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P. N. Memorial Neuro Centre And Research Institute Limited

Kolkata, West Bengal

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Products & Services

62 products available
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Medical Services

  • Cardiology
  • Interventional Cardiology
  • Cardiac Medicine
  • Cardiac Surgery
  • Cosmetic Surgery
  • Critical Care
  • Dentistry
  • Dermatology
  • Endocrinology
  • ENT
  • Gastroenterology
  • Medical Gastroenterology
  • Interventional Gastroenterology
  • General Medicine
  • General Surgery
  • Haematology
  • Nephrology
  • Neurology
  • Neuro Surgery
  • Obstetrics and Gynecology
  • Oncology
  • Oral and Maxillofacial Surgery
  • Orthopedics
  • Ophthalmology
  • Pediatrics
  • Physiotherapy
  • Plastic & Reconstructive Surgery
  • Respiratory Medicine
  • Urology
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Gastroenterology -Endoscopy
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The procedure detects and redresses gastrointestinal disorders like erosions, ulcers, tumours, perforations and malignancies. Reports of endoscopic procedures include video recordings as well.

DESUN offers ready treatment for various gastrointestinal disorders with procedures like
• Gastroscopy
• Colonoscopy
• Sigmoidoscopy
• ERCP
• Duodenoscopy
• Sclerotherapy
• Removal of stones in the bile ducts
• Insertion of stents
• Extraction of foreign bodies
• Capsule Endoscopy

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Interventional Gastroenterology- Upper G I Endoscopy
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Upper GI endoscopy is a procedure performed by a gastroenterologist, a well-trained specialist who uses the endoscope to diagnose and, in some cases, treat problems of the upper digestive system. The endoscope is a long, thin, flexible tube with a tiny video camera and light on the end.

The doctor may start by spraying your throat with a local anaesthetic. Then you will be given sedation to help you relax. You will then lie on your left side, a mouth piece will be put in your mouth and the doctor will pass the tube into your mouth and down your food pipe (oesophagus), stomach and duodenum (small bowel leading from the stomach). Small pieces of tissue (skin inside your oesophagus, stomach, duodenum) may need to be removed for pathology tests.

During the procedure, everything will be done to help you be as comfortable as possible. Your blood pressure, pulse and blood oxygen level will be carefully monitored. Your gastroenterologist may give you a  to help make you relaxed and drowsy, but you will remain awake enough to cooperate.You may also have your throat sprayed or be asked to gargle with a local anesthetic to help keep you comfortable as the endoscope is passed through. A supportive mouthpiece will be placed to help you keep your mouth open during the endoscopy. Once you are fully prepared, your gastroenterologist will gently maneuver the endoscope into position.As the endoscope is slowly and carefully inserted, air is introduced through it to help your gastroenterologist see better. During the procedure, you should feel little to no pain and it will not interfere with your breathing.Your gastroenterologist will use the endoscope to look closely for any problems that may require evaluation, diagnosis or treatment.In some cases, it may be necessary to take a sample of tissue, called a biopsy, for later examination under the microscope. This, too, is a painless procedure. In other cases, the endoscope can

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Heart Bypass Surgery - Open Heart
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Open-heart surgery generally refers to operations performed on the heart that require a patient being placed on the heart-lung bypass machine.

The heart-lung bypass machine takes over the function of the heart and lungs to provide oxygenated blood to the body. The heart can be stopped with a solution called "cardioplegia" that is a cold, high potassium solution which also protects the heart muscle while it is stopped. Cold saline irrigation over the heart is also used to protect the heart while it is stopped and without its own blood supply.

The heart itself can then be opened and repair can be accomplished in a bloodless, still environment. In some situations, the heart can be operated upon while still beating with the patient being supported on the heart-lung bypass machine.

To get access to the heart, the surgeon has to open the chest. To do so, he or she has to go through the breast bone (sternum). This is referred to as the sternotomy. The skin incision is generally smaller in size than the length of the breast bone, since the skin margins can be stretched to some extent. For repeat incisions ( a redo-sternotomy) often the length is a little longer than the previous scar.

For many parents, the concept of a sternotomy raises much concern. However, sternotomy is one of the safest and more comfortable incisions performed during surgery. Performing a sternotomy is nothing but an artificial fracture; at the end of the operation the two edges of the breast bone are put back together with steel wires. This does not lead to any deformities of the chest wall, even as a child grows. At the same time, performing a sternotomy does not prevent the progression of already existing chest wall deformities (e.g. "pigeon chest").

Pain is sensed by the nerve endings in the affected tissues. In the bone, pain arises from movement at the site of a fracture. Infants don't have much chest wall muscle mass to move the sternal edges and develop pain. For that reason, not surprisingly, most infants are discharged home on just and Tylenol.

After the chest is opened, a part (or all) of the thymus gland is removed. The thymus gland is involved in the immune system; however, its removal has not been shown to lead to any immune compromise. The removal of the thymus is necessary to allow exposure of the heart, which sits in a thin, leather like sac called the pericardium. To get access to the heart, this sac has to be opened, at which time the surgeon can remove a small portion of the pericardium for later. Often the removed piece is treated with a chemical called gluteraldehyde to increase the stiffness of the pericardium, making it easier to manipulate during surgery.

The removed pericardial piece is used during the operation as patch material for a variety of holes or defects within the heart. The removed piece of pericardium does not need to be replaced. At times however, a piece of a synthetic material called Gore-Tex membrane is used to replace the used pericardium. Typically this is done when the surgeon anticipates a repeat operation in the future and wishes to protect against injury to the heart during redo-sternotomy.

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Cosmetic Surgery-Breast Augmentation
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Breast augmentation or augmentation mammoplasty is the surgical insertion of an implant behind the breast to increase the size and shape of the breast.

Women have breast augmentation for reasons as unique and personal as the individual choosing the surgery. Many women choose breast augmentation to enlarge small breasts, to change the shape of their breasts, to balance uneven breasts, to reconstruct the breast after mastectomy, or simply to enhance their silhouette. The importance of the choice is in feeling good about you.

Breast augmentation surgery usually takes about one to three hours to complete. The length of the procedure varies according to the technique used, the placement of the implants, the patient’s anatomy, and type of anesthesia used.

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Cosmetic Surgery-Face Lift
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Face lift surgery, also known as Rhytidectomy, is a cosmetic surgical procedure that is used to reshape or contour the lower two-thirds of the face. Face lift reduces the visible signs of aging produced by gravity and loss of skin elasticity, from face and neck and provides tightening of the skin and muscles to improve cheek, jowl, and neck contour. Face Lift can either be done alone or in conjunction with Blepheroplasty (Eyelid Surgery), Rhinoplasty (Nose Reshaping) or a Forehead Lift.

Face Lift is usually performed under local anesthesia with oral sedation to help you relax during the procedure. It can also be performed under general anesthesia. The procedure of Face Lift may take anywhere from 3 - 5 hours

An incision is made along the hairline just above the ear which extends down along the front edge of the ear, around the earlobe, and then up and behind the ear extending back into the hairline. The intent for making this incision is to hide it in the hair and make it as inconspicuous as possible. The same kind of incision is repeated on the other side of the face. Using various kinds of highly sophisticated instruments that are used for the Face Lift procedure, the surgeon separates the skin of the face from its underlying tissue, moving down to the cheek and into the neck area and below the chin. Fat deposits over the cheeks and in the neck may either be removed surgically or with Liposuction at this time.

