Best Doctors in India for Foraminotomy procedure

Profile Highlights:

  • Dr. Rajendra Prasad is one of the most experienced Neurosurgeons and Spine surgeons in India.
  • Dr. Rajendra Prasad is an expert in all neuro and spine surgeries that including micro neurosurgery, minimally invasive spine surgery, surgery for degenerative spine diseases, surgery for brain and spine trauma, and neuro tumor surgeries.

Profile Highlights:

  • Dr. Sandeep Vaishya is a renowned Neurosurgeon in India, with over 21 years of proficient experience in the field of advanced neurosurgery, he has closely worked with some of the top-notch institutes and hospitals in India.
  • Dr. Vaishya is regarded as one of the top surgeons of Gamma Knife Surgery in South Africa and is also considered a renowned surgeon for brachial plexus injuries.

Profile Highlights:

  • Dr. Rana Patir is one of the most experienced and highly qualified Neurosurgeons in India.
  • He holds an extensive experience of 32+ years as a neurosurgeon and has performed more than 10,000 neurosurgical procedures till date.
  • Dr. Patir is an expert in all kinds of neuro and spine surgeries with a specialization in minimally invasive brain and spine surgery, Epilepsy surgery, pediatric neurosurgery, and neurovascular surgery.

Profile Highlights:

  • Dr. S K Rajan is a renowned Neurosurgeon in Gurugram who specializes in open as well as minimally invasive spinal surgeries and has performed over 3000 complex spinal surgeries for diseases and disorders.
  • Dr. S K Rajan’s expertise lies in Craniovertebral Junction and Lumbosacral Junction surgeries and is also an expert in spinal fracture surgeries, slipped discs, canal stenosis, and surgery for spinal tumors and spinal tuberculosis.

Profile Highlights:

  • Completing over 9000 successful neurological procedures, and still counting, Dr. Sudhir Tyagi is one of the top-notch names in India, diligently catering to neurological assistance with his vast knowledge and adept expertise.
  • In fact, Dr. Sudhir Tyagi is the first neurosurgeon to use the Image Fusion Technique to localize targets in the deep part of the brain to perform functional stereotactic surgeries. He has great experience in all types of brain and spine surgeries.

Profile Highlights:

  • Dr. Bipin Walia is one of the most famous neurosurgeons who has performed over 7000 successful neurosurgeries so far.
  • He earned his MBBS and MS (General Surgery) degree from Armed Forces Medical College, Pune, followed by which his, M.Ch(Neurosurgery) from All India Institute of Medical Sciences, New Delhi.
  • Dr. Bipin Walia has over 20 years of experience with his outstanding performance earning him quite some rewards and recognition.

Profile Highlights:

  • Dr. Sajan K Hegde is an Orthopedic & Spine Surgeon with 33+ years of experience and is known for performing spine and joint surgeries using the latest technological advancements like minimally invasive sacroiliac joint fusion and cervical artificial disc.
  • He has initiated many modern instrumentation systems in India including Cotrel, BAK cages, Harms Mesh Systems, and more.
  • Dr. Hedge holds expertise in surgical and non-surgical spine treatments, tackling trauma, et al.

Profile Highlights:

  • Dr. Anil Kumar Kansal is a well-known neuro and spine surgeon in Delhi with over 2 decades of experience.
  • He has performed over 10,000 neurosurgical procedures including 4500 brain surgeries, 500 endoscopic brain surgeries, 2000 spine surgeries, 400 aneurysms, and 500 anterior cervical microdiscectomies with 60 disc replacement procedures.
  • Dr. Kansal holds great skills in aneurysm clippings, neuro-modulation, epilepsy, and neurovascular surgery and has handled several such types of cases in his career.

Profile Highlights:

  • Dr. Himanshu Tyagi is a well-known Spine surgeon specializing in Minimally Invasive Spine Surgeries (MISS).
  • He has over a decade of experience in the field and is trained to perform all kinds of reconstructive and corrective spinal surgeries.
  • He is trained to perform intradural as well as extradural spinal procedures and does surgeries by both anterior and posterior approaches.

