artemis hospital gurgaon

Artemis Hospital Gurgaon

First JCI & NABH Accredited Multispecialty Health Care Hospital in Gurgaon
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About Hospital

Artemis Hospital Gurgaon , established in 2007, spread across 9 acres, is a 600 plus bed; state-of-the-art multi-speciality hospital located in Gurgaon, India. Artemis Hospital is the first JCI and NABH accredited Hospital in Gurgaon.

Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, comprehensive mix of inpatient and outpatient services. Artemis has put modern technology in the hands of renowned doctors from across the country and abroad to set new standards in healthcare. The medical practices and procedures followed in the hospital are research oriented and benchmarked against the best in the world. Top-notch services, in a warm, open patient centric environment, clubbed with affordability, has made us one of the most revered hospitals in the country.

Artemis Hospital Gurgaon - History

Artemis Health Institute, established in 2007, is a healthcare venture launched by the promoters of the Apollo Tyres Group. Artemis is the first Hospital in Gurgaon to get accredited by Joint Commission International (JCI) (in 2013). It is the first Hospital in Haryana to get NABH accreditation within 3 years of start up.

Artemis Hospital Gurgaon : Vision, Mission & Core Values

Vision Statement

To create an Integrated World Class Healthcare System, Fostering, Protecting, Sustaining and Restoring Health through Best in Class Medical Practices and Cutting Edge Technology developed through in depth Research carried out by the World’s Best Scientific Minds.

Core Values

The corporate value system at Artemis is founded on three pillars – Service, Compassion and Integrity.

  • Care for customer
  • Respect for Associates
  • Excellence through Teamwork
  • Always Learning
  • Trust Mutually
  • Ethical Practices

 

Mission

  • Deliver world class patient care services
  • Excel in the delivery of specialized medical care supported by comprehensive research and education
  • Be the preferred choice for the world ' s leading medical professionals and scientific minds
  • Develop, apply, evaluate and share new technology
  • Be an active partner in local community initiatives and contribute to its well-being and development

 

Quality & Safety

 

Quality policy at Artemis:

    • Deliver world class patient care through medical excellence
    • Create a patient-centric environment
    • Ensure high standards and safety of treatment during the patient's stay
    • Continuous quality improvement through implementation of robust clinical and non-clinical process and protocols
    • Having world-class infrastructure and cutting edge technology utilized by highly skilled employees
    • Complying with statutory regulations

 

International patients

 

The International Patients Department at Artemis Hospital strives to assure that you not only feel at home during your stay but also arrange your return to your country in good health.We provide a full-service office that assists overseas patients seeking a consultation, a second opinion or medical treatment.

 

Here are the advantages of Artemis International Patient Department:

  • Located in the leading industrial centre of India, Gurgaon, Artemis Hospital is the first JCI accredited Hospital in Gurgaon.
  • Committed to delivering exceptional medical care since 2007.
  • Spread across 9 acres, Artemis has state-of-the-art services in heart, neurology, neurosurgery, oncology, orthopaedics and emergency care.
  • Patients will be paired with an international patient coordinator, who serves as a single point of contact before, during and after the patient’s visit.

 

Artemis Hospital is committed to delivering standard-setting medical care. We understand the stress associated with illness, particularly when treatment is received outside of one’s home country. Patients will be paired with an international patient coordinator, who serves as a single point of contact before, duringand after the patient’s visit. The coordinator advocates for the patient and also provides assistance on all aspects of his/her stay namely:

 

Pre-Departure Services

  • Tele-consults and Pre Departure Evaluation
  • Facilitate Travel arrangements
  • Visa Services
  • Hotel Booking (Budget, Deluxe and Luxury Hotels)
  • Airport (New Delhi ) Pick Up and Drop
  • Bedside admission in the Hospital

 

Post Admission Services

  • Dedicated International Lounge
  • Choice of rooms from private to luxury suites
  • Cuisine choices
  • Interpreters
  • Wi Fi enabled suites
  • Travel Desk within the hospital

 

Post Discharge Services

  • Post Discharge travel arrangements through a travel partner
  • Post discharge stay in Delhi/NCR in a choice of hotels
  • Travel Assistance for sightseeing within India
  • Tele-consultation with the treating doctor

 

Travel & Accommodation:

Artemis has tied up with some of India's leading travel companies to facilitate smooth travel and stay arrangements for its international patients.

Travel and accommodation services facilitated by Artemis are:

  • Travel arrangements to reach India
  • Visa Services
  • Hotel Booking (Budget, Deluxe and Luxury Hotels)
  • Pickup and drop at the International Airport in New Delhi
  • Post discharge stay in Delhi in a choice of hotels
  • Sightseeing in Delhi
  • Travel and stay in the Himalayas or any other tourist location in India
  • Travel arrangements for the journey back home

 

Artemis Hospital Gurgaon

Our Specialities

  • Artemis Special Child Centre
  • Blood Centre & Transfusion Medicine
  • Breast Surgery
  • Cardio Thoracic and Vascular Surgery
  • Cardiology
  • Children’s Orthopaedics and Spine Surgery
  • Cosmetic & Plastic Surgery
  • Dentistry
  • Dermatology & Cosmetology
  • Endocrinology
  • ENT
  • Fetal Medicine
  • Gastroenterology
  • General & MI Surgery
  • Genetics
  • Haematopoietic Stem Cell Transplant
  • Hematology
  • Internal Medicine
  • Laboratory Services
  • Mental Health and Behavioral Science
  • Nephrology
  • Neuroanaesthesia and Neuro Critical Care
  • Neurointerventional Surgery
  • Neurology
  • Neurosurgery
  • Nuclear Medicine
  • Nutrition & Dietetics
  • Obstetrics & Gynaecology
  • Oncology
  • Ophthalmology
  • Organ Transplant
  • Orthopaedics
  • Paediatric
  • Paediatric & Adolescent Endocrinology
  • Paediatric Cardiology & Cardiac Surgery
  • Paediatric Gastroenterology & Hepatology
  • Paediatric Neurology
  • Paediatric Surgery
  • Paediatrics & Neonatology
  • Pain Medicine & Palliative Care
  • Physiotherapy and Rehabilitation Centre
  • Radiology
  • Reproductive Medicine
  • Respiratory/ Pulmonology & Sleep Medicine
  • Rheumatology & Clinical Immunology
  • Robotic Surgery
  • Scoliosis Surgery
  • Spine Surgery
  • Urology

Why Choose Us?

  • Artemis has 400 plus full time doctors, 12 centres of excellence and 40 specialities.
  • First JCI & NABH Accredited Multispeciality Health Care Hospital in Gurgaon

Hospital Facilities

  • TV in Room
  • Private rooms
  • Free Wifi
  • Family accommodation
  • Religious facilities
  • Foreign currency exchange
  • Health insurance coordination
  • International Cuisine
  • Post operative follow-up
  • Free Airport pickup & drop
  • Medical Visa Assistance
  • Dedicated Lounge

Photo Gallery

Awards & Recognitions

  • First position in CII National HR Circle Competition (Stream: Innovative Leadership during Crisis) 2020 Confederation of Indian Industry (CII)
  • Kayakalp Award for Excellence in promoting cleanliness , hygiene and infection control 2019 Quality Council of India inassociation with Ministry of Health and Family Welfare, Government Of India
  • Healthcare HR Excellence Award 2019 Rxcruit
  • Indian Healthcare Excellence Award 2019 Brands Win
  • Excellence in Healthcare Award at “India’s Most Trusted Healthcare Awards 2019”
  • (Best Bone Marrow Transplant Centre in North India) 2019 My Brand Better
  • One of India's Top 50 Companies with GPMS
  • (Great People Managers Study) 2019 Great Manager Institute in association with Forbes India
  • D.L. Shah Quality Silver Award – For the case study End to End Care Delivery 2019 Quality Council of India
  • FICCI Healthcare Excellence Award 2018 for Service Excellence 2018 FICCI Healthcare
  • Award for Excellence in Healthcare 2018 The Healthcare Today
  • Best Multi Super Specialty Hospital in Delhi NCR 2018 Health Care Awards
  • Best Super Specialty Hospital in Delhi - NCR 2017 Indian Excellence Award 2017
  • Best Hospital in Quality Treatment - State Health Awards 2017 IMA Punjab & AHPI
  • Healthcare Transformation Awards – Mobile Innovations in healthcare 2017 NASSCOM dynamic CIO
  • Patient safety award at International Patient safety conference 2016 Apollo Hospitals
  • Certificate of Merit in D.L. Shah Quality Award for the case study “Pathway to Nursing Excellence” 2016 Quality council of India
  • Best Super Specialty Hospital in Gurgaon 2013 ET NOW & BIG RESEARCH
  • Asia Pacific hand hygiene Excellence award 2010 World Health Organization
  • CNBC Award Best Medical Value 2010 CNBC Awaaz Travel Awards
  • Best IT Implementation 2008 PC Quest magazine for Hospital Information System
  • Most Promising Startup of the year 2007 Express Healthcare magazine

Hospital Accreditations

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

Location

Centres of Excellence

Artemis Heart Centre

Heart Care From The Heart
The Artemis Heart Centre – amongst the first to be accredited with JCI and NABH certifications - comprises Clinical Cardiology, Preventive Cardiology and Pediatric Cardiology.

There are many reasons why it represents a paradigm shift in the heart care space in the country. Our stellar professionals - comprising cardiologist, cardiothoracic and vascular surgeons – are handpicked to represent the finest heart team in the land. Our flawlessly perfected processes ensure they work in synergistic unison to deliver world class cardiac care. Our technologies, infrastructure and systems are comparable with the finest in their class and category.

Synergized teamwork for a seamless healing experience.
The Artemis Heart Centre conjoins three specialties under one roof to take care of heart and circulatory system conditions and ailments with inclusive thoroughness. We also closely collaboration with departments like pediatrics, radiology and ICU to bring you a truly holistic cure experience.

Over 30,000 successful procedures
Over the last 6 years.