The surgeon will then tighten bands of small facial muscles and tissue that extend up from the shoulder, below the chin, and up and behind the neck to give the face and neck the 'lift'. The excess skin from the edges of the original incision is trimmed, pulls the skin back and re-drapes it on the face, staples or sutures it into place. The stitches are removed after a week of your Face Lift and you will be able to enjoy your new and improved look soon enough.

Stitches in front of the ear are removed within the first week, and the rest of the sutures will be removed within two weeks. Makeup may be worn to conceal bruising. By ten to fourteen days non-strenuous work and light exercise may be resumed. After four to six weeks, more strenuous exercise may be resumed.

Hair Transplantation
In hair transplantation, it’s this non-miniaturized hair on the back and sides that is surgically moved to the top of the head in the form of a tiny skin graft. Because the hair on the permanent horseshoe is genetically programmed to grow a lifetime, it will continue to grow even though it’s been transplanted to a different site. This is medical fact, and has been repeatedly proven for more than thirty five years.

For some patients, a hairline may need recreation; for others, more extensive hair replacement maybe required. A few patients may want to correct sparse eyebrows or a scar on the scalp. All these individuals, both men and women, are good candidates for the procedure.

Under local anesthesia, the donor hair grafts are harvested from a strip of skin taken from area between two ears. The strip is divided into small units of skin (grafts), each containing one to three hairs - the follicular units. Then recipient sites are created in the area of hair loss by making small slits in the bald skin. Each site is no bigger than the opening created by the needle used when blood is drawn from your arm. Then each of the grafts is carefully placed into each recipient site. The donor site in the back of the head is not visible. Three to four months later, the transplanted hair begins to grow and continues to grow a half inch per month for the rest of your life.

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Critical Care
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Critical Care

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Desun has the largest critical care unit in Kolkata. And is the “first choice” for admitting critically ill patient. Desun’s Critical Care team is concerned with providing the life support or organ support systems in the shortest possible time to the patients who are critically ill and who usually require intensive monitoring.

Patients requiring intensive care usually require support for hemodynamic instability (hypertension/hypotension), airway or respiratory compromise (such as ventilator support), acute renal failure, potentially lethal cardiac dysrhythmias, and frequently the cumulative effects of multiple organ system failure.

Specialised Units of Desun

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Critical Care-VEN-ICU
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Critical Care-VEN-ICU

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DESUN offers a full range of intensive care units to manage all kinds of critically ill patients - 40 beds have been dedicated for this purpose and all are equipped with the state-of-the-art instruments and gadgets for cardiorespiratory monitoring and resuscitation. In addition to all beds being equipped with its own bedside monitor attached to the central monitor, each bed has its dedicated ventilator so that no patient is deprived of any life-saving measure at the hour of need.

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Critical Care-Ven-Intensive Coronary Care Unit (ICCU)
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These beds are dedicated to those suffering from coronary emergencies. The unit monitors and treats patients of
  • Heart attack
  • Heart failure
  • Unstable Angina
  • Disorders of heart beat (arrhythmias)
  • Malfunction of the heart valves
  • Infections of the heart
  • Cardiomyopathy

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Dermatology
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Dermatology

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Dermatology is the branch of medicine dealing with the skin and its diseases, a unique specialty with both medical and surgical aspects. A dermatologist takes care of diseases and cancers of the skin, scalp, hair, and nails

Desun’s dermatology departments care for both common and rare problems of skin, hair, nails and mucous membranes. The Dermatology Department offers comprehensive inpatient treatment programs for managing complex dermatologic problems, including:
  • Autoimmune diseases
  • Blistering diseases
  • Cutaneous lymphomas
  • Dermatitis
  • Dermatomyositis
  • Genetic disease of the skin
  • Granuloma annulare
  • Hair loss
  • Hyperhidrosis
  • Lupus erythematosus
  • Melanoma
  • Non-melanoma skin cancer
  • Oral Lichen Planus
  • Oral mucous membrane disease
  • Pediatric dermatology (Minnesota)
  • Pigmentation disorders
  • Porphyrias
  • Psoriasis
  • Pyoderma gangrenosum
  • Scleroderma/morphea
  • Skin cancers
  • Skin infections
  • Skin ulcers
  • Sun sensitivity
  • Urticaria/angioedema
  • Vascular abnormalities
  • Vasculitis
  • Vitiligo

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Endocrinology
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Endocrinology

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Desun has one of the largest group of renowned endocrinologists who evaluate and treat patients for endocrine and metabolic disorders. The body's endocrine system includes the pancreas, the thyroid, parathyroid, pineal, hypothalamus, adrenal and pituitary glands, and the ovaries and testes. It also involves many other organs which respond to, modify, or metabolize hormones. Desun’s endocrinologists are careful to evaluate the relationship between nutrition and human disease in an attempt to improve and maintain a patient's health. State-of-the-art diagnosis and therapy options available for endocrinology patients at Desun include:
  • Adrenal venous sampling
  • Bariatric surgery
  • Clinical dietetics
  • Diabetes nurse educator program
  • Endoscopic trans-nasal pituitary surgery
  • Endocrine pathology
  • Endocrine general surgery
  • Gamma-knife radiosurgery
  • Grave's ophthalmology
  • High-resolution imaging (MRI, CT)
  • Home feeding program
  • Hospital nutrition consulting services
  • Inferior petrosal sinus sampling
  • Infertility/andrology services
  • Intensive treatment for lipid disorders
  • Intensive insulin therapy for diabetics
  • Minimally invasive adrenal surgery
  • Minimally invasive parathyroid surgery
  • Multiple endocrine neoplasia
  • Octreotide scanning and therapy
  • Osteoporosis and metabolic bone disease
  • Pituitary-gonad-adrenal treatment
  • Thyroid cancer
  • Thyroid disorders
  • Treatment for pregnancy-induced diabetes
  • Transplant services
  • Ulcer and wound care


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ENT-Nose
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ENT-Nose

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Septoplasty for patients suffering from deviated nasal septum Cauterization of the bleeding points from the nose (Epistaxis) Excisions of tumours, radical surgeries in malignancies are some of the commonly done procedures in the department

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Interventional Gastroenterology--Sphincterotomy
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Sphincterotomy is a surgical procedure that involves treating mucosal fissures from the canal/sphincter. The word is formed from sphincter + otomy (to cut, to separate). The surgery can be performed under any kind of anesthesia. After anesthesia is administered, the area is cleaned with an antiseptic solution. The sphincter is separated either by simply stretching or cutting. Cutting the muscle prevents spasm and temporarily weakens the muscles. Both methods help the underlying area to heal.

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General Medicine
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General Medicine

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The department of General Medicine at Desun is one of the best tertiary care centers in India and is staffed by highly qualified doctors of national and international repute.

Service provided: This department provides:

A. General medical care to adult patients through:
  • O.P.D
  • Speciality Clinic
  • I.P.D
  • Intensive care units
B. Supporting Diagnostic facilities:

Objective: The prime objectives of this department are:
  • Accurate diagnosis.
  • Prompt treatment.
  • Patient awareness regarding preventive aspects of the diseases.
The department works in close association with all other superspecialities to ensure that the needs of all types of patients are properly identified and met.

