Bone surgery, Knee and Hip joint replacement surgery in India.

Since a good number of Global guests prefer to come to India for their specialized medical treatment,
it is opening newer avenues for people associated with Indian Medical and healthcare Industry.
At Complete Medicare Solutions , We are all geared up to provide the best of the services to our Global guests.
The motive and driving line for us at CMCS Health is to bring in total transparency and deliver satisfaction and value for money for our global guests coming to India for their specialized medical treatment.
Many guests now come to India for Knee and Hip joint replacement as well as other Orthopaedic surgeries.The cost of joint replacement surgery in India is much lower than anywhere in world. Our Specialist
orthopedic doctors are at par with any best orthopedic surgeon in world in expertise and on hand experience.
We are using best quality of implants from world leaders in orthopedic implant manufacturing companies like Zimmer, Smith & Nephew and Johnson & Johnson.
The specialized Orthopedic surgeries performed by our expert and well experienced doctors are:

Arthroscopic Surgery:

 Arthroscopic surgery is the surgery performed by trained and experienced orthopaedic surgeons by using an arthroscope. Arthroscopic surgeries are minimally invasive surgery and are generally used to examine and treat many medical conditions of joints,including torn cartilage or “meniscus”, torn surface (articular) cartilage, ACL reconstruction, and trimming of damaged cartilage.The advantage of arthroscopic surgery over conventional open surgery is reduction in post surgery recovery time and better success rate because of less damage to connective tissues.

Knee Joint replacement surgery

Knee joint replacement surgery is performed when the conservative treatment fail to give desired results in patients of osteoarthritis, rheumatoid arthritis or psoriatic arthritis.Knee joint replacement surgery may involve a partial or total knee joint replacement. The diseased or damaged surface and cartilage of knee joint is replaced with metal and plastic implant to restore mobility to knee joint. Knee joint replacement surgery is performed generally for debilitating pain arising because of meniscus tears ,cartilage deformity or degeneration, ligament tears , a sudden bone trauma in young patients and elderly patient suffering from advanced arthritis . Minimally invasive surgeries are performed now for shorter hospital stay and quicker recovery time. Our doctors give the choice of implants to our global guests depending on the age and requirement of patients. Best quality imported implants are used for excellent results.

Post knee joint surgery care and management: 

 The treating orthopaedic surgeon makes a complete follow up and rehabilitation plan for the patient post knee joint replacement surgery. Certain care is advised for knee joint replacement patients that are a periodic elevation of legs for preventing deep vein thrombosis, lower leg exercises for proper blood circulation, supporting stockings and in certain cases blood thinning medication for a period. Other precautions include prevention of fractures and infections, physiotherapy regimen for attaining complete motion of the joint. Patient has to walk initially with help of walkers or crutches to avoid full body weight on the new joint. Complete recovery from a knee joint surgery and full movement of joint may take up to three months.

Hip Joint replacement surgery:

Hip joint replacement surgery is a surgery performed to replace the faulty and diseased hip joint with a prosthetic implant. Hip joint replacement may be partial or complete.Hip joint replacement surgery is performed for arthritis affected hip joints. A hip Joint replacement is considered by orthopaedic surgeon, when all conservative treatments fail to give pain relief to patient. Hip joint replacement surgery can be performed both by traditional way and by minimally –invasive technique.

Post Hip joint replacement care and management:

Certain precautions have to be taken from six to 12 months after hip replacement surgery, pivoting or twisting on the involved leg needs to avoided. Patient should also not cross the involved leg past the midline of the body nor turn the involved leg inward and avoid bending at the hip past 90 degrees. This includes both bending forward at the waist and squatting. After the hip joint has healed, certain sports or heavy activity should be avoided. Patient should keep in mind that the replacement joint is designed for usual day-to-day activity.

