\\/p>\\n<p>Congenital heart disease is nothing but some defect in the heart right from birth. The defect can be in the walls, the valves, or in the flow of blood to the heart. Doctors usually identify such defects either during pregnancy or immediately after birth. Some of the symptoms include:<br \\/> <br \\/> Rapid breathing<br \\/> Fatigue<br \\/> Poor blood circulation<br \\/> Cyanosis (bluish skin, lips, and fingernails)<br \\/> <br \\/> There are many types of congenital heart disease. Some of the common defects include<br \\/> <br \\/> <strong>Pulmonary stenosis<\\/strong> is a defect in which the pulmonary valve through which the blood from the right ventricle of the heart reaches the lungs gets hard and narrowed. In such a case, the ventricle presses itself to pump more blood, which results in swelling of the right ventricle.<br \\/> <br \\/> <strong>Pulmonary atresia<\\/strong> is a defect in which the pulmonary valve, which allows the flow of blood from the right ventricle to the lungs, remains closed at birth. As a result, the blood never reaches the lungs from the right ventricle, where it gets oxygenated. This may turn out to be severe if the condition remains untreated.<br \\/> <br \\/> <strong>Tricuspid atresia<\\/strong> is a defect in the tricuspid valve in which the flow of blood from the right atrium to the right ventricle is blocked. The valve would not have been developed fully or opened to allow blood flow. Hence, the blood to the lungs is blocked, which is again a major defect that leads to death when untreated.<br \\/> <br \\/> <strong>Aortic stenosis<\\/strong> is a defect in the aortic valve, which allows the flow of blood from the left ventricle to the aorta, the largest artery that carries oxygen-rich blood from the heart to different parts of the body. When this valve is thickened, the blood supply to various parts of the body becomes insufficient, thereby supplying less oxygenated blood to the body.<br \\/> <br \\/> <strong>Coarctation of the aorta <\\/strong>is a defect in which the aorta is constricted, which carries blood to the lower parts of the body.<br \\/> <br \\/> There are other defects apart from this. A hole in the heart is one of the major congenital heart problems. During birth, the opening in the wall of the heart allows blood to flow from the right and left chambers themselves instead of pumping to other parts of the body. It causes the heart to swell and enlarge. Some of the problems with a hole in the heart are<br \\/> <br \\/> <strong>An atrial septal defect<\\/strong> is a hole between the atria. The blood from the left atrium should flow to the left ventricle and then to the aorta and the whole body. But in this case, due to the hole, blood flows from the left atrium into the right atrium, which becomes fatal in later stages.<br \\/> <br \\/> <strong>A ventricular septal defect<\\/strong> is a hole in the ventricle. Blood from the lungs is returned to the heart through the left ventricle to enter the aorta and then to the rest of the body. In this case, blood flows from the left ventricle to the right ventricle. The complications are more common in such cases.<\\/p>\\n<p><br \\/> <strong>Congenital heart diseases are diagnosed through different methods.<\\/strong><\\/p>\\n<p>Cardiac catheterization is done to check blood pressure inside the heart and get images of the chambers of the heart.<\\/p>\\n<p>Chest x-ray to show the size and shape of the heart and lungs and other bone conditions.<\\/p>\\n<p>Echocardiogram to show the size and pumping action of the heart along its valves.<\\/p>\\n<p>Electrocardiogram to record the electrical activity of the heart<\\/p>\\n<p><strong>Minimally Invasive Bypass Surgery<\\/strong><\\/p>\\n<p>It is nothing but a bypass surgery that is performed with several small incisions instead of the traditional method of wide-opening the chest. This type of surgery may help patients who were neglected by older methods of heart surgery due to age. It has a wide range of advantages, like less blood loss, fewer post-surgery discomforts, fast healing, a lower infection rate, less trauma, fewer scars, etc. Minimally invasive bypass surgery gives the physician a clearer image of other parts of the heart than traditional methods.