A Wide Range Of Treatments To Take On Every Heart Challenge:

• Coronary Angiography (CAG) - Transradial Femoral
• Coronary Angioplasty & Stenting (Elective & Emergency Primary Angioplasty - PTCA)
• Complex Angioplasty
• CTO & Vein Grafts
• Bifurcation
• Coronary angioplasty with Rotablation
• Diagnostic right and left heart catheterization and angiography
• Carotid and Vertebral angiography
• Carotid Angioplasty
• Renal angiography and Stenting
• Peripheral angiography and Stenting
• Septal alcohol ablation in hypertrophic cardiomyopathy
• Endovascular stent grafting for aneurysm
• Valvuloplasty
• Device closure of Congenital heart defects
• Coil embolization of abnormal vascular channels
• Endo-myocardial biopsy
• Intra-aortic balloon pumping
• Electrophysiology Studies
• Radiofrequency Ablations for Arrhythmia
• Permanent and temporary Pacemaker implants
• ICD implants
• Bi-Ventricular pacemaker implants/CRT
• Coronary Artery Bypass Graft Surgery (CABG)
• Cardiothoracic Surgery
• Lung and Vascular Surgery
• Beating heart coronary surgery
• Heart Valve Repair or Replacement
• Minimally Invasive Direct Coronary Bypass Surgery (MIDCAB)
• Video Assisted Thoracic Surgery
• Carotid Artery Surgery
• Aneurysm Surgery
• Aneurysm Coiling
• Cardiac & Vascular Trauma Surgery
• Vascular Surgery
• Varicose Vein Surgery
• Renal Denervation
• Intravascular Ultrasound ( IVUS)
• Optical Coherence Tomography (OCT)
• Fractional Flow Reserve (FFR)
• Cardiac Rehabilitation

Sub-Departments of Artemis Heart Centre:
Cardiology - Pediatric & Adult
Cardio Thoracic & Vascular Surgery - Pediatric & Adult

Artemis Cancer Centre

Artemis Cancer Centre is an integral part of Artemis Hospitals staffed by well trained and experienced team of oncologists and paramedics and armed with world class equipment and facilities. Artemis Cancer Centre offers multidisciplinary comprehensive cancer care with a personalized touch to the patients from all corners of India, neighboring countries and all parts the world.

Located in the most sought after suburbs of Delhi-Gurgaon, with serene pleasant surroundings, excellent ambience, its close proximity to International and domestic airports, Artemis Cancer Centre is naturally first choice of destination for domestic and international patients seeking world class oncology care. Artemis Cancer Centre is focused on providing cutting edge healthcare using the most advanced medical technology available anywhere in the world. The Centre has a team of highly trained doctors of international repute and research analysts working together to develop newer treatment approaches using them for effective patient cure and care. Artemis Cancer Institute has the unique advantage of having the entire treatment modalities under one roof:

Medical Oncology
Radiation oncology
Surgical oncology
In addition to the above features we have services that are unique to our hospital only:

OPD Documentation and statistics
Special nursing and rehabilitative services as required
Pain clinic
Terminal care
Tele medicine and communication center
Day care Chemo therapy center
Second opinions & national and international affiliations and networking
For international patients, Artemis Cancer Centre provides assistance in local stay, pick up and drop facility at airports/ railway stations, booking of rooms and accommodation for attendants, cell phones with international calling cards, internet services, and arrangements for post discharge stay, post discharge telephonic consult. Artemis cancer Centre aspires to be not just excellent, but to actually define the quality of cancer care.

Oncology Services Provided at Artemis:
Medical oncology for all adult patients.
Pediatric oncology (children with all types of cancers.
Haemato-oncology including lymphomas, Leukemias, Myelomas Bone marrow transplantation
Radiation oncology for all types of tumors.
Neuro- oncology
Gastro-Intestinal oncology
Gynae- oncology (ovarian, endometrial, cervical, gestational trophoblastic cancers
Musculo-skeletal oncology (sarcoma of bones and joints)
Breast Cancer and disease services
Head Neck Oncology
Thoracic Oncology
Geriatric Oncology (Elderly people with cancers)
Central venous access- PICC, Hickman’s catheter and chemo ports
The clinical specialities are fully backed by
Onco-Pathology:
Imaging
CT Digital X-Ray/Fluoroscopy
Multi-slice Cardiac CT-64 Slice
Mammogram
BMD- Dexa Scan
Interventional Radiology
MRI-3T
3D-4D Ultrasound/Doppler
Nuclear Medicine Department:
PET-CT- Brain, whole body and cardiac
Gamma camera imaging including Stress thallium
Blood Component Therapy:
We make blood transfusion near: “zero Risk”. All types of blood component therapy We provide blood “no white blood cells” and also one that has been tested by “individual donor nucleic acid test”( that has the capability of checking HIV,HBV, and HCV at DNA/RNA level at a very early stage. This allows having the safest possible blood available for blood recipients. We have round the clock Blood Centre services available that can provide:

Packed Red Cells
Platelet concentrates (single and random donors)
Fresh Frozen plasma (FFP)
Cryo-precipitates
Storage facility for stem cells (for transplant)
Nursing Oncology:
I. We have well experienced and trained nurses for administration of chemotherapy, for maintenance of central and venous access e.g picc and Ports.

II. Chemotherapy Education

Chemotherapy and its side effects
Group education
Lines and special device education
Counseling Services: We have a range of counseling groups catering to:
General counseling: motivation
Family and genetic services for relatives
Treatment counseling: Chemotherapy, radiotherapy, various procedures
Parent counseling
Bereavement counseling
Financial counseling
Individual counseling ( as on required basis)
Unique Features:
I. Tumor board- A weekly multidisciplinary clinic (tumor board) discusses complicated cases, considers treatment options and aims to reach a consensus regarding individualizing a patients treatment. The idea of a tumor board is to provide a comprehensive professional opinion from many experts at a time rather than a patient having to see multiple specialists.

II. Ongoing Research trials- ACI is affiliated to international and national research bodies to carry out clinical research trials.

Future:
I. Setting benchmarks in cancer care providing modern comprehensive treatment options in personalized manner using latest technology, collating & analyzing data and clinical research trials.

II. Research through sponsored investigator/ institutional initiated clinical trials

III. Education:

Customized trainings for physicians, nurses
Education for patients
IV. Preventive Oncology:

Public awareness programmer's about cancer among general public
Workshops- tobacco, Lifestyles
Dietary and chemo- prevention research program's

Artemis Neurosciences Centre

Artemis Agrim- Institute of Neurosciences has been established in 2016, by virtue of dedicated team of Neurosurgeons, Neurologists, Neurointerventional surgeons, paramedics and world class equipment and facilities.

The department has a team of highly acclaimed doctors with international background working for an accurate treatment and result.
The distinct faculty of the Artemis Institute of Neurosciences uses their vast experience in to help diagnose and treat disorders of the nervous system affecting the whole body, the spine, brain, hands, legs, arms and face. The Neurosurgery department offers some of the most advanced surgical treatments along with a variety of non-surgical approaches to restore his patient's health and relieve their pain.

Highlights:
Comprehensive patient management- All modalities of treatment are available under one roof.
Protocol based therapy
Comprehensive documentation
Consultation at clinic and remote
Research centre
OPD Documentation, statistics
Special nursing and rehabilitative services as required
Comprehensive Diagnostic facilities
Hematology
Histopathology
Biochemistry
Microbiology
Genetic studies
What we treat at Artemis Agrim- Institute of Neurosciences-

Neurosurgery:

Brain Tumour Surgery
Skull Base Surgery
Pituitary Disorders
Acoustic Tumours
Spinal Tumours
Deep Brain Stimulation
Radiosurgery
Stereotactic Neurosurgery
Neuroendoscopy
Paediatric Neurosurgery
Traumatic Brain Surgery
Spinal cord Stimulation
Baclofen Pump
Stem-cell implantation
Surgery for Epilepsy
Minimally Invasive Spine Surgery
Neurology:

Epilepsy Management
Movement Disorders
Dementias
Stroke
Multiple Sclerosis
Paediatric Neurology
Headache
Neuromuscular Diseases
Peripheral Nerve Disorders
Sleep Neurology
EEG/EMG Tests
Neurointerventional Surgery:

Digital Subtraction Angiography
Cerebral Aneurysm Coiling
Acute Stroke Intervention
Mechanical Recanalization
Carotid Stenting
Cerebral AVM Embolisation
Intracranial Stenting
Vasopasm Treatment
Flow Diverter Placement
Spinal Angiography
Spinal AVM Embolisation
Tumor Embolisation
Percutaneous Sclerotherapy
Spinal Pain Intervention

Artemis Joint Replacement & Orthopaedics Centre

We, at Centre of Joint Replacement & Orthopaedics Centre, are dedicated to provide the best possible care available for people of all ages and all walks of life. You can be assured that the care you receive at Orthopaedic department is the most advanced of any place you could find elsewhere in the nation. Among other things, our state-of-the-art facility includes laboratory, MRI, 64-slice CT scan, and Physical Therapy units, providing our patients with the convenience of making only one stop for their orthopaedic care. Our physicians are continually applying the newest and most advanced techniques for the care of musculoskeletal injuries, providing our patients with a variety of choices for their orthopaedic care.

We are uniquely positioned to provide comprehensive, quality care for you and your family. Not surprisingly, Orthopaedic department has become the regional resource and preferred referral destination for orthopedic problems. General physicians choose to refer their patients to our specialists because they know from experience whom to trust.

We are dedicated to providing state-of-the-art care to all patients afflicted with painful bone, muscle, tendon and joint cartilage disorders. Our physicians and staff strive to facilitate our patients' return to activities that have been prevented due to musculoskeletal injuries or arthritis by employing innovative surgical and non-surgical techniques.

Speciality Care Provided Includes:
Sports Medicine
Shoulder Arthroscopy and Reconstruction
Total Joint Reconstruction
Foot and Ankle Reconstruction
Hand Surgery
Knee Arthroscopy and Reconstruction
Spinal Surgery
Non-surgical management of spine and back pain
Cartilage transplantation
Fracture and Musculoskeletal Trauma surgery
Bone density screening with management of Osteoporosis
Hip resurfacing

Artemis Minimally Invasive & Bariatric Surgery Centre

“WEIGHT LOSS SURGERY IS NOT A COSMETIC SURGERY"

National Institute of Health consensus conference has concluded that surgery is the only effective treatment for long-term and sustained weight loss which results in improvement and/or resolution of co morbid conditions, improved quality of life and self-esteem, and increase in longevity.

