Endoscopic Surgery: A Safer, Less Painful Option for Medical Travellers

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Endoscopic Surgery: A Safer, Less Painful Option for Medical Travellers

Endoscopic surgery

Endoscopy surgery is a less invasive surgery procedure that involves an endoscope, a small and flexible tube with a light and a camera, to diagnose and treat diseases within the body without incurring huge cuts.

Key Features:

  • Access is done through small holes or natural apertures (mouth, nose, anus, urethra).
  • Real time imaging enables the surgeon to view internal organs in a screen.
  • The endoscope can be used to pass specialized instruments to achieve treatment.

Types of Endoscopic Surgery:

  • Gastrointestinal endoscopy: polyp removal, treatment of bleeding ulcers.
  • Laparoscopy (abdominal or pelvic): gallbladder, appendicectomy, hernia, gynaecological.
  • Arthroscopy: knee surgery, shoulder surgery.
  • Bronchoscopy: airway and lung.
  • Sinus endoscopy: to be used in chronic sinusitis.
  • Urologic endoscopy: prostate surgery, kidney stones.

Advantages:

  • Minor cuts- less pain and scarring.
  • Reduced hospitalization and recovery.
  • Less risk of being infected or losing blood.
  • Commonly performed as day care.

Best endoscopic surgeons in India

  • Dr. M A Mir
  • Dr. Paritosh S Gupta
  • Dr. Shashidhar TB
  • Dr. Dilpreet Bajwa
  • Dr. Sudhir Dubey
  • Dr. Randhir Sud
  • Dr. Adarsh Chaudhary
  • Dr. Ajay Kriplani
  • Dr. Amit Javed
  • Dr. Pradeep Chowbey
  • Dr. Yogesh Gautam

Factors Affecting Endoscopic surgery cost in India

The following are the key factors which influence the price of endoscopic (minimally-invasive) surgery in India:

Type/ Complexity of Surgery / Procedure

  • Diagnostic vs therapeutic: Diagnostic (i.e. purely an inspection) procedures are far less expensive than therapeutic (i.e. removal of tissue, repair, discectomy etc.) procedures. 
  • Number of surgical sites / extent of disease: larger extent of disease, multi organ disease, comorbidities increases time, risk, materials. 

Experience and reputation of the surgeon

  • An older / higher profile surgeon with a special expertise or track record will bring a higher cost. 
  • Whether surgery is performed by a specialist vs more general surgeon, or in centres which are recognised as speciality. 

Type of Hospital / Facility and Infrastructure

  • Super-specialty/ tertiary care hospitals with superior infrastructure are more expensive. 
  • Accreditation (NABH, JCI etc.), Availability of ICU, specialized equipment, navigation or image-guided surgery etc. 

City / Location

  • Costs in the Metropolitan or Tier-1 cities (Delhi, Mumbai, Bangalore etc.) are more expensive than minor towns. There are overheads, cost of land, staff, rentals, and so on. 
  • Labour, transport, logistics is regional. 

Pre-operative Diagnostics and Evaluation

  • Examinations such as x-rays (CT / MRI), blood tests, ECG, lung tests etc. In case additional tests are required (because of age, comorbidities), the prices rise. 

  • In some cases, biopsy, culture, histopathology etc are required, which further increases the cost. 

Anaesthesia / Sedation Type

  • The costs of local/regional/sedation/full general anaesthesia are different. Longer anaesthetic time / more complicated sedation is more expensive. 

Time / Surgical Duration

  • Greater procedural time = increased OR bill, increased personnel time, increased consumables. Time is usually complexified. 

Consumables, Implants, Used Equipment

  • Specialized equipment, disposables, endoscope scopes, surgical equipment, navigation system, implants as required. 
  • When newer technology is involved (robotic help, new navigation etc) expenses increased considerably. 

Room Type and Length of stay in the hospital

  • Short stay or more than that necessitates ICU stay; number of nights in hospital. 
  • Room category: general ward vs private vs deluxe and so on. Private rooms are more expensive. 

Follow-up/Post-operative Care

  • Drugs, wound treatment, postoperative diagnostics, physical therapy etc. More follow-ups = more cost. 

  • There is additional cost of dealing with complications in case they occur.