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General Surgery- Appendicectomy
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An appendicectomy (or appendectomy) is the surgical removal of the vermiform appendix. This procedure is normally performed as an emergency procedure, when the patient is suffering from acute appendicitis

In general terms, the procedure for an open appendicectomy is as follows.

Antibiotics are given immediately if there are signs of sepsis, otherwise a single dose of prophylactic intravenous antibiotics is given immediately prior to surgery.

General anaesthesia is induced, with endotracheal intubation and full muscle relaxation, and the patient is positioned supine.

The abdomen is prepared and draped and is examined under anesthesia. If a mass is present, the incision is made over the mass;[citation needed] otherwise, the incision is made over McBurney's point, one third of the way from the anterior superior iliac spine (ASIS) and the umbilicus; this represents the position of the base of the appendix (the position of the tip is variable). The various layers of the abdominal wall are then opened. The effort is always to preserve the integrity of abdominal wall. Therefore, the External Oblique Aponeurosis is slitted along its fiber, and the internal oblique muscle is split along its length, not cut. As the two run at right angles to each other, this prevents later Incisional hernia.

On entering the peritoneum, the appendix is identified, mobilized and then ligated and divided at its base. Each layer of the abdominal wall is then closed in turn.

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General Surgery-Fistula
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General Surgery-Fistula

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Fistula (Anus) – High
The complete tract, from the external opening to the internal opening is laid open. Tissue around the external opening and the internal opening is excised along with a small margin of tissue lining the tract (fistulotomy) and the wound kept open for healing by secondary intention. Since the lay-open technique is the standard surgical operation performed it is described in some detail. The position used for surgery varies according to the preference of the surgeon. Many low  fistula surgery can be performed under local anaesthesia and requires good exposure. The three common positions used for surgery are- lithotomy position, prone (jack-knife) position and left lateral position. The position is not conducive when performing surgery under local anaesthesia since the patient often complains of pain in the thigh and can become uncooperative.

The prone position is often used when doing the operation under local anaesthesia. However patients who have emphysema, bronchospasm, obesity or those who have had coronary artery by-pass surgery through a median sternotomy do not tolerate the prone position well. The left lateral position is eminently suitable position for patients who cannot be put in the prone position. Retraction of the buttocks in any position by means of adhesive needs meticulous attention since strong traction tends to distort the tract and can mislead the surgeon.

Post-operative care consists of twice daily dressing after warm hip bath. Strong antiseptic solutions to cleanse the wound is avoided since allergic reaction to antiseptic solutions is not uncommon. Hydrogen peroxide (20 volumes per cent) diluted with an equal quantity of normal saline (0.9 per cent) is eminently suitable for cleansing the wound following which a dressing of Eusol (sodium hypochlorite) is used. Total healing time depends upon the extent of the wound but is generally between 10-20 days. Time off work is between 4-5 days and normal activity is resumed within three weeks. Stay in hospital is between 1-3 days in most instances. In some cases fistulas can even be treated on a day care basis.

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Haematology
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Haematology

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Dedicated hematologists at Desun diagnose and treat disorders of the blood. A team of reputed hematologists at Desun care for patients and conduct research to improve treatment for hematologic diseases.

Hematologists manage blood diseases using the following tools:
  • Addition and removal of blood components as needed
  • Biological therapy for benign and malignant blood disorders
  • Chemotherapy
  • Growth factor drugs
  • Immunosuppressive drugs
  • Stem cell and bone marrow transplantation

Desun hematologists work closely with colleagues in medical and radiation oncology, transplantation and other specialties in the care of their patients.

Specialists at Desun are experienced at treating common and rare blood diseases including:
  • Anemia
  • Bleeding and clotting disorders
  • Enlarged lymph nodes or spleen
  • Hematologic malignancies
  • Hypercoagulable states and platelet disorders
  • Immune cytopenias
  • Leukemias
  • Lymphproliferative disorders
  • Monoclonal gammopathies of undetermined significance
  • Myelodysplastic syndromes
  • Myelofibrosis with myeloid metaplasia
  • Multiple myeloma
  • Myeloproliferative disorders
  • Porphyria
  • Primary amyloidosis
  • Thrombocytopenia

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Obstetrics And Gynecology Consultants
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Obstetrics and Gynecology division of Desun is comprised of specialist physicians in. The nature of integrated practice easily allows collaboration with specialists in Maternal-Fetal Medicine, Medical Genetics, Reproductive Endocrinology and other medical and surgical specialties, as needed. Routine medical screenings and treatments include:
  • Adolescent gynecology
  • Contraception and family planning
  • Diagnosis and treatment for sexually transmitted disease
  • Infertility treatment
  • Treatment for abnormal bleeding
  • Treatment for premenstrual syndrome
  • Treatment for endometriosis
  • Management of menopause
  • Management of menstrual irregularities
  • Urinary incontinence
  • Vaginitis

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Oncology
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Oncology

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ONCO-MEDICINE In its endeavour to create awareness among the general population, DESUN offers attractive packages for Cancer screening especially aimed at individuals having a family history of cancer, or with known risk factors eg excessive use of alcohol . Patients also have the option of choosing the cancers that he / she wishes to be tested for based on family history and / or risk factors.

Packages also exist for individuals who do not have any personal history or family history of cancer or those who lead an addiction-free apparently healthy lifestyle. At Desun we have a specialized ONCO-CARE formed by some of the most well known oncologists of Kolkata.

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Physiotherapy
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Physiotherapy

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Physiotherapy begins with an assessment of the patient's condition. This assessment typically includes a medical history review and a physical examination. Often, the medical history review is considered a subjective examination, while the physical exam is considered objective. Both elements are important to successfully examining and treating the patient.

The Physiotherapy unit of Desun is equipped with latest equipments providing best adjunct to the physiotherapeutic management including diagnostic, prognostic and therapeutic functions for timely screening and interventions. Based on the unique needs of the patient, various physiotherapeutic treatment methods are employed. Such methods include musculoskeletal, cardiopulmonary, and integumentary physiotherapy techniques.

In addition to the physiotherapeutic methods used in treatment, physical therapists often provide patients with guidance regarding such things as walking devices and mobility aids. Our physical therapists also work hard to help patients stay informed about their particular conditions and the required treatments.

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Respiratory Medicine
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Respiratory Medicine

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This special branch of medicine deals with patients suffering from Chest Problem like pulmonary and bronchial disorders.

Patients suffering from chronic asthma are managed in a comprehensive method and proper rehabilitation are provided to avoid recurrence.

Prolonged therapy along with physical exercises (pulmonary physiotherapy) give excellent results.

DESUN has special arrangements to evaluate pulmonary functions. State-of-the-art Critical care unit with 1:1 ventilator arrangements cater to all types of patients with respiratory failure

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Cardiology
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Cardiology

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The Cardiologist plays a pivotal role in the long-term treatment of patients with cardiovascular problems.

Non - intervention Cardiology
The Desun Cardiology team headed by eminent doctors- both from Government hospitals and private consultants blend clinical experience with expertise. Patients can also consult visiting cardiologists at the hospital's Out-Patients' Department (OPD). Where necessary, consultations between doctors / referrals may be made to enable a faster and more accurate diagnosis.

Cardiac treatment is backed by a full range of sophisticated diagnostic equipment. Apart from the routine Treadmill, Echo-cardiography and Colour Doppler studies, DESUN has also performed radial Angioplasty and radial angiography with stenting which is a rare phenomenon in this part of the country.