The most common question people ask is - what is Obesity surgery? Is it same as liposuction?

No! Liposuction is a surface surgery performed to remove extra unwanted fat from different part of body; this is basically a surgery for body sculpturing not weight loss, where as obesity (Bariatric Surgery) gives options for the treatment of this disease evolved into three categories, restrictive procedures, e.g. Gastric band, sleeve Gastrectomy, malabsorptive procedures, eg. Bilio-pancreatic diversion with or without duodenal switch and combined procedures, e.g. Roux-en-Y-gastric bypass (RYGB). Hence, selection of the procedure has to be individualized based on the age, BMI, presence or absence of co morbidities, patient's preference and compliance, surgeons experience etc. However, the experience of the bariatric surgeon is the most crucial in selecting the right procedure for an individual.

Anatomy of The Digestive System:
Starting from the top we will explain the anatomy of the digestive system to understand how the operation works:

Mouth: Entry point for food; teeth and tongue chew food and move it to the back of the throat for swallowing. The enzyme amylase starts digestion of starches and sugars (carbohydrates).

Esophagus: Carries food to the stomach. It has no digestive function.

Stomach: Holds food and mixes it with acid and saliva. It has no absorptive function.

Pylorus: The valve that controls the emptying of the stomach. It helps to prevent "dumping syndrome".

Small Bowel: This tube, 5 meters (15-30 feet) in length, lies in between the pylorus and the large bowel (the colon). 95% of digestion is carried out here and it is the most important part of the digestive system. It is divided in 3 parts:

Duodenum: Two feet long (60 cm). Bile from the liver and pancreatic enzymes (the digestive juices) enters this segment.

Jejunum: The middle portion of the small bowel.

Ileum: The lower portion.

The jejunum and ileum are the sections where carbohydrates, proteins and fats are absorbed, as well as vitamins and minerals. Iron and Calcium are absorbed in the duodenum.

Large bowel: Starts at the end of the small bowel. Its main function is absorption of water and holding the stools. Nutrients are not absorbed here. The appendix joins the bowel at its beginning.

Liver: Nutrients absorbed from the small bowel go to the liver via the portal veins. Secretes the bile necessary for fat digestion.

Pancreas: Secretes the enzymes necessary to digest carbohydrates, proteins and fats.

How Digestion Works?
Digestion stars in the mouth with saliva's amylase. Food travels to the stomach where it is held, and mixed with acid. It starts to break down here. Stomach emptying is regulated by the pylorus. Digestion and absorption happen in the small bowel when food is acted upon by bile from the liver and pancreatic enzymes. Water is absorbed in the colon and waste is excreted through the rectum.

Weight Loss Surgery Procedures:
Restrictive and Malabsorptive Procedures

There are two basic mechanisms of weight loss surgery.

Restrictive procedures decrease food intake by creating a small upper stomach pouch to limit food intake.

Malabsorptive procedures alter digestion, thus causing the food to be properly digested and completely absorbed. There are several procedures that combine the restrictive and malabsorptive mechanisms of weight loss surgery.

How Effective is Bariatric Surgery?
"The only way you can truly get more out of life for yourself is to give part of yourself away."

The actual weight a patient will lose after the operation depends upon several factors. These include:

Patient's Age

Weight before Surgery

Overall Condition of Patient's Health

Surgical Procedure

Ability to Exercise

Commitment to Maintaining Dietary Guidelines and other Follow-up Care

Motivation of Patient and Cooperation of Family, Friends and Associates

A recent study established the following criteria for successful bariatric surgery: "the ability to achieve and maintain loss of at least 50 percent of excess body weight without having significant adverse effects".

Clinical studies show that, following surgery, most patients lose weight rapidly and continue to do so until 18 to 24 months after the procedure. Patients may lose 30 to 50 percent of their excess weight in the first six months, and 77 percent of excess weight as early as 12 months after surgery. Many patients with Type II Diabetes, while showing less overall excess weight loss, have demonstrated excellent resolution of their diabetic condition, to the point of having little or no need for continuing medication.

A comprehensive clinical review of bariatric surgery data showed that patients who underwent a bariatric surgical procedure experienced complete resolution or improvement of their co-morbid conditions including diabetes, hyperlipidemia, hypertension, and obstructive sleep apnea etc.

Artemis Transplant Centre (Liver, Kidney, Cornea & Bone Marrow Transplant)

Bone Marrow Transplant & Haemato Oncology:
Healthy marrow and blood cells are needed to live. Disease can affect the marrow's ability to function. When this happens, a bone marrow or cord blood transplant could be the best treatment option. For some diseases, transplant offers, the only potential cure but only about 25-30% patients have siblings who are eligible to be donors. We, at Artemis, are doing cord blood, unrelated donor and Haplo-identical (taking father or mother as donor) transplant, so that all the patients who need transplant can have a donor. A bone marrow or cord blood transplant replaces unhealthy blood-forming cells with healthy ones. Blood-forming cells are also called blood stem cells. Blood stem cells are immature cells that can grow into red blood cells, white blood cells and platelets.

There are two types of transplant:

Autologous Transplant – It uses your own cells which are collected from the blood stream and stored for your transplant.

Allogeneic Transplant - uses cells from a family member, unrelated donor or umbilical cord blood unit.

How Transplant Works?

We at Artemis have both Adult & Paediatric transplant physicians taking care of transplant patients. If you need a transplant, you will be referred to a doctor who specialises in bone marrow transplants. Your transplant doctor will talk to you about the type of transplant and cell source that is most likely to work best for you based on your disease and other health factors.

Life After Transplant:

It can take as long as a year for the new bone marrow to function normally. Most patients a­nd their quality of life improved after transplant.

The three sources of blood-forming cells used in transplants are:

Bone Marrow
Peripheral (circulating) blood (also called peripheral blood stem cell or PBSC)
Umbilical cord blood collected after a baby is born
Bone Marrow Transplant is the only cure for Thalassaemia, Aplastic Anaemia, Leukaemia (Blood Cancer), Lymphoma and Immunodeficiencies.

Team Of Specialists:
Bone Marrow Transplant & Hemato Oncology
Dr. Pawan Kumar Singh - Consultant - Haemato Oncology (Adult) & Bone Marrow Transplant (Unit I)
Dr. Amrita Ramaswami - Consultant - Haemato Oncology (Unit II)

Cornea Transplant:
What is Cornea?

Cornea is the transparent part of the eye in front which allows light to enter the eye and helps in forming a clear image.

What is Corneal Transplantation?

A corneal transplant involves replacement of a damaged cornea with a healthy one from a donor

An unhealthy cornea affects the vision by either not allowing light to enter the eye or causing significant scattering or distortion of light. This causes blurry vision. A cornea transplant is required in these cases to restore functional vision.

Sometimes diseases of the cornea including infections can cause significant weakening of the cornea. In these cases corneal transplants are performed in order to protect the integrity of the eye, relieve pain and remove the diseased cornea.

Who All Can Benefit from Corneal Transplantation?

Corneal transplantation may be required in various eye diseases which can include the following:

• Opacities in cornea due to previous infections such as corneal ulcer, herpes of the eye or eye injury.

• Keratoconus and other similar diseases which result in thinning and irregular shape of the cornea.

• Hereditary diseases of the cornea.

• Corneal failure (Bullous Keratopathy) from previous surgeries or injuries causing edema (fluid collection).

• Complications of Excimer laser surgeries.

• Chemical burns on the cornea.

Apart from the eye disease itself, other factors that should be considered are the vision in the other eye, patient's ability to follow a prolonged and strict follow-up schedule and the patient’s ability to report early to a medical facility in case of graft rejection?

All of these factors, in conjunction with thorough discussions and screening with the eye doctor, must be weighed before a final decision is made to have a corneal transplant.

Procedure for a Corneal Transplant?

Once it's decided that a corneal transplant is required, the patient's name is listed at a registered centre. The Eye Bank collects eyes from donors and processes the tissue for use. The tissue is checked for clarity and any diseases. The donor is also meticulously screened for diseases such as hepatitis, syphilis and HIV to ensure the health and safety of the recipient.

Transplant Surgery:

Corneal transplants are usually under local anaesthesia as a daycare procedure and lasts approx 1-2 hours. During the surgery, a round, button-shaped section of tissue is removed from the eye and replaced with a nearly identical-shaped button from the donor tissue. In some cases cataract removal and implantation of IOL may be required in addition to the corneal transplantation. The donor corneal button is sutured with fine sutures to keep it in place.

Recovery Period After Surgery?

Initially the vision is blurry after the surgery but will gradually continue to improve for up to a year.

Heavy exercise and lifting are prohibited for the first few weeks. However the patient can return to normal daily activities and start professional work within 1-2 weeks after surgery.

Eye drops will be prescribed for several months to years to prevent the body from rejecting the foreign tissue. Stitches are usually removed slowly over many months starting from three months after surgery depending on the health of the eye and wound healing.

Even though corneal transplant improves vision, correction with glasses or contact lenses is required for optimal vision. Since the vision usually fluctuates during the first few months and changes after every suture removal/adjustment, it is desirable to wait for some time for the final prescription.

Graft Rejection - The body's immune system attempts to damage it as it sees it as a foreign body. Most corneal transplants are successful but graft rejection can occur in about 20% of cases. Recognizing the early warning signs of graft rejection followed by immediate treatment with medicines is the best way to prevent a complete graft failure due to rejection.

What is DSEK?

It is a new version of corneal transplant known as Descemet's Stripping Endothelial Keratoplasty (DSEK). Unlike a traditional keratoplasty, DSEK involves the transplant of only a thin back layer of cornea. This surgery involves only minimal suturing (1-2 sutures compared to 16-24 sutures in a traditional keratoplasty) and thus allows a much faster visual recovery.

Eye Donation (A noble cause):

There are an estimated 4.6 million people with corneal blindness in India waiting for a corneal transplant. 90% of these are below 45 years of age including 60% below the tender age of 12 years. Eye donations by you or your beloved can make a big difference to the lives of atleast 2 people.