Other Orthopaedic surgeries: 

The other routine surgeries like repair of fracture of femoral neck surgery, repair of trochanteric fracture , repair of rotator cuff tendon, repair of radius/Ulna. Repair of femoral shaft fracture, repair of fracture of Tibia /fibula, surgery for Repair of bones that have not joined properly ,surgery for correction of shortening of limbs, Surgeries for congenital bone defects and surgery for trauma and sports injuries are performed by expert orthopaedic surgeons of India.

Rehabilitation plays an important role for early movement post surgery; we are associated with Best Indian Hospitals and Orthopaedic surgeons with well experienced Physiotherapist for our global guests.

Best And Affordable Liver Transplants in India.

Know your Liver:
Liver is the Largest Gland in Human Body with many important functions to perform. Any derialment in Liver Function need to be addressed immediately to avoid long term damage, which may be potentially fatal. Although Dialysis can temporarily improve the condition of patient of end stage liver disease,but Liver transplant is the only option for saving the life of patients suffering from end stage liver disease. Liver Has many important functions to perform in human body.The major functions of a healthy liver can be listed as:- Processing of food digested from intestine,manufacturing bile which is essential for digestion,Neutralizing and destroying drugs and toxins,Fighting infections in body.Breaking down food components for providing energy for body functions,making protiens and enzymes responsible for blood clotting and repairing damaged tissues. 

What are Symptoms of an Ailing liver:
Symptoms of Liver Disease In the beginning of liver disease the symptoms are not noteworthy but as the disease progress they become noticeable ,although these symptom could be because of other causes too,but if the above symptoms appear in people living in high prevalence areas like PAKISTAN and MONGOLIA they must get themselves examined for a possible liver disease. A general fatigue or weakness without a relevant reason. Swelling of feet and face,abnormal itching of skin,Jaundice-Yellowing of skin and eyes,distension or heaviness in abdomen because of fluid retention,GI bleeding ,coffee or black color stools,vomiting blood or bleeding in subcutaneous tissues,Hepato encephalopathy that may result in change of behavior,altered sensorium,drowsiness and confusions, which may look like disorientation.

What is ESLD or End stage Liver Disease:
 What Is Cirrhosis or ESLD (End stage Liver disease) ? Liver tissues are basically sponge in nature but due to various factors they may turn into scar tissues over a period of time, this scarring of liver tissues is generally called cirrhosis. What Causes ESLD ? Hepatitis B and Hapatitis C infections, Alcohol induced liver disease,Fatty Liver disease,Autoimmune liver disease,Cryptogenic liver disease,Primary biliary cirrhosis,secondry biliary cirhosis and primary sclerosing cholongitis etc. In chidren, absence of bile duct since birth,metabolic disease,progreesive Familial intrahepatic Cholestatis and congenital Hepatic fibrosis could be the reason for Cirrhosis of liver.

Liver diseases can be chronic( Over a long period of time) or Acute (Sudden)
Liver disease can be classified as chronic and acute. In Acute liver disease the damage to otherwise healthy liver takes place in a few days or few weeks. In acute Liver failure the patient have the symptoms of Jaundice which progresses rapidly and patient may go in coma. It is a potentially fatal condition if not treated in time. Liver transplant is the only viable option for an acute liver failure patient. Causes of Acute Liver Failure Overdose of drugs like paracetamol or acetaminophen. Viral hepatitis A,B, or Hepatitis E. Metabolic disorder like Wilson’s disease and fatty liver during pregnancy.