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Interventional Cardiology
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The Cathlab will permit techniques such as Coronary Angiography, Angioplasty, Balloon Valvuloplasty etc which do not require full surgical intervention. Other sophisticated investigations will also be available in Kolkata for the first time.

CORONARY ANGIOGRAPHY (CAG) –
A special X-Ray of the blood vessels of the heart by the help of a special equipment called the Cardiac Cath Lab. DESUN has the latest state-of –the-art Digital Cath Lab by Philips to perform this procedure.

CORONARY OR BALLOON ANGIOPLASTY (PTCA) –
This procedure, also done in Cath Lab, entails a dilatation of the narrowed coronary arteries with a balloon or stent, which may be permanently placed at the site of the blockage or narrowing.

PERMANENT PACEMAKER (PPM) –
An electronic device placed in the heart, below the skin, to generate heartbeats, which the heart is unable to generate normally.

DESUN will in fact be a comprehensive heart-care hospital for all age groups.

DESUN will be a front-line hospital in Kolkata where a cardiac patient can arrive in an emergency and be assured of prompt treatment.

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Cardiac Surgery
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Cardiac Surgery

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DESUN can justifiably claim to have one of the finest cardiac surgery teams in India. Led by the renowned Doctor, the member team of senior surgeons and anaesthetists have pioneered several new surgical techniques over the last few years.

Out of a total number of critical care beds, are devoted to cardio-thoracic surgery patients. Of the total number of operating theatres, are dedicated to cardiac care for undertaking surgeries ranging from valve replacements to correction of congenital defects. Surgical expertise is backed by sophisticated post-operative care, ensuring that DESUN is one of the best centers for high-risk cardiac surgeries.

Highly dedicated steel modular operating theatres are fully equipped with the latest state-of-the-art instruments for the convenience of the surgeons.

The aim is just not to prolong life but to ensure that all normal activities can be quickly resumed

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Cardiac Surgery-Valve Replacement
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Minimally Invasive Valve Surgery
Minimally invasive valve surgery is a breakthrough approach to treating heart valve disease. Rather than making a large incision through the breastbone (sternum) to gain access to the heart, this method uses sophisticated instruments to perform the surgery through a smaller incision at the side of the chest.

Minimally invasive valve surgeries performed here include:
• Aortic valve repair or replacement
• Mitral valve repair and replacement
• Tricuspid valve repair or replacement

Minimally invasive surgery has many benefits, including the following :
• Faster recovery and a quicker return to normal activities
• Less time spent in the hospital
• Small incisions that result in little to no scarring. Depending upon the procedure, incisions may be four to five dime-size slits or a 3- to 5-inch incision at the side of the chest.
• Significantly less pain, with many patients able to control pain with Tylenol or other over-the-counter pain medicines
• Because the breastbone (sternum) remains intact, patients avoid the risk for infection and other complications associated with cutting it (sternotomy) that may occur with traditional open-chest procedures

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Cosmetic Surgery-Rhinoplasty
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Rhinoplasty or Nasal surgery is a surgical procedure to refine and reshape the nose to improve it's appearance. Rhinoplasty may also be performed to reduce the dorsal hump, modify the nasal tip, narrow the nostrils, reduce the width of the nose, change the angle between the nose and the upper lip, and straighten or narrow the nasal bridge.

Patients undergo nasal surgery for one of three reasons :
• To correct a crooked nose or deformity as a result of injury
• Have difficulty breathing as a result of nasal passage obstruction
• For cosmetic reasons (to enhance the shape of their nose).

Rhinoplasty is sometimes performed in conjunction with a Face Lift procedure to combat aging changes.

Incisions for Rhinoplasty are made depending on the reshaping job that needs to be performed. The skin of the nose is separated from it's underlying bone and cartilage which are cut and trimmed to obtain the desired results. The skin is then re-draped over the bone and cartilage. Incision(s) is sutured and nose packs are placed to minimize the chances of bleeding.

The patient is kept under observation to keep a watch for bleeding or any other post-operative complications that might become manifest in the next couple of hours after Rhinoplasty. Nasal packing (if used) stays in the nostrils for one to seven days. Any stitches inside the nose dissolve by themselves. Any stitches left outside the nose are removed in three to five days. The nasal splint remains in place for seven days to hold the nasal bones in place, as well as help reduce swelling Swelling and bruising lasts for two to three weeks. One can return to work or school by ten days as well as resume light exercise. Rigorous exercise can be resumed within 6-8 weeks.

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Critical Care-Ven-Intensive Therapy Unit
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The unit is geared to treat patients with
  • The unit is geared to treat patients with
  • Bronchial Asthma
  • Chronic Obstructive Pulmonary Disease
  • Pneumonia
  • Malignancy
  • Pancreatitis
  • Blood Disorders like Leukaemia
  • Unexplained Severe Anaemia
  • Suppression of Bone Marrow Activity
  • Lymphomas
  • Gastrointestinal Problems
  • Liver Diseases
  • Kidney problems like acute and chronic renal failure etc. The Medical ITU will also serve to care for patients suffering from neurological disorders including victims of strokes and head injuries.

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Dentistry
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Dentistry

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The department serves the patients mainly on an OPD basis. Conservative management of dental disorders is the main objective of this department. Some of the common variety of procedures carried out by the department include - Scaling, filling of cavities
  • Treatment of root canal
  • Alveoloplasty
  • Application of orthodontic appliances
  • Enucleation of dental cysts
  • Frenectomy
  • Gum dressing
  • Maintenance of oral hygiene
  • Application of peridental wiring
  • Treatment of temporo-mandibular joints
Missing teeth are replaced by artificial dentures which are implanted directly into the gum.

Apart from these facilities, the department in collaboration with the departments of General & Plastic Surgery,(Department of Maxillo-facial Surgery) performs reconstructive and exploratory surgeries like..
• Internal fixation of maxilla & mandible
• Meniscectomy of temporo-mandibular joints
• Alveolar bone grafting
• Osteotomy of alveolar segment of jaw
• Open reduction and internal fixation of maxilla and mandible
• Prosthetic replacement of temporo-mandibular joints
• Reconstruction of jaws
• Hemimandibulectomy etc

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ENT
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ENT

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The department of Ear-Nose & Throat at DESUN hospital can proudly boast of a galaxy of eminent surgeons skilled to carry out all kinds of microscopic surgeries.

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ENT-Ear
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All kinds of endoscopic surgeries are regularly performed like -

Endoscopic removal of foreign bodies, polyps, cysts etc
Tympanoplasty & Tympanotomy, Myringoplasty & Myringotomy for patients suffering from impaired hearing.

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ENT-Throat
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Common procedures include
Tonsillectomy
Adenoidectomy
Excision of tumours and radical operations for cancer patients
Endoscopic removal of foreign bodies from the pharynx and oesophagus

DESUN Hospital, in a recent innovation, brings to you, the ENT Vestibular lab where a patient moves from one section of the lab to another for various types of tests such as

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Gastroenterology
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Gastroenterology

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The department of Gastroenterology offers non-invasive treatment through the OPD. DESUN offers to treat patients suffering from peptic ulcers, tumours & perforations, various types of gastro-intestinal surgery along with operating facilities for patients suffering from pancreas and liver related diseases.