Who can be eye donors?

Eye donation can only be done after death. Practically anybody above 1 year of age can donate without any upper age limit. Even people with poor eyesight, old age, spectacles, cataract surgery, diabetes and blood pressure can also donate their eyes. Even a person who is blind from retinal or optic nerve disease can donate eyes.

Persons who cannot donate their eyes are those who have died of unknown causes, or due to infectious rabies, syphilis, infectious hepatitis, septicemia, and AIDS.

Will eye donation cause delays in funeral arrangement?

No. Eye removal itself takes only 15-20 minutes and does not cause any disfigurement that would interfere with common funeral practices.

I want to donate my eyes. What should I do?

All one needs to do is tell your relatives and friends about your desire to donate eyes. You can also sign a simple pledge form available at any eye bank.

While taking a pledge during one’s lifetime itself is a noble deed, it is worthless if the relatives or friends don’t call an eye bank after death. They need to call up the Eye Bank as soon as possible after death so that the eye can be obtained and preserved.

Can the next of kin donate eyes of a relative if the deceased person had not signed an eye donation form?

Yes, the relatives of the deceased can decide on the eye donation of their beloved one.

What is the process of donation after death?

The first step is to call the nearest eye bank and inform them about your desire to donate. A team of eye bank personnel will reach at your place to collect the eyes.

The eyes should be collected soon after death and the sooner the better. Though the quality of the eye deteriorates with time, the best time is within 6 hours after death. Under some circumstances it may even be taken till 12 hours after death. In case of any doubt discuss with the eye bank personnel regarding possibility of donation.

Till the time eye bank team reaches, a few precautions needs to be taken to prevent damage to the eyes. These include

• Both eyes of the deceased need to be closed and covered with moist cotton.

• The ceiling fan above the body should be switched off

• The body should be kept at as low temperature as possible. Thought not mandatory, is better if ice blocks or air conditioners are used to keep the body cool.

• The head should be raised above the level of the body

Will the recipient be informed of the donor’s details?

As per law, no information of the recipient or the donor is passed on to each other.

Whom should I contact in case somebody wants to donate eyes of the deceased?

A dedicated number of 1919 (from MTNL / BSNL phones) can be used to contact the local eye bank where functional. The phone number for Artemis Eye Centre is 0124-6767999. You may also contact Dr. Sameer Kaushal (Mob 9312009486) for any further clarifications.

Team Of Specialists:
Cornea Transplant
Dr. Sameer Kaushal – Head Ophthalmology & Cornea Transplant

Liver Transplant & GI Surgery
Liver transplantation is the surgical replacement of a diseased liver with a healthy liver. The indication for this operation is end-stage liver disease, characterized by patients suffering from reduced liver function, muscle loss, fatigue, and encephalopathy, signs of portal hypertension, poor blood clotting and jaundice. A variety of liver diseases can lead to end-stage liver disease. There are generally two main categories: those cases caused by viruses (Hepatitis B and C) and/or alcohol and those caused by problems concerning the bile ducts (primary biliary cirrhosis and primary sclerosing cholangitis).

After an evaluation is completed, the patient is placed on the liver transplant waiting list. In India ORBO (Organ Banking and Retrieval Organisation) and MOHAN (Multi Organ Harvesting and Networking) promote organ donation and facilitate distribution of cadaveric livers. In the case of a cadaveric donor organ, the transplant center receives a liver offer from ORBO for a specified patient.

There are different sources of donor livers. Usually the liver is obtained from a cadaveric donor (a person diagnosed as "brain dead" but whose other organs and systems are functioning properly). Due to a continuous shortage of donor livers and the high incidence of liver disease, the waiting time is increasing every year. Hundreds of people die each year while waiting for a cadaveric liver to be offered. Donor livers also can be obtained from a family member or a friend who donates a portion of his/her liver to the patient (see living-related donor).

In the case of a cadaveric donor organ, the transplant center receives a liver offer from ORBO for a specified patient. The patient is then notified and admitted to the hospital. While the donor team is procuring the donor liver, the recipient team begins to prepare the patient. The diseased liver is removed and the healthy liver is put in its place. The operation usually takes 6-8 hours. After the operation the patient begins taking medications to prevent the new liver from being rejected by the body. Complete recovery may take several weeks. The quality of life for the transplant patients usually improve dramatically and most lead healthy, normal lives.

Team Of Specialists:
Liver Transplant & GI Surgery :

Dr. Giriraj Singh Bora - Chief - Liver Transplant & Sr. Consultant - GI & HPB Surgery
Dr. Shyam Sunder Mahansaria - Consultant - Liver Transplant & GI Surgery

Renal Transplant
Dr. Harsha Jauhari is the renowned transplant surgeon at our center. He is a leading transplant surgeon in India; he was trained in U.K. and is also head of transplant services at Sir Gangaram Hospital.

Kidney transplant is a surgical procedure in which a kidney from either a healthy living donor or deceased donor (cadaver) is implanted in to the renal failure patient. Kidney transplant has many limitations like arranging for a kidney from relatives or close friends. This at times becomes a Herculean task. Alternatively, the patients can live on dialysis. It is very important to understand that without dialysis or transplant, the end stage kidney patient cannot survive at all. So although dialysis is expensive, at times painful and time consuming but it is the only way to live for many years in the face of ESRD.

Team Of Specialists:
Renal Transplant :

-Dr. Rajiv Yadav - Chairperson Urology and Head. Urologic, Oncologic & Robotic Surgery
-Dr. Varun Mital -Sr. Consultant - Kidney Transplant, Uro Oncology & Robotic Surgery
-Dr. Harsha Jauhari - Sr. Consultant - Urology & Kidney Transplant
-Dr. Vikram Barua Kaushik - Sr. Consultant - Urology & Kidney Transplant
-Dr Sandeep Harkar - Sr. Consultant - Urology & Kidney Transplant
-Dr. Abhinandan Mukhopadhyay - Consultant Urology
-Dr. Nitin Shrivastava - Consultant - Urology & Kidney Transplant
-Dr. Shashidhar Shree Niwas - Sr Consultant Nephrology

Liver Transplant :
-Dr Giriraj Singh Bora - Chief Liver Transplant & Sr. Consultant - GI & HPB Surgery
-Dr Shyam Sundar Mahansaria - Sr Consultant Liver Transplant Gastrointestinal Surgery

Cornea Transplant :
- Dr. Sameer Kausal – Head Ophthalmology & Cornea Transplant Programme

Bone Marrow Transplant :
- Dr Pawan Kumar Singh - Head - Haemato Oncology & Bone Marrow Transplant - Haemato Oncology

Artemis Women & Child Centre

Gynaecology, Obstetrics and Child Care:
We, at Artemis understand that welcoming a new guest is a big event to celebrate and our endeavor is to make this a welcome and happy experience for the parents. We believe in the concept of natural child birth and promote, protect and support normal birth. We encourage the husbands to provide physical comfort and emotional support through labour and delivery. Right from the time of conception we encourage and counsel the couple about leading a healthy life style in pregnancy, nutritious diet, about natural child birth, relaxation and breathing in labour, care of new born and breast-feeding. We have very special labour and delivery suites. The environment is very friendly and home-like to make the lady as comfortable as possible.

Facilities:
Tertiary level referral NICU & PICU
Labour Delivery Recovery (LDR) Suites for Delivery
Round the clock care by Dedicated Gynaecologists & Neonatology Team
Fully equipped to handle any neonatal emergency.
Equipped with Mechanical ventilators
High-end multifunctional monitors
Double surface phototherapy
Emergency, ICU and Highly Safe Blood Centre backup for high risk pregnancies.
Kangaroo Mother Care: This is a method followed by advanced neonatal intensive units around the globe to help low birth weight babies grow better. The technique is taught, and the mother can follow the same even after discharge
Natural child birth classes, Internationally certified patient care and infection control protocols
Gynaecology:
Deliveries in LDR Suite
Antenatal Classes
Complete Pregnancy Management
High Risk Pregnancies
Painless Deliveries
Breast Cancer Screening
Recognized MTP and Tubal Sterilization Centre
Infertility Management
Laparoscopic Surgeries including Hysterectomies, Ovarian cystectomies and ectopic pregnancies
Open general and complicated gynaecological surgeries
Gynaec cancer surgeries
Paediatrics:
Level III Neonatal ICU
Very low birth-weight babies management
Premature babies
Critical care for new borns
Complete paediatric management
Vaccinations
Kangaroo Mother Care
Wheezy Child management
Asthma management
Reproductive Medicine & Infertility Treatment:
Reproductive Medicine: The field of reproductive medicine has witnessed a technological revolution in the last decade. Applications of new techniques based on a better understanding of reproduction have made it possible to fulfill the dream of motherhood for many. No experience can parallel the thrill of helping to create human life. Infertility treatment however is not easy and to offer the best to the patient, one has to keep in constant touch with new developments. Artemis has started its services under the expert guidance. It is committed to provide the most advanced treatments available worldwide.
A comprehensive fertility program: Counseling and psychological support are an integral part of the IVF treatment program, helping patients cope with the inevitable stress associated with IVF. Artemis IVF center is sensitive to the many difficult decisions couples face while undergoing infertility evaluation and treatment. Therefore, providing accurate information to patients through patient education is one of our highest priorities. Free consultation with the Psychologist is available for all patients going through the IVF treatment.
Our IVF Center located in the heart of Delhi NCR in Gurgaon always welcomes your questions about our program, because it is committed to providing the best medical care and fertility treatment to a fully informed group of patients. We think of each couple as members of our team working towards a common goal – your successful pregnancy.