Understanding Liver Transplant:
Liver transplant is replacing faulty or damaged liver by a healthy liver obtained from a deceased or a healthy living donor who is a close relative to patient.Liver transplant is a complicated surgery which requires a good hospital set up, qualified and experienced team of transplant surgeons, hepatologist,anaesthetists ,a transplant coordinator and an effective co ordination between all of them and of course family of the patient.The role of family is equally important for a successful liver transplant. Who requires a liver transplant? Liver disease patients Suffering from acute/Fulminant liver failure, decompensated cirrhosis and a few and not all liver cancers.
Majority of liver transplants in India are done through live donors because of non availability of deceased donors. The donor has to be a healthy man/woman in the age bracket of 18 to 55 years of age and a close relative to patient. The donor has to undergo a battery of tests to ascertain the fitness for liver donation. A Fit Donor can donate upto 70% of his liver without any complications. Within 3 to 6 weeks 100% functionality of liver is restored in donor and he/she starts living normal life as he /she was doing before donating the liver. There is no shortfall or handicap in post liver donation for the donor but b’cause of his/her donation a life is saved. 

Precautions for donor, post liver donation :
Usually donor stays in ICU for two days post liver donation and then shifted to normal hospital room for another 3-4 days for observation.When the donor is discharged from hospital ,they are generally on normal diet and start their daily core activities on their own.They need a further follow up post discharge from hospital for a fortnight and can leave for their home afterwards.There are no life style changes or dietary restriction or any long usage of medication. The only precaution donor needs to take is to avoid any strenuous physical activity for six months as in any other normal abdomen surgery .There is usually no serious life threatening danger involved for donor if proper screening of donor’s fitness have been done prior to surgery.

Precautions for Patient,Post Liver transplant :
Patients stay in ICU usually for 5-7 days and then are shifted to normal room for another 10 days before being discharged from hospital.They are advised to stay closer to hospital for another 3-4 weeks post discharge for follow up. Once they stabilizes completely doctors may advise them to leave for their home. Success of a liver transplant depends a great deal on post transplant care. As the patient is put on immunosuppressive medication to avoid rejection of newly transplanted liver ,Patient must ensure a good personal hygiene to avoid infections. Timely and regular follow up with their doctors with prescribed test reports. Taking the medicines at the proper time.Abstaining from outside and street food to avoid any possible infections,avoiding any stressful or heavy physical activity in the first six months of surgery.

• An Advise for Global guests seeking Liver transplant In India. Before starting for india for a liver transplant,guest must procure all the relevant information before hand. The first step is to select a hospital for their transplant and then do certain prelim tests and send the tests reports to the concerned doctors for getting the opinion if they require a liver transplant . Arranging a suitable and fit donor from their family ,do the prelim tests for donor and send the reports to concerned doctor for assessment of fitness of donor. Sometimes the patient fly in with unsuitable donor and then once the donor is rejected as unfit,they have to find another donor and that makes them overstay in India and increase the cost of India Stay.
  
  
   
•  We at Complete Medicare Solutions do all the co ordination for guests seeking a liver transplant in India. We help them in selecting a hospital and specialist doctors, Arrangements for India stay in a hotel or fully furnished serviced apartments, Helping in issuance of Medical and Medical X visa,local transportation and  coordinating with hospital and doctors for scheduling the Liver transplant.

Infertility Treatment In India

Infertility among the newly married couples is a major issue for the urban population.

Many global studies show that infertility even among the otherwise healthy couples is on rise.Some medical conditions which can be corrected by proper evaluation can relieve this big social stigma among the child bearing age couples.

We at CMCS Health and Medicare Pvt. Ltd. are associated with Best Indian Fertility treatment specialist doctors and hospitals.The treatment of Infertility can never be gauged and looked upon from the same parameters as that of other medical treatments,because of the emotional issues involved. The infertility specialists have to be more friendly towards their patients and compassionate about their work and ethics to bring about the best experience for their patients. CMCS Health has chosen the specialist doctors and hospitals and medical treatment centers for their global guests with great care, to provide them an experience that make them feel that they are getting their medical treatments in their own country as they are very well looked after and they feel that they are getting the value for money that they had spend on their specialized medical treatments in India, because of transparency we ensure in our working.


What is Infertility?
A healthy couple living together for almost a year,having regular unprotected copulation with an aim of conception and not able to conceive need to be evaluated by fertility specialists doctors.The infertility may be primary and secondary.