Important procedures include -

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Interventional Gastroenterology-Colonoscopy
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Prior to the procedure an IV is started and the patient is given a monitor for continuous monitoring of the heart, blood pressure, and oxygenation of the blood. Medication is often given through the vein to make the patient sleepy and relaxed. If needed, the patient may receive additional doses during the procedure. Colonoscopy often gives a feeling of pressure, cramping, and bloating, however, with the aid of the medication it is generally well tolerated and rarely causes any significant pain.

Patients will be lying on their left side or back as the instrument is slowly advanced. Once the tip of the colon, or the last portion of the small bowel, is reached the colonoscope is slowly withdrawn and the lining is again carefully examined. The procedure usually takes 15 to 60 minutes. If the entire colon, for some reason, can not be visualized, the physician may decide to try it at a later date with a better bowel preparation or may decide to order an x-ray of the colon.

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Interventional Gastroenterology-Sigmoidoscopy
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Sigmoidoscopy is an endoscopic procedure in which the doctor looks inside the large intestine with the help of a flexible tube with a light on the end. A rigid sigmoidoscope is not commonly used these days because the flexible tube is more comfortable for the patient and is easier to use for the physician. It also allows a longer segment of the large intestine to be examined.

Sigmoidoscopy is a diagnostic as well as a screening procedure. It is used in asymptomatic cases as a screening test for cancer of the large intestine. It is also used to assess a variety of disorders such as bleeding from the rectum, intractable or chronic diarrhoea, pain in the lower abdomen, and inflammation of the mucosal lining of the rectum.

The procedure does not require anaesthesia. The patient is asked to lie down on their left side with the knees bent and pulled up towards the abdomen. The tip of the sigmoidoscope is lubricated to lessen any discomfort. The inside of the large intestine can be viewed on a TV monitor and can be recorded on a video tape. A sample of tissue known as a biopsy may be taken for laboratory testing. Air is introduced into the intestines in order to view the intestines better.

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General Surgery-Cholecystectomy(Gall Bladder Surgery)
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Cholecystectomy is the surgical removal of the gallbladder. Despite the development of non-surgical techniques, it is the most common method for treating symptomatic gallstones, although there are other indications for the procedure, including carcinoma.

Traditional open cholecystectomy is a major abdominal surgery in which the surgeon removes the gallbladder through a 4- to 7-inch (10 to 18 cm) incision. Patients usually remain in the hospital over night and may require several additional weeks to recover at home. It will take minimum 7 to 15 day to complete the treatment

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General Surgery-Haemorrhoidectomy(with stapling)
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evere cases of hemorrhoidal prolapse – 3rd and 4th Degree – will normally require surgery. Traditional hemorrhoidectomy is notorious for the level of post operative pain the patient must endure, coupled with a long recuperation period.

PPH – Procedure for Prolapse and Hemorrhoids – uses a circular stapler to reduce the degree of prolapse. The procedure avoids the need for wounds in the sensitive perianal area thus reducing post-operative pain considerably, and facilitates a speedier return to normal activities

Usually the patient will be under general anesthetic, but only for 20-30 minutes. Many cases have been successfully performed under local or regional anesthesia and the

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General Surgery-Haemorrhoidectomy
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Piles (haemorrhoids) are the loose lining of skin that bulges out through the ring muscle which holds the back passage shut. They contain big blood vessels which can bleed or clot up and cause pain. The loose skin can produce irritating tags. Haemorrhoidectomy simply means removal of the haemorrhoids.

You will probably have a general anaesthetic and be completely asleep. Sometimes you may be given an injection in the back to numb the area. The ring muscle is stretched and the piles are trimmed off. Usually after two or three days, when your bowels have opened, you will feel fit enough to leave hospital provided there is someone to look after you. The wound heals up within a week or two.

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General Surgery-Hydrocelectomy
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Hydrocelectomy is a surgical procedure to remove a hydrocele. A hydrocele is collected fluid in the membrane surrounding the testes.

Hydrocelectomy is performed to relieve the pain or reoccurrence of a hydrocele. Normally, hydroceles are not very painful. They tend to be a soft swelling in the membrane surrounding the testes. As the hydrocele grows, the scrotum gets larger. Hydroceles do not damage the testes. The main symptom is scrotal swelling. There are two types of hydroceles depending on how they form. One type is seen in children, generally shortly after birth. It is caused by a failure of the processus vaginalis to close. Usually, surgery is not used to treat hydrocele until after two years of age because the processus vaginalis frequently closes by itself if given extra time. In adults, hydroceles develop slowly. Most hydroceles develop because of blocked lymphatic flow. Hydroceles also develop after infection, injury, or local cancer tumors. Generally, hydroceles are treated by aspiration of the collected fluid. To do this, a needle is inserted into the scrotum and directed toward the hydrocele. Once there, as much fluid as possible is removed. Hydroceles can reoccur. Rarely, hydroceles grow larger and cause pain. Surgery is used to remove large or painful hydroceles. It is also the recommended procedure to remove hydroceles that reoccur after aspiration. Hydroceles are distinguished from other testicular problems by transillumination and scrotal ultrasound examinations.

Two techniques are effective treatments for hydroceles.

The first technique, plication of the sac (Lord procedure) is used for small to medium hydroceles. The benefits of this technique are reduced risk of hematoma (localized collection of blood). Some articles suggest a slight incidence of recurrence of the hydrocele following this procedure. The second technique, where the sac is everted and sutured behind the testis (Jaboulay procedure), is associated with a reduced risk of recurrence, but patients may have an increased risk of hematoma.

During surgery, the bulk of the hydrocele sac is cut away, and what remains of the sac is turned inside out. As a result, the fluid-secreting surface is now in contact with the inner skin of the scrotum rather than that of the testicle with which it made previous contact. The scrotal tissue blots up any fluid that is secreted, unlike the testicular tissue that cannot absorb fluid.

Surgical approaches are governed by the size of the hydrocele.

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General Surgery-Laparotomy
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A laparotomy is a surgical procedure involving an incision through the abdominal wall to gain access into the abdominal cavity. It is also known as coeliotomy.
  • the Kocher (right subcostal) incision; appropriate for certain operations on the liver, gallbladder and biliary tract;
  • the Davis or Rockey-Davis "muscle-splitting" right lower quadrant incision for appendectomy;
  • the Pfannenstiel incision, a transverse incision below the umbilicus and just above the pubic symphysis. In the classic Pfannenstiel incision, the skin and subcutaneous tissue are incised transversally, but the linea alba is opened vertically. It is the incision of choice for Cesarean section and for abdominal hysterectomy for benign disease. A variation of this incision is the Maylard incision in which the rectus abdominis muscles are sectioned transversally to permit wider access to the pelvis.
  • Lumbotomy consists of a lumbar incision which permits access to the kidneys (which are retroperitoneal) without entering the peritoneal cavity. It is typically used only for benign renal lesions. It has also been proposed for surgery of the upper urological tract.

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General Surgery-Lumpectomy
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A lumpectomy is a surgical procedure to remove abnormal and sometimes cancerous tissue from the breast. Some surrounding healthy tissue also is removed to increase the likelihood that all of the cancer is removed. Lumpectomy is considered a breast-conserving surgery because its goal is to remove the abnormal tissue while saving as much of the breast as possible. In a lumpectomy, lymph nodes under the arm also need to be removed and examined in either a sentinel lymph node biopsy or an axillary lymph node dissection.