Facilities Available:
Endoscopic Procedures
Diagnostic & Operative Laparoscopy
Diagnostic & Operative Hysteroscopy
Hysteroscopic Tubal Recanalization. Sonography
Sonography
3-4 Dimensional Ultrasonography
Diagnostic & Interventional Sonography
Embryo Reduction
Sono Salpingography Andrology
Andrology
Computer Assisted Semen Analysis and sperm Morphology
Sperm Fragmentation Test
Sperm preparation for Normospermic and Male infertility patients
ART
IUI (AIH & AID)
In-Vitro fertilization, ICSI, TESA, IMSI
Laser assisted ICSI
Blastocyst Transfer
Laser Assisted Hatching
Pre implantation genetic diagnosis
Cryopreservation
Sperm & Embryo
Oocyte & ovarian tissue
Special Services at Artemis:
I. Andrology Service: Recent surveys have shown that male infertility is probably the largest single cause of infertility. At least half of all human infertility is male factor related. A full assessment of the male, detailed analysis of the seminal plasma and sperm function tests are important for a comprehensive evaluation. Currently, knowledge of sperm function and its relation to infertility is rudimentary. Since specific tests to determine the fertilizing ability of the sperm are not available a treatment schedule has been developed. Success of these treatments is based on large clinical trials. Intrauterine insemination is the first step in the treatment ladder and ICSI with ejaculated and testicular sperm is at the top end. Artemis has the latest equipment to do a computer based analysis of sperm motility and morphology. This assessment allows us to give you a possibility score on fertilization, implantation and early pregnancy loss with your sperm.
Intracytoplasmic Morphologically Selected Sperm Injection (IMSI) : Intracytoplasmic morphologically selected sperm injection (IMSI) is a new development that may improve assisted reproduction pregnancy rates. It magnifies sperms up to 6,000 times compared to the standard 200 to 400 times magnification associated with traditional fertilization approaches. IMSI makes it possible to discard sperm whose nuclei have an abnormal shape or contents. Using IMSI the optimal sperm is identified and used for fertilization. The IMSI procedure may be a potential alternative to those couples whose semen analysis shows abnormal morphology.
IMSI is known to give better pregnancy rate and lower abortion rates in patient with male factor in fertility.
Sperm DNA Fragmentation Test: Sperm DNA Fragmentation (SDF) is an important piece of information about seminal quality. An SDF value that exceeds a threshold value of 30% suggests sub-par sperm quality. The SDF value confers clinicians the power to make informed decisions in their daily practice and take action based on quantitative results. It is an established fact that the probability of pregnancy is more if fragmentation is low
Applications:
– Unknown etiology fertility failure
– Embryo loss – Repetitive miscarriage
– Best donor selection
– Selection of best seminal samples prior to vasectomy or oncology treatment
– To distinguish which couples are suitable for treatment by IUI
– To assess the efficacy of medical interventions or treatment of infectious diseases and varicocele

II. Assisted hatching Before implantation, in the normal situation, the embryos must hatch from its shell to attach to the womb. In some cases e.g. women over 35yrs, women with polycystic ovaries, the outer shell of the egg (the zona pellucida) may become hardened. Hardening of the zona pellucida hinders embryo hatching. The zona pellucida is thinned or opened to facilitate hatching of the early embryo using the help of enzymes, chemicals or Laser. At Artemis, all three techniques are available though we prefer to use laser assisted hatching as it reduces the chances of embryo damage.

III. Blastocyst Transfers Embryo is cultured for 5 days in-vitro till it grows to form a blastocyst. In a natural conception the embryo enters the uterine cavity at this stage of development. Blastocyst transfer helps to improve pregnancy rate and reduces the chances of multiple pregnancy, however a larger number of good quality embryos (at least 3- 5) are required to be able to take the patient to blastocyst transfer, since some embryos may not survive for longer periods in in-vitro culture.
In Vitro Egg maturation A procedure useful for women with polycystic ovaries in whom high or low ovarian response to stimulation drugs is always a problem. Eggs are collected without or with minimal ovarian stimulation and then matured in the laboratory. After maturation ICSI is done for fertilization.
Pre implantation genetic diagnosis Procedure involves taking a biopsy (1-2 blastomeres) from an 8 cell embryo and then testing it for genetic disorders. This is useful in patients where there is history of recurrent miscarriages, previous IVF failures, history of genetic disorder in previous pregnancies or in the family.

IV. Gamete (Egg & Sperm) Donation & Embryo Donation Facilities for gamete donation are available. Detailed screening of the donor is carried out prior to his/her acceptance into the program. Anonymity of both the donor and recipient is maintained.
a) Donor Insemination (DI): All donors are very carefully screened for sexually transmitted diseases, Hepatitis B & C. A detailed history is obtained to rule out current or past diseases and inherited disorders. Donors are matched as closely as possible for physical characteristics to the male partner of women receiving the donor sperm. Donor anonymity is maintained as per ICMR regulations / ART bill.
b) Egg Donation: Some women are unable to produce their own eggs due to hormonal deficiency, genetic predisposition or other medical conditions. Others choose to have egg donation because they carry a genetic illness, which may be passed on to any babies born or they have poor quality eggs or recurrent miscarriages. Through egg donation these women have the opportunity to give birth. The patient receiving the donated eggs (the recipient) is treated with hormones to prepare the lining of the uterus to receive the embryos. Eggs are recovered from the donor who has to go through ovarian stimulation to form multiple eggs and then these are recovered under anaesthesia under ultrasound guidance. The entire procedure is carried out vaginally. The sperm from the recipient’s husband is used to inseminate the eggs (either by IVF or the ICSI technique). The resulting embryos are transferred two/three days later to the recipient’s uterus.
c) Embryo Donation: Some couples, for a variety of reasons, are unable to produce their own genetic gametes (i.e. sperms or eggs). In such cases both donor sperms and donor eggs can be used to produce a donor embryo. The woman’s uterus is prepared with hormonal tablets to receive the embryo.

V. Surrogacy (renting a womb): Surrogacy involves implantation of the couple’s embryo into the uterus of another woman, who agrees to give birth to the child so conceived. Artemis runs an efficient and ethical surrogacy programme

VI. Cryopreservation (Freezing and Storage)
a) Cryopreservation (freezing and storage) of embryos Following IVF maximum of three/four embryos are transferred in each cycle. The remaining embryos may be frozen for embryo transfer at a later date. Only good quality embryos are frozen since they have a better survival rate on thawing .It is important to note that even good quality embryos may not survive the freezing and thawing process. We currently are using the latest technique in cryopreservation called ‘vitrification’.
b) Frozen Embryo Replacement (FER) The replacement of frozen embryos is preferably carried out after treatment with hormone replacement therapy (HRT) or in a spontaneous ovulatory cycle. Zona thinning/hatching in these embryos improves implantation rates. You can opt to have this procedure.
c) Cryopreservation (freezing and storage) of sperm The preservation of sperm by freezing is now a fully accepted routine procedure. Most, although not all, semen samples can be frozen/preserved for long periods and thawed without loss of fertility. In patients going through an IVF/ICSI cycle, semen is cryopreserved prior to cycle commencement. This is important because at times (generally due to stress or sudden illness) the husband is unable to give the sample on the day of egg retrieval. This facility also allows women to continue with their treatment cycles when the partner is not available.
Oocyte and Ovarian tissue freezing has been started in Artemis for Fertility Preservation in Cancer patients.

Frequently Asked Questions:
Does the women’s age have an effect? Yes, age has a very important effect. There is a gentle but steady decline in establishing a pregnancy after the age of thirty in Indian Women.
How many attempts should we have? Every couple is different and the answer to the question will inevitably depend on the specific treatment you have had and the results of preceding treatment cycles. It is believed that IVF success optimizes in three cycles. Decisions on how to proceed will be discussed in detail with you during your consultation or at a review appointment.

What about my particular infertility problem? There are differences in success rates depending on the cause of infertility, for example, tubal factors, endometriosis and male factor, unexplained or anovulatory infertility. You will have detailed discussions regarding your special circumstances.

How many times in a cycle will I have to come to the clinic? This varies from patient to patient and also with the stage for treatment. In a DI or IUI (H) cycle, for example, the likely number of out-patient visits for monitoring is 2-4, for IVF or ICSI 4-5. During these visits egg and endometrial development are checked. Some blood tests may be advised to assess egg maturity and decide on the drug dosage. The first visit is on Day 2/3 of the cycle. At this visit an ultrasound is done to rule out any residual ovarian cysts and to check for endometrial thickness. Drug administration is withheld in case these parameters are not within the required limits.

Egg recovery is generally carried out under anaesthesia unless you opt to have it under sedation and requires you to be in hospital for half a day. For embryo transfer you are required to come in with a full bladder and you will be asked to rest for a couple of hours in hospital after the transfer.

What are the risks for assisted conception pregnancies? The risk of abnormalities does not appear to be significantly greater than with natural conception. With procedures like ICSI there is an increased risk of sex chromosome related anomalies. The reason for this is that in patients with severe male factor infertility the abnormality existing in the male partner is carried forward. It is important to note that some techniques are very new, and detailed follow up data is not yet available.

What happens if treatment is not successful? Be assured that we shall make every endeavor to care for you and to help you cope. ART has made tremendous progress in the last few decades and there will certainly be a treatment, which would benefit you.

Is there an increased risk of malignancy? Current knowledge does not show any definite increase in malignancy. The scientific committees’ worldwide are constantly looking into this and we will keep you updated as to the results. Women in whom there is a family history of ovarian malignancy should limit the exposure to ovarian stimulation drugs.

Tubal Surgery
Before IVF became available, tubal surgery was the only way to correct tubal problems. These days surgery of the tubes has a limited place in the management of infertile couples. However, in selected cases this procedure is invaluable and both tubal microsurgery and endoscopic (key-hole) surgery can be performed.

Who is a candidate for IVF (In-Vitro Fertilization) and ART? Assisted reproductive technologies (ART) include IVF, which is the technique of fertilizing a woman’s egg in the laboratory. While it was designed originally for women with tubal diseases, IVF has been extended with equal success to infertility due to endometriosis, poor cervical mucus, unexplained factors and male infertility.