Profile Highlights:

  • Dr. Rajagopalan Krishnan is a well-known orthopedic and spine surgeon in India.
  • He is one of the most highly accomplished and successful spine surgeons in Delhi performing more than 350 spine surgeries every year.
  • He provides management and treatment of spinal disorders that includes disc and degenerative disorder, spinal tumor, spinal fractures, spinal trauma, and spinal infections.

Best Hospitals in India for Foraminotomy procedure

Indraprastha Apollo Hospital, New Delhi

Hospital Highlights:

  • Indraprastha Apollo Hospital is a 700-bedded multispecialty hospital in the heart of the capital of India. It is a part of Apollo Hospital group, one of India’s most reputed healthcare chains. Indraprastha Apollo Hospital has been accredited by Joint Commission International, making it the first internationally accredited hospital in the country in 2005.
  • There are 52 specialties in the hospital with one of the best cardiology centers in the country. The hospital is also equipped with State of the art infrastructure facilities with the largest Sleep Lab in Asia and the largest number of ICU bed facilities in India.
  • The hospital also has one of the largest dialysis units in India along with a dedicated Bone Marrow Transplant unit.
  • The latest and highly advanced technologies that are installed in the hospital include Da Vinci Robotic Surgery System, PET-MR, PET-CT, Cobalt-based HDR Brachytherapy, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.

Fortis Memorial Research Institute, Gurugram

Hospital Highlights:

  • Fortis Memorial Research Institute is a multi-super-specialty, quaternary care hospital with 1000 beds. The hospital comprises reputed clinicians, and international faculty and is also equipped with cutting-edge technology. The hospital is a part of Fortis Healthcare Limited, a reputed chain of private hospitals in India.
  • It is a NABH-accredited hospital that is spread across 11 acres of land and has a capacity of 1000 beds. The hospital has 55 specialties and is one of the premier health care centers in the Asia Pacific region popularly known as “the Mecca of Healthcare”.
  • The hospital has 260 diagnostic centers and is also equipped with the latest and advanced techniques that include 3 Telsa which is the world’s first Digital MRI technology. The hospital also has world-class Radiation Therapy techniques which have been developed by leading technology experts from Elekta and Brain Lab.

Apollo Hospital, Chennai

Hospital Highlights:

  • Apollo Hospitals, Chennai, is one of the best hospitals for heart care in India. Over the years, Apollo has expanded all over India, as a healthcare chain.
  • India’s first ‘Only Pancreas’ transplant was performed in Apollo Hospital. The hospital is known for successfully performing Asia’s first en-bloc combined heart and liver transplant, and over the years, it has attained a remarkable achievement in the global healthcare space. Around 3-4 organ transplants are performed in the hospital per day.
  • Equipped with over 500 beds, this hospital in Chennai was established in 1983 and since then has been among the most preferred hospital for patients from all over the world.
  • The hospital holds accreditation of the NABH and JCI and is the first hospital in India to be ISO 9001 and ISO 14001 certified. It is also the first South Indian Hospital to receive subsequent reaccreditation from the JCI USA 4 times.

Medanta-The Medicity, Gurgaon

Hospital Highlights:

  • One of India’s best and largest multi-specialty hospitals, Medanta was built with the aim to bring India to the highest standards of medical care. The hospital has been providing the best medical services to its patients, since its inception, with care, commitment, and compassion.
  • Equipped with 1250 beds, the hospital was founded by Dr. Naresh Trehan in the year 2009 with an aim to provide the best medical care at affordable costs. The hospital is spread across 43 acres and includes 45 operation theatres and 350 beds dedicated solely to ICU. The hospital includes over 800 doctors, and more than 22 specialty departments and has a dedicated floor for individual specialty in order to offer the best services under one roof.
  • The hospital is considered one of the premier institutes in India for Cardiac Care and includes staffs and members of high caliber. The hospital has 6 distinct centers of excellence.

Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • One of the well-regarded providers in India committed to the highest standards of clinical excellence and patient care, Max Super Specialty Hospital is a part of Max Healthcare, which is the second-largest healthcare chain in India. Regarded as one of the most well-regarded healthcare providers in the country, Max Super Specialty Hospital is committed to the highest standards of clinical excellence as well as patient care. The hospital is also equipped with the latest technology as well as cutting-edge research. The hospital is known to deliver and ensure the highest level of patient care.
  • The hospital has more than 500 beds and offers treatment for over 35 specialties. The hospital also holds the credit of having installed the first Brain Suite in Asia. This is a highly advanced Neurosurgical machine that allows MRI to be taken while surgery is ongoing.
  • Other advanced and latest technologies are also installed in the hospital such as the 1.5 Tesla MRI machine, 64 Slice CT Angiography, 4D ECHO, LINAC, and 3.5T MRI machine.

Artemis Hospital, Gurugram

Hospital Highlights:

  • One of the most well-known hospitals in the Delhi NCR, Artemis Hospital is the first hospital in Gurugram to get accredited by the Joint Commission International.
  • With more than 40 specialties, the hospital has been designed to be one of the most technically advanced hospitals in the country, with the best medical and surgical health care. The hospital has eleven special and dedicated centers, for Heart, Cancer, Neurosciences, etc.
  • The latest technologies in the hospital include Endovascular Hybrid Operating Suite and Flat panel Cath Labs for the cardiovascular department, 3 Tesla MRI, 16 slice PET CT, 64 Slice Cardiac CT Scan, HDR Brachytherapy, and highly advanced Image Guided Radiation Therapy techniques (LINAC) are installed in the hospital.
  • The hospital has won several awards as well, since its inception.

BLK Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • Equipped with 650 beds, BLK Superspecialty Hospital is the largest stand-alone private sector hospital in Delhi.
  • With over 1500 healthcare providers and 150 globally renowned super specialists, the hospital is one of Asia’s largest Bone Marrow Transplant Centres. The hospital is known for having some of the best cancer doctors in the country.
  • The hospital is NABH and NABL accredited and was inaugurated by the first Prime Minister of India. Pt. Jawahar Lal Nehru.

Gleneagles Global Hospitals, Chennai

Hospital Highlights:

  • Established in 1999, Gleneagles Global Hospital, Chennai, is one of the top healthcare facilities in Southern India. It is part of the Gleneagles Hospital Chain, which is the fourth largest healthcare chain in the country. The hospital specializes in multi-organ transplants of kidneys, liver, lungs, heart, etc.
  • The hospital has an excellent infrastructure and state-of-the-art lab and equipment set-up. The hospital boasts cutting-edge technologies, a highly skilled team of doctors and surgeons, and trained support staff. Located in Perumbakam, Chennai, it is one of India’s premier health care destinations. The hospital has performed some of the most complex surgical and clinical procedures in India including multi-organ transplantations.
  • The hospital’s lung transplantation program is one of the best in the country. The hospital is known for having performed India’s first single lung transplant and first minimal invasive lung transplant. It is also the only Indian hospital to be associated with King’s College Hospital, London, United Kingdom for liver transplantations.

Fortis Hospital, Mulund, Mumbai

Hospital Highlights:

  • Fortis Hospital in Mulund is a 315-bed multi-speciality tertiary care hospital with five JCI accreditations that offers a wide variety of diagnostic and therapeutic services. The Fortis Hospital in Mulund delivers patient-centred treatment with cutting-edge technology, highly skilled and experienced surgeons, and paramedical staff.
  • This institution houses Maharashtra’s largest multi-organ transplant centre. It is also the first heart transplant centre in western India to conduct 100 or more consecutive heart transplants in under four years. It is the only hospital in the city to have multi-organ transplants and has handled the youngest patient for angioplasty. Fortis Hospital Mulund now boasts the first advanced surgical robot in central Mumbai.
  • Cardiology and heart surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency and critical care, and maternity care are among the services provided by the hospital.

Kokilaben Dhirubhai Ambani Hospital, Mumbai

Hospital Highlights:

  • Kokilaben Dhirubhai Ambani Hospital, Named after the wife of Indian industrialist Dhirubhai Ambani, the founder of Reliance Industries, this is one of the top hospitals in Mumbai. This 750-bed multi-specialty hospital became operational in 2009. Known as one of India’s most advanced tertiary care facilities, the hospital is designed to raise India’s global standing as a healthcare hub, with an emphasis on excellence in clinical services.
  • Kokilaben Dhirubhai Ambani Hospital uses Protocol and Care Pathway based treatment models to ensure the best outcomes for patients.
  • The hospital represents a confluence of top-notch talent, cutting-edge technology, state-of-the-art infrastructure, and, most importantly commitment.
  • The hospital also holds the accreditation of the NABH, NABL, CAP, and JCI.
  • The hospital has been recognized as the No. 1 Multispecialty Hospital in Mumbai and the West Zone for the fifth year in a row in 2020 by The Week.