Because lumpectomies leave the breast mostly intact, they are often the preferred form of surgery when treating breast cancer. However, they are usually effective only in the early stages of breast cancer, and almost always are followed by 5 to 7 weeks of radiation therapy.

Recovery from lumpectomy is significantly easier than recovery from mastectomy and most women return to normal activities within a few weeks. Patients who have lumpectomies in the early stages of breast cancer have survival rates nearly identical to patients who have more radical surgery, such as a mastectomy. A number of factors must be considered when choosing between a lumpectomy and mastectomy. Consultation with physicians is the best way for patients to determine if lumpectomy is the appropriate treatment for them.

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General Surgery-Mastectomy
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Mastectomy is the surgical removal of the breast for the treatment or prevention of breast cancer.

Mastectomy is performed as a surgical treatment for breast cancer. The severity of a breast cancer is evaluated according to a complex system called staging. This takes into account the size of the tumor and whether it has spread to the lymph nodes, adjacent tissues, and/or distant parts of the body. A mastectomy usually is the recommended surgery for more advanced breast cancers. Women with earlier stage breast cancers, who might also have breast-conserving surgery (lumpectomy), may choose to have a mastectomy.

The size, location, and type of tumor are important considerations when choosing the best surgery to treat breast cancer. The size of the breast also is an important factor. A woman's psychological concerns and lifestyle choices also should be considered when making a decision.

There are many factors that may make a mastectomy the treatment of choice for a patient. Large tumors are difficult to remove with good cosmetic results. This is especially true if the woman has small breasts. Sometimes multiple areas of cancer are found in one breast, making removal of the whole breast necessary.

Radiation therapy is almost always recommended following a lumpectomy. If a woman is unable to have radiation, a mastectomy is the treatment of choice. Pregnant women cannot have radiation therapy for fear of harming the fetus. A woman with certain collagen vascular diseases, such as systemic lupus erythematosus or scleroderma, would experience unacceptable scarring and damage to her connective tissue from radiation exposure. Any woman who has had therapeutic radiation to the chest area for other reasons cannot tolerate additional exposure for breast cancer therapy.

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General Surgery-Splenectomy
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A splenectomy is a procedure that involves the removal of the spleen by operative means.

The spleen, similar in structure to a large lymph node, acts as a blood filter. Current knowledge of its purpose includes the removal of old red blood cells and platelets, and the detection and fight against certain bacteria. It's also known to create new blood cells. The spleen is enlarged in a variety of conditions such as malaria, mononucleosis and most commonly in "cancers" of the lymphatics, such as lymphomas or leukemia.

It is removed under the following circumstances:
1. When it becomes very large such that it becomes destructive to platelets/red cells
2. For diagnosing certain lymphomas
3. When platelets are destroyed in the spleen as a result of an auto-immune process (see also idiopathic thrombocytopenic purpura)
4. When the spleen bleeds following physical trauma
5. Following spontaneous rupture
6. For long-term treatment of congenital erythropoietic porphyria (CEP) if severe hemolytic anemia develops.

- Spleen is also removed if gastric cancer has spread in any of its area.

In cases where the spleen is enlarged due to illness (mononucleosis), the smallest things such as leaning over a counter or straining at stool can cause it to rupture.

In general, spleens are removed by laparoscopy (minimal access surgery) when the spleen is not too large and when the procedure is elective. It is performed by open surgery for trauma or large spleens. Both methods are major surgeries, and are performed under general anesthesia. The spleen is located and disconnected from its arteries. The ligaments holding the spleen in place are dissected and the spleen is removed. When indicated a drain is left in place and the incision(s) is closed. If necessary, tissue samples are sent to a laboratory for analysis.

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Nephrology
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Nephrology

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The Division of Nephrology at Desun work closely with other specialists, including cardiologists, endocrinologists, pharmacists, nurses, educators and dietitians to deliver high-quality, cost-effective care to patients who suffer from problems involving the kidneys .

Comprehensive services for nephrology outpatient and inpatient care, dialysis, and kidney transplant services are provided al Desun.

Desun treats nephrology disease, including :
  • Chronic kidney disease
  • Critical care nephrology
  • Diabetic nephropathy
  • Glomerular disease (glomerulonephritis)
  • Hyperoxaluria
  • Kidney failure
  • Kidney stone diseases
  • Pediatric kidney disorders
  • Polycystic and inherited kidney diseases
  • Renal parenchymal/glomerular disease

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Transplant Nephrology
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Transplant Nephrology

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The department of Transplant Nephrology offers world-leading care for patients who need kidney or pancreas transplantation:
  • Pre-transplant evaluation and pre-transplant care for both kidney and pancreas transplant recipients
  • Post-transplant long-term care for both kidney and pancreas transplant recipients
  • Pre-transplant evaluation and pre-transplant care for living kidney donors
  • Pre-emptive kidney transplant (leading to better long-term prognosis for certain patients)

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Neurology
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Neurology

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Neurology is the study and treatment of diseases of the nervous system. The nervous system includes:
  • Brain and spinal cord (and their coverings)
  • Cranial nerves connected to the eyes, face, ears, nose and throat
  • Peripheral nerves which supply the arms and legs
  • Muscles of the body
  • Autonomic nerves which innervate the internal organs including the blood vessels and sweat glands
Within the department, groups of physicians are organized into areas of special expertise based on their education, practice interests and research. These specialty areas include:
  • ALS (Lou Gehrig's disease)
  • Autonomic Neurology
  • Behavioral Neurology
  • Cerebrovascular Diseases and Critical Care
  • Child and Adolescent Neurology
  • Epilepsy
  • Headache
  • Movement Disorders
  • Multiple Sclerosis
  • Neuroimmunology
  • Neuro-infectious Disease
  • Neurologic Education
  • Neuromuscular Diseases
  • Neuro-Oncology
  • Pain
  • Peripheral Nerve
  • Sleep
  • Speech Pathology
  • Spine
  • Special Labs
  • Clinical Neurophysiology (EEG and EMG)
This highly integrated and collaborative group of neurologists work with specialists in pediatric and adolescent medicine, speech pathology, neurosurgery, psychiatry and psychology, pain management, sleep disorders, and physical medicine and rehabilitation to offer patients comprehensive medical care to meet their needs.

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Neuro Surgery-Craniotomy
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Neuro Surgery-Craniotomy

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Craniotomy is the surgical removal of part of the skull to expose the brain.

A craniotomy is the most commonly performed surgery for brain tumor removal. It may also be done to remove a blood clot and control hemorrhage, inspect the brain, perform a biopsy, or relieve pressure inside the skull.

Before the operation, the patient will have undergone diagnostic procedures such as computed tomography scans (CT) or magnetic resonance imaging (MRI) scans to determine the underlying problem that required the craniotomy and to get a better look at the brain's structure. Cerebral angiography may be used to study the blood supply to the tumor, aneurysm, or other brain lesion.

There are two basic ways to open the skull:
• a curving incision from behind the hairline, in front of the ear, arching above the eye
• at the nape of the neck around the occipital lobe.

The surgeon marks with a felt tip pen a large square flap on the scalp that covers the surgical area. Following this mark, the surgeon makes an incision into the skin as far as the thin membrane covering the skull bone. Because the scalp is well supplied with blood, the surgeon will have to seal many small arteries. The surgeon then folds back a skin flap to expose the bone.