How do I know if ART can help me? Thorough evaluation by an infertility specialist familiar with ART is necessary to decide whether IVF or another treatment is appropriate for you. Tests previously done usually need not be repeated as long as past records are available. Alternative therapies are presented to you if another approach offers an equal or greater chance of success. These options include ovulation induction, sperm washing and intrauterine insemination, hormonal supplementation, opening of blocked fallopian tubes through endoscopy,

What should I expect? IVF is a complex process consisting of several steps. First, fertility drugs are given to stimulate the ripening of several eggs. Blood tests and ultrasound examinations allow for precise monitoring of egg development. At the appropriate time, the eggs are retrieved under ultrasound guidance, a non-surgical procedure performed under light sedation or anesthesia. The sperm is then added to the eggs in the laboratory where the fertilized eggs develop for 2-3 days. In case of micromanipulation for male infertility a single sperm is injected into the egg ICSI (intra cytoplasmic sperm injection). Finally, the embryos (fertilized dividing egg) are placed in the womb by a simple non-surgical procedure similar to a pelvic examination. A mock embryo transfer is done prior to starting the cycle to ensure that we do not encounter any unexpected problem on the day of the actual embryo transfer.
Two weeks after embryo transfer, a pregnancy test is done. All this is done on an out-patient basis.

What are the risks of ART? The associated reproductive procedures have so far proven remarkably safe for both – the ‘would be’ mother and her child. The spontaneous abortion rate is slightly higher than in the general population. This is not related to the procedure, it is due to inherent problems with the patient that led to infertility in the first place. There is an increased chance of multiple births, which can be limited by the number of embryos transferred. There is no difference in the pre-delivery management and the mode of delivery – vaginal/caesarean section, if all routine parameters are normal.

Progress through the IVF Treatment Cycle: Unfortunately, not all couples proceed smoothly through every treatment cycle. The response of the body to fertility drugs varies not only in different patients but also from cycle to cycle in the same patient. Sometimes the treatment cycle has to be discontinued due to the following reason:
1. A poor response to the drugs – less than 4 follicles
2. Failure of fertilization
3. Poor endometrial (uterine lining) growth

Some couples may not achieve fertilization with conventional IVF. These patients then have to go for a procedure like ICSI. Fertilization rates are higher with ICSI because the sperm bypasses the zona barrier. In patients showing a low response i.e. <6 eggs ICSI is advisable to ensure embryo transfer. There are numerous hurdles to cross, and we will do our very best to help you overcome each one. What are the chances of success with ART? The success rate (i.e. chances of taking home a baby in one treatment cycle) varies depending on a number of factors of which the most important factor is the age of the female partner. At consultation you will be advised of your specific chances. The average pregnancy rate (PR) is 35 to 40 % (PR’s vary based on the cause of infertility and age of the patient, with younger patients doing better than those over the age of 35) and 70% for oocyte donation cycles. Artemis Special Children Centre (ASCC): ASCC is a collaboration of many to provide comprehensive care for children. The focus of the department is trans-disciplinary approach which enables the patients to avail the services of all the professionals concerned with paediatric rehabilitation under one roof. These disciplines are: • Physiotherapy and Occupational Therapy • Speech Therapy • Clinical Psychology • Orthotics ASCC is central to a specific network of health professionals who are dedicated to the treatment of cerebral palsy, such as: • Orthopedic surgeons • Paediatrician and Developmental Pediatricians • Neurologists • Visual Rehabilitation Specialists • Dieticians • Neurosurgeons • ENT specialists • Opthalmologists The hallmark of ASCC is early detection and early intervention. • Early detection- the early pick up of delay in a child’s development. • Early intervention- the exercises given to achieve near normal development. The earlier the detection, the better the intervention! The team aims to provide the best possible rehabilitation services to ensure that each patient’s goals are achieved and with maximum potential. When does a child need therapy? • Any adverse events before or during delivery • Any congenital problems or syndromes leading to delay in development • Delay in achieving head holding, crawling, walking etc • Signs of disturbances in movement either due to biomechanical constraints or neurological deficits • Asymmetrical performance of activities e.g. using one hand more than the other • Stiffness noted in hands or legs • Crossing of legs • Throwing of head backwards • Disturbed sleep patterns • Delay in achieving speech • Poor balance and co-ordination • Frequent falls • Feeding problems • No social smile • Refusal to approach or play with toys • Lack of communication • Writing problems • Attention deficits/ hyperactivity What is Cerebral Palsy? Cerebral palsy, also referred to as CP, is a term used to describe a group of chronic conditions affecting body movement and muscle coordination. It is caused by damage to one or more specific areas of the brain, usually occurring during fetal development; before, during, or shortly after birth; or during infancy. Thus, these disorders are not caused by problems in the muscles or nerves. "Cerebral" refers to the brain and "palsy" to muscle weakness/poor control. It is- • Secondary conditions, such as muscle spasticity, can develop • Non-communicable • Is not a disease • Training and therapy can help improve function Treatment options available for your child- • 0 – 2 years – Neurodevelopmental Therapy • 2 – 6 years – Neurodevelopmental Therapy/ Orthotics/ Botulinum Toxin • 6 years and above – Neurodevelopmental Therapy/ Botulinum Toxin/ Surgery What is Neurodevelopment Therapy? • Advanced hands-on technique for examination and treatment of individuals with Cerebral Palsies and Development Delays etc. • Therapy is given by specialists who have had specific training in NDT How it helps? • It is the best way to offer therapy to a child • Helps to reduce the intensity of spasticity • Modifies postural control and improves function • Reduces the effect of fluctuating muscle tone • Improves the range and variety of movements

Artemis Pulmonology & Critical Care Centre

Critical Care Medicine:
The Department of Critical Care Medicine provides sophisticated, compassionate, and expert care to critically ill patients in our medical center. Our approach to care emphasises ethical principles and cost-effectiveness. Quality patient care is optimized through a multidisciplinary team approach, which includes intensivists, critical care fellows, nurses, respiratory and physical therapists, pharmacists, nutrition specialists, and social workers.
The Department of Critical Care Medicine provides patient care in two multidisciplinary ICUs totaling approximately 68 beds account for approximately 25% of the total number of beds at AHI. We at AHI provide in-house consultant level coverage round the clock 24 X 7. We believe this valuable resource improves the likelihood of survival for critically ill patients, provides appropriate supervision, and reduces complications due to medical errors or poorly performed procedures.

Pulmonary Medicine:
The Department of Pulmonology deals with the diseases affecting the lungs and the respiratory system. It has the capability for the evaluation & management of the entire range of acute & chronic respiratory diseases such as Asthma and respiratory allergies, COPD, ILD, Lung cancer, Auto immune disorders, sleep related disorders and chest wall disorders. The Department is integrated with the department of critical care in order to provide comprehensive care to patients requiring life support. A team of highly qualified intensive care specialists are available round the clock. Apart from the expertise the department is well equipped with the latest diagnostic & therapeutic technolologies in the field of respiratory care. The facilities include:

1. Pulmonary Function Laboratory:

PFT lab is equipped with advanced Morgans spiroair with provision of doing lung diffusion and volume studies besides routine spirometry by formally trained and experienced technicians. Preoperative evaluation for patients undergoing thoracic and extrathoracic surgeries is regularly done here. Facility of bed side spirometry is also available for patients who can't be moved to the lab.

2. Video Assisted Bronchoscopy:

Videobronchoscope and non videofibrescopes including ultrathin bronchoscope with comprehensive gadget of accessories are available both for diagnostic as well as therapeutic purposes. Non resolving radiological shadows, unexplained respiratory symptoms, blood in phlegm, foreign body aspirations, lung cancer are some of the cases where these facilities are utilised.

3. Sleep Laboratory:

Sleep studies are being done regularly for patients of obstructive sleep apnoea, obesity hypoventilation syndrome, disorders of excessive snoring and day time sleepiness. Facility for diagnostic as well as titration studies are a regular feature of department in a state-of-the-art sleep lab.

4. Pulmonary Rehabilitation:

Education and counseling sessions are an integral part of outdoor services for smokers who desire to quit. The programmed rehabilitation program offers graduated muscle exercises and training for those who suffer from confining respiratory ailments like advanced COPD and chronic respiratory failure.

The latest technologies both the established ones like ECMO in ARDS and the evolving ones such as application of "Respiratory dialysis" (Hemolung) systems in respiratory failure caused by COPD are already in practice in our institute. All aspects of lung cancer diagnostics including PET scan are available at the institute.

All type of lung and thoracic surgeries are being performed by an experienced team of thoracic surgeons at our institute. Comprehensive respiratory care involves the assistance of well qualified technicians & dedicated chest physiotherapists. The Doctors are ably aided by a team of expert paramedical staff.

Artemis Gastrosciences Centre

Regarded as one of the best & top Gastroenterology hospital in India, Artemis’s Gastrosciences Centre possesses modern state-of-the-art equipments backed by advanced intensive care units. Equipped with the high-tech facility to provide excellent diagnostics of diseases of the Liver, Pancreato-Biliary and Gastro-Intestinal in children and adults, our Gastroenterology specialists offer expert care in both Medical and Surgical Gastroenterology. Specialists at Artemis Hospital provide global clinical services in the prevention, diagnosis and treatment of diseases of the digestive tract and liver.

The Centre provides world-class treatment with painless endoscopic procedures of complex gastrointestinal and hepatobiliary diseases including cancers.
The Centre deals with the disorders of the Esophagus, stomach, small and large intestine, liver, biliary system and pancreas.

Ailment Targeted:
- Acidity
- Constipation/ Incomplete evacuation
- Bleeding in Stool
- Cirrhosis of Liver
- Diarrhoea
- Fatty Liver & Hepatitis
- Gas Problem
- GERD
- Jaundice
- Gallbladder and Pancreas Problems including stones
- Obesity Treatment
- All kinds of Gastric, Intestinal, Liver, Pancreatic & Biliary Cancers

Complete Spectrum of Diagnostic & Therapeutic Endoscopic Services:
Endoscopy Services:
Diagnostic Services: Esophagogastroduodenoscopy, Sigmoidoscopy, Full length colonoscopy, Ileoscopy, Enteroscopy: Anterograde and Retrograde, Endoscopic Ultrasound (EUS) and FNA (Fine Needle Aspiration), Mucosal Enhancing Techniques: Chromoendoscopy, NBI, i Scan etc.

