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Catheter Ablation (RFA)

Provided by Escorts Heart Institute
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Catheter ablation has revolutionized the management of patients with certain heart rhythm disorders. Having evolved from arrhythmia surgery, catheter ablation was initially performed using high voltage direct current (DC); however, over the last decade, radio frequency current has supplanted DC as the energy source of choice and has made catheter ablation a first-line therapy for many rhythm disorders. It is an alternative to life-long drug therapy or surgery.

The procedure is done in a special room, called an electrophysiology (EP) lab, by doctors trained in the study and treatment of heart rhythms. Long, flexible wires, called catheters, are inserted into the veins of the leg, arm, and neck (and possibly into arteries in the leg) and positioned in the heart. Through these catheters, the doctor can record electrical signals that come from different parts of the heart. This is similar to an ECG, which records electrical activity from the body’s surface.

With, a special catheter, the area of the abnormality is located inside the heart. The catheter is placed at this area and, by delivering either electrical current or heat from radio frequency waves; the defective heart tissue is destroyed. This eliminates the source of the abnormal heart rhythm or extra pathways.

A catheter ablation can take several hours and does involve some risks. However, the doctor recommending this procedure believes these risks are small compared to the potential benefit for you. Your doctor will discuss this with you and answer any questions you have.


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Unicondylar Knee Replacement

Provided by Wockhardt Hospital
Brought to you by Healthbase

Most people are aware of the total knee replacement surgery. This involves replacing the unhealthy surface of the entire knee joint with metal and plastic implants. It is a very successful operation with good long term results. However a large percentage of patients have arthritis limited to one part of the joint alone. Replacing the whole joint in these patients is overkill and unnecessary.

Knee ReplacementMany middle aged men and women develop osteoarthritis of the knee. Osteoarthritis of the knee affects the inner half or medial compartment to start with and then proceeds to affect the outer half or lateral compartment.

In this operation only that part of the knee, which is unhealthy, is replaced. The normal surfaces are left alone. This operation has several advantages over total knee replacement surgery.

  • It can be done through a very small incision.

  • It is minimally invasive and hence tissue damage is far less.

  • The patient gets complete pain relief and the implant lasts long

  • The knee feels more natural as ligaments are preserved

  • Range of movement is full and it allows squatting and sitting crosslegged

  • Post operative hospitalization is reduced and return to normal is much faster than total knee replacement surgery.

Dr. Kaushal Malhan is a Joint Replacement and sports surgeon at the Wockhardt hospital. He was the first surgeon in India to do the mobile bearing oxford unicompartmental knee replacement and has been in the forefront in the field of full bending knee replacement surgery.

 

 

 

 

 

 

 

Frequently Asked Questions

 

  • What is unicondylar arthroplaty, or partial knee replacement?
  • What are the advantages unicondylar arthroplasty?
  • How is it different from total knee replacement?
  • You mentioned recovery is faster. What does that mean?
  • What does the surgeon do during a unicondylar arthroplasty?
  • How do I know if I am a candidate for this surgery?
What is unicondylar arthroplaty, or partial knee replacement?Partial knee replaces only the area of the knee that is worn out, sparing patients the more medically complicated and involved total knee replacement surgery.

 

What are the advantages unicondylar arthroplasty?With a partial knee replacement, there is a dramatically shorter recovery time due to less surgical trauma, less scarring and fuller range of motion.

 

How is it different from total knee replacement?

During total knee replacement, surgeons typically make a 7 to 8-inch incision over the knee, patients stay in the hospital for approximately four days, and there is a recovery period of up to three months. During minimally-invasive partial knee surgery, a part of the knee to be replaced through a small, 3-inch incision. There is minimal damage to the muscles and tendons around the knee and the required hospital stay is up to two days. The recovery period is about one month.

 

Total Knee Replacement

 

You mentioned recovery is faster. What does that mean?

Patients often walk unassisted within a week or two of the operation. Even those who have both knees done at once are able to walk without the assistance of a walker or cane fairly quickly.

