Top Hospitals in India for Cystic Hygroma – Safe & Affordable Care for Children

Find top hospitals in India for cystic hygroma treatment. GetWellGo connects international patients with safe, advanced & affordable pediatric care.

Top Hospitals in India for Cystic Hygroma – Safe & Affordable Care for Children

Cystic Hygroma in India

Cystic Hygroma is a non-malignant malformation of the lymphatic. It is experienced when the lymphatic vessels do not connect well resulting in the development of fluid-filled sacs. These sacs consist of a number of cysts which are usually located in the neck and head area, but they may exist in the armpits, chest area or other parts of the body.

Key Features:

  • Nature: It is not cancerous but may become large and squeeze into structures close to it.
  • Look: Soft, spongy and fluid mass beneath the skin.
  • Onset: It occurs at birth or in early childhood; it is occasionally identified during prenatal ultrasound.
  • Size: It may be small lumps or even large disfiguring masses.

Causes:

  • Abnormal development of lymphatic vessels in embryonic development.
  • Linked to some chromosomal errors like the Turner syndrome, Down syndrome, and Noonan syndrome.

Treatment:

  • Observation - in case the cystic hygroma is small, stable, and no longer symptomatic.
  • Sclerotherapy- injecting a sclerizing material (such as OK-432, doxycycline, bleomycin) to cause the cysts to shrink.
  • Surgery - total surgery, the choice of which is made in case of large or complex cases. Nonetheless, a repetition can occur.
  • Airway care - emergency care should be administered in the event of complications in respiration.

Best Hospitals for Cystic Hygroma in India

Artemis Hospital, Gurgaon

Paediatric surgery, perhaps ENT / head and neck surgery, imaging, perhaps sclerotherapy, multidisciplinary care is often necessary to treat cystic hygroma. Artemis has:

  • A special department of Paediatric Surgery. 
  • Good Paediatric / Neonatal Intensive Care facility (NICU / PICU). 
  • ENT specialists/ Head and Neck Surgery: Cases of ENT/Head & neck surgery have been documented where people treated lymphangioma / lymphatic malformations there. 

Testimonial evidence: One family gave an account of having a case of lymphangioma (a condition akin to cystic hygroma) on the neck, which blocked the airway, which was just removed by Dr. Shashidhar TB and his team at Artemis where the patient was subsequently cured by removing a tracheostomy tube.

Medanta-The Medicity, Gurgaon

It has a special Institute of Women and Children that is a combination of neonatal care, paediatric care, paediatric surgery, etc. What characteristics are significant to cystic hygroma (particularly when in the head/neck, or airway, or surgery/sclerotherapy needed) that Medanta has to offer:

  • Kids integrated care facility: neonatal care, paediatric surgery, ICUs, imaging etc. assistance is offered to treat complicated cases.
  • Availability of surgeons who have worked in the field of congenital/neonatal surgery, thus, probably has experience with rare malformations.
  • Their services in the Paediatric Surgery Department include minimally invasive surgery and improvement of surgical methods (which can minimize morbidity, accelerate recovery). 
  • An excellent support infrastructure (anaesthesia, neonatal/pediatric critical care) that is essential in case there is a risk to airway or in case the general anaesthesia is necessary.

Fortis Memorial Research Institute, Gurgaon

According to its capabilities and expertise, FMRI is arguably well-prepared to handle a cystic hygroma case particularly when it includes:

  • Preoperative radiography to determine the dimensions, location, contact of the cysts with vital structures (airway, nerves, vessels). Their imaging units must be in a position to do so in terms of diagnostic imaging.
  • Multidisciplinary care: paediatric surgeons, ENT / head-neck surgeons, anaesthesiologists, and potentially radiologists that perform sclerotherapy (assuming such is an option), and the ICU to aid in the event of airway obstruction or post-operative care.
  • Surgery: cyst removal (complete or partial based on the level of complexity). They have their own OT (operating theatre) capacity, surgical skills and an ICU backup which would qualify them as the appropriate venue to have major surgery.
  • Postoperative care / follow up: Due to the risk of recurrence with cystic hygroma, follow up imaging, monitoring, and potentially additional interventions would be desired. The infrastructure of FMRI seems to be adequate to this type of long-term care.

Max Hospital, Saket

The following are the strengths that render Max Saket appropriate in the treatment of cystic hygroma and other related malformations of the lymphatics:

Multidisciplinary capabilities

  • Pediatric surgeries, ENT, reconstructive surgery are often required in combination with each other in the hospital.
  • Good ICUs (NICU / PICU) to take care of young children, in case of any complication or airways problems.

Effective imaging and surgical facilities

  • MRI, CT, etc to map the cysts; observe the relationship with the surrounding nerves, vessels, airway.
  • State-of-the-art operating theatres and surgical units that is able to perform fine head and neck surgeries.