Therapeutic Services:
- Upper GI and Lower GI Therapeutic Endoscopy - Variceal ligation & Endoscopic sclerotherapy, Glue injection of Gastric varices, Esophageal & Intestinal stricture Dilatation, Achalasia dilatation, Argon plasma coagulation of mucosal lesions, Polypectomy for UGI and Colonic polyps, Endoscopic submucosal dissection (ESD) for mucosal GI lesions, Foreign body removal from UGI tract, Endoscopic placement of feeding tubes and PEG / PEJ tubes, Polypectomies, Endoscopic sclerotherapy for bleeding colonic &ileal lesions, Colonoscopic & Enteroscopic placement of self-expanding metal stents for malignant colonic strictures.
- Small Bowel Diseases: Evaluation with capsule endoscopy and enteroscopy, Therapeutic treatment with enteroscopy
- Therapeutic Endobiliary & Pancreatic ERCP: ERCP for bile duct stones, Bile Duct strictures and Leaks, Biliary stents (plastic and SEMS), ERCP’s for post Liver Transplant conditions (strictures and leaks)
- Cholangioscopy: Diagnostic – spy bite for mucosal lesions and Therapeutic – LASER Lithotripsy, post transplant ERCP’s
- Pancreatic ERCP: for stones, Strictures and PD Leaks
- Pancreatoscopy, Enteroscopy Guided ERCP for Bile Duct and Pancreatic duct (Post Whipple’s, Post Roux-en-Y biliary or pancreatic duct obstruction due to stones or stricture)
- Endoscopic Mucosal Dissection: EMR, ESD and sub mucosal tumor removal.

Therapeutic Endoscopic Ultrasound (EUS):
• Cystogastrostomy for pseudocyst, WOPN (walled off pancreatic necrosis) and collections related to stomach
• Cystoduodenostomy for pseudocyst, WOPN (walled off pancreatic necrosis) and collections related to duodenum
• Hepatogastrostomy (stomach to bile duct), Cholecystoduodenostomy (Gall bladder to stomach), Choledochoduodenostomy (Gall bladder to Duodenum)
• EUS Pancreatico gastrostomy or Pancreatico duodenostomy: Pancreatic Drainage in failed ERCP or altered anatomy
• EUS Guided Gall bladder drainage: Cholecystogastrostomy (Gall bladder to stomach) or Cholecystoduodenostomy (Gall bladder to duodenum)
• EUS guided Coil & glue Placement: For Gastric Varices- Primary or Secondary
• EUS Guided RFA of the Bile duct cancer or Pancreatic lesions
• EUS Guided Pelvic abscess drainage
• Biliary Drainage for failed ERCP’s or difficult anatomy, altered anatomy (post surgery), Enteroscopic drainage or EUS guided: choledocho duodenostomy (Duodenum to bile duct) or Hepatogastrostomy (stomach to bile duct)

Liver Disease Management:
Diagnostic: Diagnosis of liver diseases both communicable and non communicable, staging and management
Therapeutic: Treatment of Hepatitis B and C, NAFLD including NASH, Alcoholic Liver disease, Auto immune liver diseases and Non cirrhotic portal hypertension (NCPF and EHPVO).

Special Procedures:
• Breath test for Milk & Food Intolerance
• Bacterial Overgrowth and Malabsorption
• Balloon Placement for Obesity
• Bio-electrical Impedance Analysis for Body Fat Analysis
• Capsule Endoscopy
• Fibroscan of liver to detect degree of Fatty Liver and Liver Fibrosis
• 24 hour Esophageal pH monitoring
• High Resolution Manometry
• Liver Biopsy

Plan To Start In Near Future:
- POEMS for Achalasia Cardia,

- DES and other esophageal motility disorders

- Endoscopic Gastroplasty for Obesity

- Endoscopic Gastro jejunostomy

-Fecal Microbiota transplantation for Liver Disease, Inflammatory bowel disease and Clostridium difficile colitis

- Hemodynamic lab for measurement of Liver pressures (HVPG) through per cutaneous route and Endoscopically , TJLB ( Trans Jugular Liver Biopsy).

State-Of-The-Art Technology:
State of the Art Technology at Artemis Hospital leads to rigorous, more precise and better treatments. Our Endoscopy unit has a special machine with the latest technology to wash and sterilize the endoscopes. At Artemis Hospital both diagnostic and therapeutic procedures are performed and all our
endoscopic procedures are performed keeping in mind the patient’s safety and comfort with state-of-the-art monitoring and proper sedation.

Close Collaboration With Other Departments:
Department works closely with Internal medicine, Endocrinology, Bariatric Surgery, Liver Transplant department ensuring highest standard of medical care is delivered.

Artemis Cosmetology & Plastic Surgery Centre

Plastic, Reconstructive and Cosmetic Surgery is performed to correct facial and body abnormalities caused by birth defects, trauma, disease, or aging. It includes a variety of fields such as cosmetic surgery, surgery for clefts, craniofacial surgery, hand surgery, burn surgery and microsurgery.

Our Services:

Face Rejuvenation:

Face Lift
A facelift is the most comprehensive approach to treating facial wrinkles and sagging caused by aging. The best candidates for face-lift surgery are people who are in their 40's to 70's. During a face-lift, the surgeon removes loose skin, accesses the tissues beneath the skin and alters their tightness. Depending on the circumstances, the face-lift can take anywhere from two to six hours. Bandages over the face are removed on third day and stitches on seventh day.
Neck Lift
A neck lift is a set of procedures to enhance the appearance of your neck. Procedures can include removing loose skin, altering neck muscles tightness and improving neck contour. Surgery, involves making cuts in front of and behind your ears. All scars become imperceptible with time.

Blepharoplasty
Cosmetic eyelid surgery dramatically improves the appearance of tired, droopy and aged eyes. This is accomplished by removing excess skin and pockets of fat from the upper and lower eyelids through incisions made along the natural skin lines of the eyelids or incisions totally hidden within the lower lid. Blepharoplasty usually takes less than two hours, depending on the amount and location of tissue being removed.
Rhinoplasty
Rhinoplasty is surgery to reshape the nose or correct bumps, indentations, or other defects in the nose.

Rhinoplasty may be done using general or local anaesthesia. The incisions are usually made inside the nose so that they are not visible after the surgery. Depending on the desired result, some bone and cartilage may be removed, or tissue may be added (either from another part of the body or using a synthetic filler). A splint is placed outside the nose to support the new shape of the nose as it heals. Nasal packing for a day may be used inside the nose to provide additional support. It is usually done as a Daycare procedure but sometimes requires a 1-night stay in the hospital or surgery center.
Lip Augmentation
Lip augmentation is a cosmetic procedure that can give you fuller, plumper lips. These days, injectable dermal filler is the most commonly used method of lip augmentation. Alternatively augmentation with fat offers long lasting results.
Lip Reduction
Thick or fat lips are reduced in size by removing a strip of the red part of the lip along with underlying tissue from one end to the other. This surgery is done under local anaesthesia, without any hospital stay and both the lips can be addressed at the same time.
Chin Augmentation
Chin augmentation is usually done to balance the face by making the chin bigger compared to the nose. The best candidates are people with receding chins but who have a normal bite. It may be done either by inserting an implant or by moving or reshaping bones. Incisions are places inside mouth or under the chin and are not visible.

Chin Reduction
People who have large chins in comparison to other facial features benefit from cosmetic chin reduction. The aesthesis of the face requires that each part is in harmony with the others. Thus a chin that is too large detracts from the other normal features. This imbalance can have a major impact on the psychological well being of the patient. Patient can suffer low self esteem and become withdrawn. Using specialized instruments, the surgeon reshapes and removes the excess bone to properly contour the chin. Chin reduction better known as genioplasty aims to restore the balance and provide a natural aesthetic appearance

Cheek, Jaw And Chin Implants
Facial implants are used to enhance certain features of your face, including your cheeks or your jaw line. A good candidate for a face implant is someone in good health and who has reasonable expectations.
Ear Surgery
Otoplasty or ear reshaping is a cosmetic surgery procedure to improve the appearance o the ear and earlobes. Otoplasty surgery corrects prominent ears. Most commonly an incision is made on the back of the ear where it’s is hidden and sutures are used to the bend the ear cartilage to create a natural looking ear.
Breast/Chest:
Breast Augmentation
Breast augmentation is a way to enhance self-image and boost confidence. Breast augmentation also known as augmentation mammoplasty is a surgical procedure to increase breast size. During surgery, implant is placed behind the natural breast tissue. This makes the breasts larger. The incisions are made in the natural crease of the breast, in the armpit or in the underside of the nipple area, which makes them inconspicuous. The procedure is usually performed under general anesthesia and takes between one to two hours to complete.
Breast Reduction Surgery
Breast reduction surgery (reduction mammoplasty) is advised to women who suffer with neck or back pain, skin infections because of large breast size. This surgery removes excess of the tissue and skin from the breasts to reshape and reduce the size of the breasts. It can also make the area of dark skin surrounding the nipple (areola) smaller.Breast reduction surgery is done under general anesthesia. The surgery usually takes 3 to 5 hours. An overnight stay is usually recommended. A compression garment is advised post surgery to contour the breasts.
Breast Lift (Mastopexy)
Sagging of breasts is a common problem with aging. Breast lift or mastopexy can raise sagging or drooping breasts, and can elevate the nipple and areola. The surgery usually takes 3 to 5 hours. An overnight stay is usually recommended. For smaller reductions, the surgery may be done under local anesthesia.
Male Breast Reduction (Gynaecomastia)
Good candidates for surgery include those who have firm and elastic skin that will allow for effective re-shaping of the chest contour. The surgeon will remove excess fat by making a small incision around the lower half of the chest area using liposuction. It is a day care procedure done under local anaesthesia or general anaesthesia and it normally takes 1- 2 hours to complete. Compression garment is recommended after surgery
Body Contouring:
Liposuction
Liposuction is a minimally invasive surgery that removes stubborn fat deposits which are not responding to diet and exercise. It is performed either under general anaesthesia or local anaesthesia with sedation. It is often treated as a day case. The surgeon will make a small incision in the area being treated and the fat is sucked out using cannulas. Likewise abdomen, back, thighs, arms and neck can be addressed.

Abdominoplasty
It is also called ‘tummy tuck’ and is recommended if patient has excess skin in abdomen that doesn't respond to diet or exercise. This surgery flattens the abdomen by removing extra fat and skin, and tightening muscles in your abdominal wall. The incision is like a C section and is usually hidden in garments. This surgery is specially suited for post weight loss surgery patients or women who have a lax abdomen after pregnancy.