<\\/p>\\n<p><strong>Some of the minimally invasive surgeries include<\\/strong><\\/p>\\n<ul>\\n<li>Aortic valve surgery<\\/li>\\n<li>Atrial septal defect closure<\\/li>\\n<li>Heart valve closure surgery<\\/li>\\n<li>Maze heart surgery<\\/li>\\n<li>Mitral valve surgery<\\/li>\\n<li>Tricuspid valve surgery<\\/li>\\n<li>Thoracic Malignancy Surgeries<\\/li>\\n<\\/ul>\\n<p>Thoracic malignancy surgeries involve procedures on the organs within the chest, commonly the lungs and esophagus. Common surgeries include lobectomy for lung cancer, esophagectomy for esophageal cancer, and mediastinal tumour resection. Each surgery aims to remove or address cancerous tissue while preserving healthy structures to the extent possible. The specific approach depends on factors like the type and stage of malignancy.<\\/p>\\n<ul>\\n<li>Lobectomy: This involves the removal of a lobe of the lung and is a common procedure for lung cancer.<\\/li>\\n<li>Pneumonectomy: The entire lung is removed, often necessary for extensive lung tumours.<\\/li>\\n<li>Segmentectomy: This surgery removes a segment of the lung, preserving more healthy tissue compared to a lobectomy.<\\/li>\\n<li>Wedge Resection: Removal of a small, wedge-shaped portion of the lung containing the tumour.<\\/li>\\n<li>Esophagectomy: This surgery is performed for esophageal cancer, involving the removal of part or all of the oesophagus.<\\/li>\\n<li>Mediastinal Tumour Resection: Surgery to remove tumours in the mediastinum, the space between the lungs.<\\/li>\\n<li>Thymectomy: removal of the thymus gland, often done for thymic tumours or myasthenia gravis.<\\/li>\\n<li>Chest Wall Resection: In cases where the tumour involves the chest wall, a portion may need to be removed.<\\/li>\\n<li>Video-Assisted Thoracoscopic Surgery (VATS): minimally invasive procedures using small incisions and a camera for visualisation<\\/li>\\n<\\/ul>\\n<p><strong>The other two major areas are heart and lung transplantation.<\\/strong><\\/p>\",\"eael_adv_tabs_text_type\":\"template\",\"eael_primary_templates\":\"4473\"},{\"eael_adv_tabs_tab_title\":\"Our Doctors\",\"_id\":\"bd3bd8f\",\"eael_adv_tabs_text_type\":\"template\",\"eael_primary_templates\":\"7989\",\"eael_adv_tabs_tab_id\":\"cardiothroracic-surgery-doctors\"}],\"eael_adv_tabs_tab_caret_show\":\"\",\"neb_content_protection_password_placeholder\":\"Enter Password\",\"neb_content_protection_password_submit_btn_txt\":\"Submit\",\"eael_adv_tabs_tab_title_typography_typography\":\"custom\",\"eael_adv_tabs_tab_color_active\":\"#1C82C2\"},\"elements\":[],\"widgetType\":\"eael-adv-tabs\"}],\"isInner\":true}],\"isInner\":false}]'),
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Founder Dr Jeganathan, a prominent Gastroenterologist devised remarkable LASER Procedures for the first time in south India. His majesty and and excellence in partial gastrectomy procedures known as &ldquo;Billroth Operation&rdquo; inspired the hospital name. Through various leaps and bounds Billroth Institute of gastroenterology has now evolved into surgical centre par excellence that provides comprehensive surgical solutions with unparalleled surgical acumen and latest technology.<\\/p>\\n<h3>Facilities<\\/h3>\\n<p>Get it done by the pioneers- Laparoscopy involves only very small cuts and incisions through which camera and surgical instruments are sent inside through the abdomen. The physician sees the proceedings that are magnified through a television monitor which makes the proceedings easier.<\\/p>\\n<p>Advantages of laparoscopic procedures are<\\/p>\\n<ul>\\n<li>Less post-surgical pain<\\/li>\\n<li>Fester recovery to normal condition<\\/li>\\n<li>Small sized incision<\\/li>\\n<li>Less hospital stay<\\/li>\\n<\\/ul>\\n<h3><strong><u>Centre for Minimally invasive surgeries<\\/u><\\/strong><\\/h3>\\n<ul>\\n<li><strong>Cholecystectomy<\\/strong><\\/li>\\n<\\/ul>\\n<p>Cholecysteomy is the process of removal of infected gall bladder. Surgical method is a usual process. The traditional method of open cholecystectomy includes 5 to 8 inch incision into the abdominal area. The cut is made on the right side just below the ribs which extends to lower waist region.<\\/p>\\n<h4>Symptoms of cholecystitis are<\\/h4>\\n<ul>\\n<li>Severe pain in upper right abdomen<\\/li>\\n<li>Radiation of pain from right shoulder to back<\\/li>\\n<li>Nausea<\\/li>\\n<li>Vomiting<\\/li>\\n<li>Fever<\\/li>\\n<li>Tenderness over abdomen when it is touched<\\/li>\\n<\\/ul>\\n<ul>\\n<li><strong>Appendectomy<\\/strong><\\/li>\\n<\\/ul>\\n<p><strong>Appe<\\/strong>ndectomy is process name for removal of vermiform appendix. This invasive procedure is performed during emergency condition for patients suffering from appendicitis. Appendicitis is a major inflammation of appendix. Even though appendix has no function to perform, a diseased appendix when bursts can cause even death. Appendix may occur due to viral infection in the digestive track or the tube connecting the large intestine and appendix may be blocked. This causes infection in appendix which becomes acute when left untreated.