Using a high speed hand drill or an automatic craniotome, the surgeon makes a circle of holes in the skull, and pushes a soft metal guide under the bone from one hole to the next. A fine wire saw is then moved along the guide channel under the bone between adjacent holes. The surgeon saws through the bone until the bone flap can be removed to expose the brain.

After the surgery for the underlying cause is completed, the piece of skull is replaced and secured with pieces of fine, soft wire. Finally, the surgeon sutures the membrane, muscle, and skin of the scalp.

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Neuro Surgery-Excision Of spinal Tumor
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Some spinal tumors, benign or malignant, require surgical intervention before or after non-operative treatments. When pain is unresponsive to non-operative treatment, neurologic deficit progresses, a specimen is needed, neural elements (e.g. nerves) are compressed, vertebral destruction exists, or when spinal stabilization is necessary - surgery is considered.

The primary goals in surgery are to reduce pain caused by the spinal tumor, restore or preserve neurologic function, and provide spinal stability. The spinal tumor may be approached surgically from the front (anterior) or back (posterior) of the body.

Surgery may include tumor resection (partial removal) or excision (complete removal). When the tumor is removed (partially or completed) pain and neurologic problems may clear up.

Spinal instrumentation and Fusion are procedures used to reconstruct and stabilize the spine. These procedures join and solidify the level (or levels) where a spinal element (e.g. vertebral body) has been damaged or removed.

Instrumentation uses medically designed hardware such as rods, bars, wires, and screws. These devices hold the spine straight during fusion. Fusion is the adhesive process joining bony spinal elements.

The number of days spent the patient will spend in the hospital after surgery is partially dependent on the procedure(s) performed. Thereafter, the patient's care is monitored by periodical office visits and re-evaluation by the treating physician..

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Oral and Maxillo-Facial Surgery
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The Department of Oral & Maxillo-facial Surgery works in close collaboration with the departments of General & Plastic Surgery to perform reconstructive and

Exploratory Surgeries Like :
Internal fixation of maxilla & mandible
Meniscectomy of temporo-mandibular joint
Alveolar bone grafting
Osteotomy of alveolar segment of jaw
Open reduction and internal fixation of maxilla and mandible
Prosthetic replacement of temporo-mandibular joints
Reconstruction of jaws
Hemimandibulectomy etc

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Orthopedics-Elbow Surgery
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The elbow is a hinge joint consisting of three bones. The upper part of the hinge is at the end of the upper arm bone (humerus), and the lower part of the hinge is at the top of the two forearm bones (radius and ulna) which are side by side. When the elbow is bent, the ends of the two forearm bones rub against the end of the humerus.

In a healthy elbow joint, the surfaces of these bones are very smooth and covered with a tough protective tissue called cartilage. Arthritis causes damage to the bone surfaces and cartilage where the three bones rub together. These damaged surfaces eventually become painful.

In total elbow replacement surgery, an artificial hinge made of metal and a very durable plastic material is inserted into the joint so that the elbow can move without allowing the two forearm bones to contact the humerus. We call this artificial hinge an "implant."

The patient is first taken into the operating room and given anesthesia. After the anesthesia has taken effect, the skin around the elbow is thoroughly scrubbed and sterilized with an antiseptic liquid. A tourniquet is then applied to the upper portion of the arm to help slow the flow of blood.

An incision about six inches long is then made over the elbow joint. The incision is gradually made deeper through muscle and other tissue until the bones of the elbow joint are exposed.

One of the forearm bones, the ulna, has a projection at the end, which extends up and behind the end of the humerus. A special power saw is used to remove part of this projection.

This allows the two forearm bones to be rotated out of the way so parts of the humerus can be removed with the saw. Precision guides are used to help make sure that the cuts are made so the bones will align properly after the implant is inserted.

The middle portion at the end of the humerus is removed first.

The arm bones have relatively soft, porous bone tissue in the center. This part of the bone is called the "canal." Special instruments are used to clear some of this soft bone from the canal of the humerus. These instruments also help shape the canal to fit the shape of the implant.

Then, similar instruments are used to clear some of the soft bone and shape the canal of the ulna.

The elbow implant consists of two metal stems that are connected by a metal locking pin. This pin passes through the ends of both stems, which are lined with a strong plastic material, serving as a bearing that allows the elbow to bend. The stems are inserted into each of the two prepared canals. A special kind of cement for bones is first injected into the canals to help hold the stems in place.

When the cement is hard, the two implant parts are brought together and the pin is inserted to connect them.

If necessary, the surgeon may adjust the ligaments that surround the elbow to achieve the best possible elbow function.

When all of the implants are in place and the ligaments are properly adjusted, the surgeon sews the layers of tissue back into their proper position. A plastic tube may be inserted into the wound to allow liquids to drain from the site during the first few hours after surgery. The edges of the skin are then sewn together, and the elbow is wrapped in a sterile bandage. Finally, the patient is taken to the recovery room.

 

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Orthopedics- Shoulder Replacement
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Similar to other joint replacement procedures, shoulder replacement surgery is generally done to address persistent pain that is not controlled by non-surgical therapy. Less commonly, poor shoulder motion may also be a reason for replacement surgery.

The shoulder is a ball-and-socket joint, with the top of the arm bone (humeral head) fitting into a socket known as the glenoid. Muscles and tendons, such as the rotator cuff, help hold the joint in place. Surgery involves replacing the humeral head and the glenoid with artificial components. The humeral head replacement is generally made from a metal alloy, while the glenoid component is made from polyethylene plastic. The new components may be anchored by cement or press-fit into place so that the bone grows in around them.

During surgery, a three- to four-inch incision is made along the space between the arm and the collarbone. The procedure lasts about 90 minutes and the incision is then closed with staples or stitches. Patients typically stay in the hospital for one to two nights, and full recovery usually takes six to 12 weeks.

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Orthopedics-- Shoulder Resurfacing
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This advanced technique is an excellent alternative to total shoulder replacement surgery. Unlike replacement, this option involves removal of practically no bone and is bone conserving. Naturally there is much less tissue damage and rehabilitation is faster and better. The reconstitution of the arthritic shoulder joint is much closer to normal after this operation. This is difficult to achieve with replacement surgery. Hence results of resurfacing are much better in terms of range of movement and function. Since small implants are used with less bone removal, it is easy to revise if ever required.

Copeland Resurfacing is the only resurfacing of the shoulder today with a long term history and track record

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Orthopedics-- Total Hip Replacement
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A total hip replacement is a surgical procedure whereby the diseased cartilage and bone of the hip joint is surgically replaced with artificial materials. The normal hip joint is a ball and socket joint. The socket is a "cup-shaped" bone of the pelvis called the acetabulum. The ball is the head of the thigh bone (femur). Total hip joint replacement involves surgical removal of the diseased ball and socket and replacing them with a metal ball and stem inserted into the femur bone and an artificial plastic cup socket. The metallic artificial ball and stem are referred to as the "prosthesis." Upon inserting the prosthesis into the central core of the femur, it is fixed with a bony cement called methylmethacrylate. Alternatively, a "cementless" prosthesis is used which has microscopic pores that allow bony ingrowth from the normal femur into the prosthesis stem. This "cementless" hip is felt to have a longer duration and is considered especially for younger patients.