Brachioplasty
Brachioplasty, or ‘arm lift’ cosmetic surgery, reshapes the underside of the upper arm from the armpit to the elbow. The surgery removes extra skin and fat to give a more toned and balanced appearance. Extra fat is removed with liposuction and if required, a cut on the inner surface of upper arm from the armpit to the elbow removes the extra skin.

Medial Thigh Plasty
Medial thigh plasty is aesthetic reshaping of the thigh following removal of excess medial skin and fat. The new contour should be attractive, the scars inconspicuous, and complications minor. Medial thigh plasty may be solely an upper thigh crescent excision adjacent to the labia majora (scrotum), extended with a wide band excision tapering at the knee for distal deformity, or something in between. The extent of the operation depends on the deformity and the patient's expectations and acceptance of risk. The essential facets to improve thigh contour are excision of medial thigh skin, lipoplasty, efficient use of prone and supine operative positions, accurate presurgical marking of a unique excision design using multiple patient positions.

Lateral Thigh Lift & Buttock Lift
Lateral thigh and buttock lifts are ideal for patients who are in relatively good shape with excess skin and fat in the thigh area. A surgeon will show you what procedures are available to solve your particular problem. Wide variations in the design of the incisions to meet clothing or personal desires are possible. Lateral or anterior thigh lifts can be performed as separate procedures, if desired. Lifting the entire thigh and buttock (circumferential lower-body lift) will require much longer incisions that start in the buttock crease, extend around the groin, come up over the side of the abdomen and reach over the flank and across the back.

Miscellaneous:
Fat Transfer
A liposuction technique is used to harvest the fat and prepare it for transfer. The fat is then injected into the desired portion of the body or the face. The procedure is most commonly performed under local anesthesia with a light oral sedation.Fat transfer has been utilised for rejuvenation of the face and augmentation of lips, buttocks, breasts & hands.
Ear Lobe Repair
Piercing your ears puts the earlobes at risk for stretching, tearing and keloid scarring (a benign growth of scar tissue). Because of their location, the tears are often split and are very visible. Earlobe repair surgery fixes the split and enables you to wear earrings again.

Xanthelassma
Xanthelassma (or xanthelasma palpebrarum) is a sharply demarcated yellowish deposit of cholesterol underneath the skin, usually on or around the eyelids. Xanthelasmata can be removed surgically and this gives a great relief to the patient.

Dimple Creation Surgery
Dimples have always being considered to be cute and lucky – however not all of us were blessed with that natural factor. Dimple creation surgery can simulate this naturally occurring process. To create a dimple, a small painless incision is made in the inside of your cheek. There is no incision or scar on the outside skin. A small absorbent suture is passed through the inside of the cheek and catches the under surface of the skin where the dimple is desired. When this suture is tied it causes a dimpling in the overlying skin. At first there is a dimple present even without smiling, but after several days, or sometimes a few weeks, the dimple is only present while smiling or moving the face. The adhesion between the inner skin and muscle will cause a permanent dimple even after the suture is absorbed.

Mole Removal
If you have a skin lesion such as a mole, cyst, wart or skin tag and would like it removed, it is usually a very simple procedure. Most lesions are removed using a scalpel under local anaesthetic, which means you will be awake, but the area will be completely numb. Other techniques include applying chemical treatments or freezing the skin. Sometimes a laser is used to destroy the lesion while skin tags may be simply snipped off with surgical scissors.

Scar Revision
If you have a scar that makes you feel uncomfortable or self-conscious you may consider scar revision. A scar may be caused by burns, injury, surgery, acne or chickenpox. There are many options available to improve its appearance. Scar revision is normally performed under local anaesthetic and takes between 30 minutes and an hour. This means that you will be awake, but the area will be completely numb.
As with any cosmetic procedure, it is important that you review your expectations thoroughly before you decide to proceed. Your specialist will explain the results you can expect, and will discuss the associated risks and alternatives to the procedure before going ahead.

Dermabrasion
Microdermabrasion can be helpful in the treatment of common skin problems ranging from acne scars to sun damage and even more severe problems such as melasma and hyperpigmentation.

Piercing
Body piercing, a form of body modification, is the practice of puncturing and placing a ring or a piece of jewellery. Ear & nose piercing is a common procedure. Lips, umbilicus, nipple piercing are also becoming popular.

Vitiligo
It is popularly known as leocoderma or white patch. It generally happens due to absence of melanin pigmentation over the skin. White patches on the skin when stabilized with medical treatment can be treated surgically by ‘melanocyte transfer’ to restore the pigmentation.

Hymenoplasty
A hymenoplasty is a surgical procedure in which a woman's hymen is reconstructed. You should expect some swelling and discomfort following the procedure. You will have sutures that do not need not be removed, as they are dissolvable. Most patients go home same day.

Vaginal Tightening
Repeated child births cause dilatation of muscles of vagina leading to widening of vagina.

Lax muscles and supporting tissue layers are meticulously dissected out and repositioned in their normal position. Vectors of muscles are restored gaining a good vaginal and perineal tone. Improved voluntary tone and muscle strength leads to an improved self esteem.

Hair Transplant
Hair transplant is a surgical technique that moves individual hair Follicles from a part of the body called the donor site to bald or balding part of the body known as the ‘recipient site’. It is primarily used to treat male pattern baldness. In this minimally invasive procedure, grafts containing hair follicles that are genetically resistant to balding are transplanted to the bald scalp. It can also be used to restore eyelashes, eyebrows, beard hair, chest hair, and pubic hair and fill in scars caused by accident or surgery such as face lifts and previous hair transplants. Hair transplantation differs from skin grafting in that grafts contain almost all of the epidermis and dermis surrounding the hair follicle, and many tiny grafts are transplanted rather than a single strip of skin.

Reconstructive Surgery
Cleft Lip & Palate
Cleft lip and cleft palate are birth defects. This means they happen while baby is developing. Normally, the mouth and nose of a baby develop between the first 6 and 12 weeks of growth inside the mother. In some babies, parts of the lips and roof of the mouth don’t grow together. Because the lips and the palate develop separately, it’s possible to have cleft lip alone, cleft palate alone, or both together.

The most common surgical procedures for a child with a cleft lip and palate anomaly are as follows:

Repair of the cleft lip
Repair of the cleft palate
Revision of the cleft lip
Closure and bone grafting of the alveolar cleft
Closure of palatal fistulae
Palatal lengthening
Pharyngeal flap
Pharyngoplasty
Columellar lengthening
Cleft lip rhinoplasty and septoplasty
Lip scar revision
LeFort I maxillary osteotomy

In addition, orthodontic treatment is very specialised and varies case by case. The 2 stages of orthodontic treatment of a child with cleft lip and palate are as follows:
•Surgery-related orthodontics
•Early management (since birth until the time of surgical closure of the palate)
•Orthodontics related to alveolar bone graft
•Permanent dentition management
•Cleft-related orthodontics (not related to surgical treatments)

Ear Reconstruction
Ear reconstruction is a specialized kind of plastic surgery, which is used to form an ear that looks as normal as possible.
The plastic surgeon will use a piece of cartilage (material that holds body structure together) from your child’s ribcage to form the framework for the ear. Where possible, the surgeon will use your child’s excising ear as a model for the new one. The reconstruction process is in two stages about six to twelve months apart.

Breast Reconstruction
Breast reconstruction is the rebuilding of a breast, usually in women. It involves using autologous tissue or prosthetic material to construct a natural-looking breast. Often this includes the reformation of a natural looking areola and nipple. This procedure involves the use of implant or relocated flaps of the patient’s own tissue.

Artemis Pain Medicine & Palliative care

Our Goals:

• Single out and treat the source of pain

• Synergize a multidisciplinary approach for treatment of pain syndromes

• Attain maximum pain relief for the longest time possible

• Assist patients return to a normalcy and a productive life

What We Do Customarily:

• Ascertain and diagnose the cause of pain

• Customize and design a treatment plan based on the diagnosis

• Locate the source of pain under Fluoroscopic/ Ultrasonographic guidance

• Administer local anesthesia

• Follow through to the target by a needle

• Corroborate the target by dye injection

• Inject Pain relieving or anti-inflammatory drug

• Observe for pain alleviation, if yes

• Implement long lasting relief with radio-frequency ablation or other suitable means

We Are There For You If:

• You are enduring neck pain, back pain, headache or any other pain for long duration

• You have slipped disc or Sciatica

• You have already undergone spine surgery without much relief or remedy

• You get fatigued easily after walking for long or standing

• If your activities are constrained because of joint pains?

• If our lifestyle is governed by nerve related pain (Neuralgia) like Trigeminal Neuralgia, fibromyalgia, Diabetic Neuropathy, phantom limb pain

• If you are tired of multiple consultations or taking pain killers?

• Cancer Pain (disease related / treatment related)

• Palliative Care

• End of Life Care

Transforaminal Selective Nerve Root Sleeve Blocks and Pulsed Radiofrequency: Highly concentrated drug is delivered to exact site for diagnosis and pain relief due to herniated disc, canal stenosis, tumor or any other cause.

Endoscopic/Percutaneous Dissectomy: Disc is taken out under local anesthesia without incision. Patient is discharged home the same day.

Suprascapular Nerve Block and Radio-Frequency Lesioning: These therapy is for patients with severe shoulder pain (Frozen Shoulder) and are not responding to medications or physical therapy.

Facet Joint and Medial Branch Radiofrequency Lesioning: If we infer that your neck or lower back pain may be caused in part by the small facet joints of the spine, diagnostic blocks are carried out. Once your pain is relieved, we can offer long lasting pain relief management with radio-frequency treatment

Multi-modal Approach:

1) Medications

2) Interventions/ Blocks

3) Palliative Care: treatment of symptoms secondary to cancer / its management

What We Do:

1) Cervical Medial branch blocks / RFA for cervical facet pain

2) Cervical Epidural Adhesiolysis for Cervical Discogenic Pain

Gasserian Ganglion Radio-frequency lesioning: This is for trigeminal neuralgia. It avoids very high risk intra-cranial surgery. Results are comparable to MVD (Micro-vascular decompression)

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