Scoliosis
Steps Involved in IVF:
Procedure Description
Scoliosis is a medical condition characterized by a lateral curvature of the spine, often in an "S" or "C" shape. This abnormal curvature can vary in severity and can cause symptoms ranging from mild discomfort to significant back pain, respiratory issues, and impaired mobility. The primary goal of scoliosis treatment is to reduce or correct the spinal curvature, improve posture, alleviate pain, and prevent the condition from worsening over time. There are various treatment approaches, with the most suitable one depending on the patient's age, the severity of the curvature, and overall health.
Non-surgical methods include observation, bracing, and physical therapy, mainly utilized for mild to moderate cases, especially in growing adolescents. Bracing aims to prevent the curve from progressing further until skeletal maturity. However, if the curve exceeds a certain degree or continues to progress, surgery becomes a viable option.
Surgical intervention is recommended for moderate to severe scoliosis cases where the curvature exceeds 45-50 degrees or is causing significant symptoms. The most common surgical procedure is spinal fusion, where two or more vertebrae are fused together to correct the curvature and stabilize the spine. Other minimally invasive surgical options include the use of rods, screws, and other instruments to align and support the spine, such as vertebral body tethering or growth modulation for children who are still growing.
Procedure Duration
The length of scoliosis surgery can vary based on the complexity of the spinal curvature, the specific surgical method employed, and the patient's individual health needs. Generally, spinal fusion surgery takes between 4 to 8 hours to complete. The procedure involves making an incision along the back, exposing the spine, and placing metal rods, hooks, or screws to correct the curvature before performing a bone graft to fuse the vertebrae.
The recovery process from scoliosis surgery can be quite extensive. Post-surgery, patients typically stay in the hospital for 5 to 7 days, with a portion of this time spent in the intensive care unit (ICU) for close monitoring. The initial recovery phase involves managing pain, regaining mobility, and ensuring that the surgical area is healing properly.
Full recovery from scoliosis surgery can take anywhere from 6 months to a year. During this period, patients are advised to avoid heavy lifting, strenuous activities, and bending or twisting motions to allow the spine to fuse completely. Physical therapy often plays a crucial role in rehabilitation, helping patients regain their strength, flexibility, and overall function while preventing complications.
Benefits
- Improved Posture and Spine Alignment: Surgical correction of scoliosis can significantly improve posture and the appearance of the back.
- Pain Relief: For many patients, reducing the spinal curve alleviates chronic pain associated with scoliosis.
- Improved Respiratory Function: In severe cases, correcting the spinal deformity can enhance lung capacity and improve breathing.
- Increased Mobility and Quality of Life: Proper alignment can restore balance and stability, improving overall mobility and daily functioning.
- Prevention of Curve Progression: Surgical intervention halts the progression of the spinal curve, reducing the risk of future complications and health issues.
Potential Destinations for Scoliosis Surgery
- India:
Renowned for its skilled orthopedic surgeons and advanced medical technology, India offers cost-effective scoliosis treatment without compromising on quality. Many hospitals in India are internationally accredited, ensuring high standards of care.
- Turkey:
Turkey has emerged as a popular destination for scoliosis surgery, combining top-tier medical expertise with state-of-the-art facilities. The country is also well-connected to many international locations, making travel easier for medical tourists.
- Thailand:
With its modern healthcare infrastructure and highly trained surgeons, Thailand is a popular destination for orthopedic procedures. The country is known for offering comprehensive post-surgery rehabilitation programs in scenic settings, contributing to an overall holistic recovery experience.
- Mexico:
Mexico offers proximity and convenience for North American patients seeking scoliosis surgery. The country boasts world-class medical facilities and orthopedic specialists, providing personalized care at a fraction of the cost compared to many Western countries.
- Spain:
Spain is recognized for its advanced healthcare system and expertise in orthopedic surgery. With a focus on minimally invasive procedures and modern medical technology, patients can expect excellent treatment outcomes while enjoying the benefits of a European destination.
Risks & Considerations
- Infection:
There is a risk of post-operative infection, which may require antibiotics or further surgery. Hospital protocols for sterility and hygiene are crucial in minimizing this risk.
- Nerve Damage:
During scoliosis surgery, there is a potential risk of nerve injury, which could lead to numbness, weakness, or paralysis in rare cases. Surgeons use advanced monitoring techniques during the procedure to avoid nerve complications.
- Bleeding and Blood Clots:
Scoliosis surgery involves significant tissue manipulation, which can result in substantial blood loss. Surgeons may use blood transfusions and other techniques to control bleeding. There is also a risk of blood clots, which can be managed with appropriate preventive measures.
- Hardware Complications:
The metal rods, screws, or other devices used to stabilize the spine can occasionally break or shift, requiring further surgical intervention to correct the issue.
- Incomplete Spinal Fusion:
In some cases, the vertebrae may not fully fuse as intended, which could necessitate additional surgery. Adherence to post-operative care instructions is critical for optimal fusion and healing.
How to Choose the Right Doctor and Hospital
When selecting a doctor and hospital for scoliosis treatment, it is important to consider the surgeon's experience, particularly in spinal deformity correction. Board-certified orthopedic surgeons with a specialization in scoliosis and spinal surgery are ideal. Research their qualifications, years of experience, and success rates in scoliosis surgeries. Seeking a surgeon who is part of reputable orthopedic or spinal surgery associations can further ensure their expertise.
The hospital or medical facility should have state-of-the-art equipment and a strong track record in performing complex orthopedic surgeries. International accreditation or certification, high standards of patient safety, and positive patient reviews are key indicators of a reliable healthcare institution. It's also recommended to verify that the facility offers comprehensive post-operative care, including physical therapy and rehabilitation services.
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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