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Orthopedics-Total Knee Replacement
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A total knee replacement is a surgical procedure whereby the diseased knee joint is replaced with artificial material. The knee is a hinge joint which provides motion at the point where the thigh meets the lower leg. The thigh bone (or femur) abuts the large bone of the lower leg (tibia) at the knee joint. During a total knee replacement, the end of the femur bone is removed and replaced with a metal shell. The end of the lower leg bone (tibia) is also removed and replaced with a channeled plastic piece with a metal stem. Depending on the condition of the kneecap portion of the knee joint, a plastic "button" may also be added under the kneecap surface.

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Ophthalmology
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Ophthalmology

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Desun offers patients a full range of ophthalmologic and optometric care, from routine eye examinations to complex surgical procedures. Ophthalmologists at Desun have expertise in managing eye problems such as cataracts, glaucoma, macular degeneration, corneal and eye surface disease, crossed eyes, as well as many other eye issues. Additionally, Desun ophthalmologists have special expertise for taking care of cancer of the eye, diseases of the eyelids and orbit, vitreorentinal diseases and neuro-ophthalmological disorders.

Eye problems, more often than not are related to other diseases — such as diabetes, autoimmune or thyroid disease. At Desun we approach the problem from a multidisciplinary perspective, involving all experts necessary for optimal medical care. Eye care experts at Desun also offer refractive laser surgery, cosmetic eye surgery and contact lens services.

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Pediatrics
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Pediatrics

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DESUN offers total "Mother & Child" care, the best of its kind in Eastern India. A dedicated team of renowned specialists and In-house doctors man the.
  • Neonatology Intensive Care Unit
  • Paediatric Intensive Care Unit
  • Well-baby Clinic
DESUN offers comprehensive Paediatric services under one roof by way of -
  • A wide spectrum of paediatric investigations and diagnoses
  • Providing counseling & training services to parents and young mothers in general baby care
  • Diverse intrs-hospital services, resulting in complete childcare
Facilities The department of Paediatrics & Neonatology extends unique support to its innocent patients through the state-of-the-art Neonatal Intensive care Unit & the Paediatric Intensive care Unit all equipped with ventilators, incubators and phototherapy units.

Highlights The Neonatal Intensive Care Unit handles premature and small-for-date neonates with life support systems like
  • Incubators
  • Ventilators and Pulse Oxymeters
  • Open Care units
  • Phototherapy
The Well Baby Clinic provides
  • Immunisation
  • Vaccination and
  • Counseling for the young mothers.
Important Procedures The Neonatal Intensive Care Unit is fully equipped with state-of-the-art machines which cater not only to the newborns being born at DESUN but also for babies born elsewhere who may have to be brought in for the specialized treatment by the "Transport Incubators" kept specially for this purpose

DESUN prides in its incubators, ventilatory support systems and treatment procedures which are the hallmark for its remarkable track record

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Plastic & Reconstructive Surgery
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Skilled plastic surgeons at Desun provide a wide range of reconstructive and cosmetic surgery services. Plastic and Reconstructive Surgery is staffed plastic surgeons with specialized training and skills in one or more of the following surgical subspecialties:
• Aesthetic plastic surgery
• Reconstructive surgery
• Craniofacial surgery
• Reconstructive microsurgery
• Pediatric plastic surgery
• Laser surgery
• Hand surgery
Services available at Desun include:

Reconstructive Surgery:
• Breast reconstruction after cancer
• Congenital defects
• Cleft lip and palate repairs
• Craniofacial deformities
• Hand surgery
• Head and neck reconstruction after cancer
• Maxillofacial surgery
• Microvascular surgery
• Repair of postoperative defects
• Repair of post-traumatic defects
• Removal and reconstruction for skin cancer

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Urology
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Urology

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DESUN offers modern treatment for patients suffering from urological disorders. The primary methods applied to treating these patients are
  • Kidney operations
  • Urethroplasty
  • Endoscopic procedures like
  • Trans Urethral Resection of Prostate and Urinary Bladder Tumours
  • Urethral dilatation
  • Removal of stones (calculi)
  • Urethrotomy
  • Surgery for Urethral Strictures
  • Surgical removal of stones (from kidneys, ureters and urinary bladder)
  • Repair of Hypospadius
  • Repair of Urogenital fistula

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ENT-Nasal Endoscopy

ENT-Nasal Endoscopy

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General Surgery-Hernia Repair
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Herniorrhaphy (Hernioplasty, Hernia repair) is a surgical procedure for correcting hernia. A hernia is a bulging of internal organs or tissues, which protrude through an abnormal opening in the muscle wall. Hernias can occur in the abdomen, groin, and at the site of a previous surgery.

Almost all repairs done today are open "tension-free" repairs that involve the placement of a synthetic mesh to strengthen the inguinal region; some popular techniques include the Lichtenstein repair (flat mesh patch placed on top of the defect), Plug and Patch (mesh plug placed in the defect and covered by a Lichtenstein-type patch), Kugel (mesh device placed behind the defect), and Prolene Hernia System (2-layer mesh device placed over and behind the defect). This operation is called a 'hernioplasty'

In recent years, as in other areas of surgery, laparoscopic repair of inguinal hernia has emerged as an option. "Lap" repairs are also tension-free, although the mesh is placed within the pre-peritoneal space behind the defect as opposed to in or over it. It has no proven superiority to the open method other than a faster recovery time and a slightly lower post-operative pain score. Unlike the open method, laparoscopic surgery requires general anesthesia. It is usually more expensive and consumes more Operating Room time than open repair, carries a higher risk of complications, and has equivalent or higher rates of recurrence compared to the open tension-free repairs.

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Comprehensive renal replacement therapy options are available at Desun for patients with chronic kidney failure. Dialysis specialists provide patients with comprehensive care, including:
  • In-center hemodialysis and peritoneal dialysis
  • 24-hour emergency dialysis services
  • Home hemodialysis for eligible patients
  • Pre-emptive kidney transplantation evaluation
  • Educational programs for dialysis patients and their families

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Sigmoidectomy is a surgery done by the removal of the sigmoid colon and indicated to treat cancer of the sigmoid colon; sigmoid volvulus; large cysts of the sigmoid; prolapse of the rectum; inflammatory bowel diseases(ulcerative colitis and Crohn disease); benign tumors of the sigmoid colon; fistula between the bladder and sigmoid colon; and scleroderma of the colon. Before sigmoidectomy procedure can begin, the individual is given general anesthesia. The patients lower abdomen is shaved and washed with soap and antiseptic, and draped so that only the area between the pubis and navel is exposed. A vertical incision is performed between the pubis and the navel; some doctors prefer a horizontal incision along a line just above the pubis. The muscles, fascia, skin are cut in layers and bleeding vessels are cauterized or ligated. The sigmoid colon is found and freed from its supporting structures by blunt and scalpel dissection. After the diseased part of the sigmoid has been freed, it is clamped at both ends and cut between the 2 clamps. The removed part is sent for examination to the pathologist. The different layers over the colon, such as fascia, skin, and muscle are closed with sutures. In some cases staples may also be used. The person is transferred to the recovery room. Most individuals will have a nasogastric tube (a tube that is inserted through nose and runs down to the stomach) for the first few days after the sigmoidectomy to keep the body regular secretion of gastric juices out of the lower intestine. The tube is usually taken out, when it is clear that the bowel is working again and the internal connections have had time to heal. The person is started on a liquid diet and gradually returned to solid food.

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