Spine Surgery Treatment
Minimally Invasive Spine Surgery (MISS) does not involve long incisions, open manipulation of the muscles and tissue surrounding the spine is avoided, therefore, leading to shorter operative time. In general, reducing intraoperative (during surgery) manipulation of soft tissues results in less postoperative pain and a faster recovery.

Common Back Pain Conditions

• Back Pain
• Degenerative Disc Disease
• Herniated Disc
• Kyphosis
• Lower Back Pain
• Neck Pain
• Osteoporosis
• Sciatica
• Scoliosis
• Spinal Stenosis
• Spondylolisthesis
• Spondylosis

Lumbar Decompression Back Surgery
Decompression is a surgical procedure that is performed to alleviate pain caused by pinched nerves. During a lumbar decompression back surgery, a small portion of the bone over the nerve root and/or disc material from under the nerve root is removed to give the nerve root more space and provide a better healing environment.

There are two common types of spine surgery decompression procedures:

Microsurgical Discectomy
A microdiscectomy (a microdecompression) is typically performed for pain from a lumbar herniated disc. The surgery is considered reliable for leg pain caused by the herniated disc, most commonly called sciatica by patients, and most commonly referred to by medical practitioners as a radiculopathy.

Lumbar Laminectomy
A lumbar laminectomy (open decompression) is typically performed for pain from lumbar spinal stenosis. The goal of the surgery is to allow more room for the nerve root, thus reducing pain (and potentially any leg weakness or neurological symptoms) and restoring the patient’s ability to participate in everyday activities.

Slipped Disc Surgery – Percutaneous Endoscopic Lumbar Discectomy (PELD)
An advanced minimal invasive technique, Percutaneous endoscopic lumbar discectomy (PELD) is performed for the decompression of the lumbar disc space and removal of nucleus pulposus via a posterolateral approach. In addition to decompression surgery, the technique has been found effective in management of spinal tumors and structural deformities.Surgery is done under local anesthesia with conscious sedation.No muscle, ligament or normal tissue damage and minimal blood loss.Patient can be discharged in 24 hrs. No prolonged bed rest required after surgery. Early return to work.
Transforaminal Lumbar Fusion (TLIF) is a surgical technique that is performed from a posterior approach to stabilize the spinal vertebrae and disc between. By going through the transforaminal direction there is less bone removed so thus less disturbance to the site. By fusing the vertebrae to eliminate any movement between the bones, the spine is stabilized and a reduction of pain and nerve irritation is accomplished.

Vertebroplasty & Kyphoplasty
Vertebroplasty and kyphoplasty are used to treat painful vertebral compression fractures in the spinal column, which are a common result of osteoporosis. Your doctor may use imaging guidance to inject a cement mixture into the fractured bone (vertebroplasty) or insert a balloon into the fractured bone to create a space and then fill it with cement (kyphoplasty).

Posterior Lumbar Interbody Fusion (PLIF)
Posterior Lumbar Interbody Fusion (PLIF) is a surgical technique for placing bone graft between adjacent vertebrae (interbody). Using various instruments, the disc is removed through the right and left sides of the spinal canal and the intervertebral space, which has been cleared, is then packed with bone graft and a bone block or cage implant. Instrumentation, such as pedicle screws, are used to provide support for the fused vertebrae. Doing a pure PLIF surgery has the advantage that it can provide anterior fusion of the disc space without having a second incision.

Knee Surgery Treatment | Joint Surgery Treatment

Total Knee Replacement
Total Knee Replacement (TKR), also referred to as Total Knee Arthroplasty (TKA), is a surgical procedure where worn, diseased, or damaged surfaces of a knee joint are removed and replaced with artificial surfaces. It is a common surgical procedure most often performed to relieve the pain and disability from degenerative arthritis, meniscus tears, osteoarthritis of knee, cartilage defects, and ligament tears.The most common cause for knee pain which needs Knee Replacement Surgery is osteoarthritis of knee. In Total Knee Replacement, the orthopedic surgeon removes damaged cartilage and bone from the surface of your knee joint and replaces them with a prosthesis/implant of metal and plastic. Total knee replacement can help put an end to arthritic pain in your knee and enable you to resume a functional and active lifestyle.

Partial Knee Replacement
In case of larger number of patients have arthritis limited to one part of the joint alone, Orthopedic surgeons may recommend partial knee replacement if the arthritis is confined to a single part (compartment) of the kneeReplacing the whole joint in these patients is overkill and unnecessary. Many 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 like small incision, longer life of implant and post operative hospitalization is reduced and return to normal is much faster than total knee replacement surgery.