Top hospitals for endoscopic surgery in India

  • Artemis Hospital, Gurgaon
  • Medanta-The Medicity, Gurgaon
  • Fortis Memorial Research Institute, Gurgaon
  • Max Hospital, Saket

Advanced endoscopic surgery techniques

Following are the highlights of sophisticated endoscopic surgery methods that exceed the traditional diagnostic and therapeutic boundaries and provide more accuracy, less invasiveness and expedited healing:

State of the art Endoscopic Surgery procedures:

Endoscopic Submucokal Dissection (ESD)

  • Applied to treat early cancers and large polyps of the gastrointestinal (GI) tract.
  • Enables the excision of tumors in a single mass (en bloc) and with definite margins.
  • Prevents the open surgery of most GI cancers.

Endoscopic Mucosal Resection (EMR)

  • Minimally invasive surgery of superficial lesions or early cancers of the esophagus, stomach and colon.
  • Both injects and snares.

Natural Orifice Transluminal Endoscopic Surgery (NOTES)

  • Entry through the mouth, vagina, rectum, to the abdominal cavity.
  • No foreign scars, less pain and quicker healing.
  • Applied to appendectomy, cholecystectomy, and diagnostics.

Endoscopic Retrograde Cholangiopancreatography(ERCP) with Advanced Interventions

  • Fuses endoscopy with fluoroscopy.
  • Applied in the removal of the stones of the bile ducts, in laying stents, in the treatment of strictures and tumors.

Endoscopic Ultrasound (EUS)-guided Procedures

  • Uses a combination of ultrasound and endoscopy.
  • Facilitates fine-needle aspiration (FNA) of tumors, the pancreatic cysts drainage and the delivery of drugs.

Endoscopic Surgery by Robots

  • Increases finger and hand skills with robots.
  • Applicable in complicated urology, gynaecology, thoracic and ENT operations.
  • Frequently used with laparoscopic / endoscopic techniques.

Third-Space Endoscopy

  • Accesses the submucosal space.

Examples:

  • POEM (Peroral Endoscopic Myotomy): achalasia and esophagomotor disorders.
  • STER (Submucokal Tunneling Endoscopic Resection): to remove submucosal tumors.

Endoscopic Spine Surgery

  • Percutaneous or transforaminal slip disc, stenosis of the spine.
  • Prevents huge cuts, reduces the destruction of muscles, recuperates quicker.

Brain Surgery Endoscopic Skull Base

  • Neurosurgery: pituitary tumors, CSF leak repair, skull base lesions.
  • Accesses through the nose cavity - no external cut.

Navigation-Assisted & Image-Guided Endoscopy

  • Suppliers employ CT/MRI or intraoperative navigation in order to increase accuracy.
  • Usual in ENT (sinu, skull base) and neurosurgery.

Laser & advanced energy assisted Endoscopic surgery

  • Makes use of laser, plasma or radiofrequency energy in making a precise cut / coagulation.
  • Examples: laser lithotripsy of the kidney using an endoscope, surgery on the airways with laser.

Minimally invasive endoscopic surgery in India

  • Small incision surgery or surgery through natural body openings, which involves the use of a camera and special instruments.
  • Covers laparoscopy, endoscopic spine surgery, arthroscopy, endoscopic sinu surgery etc.
  • Most important advantages: less pain, less time in the hospital, quicker recovery, less blood loss as well as scarring.

Availability in India

  • There are numerous endoscopic / MIS procedures available in many multi-specialty and super-specialty hospitals in the metro cities (Delhi, Mumbai, Bengaluru, Chennai, Hyderabad, etc.).
  • Centers focusing on MIS and endoscopy, e.g. World Laparoscopy Hospital (Delhi and Gurgaon) are specializing in training, researching and treating minimal access surgery. 
  • Specialty clinics that can also carry out endoscopic surgery on the spine, hysteroscopy/laparoscopy in gynaecology, ENT endoscopic sinus surgeries, etc.

Endoscopic surgery 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
  • Fair costs.
  • 24 hour availability.
  • Medical E-visas
  • Online consultation from recognized Indian experts.
  • Assistance in selecting India's top hospitals for Endoscopic surgery.
  • Expert surgeons with a strong track record of success
  • Assistance during and after the course of treatment.
  • Language Support
  • Travel and Accommodation Services
  • Case manager assigned to every patient to provide seamless support in and out of the hospital like appointment booking
  • Local SIM Cards
  • Currency Exchange
  • Arranging Patient’s local food

 

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