Foraminotomy

Foraminotomy is a surgical procedure which is performed for decompressing i.e. removing pressure on a spinal nerve root.

The term comes from the spine’s foramen, which is the hollow nerve passageways, through which your nerve roots exit the spinal column. The procedure is performed in the thoracic spine, cervical spine as well as in the lumbar spine.

Purpose

Blockages that lead to your spinal column getting narrowed or an intervertebral foramen getting blocked are termed as spinal stenosis. There are various processes which can lead to your intervertebral foramen getting blocked and the nerve getting compressed, leaving the spinal cord.

Conditions that can lead to spinal stenosis include:

  • Degeneration of the intervertebral discs, which can cause them to bulge into the foramen
  • Cysts or tumors
  • Degenerative arthritis of the spine (spondylosis), which can lead to bony spurs
  • The nearby ligament getting enlarged
  • Skeletal disease
  • Congenital problems like dwarfism

 

Degenerative arthritis of the spine, which comes from old age, is generally the most common cause of spinal stenosis.

This nerve compression might occur along any part of the spinal column. Your compressed nerve might be leading to symptoms, such as pain in the affected region as well as tingling and weakness in your affected limb. A foraminotomy might also be required if you have already tried other treatments but had no success. This can include physical therapy, pain medicines, as well as epidural injections.

Though generally this surgery can be performed as an elective procedure for helping relieve these symptoms, in some cases you might also need to have an emergency foraminotomy if your symptoms get worse quickly or if you are having problems in your bladder caused by your nerves.

Preparation

Your doctor will provide you instructions regarding getting ready for your surgery. Ask him/her if you will need to stop taking any kind of medications, such as blood thinners. You will also need to avoid food and drink after midnight on the night before the procedure.

Before your surgery, your doctor might also order additional imaging tests for getting more information about your nerves and spinal column. Generally, an MRI is the most common test which is performed.

Procedure

The procedure is minimally invasive and can be performed at any level of your spine. Before the procedure, general anesthesia is used.

During the surgery, first, you lie down on the operating table. An incision is first made in the middle of the back of your spine. The length of the incision generally depends on how much of your spinal column is going to be operated on. Skin, muscles as well as ligaments are moved to the side. A surgical microscope is required in some cases so that your surgeon can see the back.

Some bone is cut or shaved away for opening the nerve root opening, i.e. foramen. Disk fragments causing the blockage will be removed. If other bone at the back of your spine also requires removal, your surgeon might need to perform any additional procedure such as laminotomy. Then your surgeon might perform a spinal fusion to make sure that your spine is stable after the surgery. Then the muscles and tissues are put back in place, and the skin is sewn together.

Aftercare & recovery

Few hours after the procedure is done, you should be able to sit up in bed. If there is any pain, you can control it with medications. You should also be able to eat a normal diet unless your doctor recommends against it.

Patients are generally able to go home in a day or two following the procedure. Make sure that you follow your doctor’s instructions regarding wound care, physical activity as well as medications. Sometimes people might also need physical therapy after this procedure. After a few weeks, you should be able to perform light work.

Keep your follow-up appointments with your doctor and discuss with him/her about any new worsening symptoms following foraminotomy.

Around 80-90 percent of patients generally benefit from this surgery and are also able to maintain it long term.

Risks

Though foraminotomy is successful in most people and there is very minimal risk associated with the procedure, in some rare cases, there might be few complications which can include:

  • Infection
  • Nerve damage
  • Damage to the spinal cord
  • Excess blood loss
  • Stroke
  • Complication from anesthesia

 

Other than these complications, there is also a slight risk that your procedure will not relieve your pain. The risk of complications that arise out of the procedure can generally vary from person to person depending on several conditions such as age, anatomical location of the surgery in the spine, the patient’s medical condition, etc.

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