 

What does the surgeon do during a unicondylar arthroplasty?When a knee replacement is performed, some bone and cartage are removed using precise instruments to create exact surfaces to accommodate a metal and plastic prostheses.

 

How do I know if I am a candidate for this surgery?

Candidates for this surgery are generally younger, more active patients. The partial knee replacement allows for symptoms of pain or discomfort. The procedure allows younger patients to buy time before they need a full knee replacement. The procedure is also effective for older patients if they have disease localized to one half of the joint.

 


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©2006 Healthbase Online Inc. All rights reserved.  |  About us
The contents or materials provided in this website are for general information only and are not intended as medical advice

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Singapore

Raffles Hospital

An ISO 9001 institute with US/UK trained specialists. Raffles Hospital in Singapore is a 380-bed tertiary care private hospital offering a full complement of specialist services using the most advanced medical technology. The rooms at Raffles Hospital are outfitted to the standards of five-star hotels, with an array of suites, single, double, four and six-bed rooms for you to choose from.

National Heart Center Singapore

National Heart Center Singapore is a designated national center for cardiovascular medicine in Singapore and sees over 85,000 outpatients yearly. Performed 2,056 Angioplasty procedures, 577 CABG procedures & 304 Pacing procedures in 2005. National Heart Center Singapore is the first heart center outside USA to be JCI (Joint Commission International) accredited.

Thailand

Piyavate Hospital

The Piyavate Hospital medical staff is comprised both American Board and Thai Board Certified Physicians in every specialty field, supported by highly qualified registered nurses, technicians and administrative personnel. Piyavate Hospital is located in Bangkok, Thailand. The hospital provides medical services using modern technology and state-of-the-art equipment, accredited by the International Standards Organization ISO 9001-2000.

Bangkok Hospital Group Medical Center

Bangkok Hospital is one of the biggest hospitals in Thailand providing tertiary healthcare. The Bangkok Hospital Group has world renowned physicians, cutting edge technology and excellent nursing staff provide all of their patients with the utmost level of medical care. The Bangkok Heart Hospital an ISO 9001:2000 accredited hospital has treated more than 40,000 cardiac outpatients and has done more than 1,100 heart surgeries to date.

India

Apollo Hospitals Group

The first Indian hospital to receive the Joint Commission International (JCI) USA accreditation the gold-standard in hospital certifications worldwide. Apollo Hospitals have over 7000 beds in 38 hospitals. Indraprastha Apollo Hospitals in New Delhi, India is spread over 12 acres of land, has a built-up area of 600,000 square feet, and handles close to 200,000 patients a year, of which 10,000 are international patients.

Wockhardt Hospitals Group

Wockhardt hospitals Group has established a chain of super specialty hospitals at Mumbai, Bangalore, Hyderabad, Kolkatta and Nagpur. Wockhardt Hospitals has associated with Harvard Medical International (HMI), USA. As associate hospitals of HMI in India, Wockhardt Hospitals benefit from the extensive learning and experience of Harvard Medical School and its affiliated institutions world-wide and strive to bring to its patients the benefits of global standards in technology and clinical expertise. Wockhardt Hospitals, Mumbai, has become the first super specialty hospital in South Asia to achieve accreditation from Joint Commission International (JCI), USA.

Escorts Heart Institute and Research Center

Escorts Heart Institute and Research Center (EHIRC), an ISO 9001 institute has a total of 164 Critical Care beds to provide intensive care to patients after surgery or angioplasty, emergency admissions or other patients needing highly specialized management. The hospital is backed by the most advanced laboratories performing complete range of investigative tests in the field of Nuclear Medicine, Radiology, Bio-chemistry, Haematology, Transfusion Medicine and Microbiology. Performed over 9756 Angiographies, 2707 Coronary Interventions, 5519 Cardiac (3214 CABG, 563 Valve, 765 Congenital, 977 other) surgeries in 2005.

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