Bilateral Knee Replacement | Both Knee Replacement Surgery
Orthopedic surgeons may recommend simultaneous procedure when both knees are required to be replaced. A simultaneous procedure means that both knees are replaced at the same surgery, in one day. The benefit of simultaneous knee replacement is that both problems are taken care of at one time. The overall stay and rehabilitation can be done in a shorter time, and there is only one hospitalization. Patients also only require one anaesthesia.

Revision Knee Replacement
Total Knee Replacements that need to be revised after 15-20 years (post primary surgery) are also done at the world class best orthopedic hospitals in India. The most advanced prosthesis and Computer Assisted Surgery (CAS) is also used for Revision Knee Replacements.

Knee Arthroscopic Surgery
Knee arthroscopic surgery is a procedure performed through small incisions in the skin to repair injuries to tissues such as ligaments, cartilage, or bone within the knee joint area. The surgery is conducted by an orthopedic surgeon with the aid of an arthroscope, which is a very small instrument guided by a lighted scope attached to a television monitor.

Knee arthroscopy has in many cases replaced the classic arthrotomy that was performed in the past. Today knee arthroscopy is commonly performed for treating meniscus injury, reconstruction of the anterior cruciate ligament and for cartilage microfracturing. Many knee joint problems are amenable to arthroscopic surgery like

• Trimming a torn meniscus of the knee
• Repairing a torn meniscus of the knee
• Treatment of cartilage damage in the knee

Arthroscopic surgery is a “less invasive” procedure and being a surgical procedure involves risks, but when performed for the right problem it is often very successful.

ACL Reconstruction: The Anterior Cruciate Ligament (ACL) keeps the shin bone (tibia) in place. A tear of this ligament can cause your Knee & Hip to give way during physical activity. ACL reconstruction surgery is done to replace the ligament in the center of your Knee & Hip with a new ligament.

Arthroscopic Menisectomy: Meniscectomy is the surgical removal of all or part of a torn meniscus (rupturing of one or more of the fibrocartilage strips in the Knee & Hip called menisci). A meniscus tear is a common Knee & Hip joint injury and can lead to pain and/or swelling of the Knee & Hip joint.. Menisci can also be torn during innocuous activities such as walking or squattig. Depending on the location of the tear, a repair may be possible. n the outer third of the meniscus, an adequate blood supply exists and a repair will likely heal. Usually younger patients are more resilient and respond well to this treatment, while older, more sedentary patients do not have a favourable outcome after a repair.

Meniscal repair: Doctors use arthroscopic surgery to repair the meniscus. The surgeon inserts a thin tube (arthroscope) containing a camera and a light through small incisions near the Knee & Hip and is able to see inside the Knee & Hip without making a large incision. Surgical instruments can be inserted through other small incisions. The surgeon repairs the meniscus using dissolvable sutures (stitches) or anchors.

Cardiac Surgery Treatment | Adult Heart Transplant | Pediatric Surgery

The most advanced technology for minimally invasive heart surgery is now available in India. Robotic da Vinci Surgical System combines superior 3D visualization along with greatly enhanced dexterity, precision and control in an intuitive, ergonomic interface with breakthrough surgical capabilities. By enhancing surgical capabilities, robotic surgery helps to improve clinical outcomes and redefine standards of care.

Types of Minimally Invasive Cardiac Surgery
Coronary Artery Bypass Graft (CABG) – A less invasive alternative for treating severe blockage that is restricting blood flow and oxygen to the heart, also known as coronary artery disease. A healthy blood vessel is taken from another area of the body and used to divert the flow of blood around a section of blocked artery, restoring normal blood flow to the heart muscle. The least invasive approach to this procedure is known as a minimally invasive direct coronary artery bypass (MIDCAB).Aortic Valve Replacement (AVR) – A procedure used to replace the aortic valve if it has thickened and narrowed, preventing adequate blood flow, or if the valve isn’t fully closing, causing blood to leak back into the heart.Mitral Valve Replacement/Repair (MVR) – Surgery to either replace or repair the mitral valve in the heart, one of four main valves that help pass blood through the heart while preventing blood from flowing backwards.Atrial Fibrillation – Surgery to correct an abnormal heart rhythm in the two upper chambers of the heart (the atria) that is causing poor blood flow to the body. Known as the “mini Maze” procedure, this less invasive approach creates scar tissue on the heart to block the abnormal electrical impulses that are disrupting the heart’s normal rhythm.Hybrid Procedures – Procedures that combine minimally invasive cardiac surgery with catheter-based interventions, most commonly stents. These tailored treatment strategies use the least-invasive approach to achieve the best possible outcome.