Experience & Reputation

  • Max is a super-specialty hospital with numerous specialties; it therefore deals with complex cases. 

Supportive services

  • The post-operative treatment is significant (observation of recurrence, infection, complications). Max has the ICU, critical care, ENT / reconstruction support.
  • Moreover, such supporting services as anaesthesiology, imaging, pathology that is required during diagnosis, planning, surgery etc.

Cystic Hygroma Surgery in India

Cystic hygroma surgery is an operation to excise a cystic hygroma, a malformation of the lymphatic system present at birth- usually a soft fluid-filled cyst commonly found in the neck, head or underarm. Surgery is considered when:

  • Cyst is big, swollen or symptomatic (difficulty breathing or swallowing).
  • Sclerotherapy (or observation, like conservative management) does not work or is not appropriate.
  • The risk is of infection, bleeding or cosmetic issue.

Preoperative Assessment

Prior to surgery, the following are normally done:

Imaging

  • Ultrasound to determine the structure of cysts.
  • CT scan or MRI to map in details, particularly to visualize the relation with nerves, vessels, and airway.

Evaluation for Airway Risk

  • Neck cysts may be very large and cause a compression of the trachea.
  • Airways management is assessed by an anaesthesiologist.

Laboratory Tests

  • Simple blood test, coagulation work and occasionally genetic test in case of a suspected related syndromes.

Planning

  • Multidisciplinary team consultation: Pediatric surgeon, ENT / Head and Neck surgeon, and anaesthesiologist.

Surgical Procedure

Types of Surgery:

Complete Excision

  • Objective: Distal cystic mass.
  • The approach is based on position (neck, axilla, chest, etc.).
  • May entail close dissection of nerves and blood vessels, and muscles.
  • It is often preferred where possible since it minimizes the risk of recurrence.

Partial Excision

  • Done in case of the cyst being very large or entangled with vital structures.
  • A portion of the cyst can be spared in order to prevent destruction of nerves/vessels.
  • Higher risk of recurrence.

Minimally Invasive / Combined Approach

  • Surgery can be done in conjunction with sclerotherapy to reduce the cyst.
  • Endoscopic or laparoscopic device techniques are not common; deep lesions in the chest or abdomen are involved.

Factors Affecting Cost of Cystic Hygroma Treatment in India

Treatment of cystic hygroma is very expensive in India with several factors affecting the cost:

Type of Treatment

  • Surgical Excision: This is the most common and effective especially in the presence of large or symptomatic cysts.
  • Sclerotherapy: This entails the injection of a sclerizing agent (e.g. doxycycline or bleomycin) into the cyst. Research has demonstrated that doxycycline is less expensive and has a fewer side effects than bleomycin. 
  • Laser Therapy / Radiofrequency Ablation: This is not commonly employed but rather in a limited number of cases.

Size and Location of the Cyst

  • Cysts which are bigger or those which are close to vital organs (e.g., airway, nerves) can be associated with more complex procedures, which are more expensive.

Hospital Type and Location

  • In metropolitan areas, there are private hospitals that are more expensive in terms of treatment costs because they have more advanced facilities and their operation is also expensive.

Age and health condition of the patient

  • This can be expensive when children might need special child care services, anaesthesia and follow-up services.

Additional Services

  • The cost might be higher in the case of other services needed including genetic counselling, imaging (e.g. MRI, CT scans), or long term follow up.

Pediatric Cystic Hygroma Surgery in India

Cystic hygroma (lymphatic malformation) is best known to be diagnosed in infants and young children, usually around the neck or head. Children Surgery is intended to:

  • Elimination or debarkation of the cystic mass.
  • Avoiding airway blockage, swallowing problems or frequent infections.
  • Enhancing the visual of cosmetics.

Surgical indications in Children

Surgery is typically advised in case the child has:

  • Huge cysts with aesthetic problems.
  • Airway obstruction (breathing difficulty or stridor).
  • Difficulty in swallowing or feeding.
  • Quick progress or frequent infection by the cyst.
  • Lapse of the non-surgical measures such as sclerotherapy.

Top Surgeons for Cystic Hygroma in India

  • Dr. Shashidhar TB
  • Dr. Deepak Sarin
  • Dr. Atul Kumar Mittal

Cystic Hygroma in India with GetWellGo

GetWellGo is regarded as a leading supplier of healthcare services. We help our foreign clients choose the best treatment locations that suit their needs both financially and medically.

We offer:

  • Complete transparency
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  • 24 hour availability.
  • Medical E-visas
  • Online consultation from recognized Indian experts.
  • Assistance in selecting India's top hospitals for Cystic Hygroma treatment.
  • Expert head and neck surgeon with a strong track record of success
  • Assistance during and after the course of treatment.
  • Language Support
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  • Case manager assigned to every patient to provide seamless support in and out of the hospital like appointment booking
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  • Currency Exchange
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