As per Johns Hopkins Medicine Fertility center "Primary infertility is defined as a couple who has never been pregnant.  Secondary infertility describes a couple who are having trouble conceiving again, even though they have previously achieved pregnancy."

Some  noteworthy facts have come to light in a study conducted by Ulla Larsen associated with Department of Population and International Health, Harvard School of Public Health, 665 Huntington Ave, Boston,USA and published in International Journal of epidemiology 

about primary and secondary infertility in sub saharan Africa. 

"Primary infertility is relatively low and it exceeds 3% in less than a third of the 28 African countries analysed. In contrast, elevated levels of secondary infertility prevail in most countries. Secondary infertility for women age 20–44 ranges from 5% in Togo to 23% in Central African Republic." This study documented that infections, either from a sexually transmitted disease (STD), after a childbirth, or an abortion, were the major causes of infertility in sub-Saharan Africa.
Another factor that could be responsible for female factor infertility is Uterine fibroid.
As per American Journal of reproductive Medicine Fact Sheet:
"Fibroids are noted in 20% of women in the reproductive years, but those of African descent have been shown to have a higher incidence of fibroid formations (50-80%). Whether fibroids cause symptoms or require any type of treatment depends on their location and size in the uterus. Fibroids occur when a single muscle cell in the wall of the uterus multiplies to form a noncancerous tumor. The exact cause of uterine fibroids is unclear, but there is evidence that it may be a combination of genetic, hormonal, and environmental factors."
According to this Fact sheet, Certain types of fibroids are known to decrease fertility. They include fibroids that are inside the uterine cavity and very large fibroids (>6 cm in diameter) that are located within the wall of the uterus. A specialist doctor can assess if the uterine fibroid is causing infertility problem after evaluation of both the partners.
If uterine fibroids are the cause of infertility,patient is advised for a surgery called myomectomy for removal of fibroid. A patient is advised to not conceive atleast within six months of myomectomy surgery as endometrial lining of uterus have to recover for maintaining  and sustaining the pregnancy.
As in the cases of treatment of secondary infertility the cause of infection needs to be treated first,sometimes pre work up of infertility treatment is more time consuming than the actual treatment.Same holds true post myomectomy .As Infertility treatment may span for more than one monthly cycle ,the cost of staying in India and being absent from their work for too long a period also becomes a major hindrance for global guests to seek infertility treatment in India. We at CMCS HEALTH co ordinate the entire treatment process for our Global guests ,even when patient is staying in their own country and invite them to India only when the treating doctor feels that now is the time for patient to undergo assisted conception procedure,thereby shortening the India stay required for global guests.

Treatment of Infertility: Before the commencement of treatment for infertility a comprehensive work up is to be done for both the partners for knowing the cause of infertility and accordingly the treatment options are decided by specialists doctors for a better outcome.

According to Our Infertility specialist doctors Any Global guest seeking Infertility treatment in India need to email the following test and investigation reports to us,for working up the treatment options for the guests. These test reports will help the specialist doctors in assessing the situation and inform the patient beforehand about the treatment required,cost of treatment and to a certain extent the outcome of treatment, before patient start for India. It saves big time,finances and resources for the guests in travelling to India for their medical treatment.

1.Latest Semen analysis of Male partner and a brief about overall medical health and medical history with present and past medications.
2. The Hormonal Assay reports for the female partner conducted on the commencement of 2nd day of menstrual cycle ,FSH,LH,Serum prolactin and TSH.
3. Ovarian reserve and AMH (Anti Mullerian Hormone test)
4.Trans vaginal Ultrasound.
5.Hysterosalpingogram (HSG)

6.Commentary on Anteral Follicle count,state of uterus and adnexa.

If you or someone known to you is facing infertility problem and is seeking for affordable and world class treatment options, We at CMCS Health can help them in realizing their dream of holding their own "Little bundle of Joy" in their hands.

The Name you can trust.

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