<\\/p>\\n<p>Symptoms of appendix are:<\\/p>\\n<ul>\\n<li>Abdominal pain in the abdominal region<\\/li>\\n<li>Severe abdominal pain during walking and coughing<\\/li>\\n<li>Fever for a long time<\\/li>\\n<li>Loss of appetite<\\/li>\\n<li>Vomiting<\\/li>\\n<li>Constipation, etc.,<\\/li>\\n<\\/ul>\\n<p><strong>Fundoplication<\\/strong><\\/p>\\n<p>Laparoscopic Fundoplication is a key hole surgery performed when acid reflux happens from stomach to the esophagus. This reflux causes burning sensation in the chest, night time coughing and abdominal pain. It can develop at any age and worsened with smoking habits, drinking coffee and also due to some painkiller drugs.<br \\/> <br \\/> The surgical remedy for this problem is wrapping the bottom of esophagus and the top end of the stomach by placing a new valve. This valve plays the key role in not letting the acid to enter into the stomach. Diagnosis of acid reflux has three main steps which include:<\\/p>\\n<ul>\\n<li>Endoscopy or gastroscopy to look into the insights of stomach.<\\/li>\\n<li>24 hours ph supply, to know how often the acid enters the esophagus.<\\/li>\\n<li>Esophagus manomerty to check the pressure of esophagus<\\/li>\\n<li>Barium swallow x-ray is used occationally.<\\/li>\\n<\\/ul>\\n<p><strong>Heller&rsquo;s Cardiomyotomy<\\/strong><\\/p>\\n<p>Cardiomyotomy is an invasive procedure for a disorder called&nbsp;Achalasia. It is a severe condition in which the food from the esophagus is not propelled into the stomach. This occurs because the muscle (lower esophagus sphincter) in the lower end of the esophagus is tight and cannot open to push the food into stomach. As a result patients find difficulty in swallowing, there by very less food reaching the stomach which leads to loss of nutrition. Added to this the food from esophagus is returned back to mouth immediately due to adverse condition inside. Even drinking becomes a great difficulty. The problem is diagnosed by barium x-ray, gastroscopy or esophageal pressure test. The level of dysfunction varies from one patient to another. The only remedy is, to loosen the valve or divide it so that adequate amount of food passes in and swallowing becomes easy.<br \\/> <br \\/> Laparoscopy is the best surgical procedure to regain the pumping action of esophagus in such cases. During the operation the lower esophagus sphincter high pressure is lowered and weakened by cutting the valve along its length so that food particles can easily travel inside. In some cases reflux may also happen due to the weakening of the valve. In such situation wrapping of valve is done by replacing another valve to assure that food from esophagus is passed in and no reflux occurs.<br \\/> <br \\/> After the operation patients feel the improvement immediately in their swallowing action. They find no more difficulty in eating and drinking, however consuming heavy food must be avoided and following the advice of the physician is paramount.&nbsp;<\\/p>\\n<p><strong>Colectomy<\\/strong><\\/p>\\n<p>Colectomy is a surgical resection of the large intestine. The colon or large intestine is the last part of the digestive track. In adults It is almost 4 to 6 feet in length. Colon soaks the water content and stores the waste food material. Rectum follows the large intestine. It is the process of removing either small part or the complete colon where the small intestine is directly connected to the rectum.<\\/p>\\n<p>Colectomy is usually done to in case of diseases like cancer, polyps, irritable bowel disease, bleeding, blockage, volvulus, rectal prolapsed, diverculities, etc.,<\\/p>\\n<p>Symptoms of the disease include bleeding from rectum, abdominal pain, new diarrhea, constipation, stool size, weight loss, anemia, cramping, vomiting, fever, etc.,<\\/p>\\n<p>Tests which conclude colorectal diseases include blood test, colonoscopy, barium enema and CT scan.<\\/p>\\n<p>There are 4 methods in this process which includes<br \\/> <br \\/> <strong>Right Hemicolectomy<\\/strong>, process in which the whole of ascending colon and cecum is removed and the colon is reconnected to the small intestine.