Aortic Aneurysms

Steps Involved in IVF:

Procedure Description

An aortic aneurysm is a balloon-like bulge in the aorta, the largest artery in the body that carries oxygen-rich blood from the heart to the rest of the body. Aneurysms can occur in different parts of the aorta, with the abdominal aorta and thoracic aorta being the most common areas affected. Left untreated, aortic aneurysms pose a significant health risk due to their potential to rupture, leading to severe internal bleeding, organ damage, and even death. Due to the severity of this condition, early diagnosis and treatment are critical.

Treating an aortic aneurysm typically involves surgical intervention, depending on its size and risk of rupture. The two main types of procedures are open surgical repair and endovascular aneurysm repair (EVAR). Open surgery involves a large incision to access the aorta and replace the aneurysm section with a synthetic graft. This procedure is more invasive and usually requires a longer hospital stay. EVAR, on the other hand, is a minimally invasive approach involving a small incision in the groin area through which a catheter is inserted, placing a graft within the aneurysm to reinforce the weakened area. Both approaches aim to reduce the aneurysm's risk of rupturing by stabilizing the arterial wall.

The type of procedure chosen for an aortic aneurysm depends on the aneurysm’s size, location, and the patient’s overall health. Open surgery is often reserved for patients with larger or more complex aneurysms, while EVAR is a preferred option for those who are elderly or have other health conditions that make open surgery riskier. Both procedures require specialized surgical skills and advanced medical equipment, making it essential to seek treatment at an experienced facility.

Procedure Duration

The duration of an aortic aneurysm repair procedure can vary based on several factors, including the type of surgery, the patient’s health, and the complexity of the aneurysm. For open surgical repair, the procedure itself typically lasts between three to six hours. It involves a significant amount of preparation, careful surgical execution, and post-surgery closure. Patients undergoing open surgery can expect a hospital stay ranging from seven to ten days, depending on their recovery progress and any postoperative complications.

Endovascular aneurysm repair (EVAR), being minimally invasive, often takes less time to perform—usually around one to three hours. The EVAR procedure involves the use of imaging technology to guide the placement of the graft inside the aneurysm, requiring a shorter recovery time compared to open surgery. Hospital stays following EVAR are often shorter, averaging around two to four days, as the minimally invasive nature of the procedure results in less pain and quicker recovery.

Recovery from either procedure varies by patient. Open surgery generally requires a more extended recovery period, typically ranging from several weeks to a few months. Patients recovering from EVAR may experience a faster return to normal activities, often within two weeks. However, regular follow-up appointments are essential, particularly after EVAR, to monitor the graft placement and ensure the aneurysm remains stable.

Benefits

  • Minimizes Risk of Rupture: Both open surgery and EVAR significantly reduce the risk of aneurysm rupture, providing long-term stability.
  • Improves Quality of Life: Treating an aortic aneurysm can alleviate associated symptoms such as abdominal pain and reduce the risk of complications.
  • Increases Life Expectancy: By addressing the aneurysm before it can rupture, treatment can extend the patient’s life expectancy.
  • Minimally Invasive Option Available: EVAR offers a less invasive alternative, with reduced recovery times and lower risks for certain patients.
  • Advanced Imaging and Precision: EVAR uses imaging to ensure precise placement, allowing for a targeted approach to repair the aneurysm.

Potential Destinations

  • Germany
    Known for its advanced healthcare infrastructure and highly trained specialists, Germany is a popular destination for complex procedures like aortic aneurysm repair. The country's strict quality standards in healthcare and modern technology make it an appealing choice for medical tourists.
  • South Korea
    South Korea is renowned for its state-of-the-art medical facilities and commitment to patient-centered care. With high levels of expertise in minimally invasive procedures, it’s a go-to destination for those seeking EVAR treatment.
  • Thailand
    Thailand has become a medical tourism hub, offering cost-effective treatments without compromising on quality. Known for its hospitality and modern healthcare services, Thailand attracts patients seeking both affordability and quality care.
  • Turkey
    Turkey offers excellent healthcare services at competitive prices, making it a popular choice for international patients. Many hospitals in Turkey are internationally accredited and staffed with experienced cardiovascular surgeons, ensuring high standards of care.
  • India
    India is a leading destination for medical tourism, especially for complex cardiovascular procedures. With internationally accredited hospitals and a vast pool of highly skilled surgeons, India provides affordable options without sacrificing quality.

Risks & Considerations

  • Risk of Infection: Both open surgery and EVAR carry a risk of infection. Patients should ensure that their chosen facility has high infection control standards.
  • Potential for Blood Clots: After surgery, there’s a risk of blood clot formation. Patients may be prescribed anticoagulants to mitigate this risk.
  • Anesthesia-Related Complications: Both procedures require anesthesia, which carries inherent risks, especially for those with pre-existing health conditions.
  • Graft Migration or Leakage: In EVAR, there’s a possibility of the graft moving or leaking over time, requiring regular monitoring and potential re-intervention.
  • Extended Recovery Time for Open Surgery: Open surgery has a longer recovery period and may not be suitable for patients with other health issues, as it can be physically demanding.

How to Choose the Right Doctor and Hospital

Selecting the right doctor and hospital for aortic aneurysm treatment is crucial. Begin by researching hospitals with established cardiovascular departments and a history of performing complex vascular procedures. Consider facilities that specialize in both open and endovascular procedures, as this can give you more options based on your specific condition and overall health.

Ensure that your chosen doctor is a board-certified vascular surgeon or cardiothoracic surgeon with experience in aortic aneurysm repairs. Reviews from other patients, online resources, and consultations can provide additional insights into a doctor’s expertise and patient satisfaction levels. For those traveling abroad, verifying the hospital’s accreditation and understanding their postoperative care policies can further ensure a safe and successful medical journey.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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The stem cells used for treatment of a thin endometrium include mesenchymal stem cells. In addition, successful repair of the endometrium in pregnancy with stem cells has been reported previously.

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