<br \\/> <br \\/> <strong>Left Hemicolectomy<\\/strong>, a process in which the descending colon is removed and the remaining is connected to the rectum.<br \\/> <br \\/> <strong>Sigmoid Colectomy<\\/strong>, a process in which either a part or full of sigmoid colon is removed, and the descending colon is connected to the rectum. In case of low anterior resection a part of sigmoid colon and rectum is removed and the descending colon is connected to the remaining part of the rectum.<br \\/> <br \\/> <strong>Abdominal Perineal Resection<\\/strong>, is a process in which either a part or full of sigmoid colon and the entire large intestine, rectum and anus are removed. On such cases colostomy is usually performed. Colostomy is creating an opening in the stomach wall to let out the waste material.<\\/p>\\n<p>During the laparoscopic procedure, four to five incisions are made of about 0.5cm and usually the abdomen is inflated using carbon dioxide. Usually among the incisions one is made bigger to remove the colon. Then the troc arcs of the laparoscopy are sent with the camera attached to view the insights through the monitor. The removal of rectum depends on the severity of the desease. Advantages of such surgery include<br \\/> <br \\/> Less pain from incision<br \\/> <br \\/> Faster recovery time<br \\/> <br \\/> Faster return to normal diet<br \\/> <br \\/> Faster return to normal activities<br \\/> <br \\/> Less hospital stay<br \\/> <br \\/> Fast healing of incisions.<\\/p>\\n<p>Anterior resection is the procedure to remove a part or whole of the rectum. Rectum is the last part of the large intestine which stores stools before it gets ejected. Anterior resection is usually done for patients affected with rectal cancer or diverticular disease. Diverticular is a protrusion in the intestinal walls which creates pockets in the colon wall. The operation is performed as open or key hole surgery. The later is preferred now a days.<br \\/> <br \\/> The key hole or laparoscopic surgery includes few small incisions in the tummy region. Telescope is sent through one of the incision and surgical instruments through the other. One of it is widened a bit to remove the infected rectum through it. After removing the rectum the surgeon joins the two healthy ends together with the surgical tool. In some cases stoma is formed about which the physician will decide. It depends on the amount of rectum removed, if a small part is removed then the heeling will be faster and when rectum is completely removed then stoma is made compulsory.<br \\/> <br \\/> In anterior resection, stoma is usually formed on the right side of the abdomen. It is a bag like structure to collect the bowel waste. The rectum connection to anus is cut off during the operation and hence the stoma is needed factor. After it heals another operation is done to remove stoma and restore the normal function. It is a surgical process, in which the contents of the stomach or other gases are made to bypass directly into jejunum which is considered as the second part of the small intestine with a small tube. This tube helps the solid, liquid food material to directly move into jejunum, bypassing the duodenum, the first part of large intestine. One end of the tube is connected into the stomach and the other end into the jejunum.<br \\/> <br \\/> This operation is done for people who suffer with stomach and duodenum block which happens as a result of stomach cancer or pancreatic cancer and who cannot properly digest the food due to blockage. In some cases a tube is connected to intestine and the other end outside the abdomen. Usually nutrition is fed through this tube into the intestine. This tube is referred as gj tube or feeding tube.<br \\/> <br \\/> For the operation, the incision is made at the abdomen, below the ribs to reach the stomach. The cuts made during the operation are small and will heal faster. The patients are advised to inform doctors regarding their medication process and also they are advised to fast at least for 6 to 8 hours before the operation.<\\/p>\\n<p><strong>Centre for Hernia<\\/strong><\\/p>\\n<p><strong>These are few techniques used to do hernia repair.<\\/strong><\\/p>\\n<p>Totally Extraperitoneal (TEP)<\\/p>\\n<p>Extended totally extraperitoneal (eTEP)<\\/p>\\n<p>Intraperitoneal onlay mesh repair (IPOM)<\\/p>\\n<p>The team has the expertise to do the surgeries by all possible techniques. 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