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Varicocele Embolization

Other Minmal Invasive Procedures

What is it?

Varicocele is a condition in which the swelling of testicular veins occurs due to venous leakage that leads to increment in scrotal temperature and infertility in long term.

It is a minimally invasive procedure to treat the varicoceles by embolizing the testicular vein.

Why (Indications)?

  • Symptomatic varicocele
  • Infertility/subfertility
  • Failed surgical ligation

Main advantage is it is a minimally invasive and day procedure.

Why Not (Contraindication)?

Relative contraindications include:

  • intravenous contrast allergy
  • renal impairment
  • coagulopathy

What you are to do before procedure(Preparation)?

  • Visit us in OPD for assessment of varicocele with ultrasound. Get lab investigation (*PT/INR, Serum Creatinine, Viral markers) done and book your appointment
  • Get admission in day care on scheduled time and date with 4-6 Hours fasting
  • If you are on blood thinner like Aspirin inform during appointment.
  • One accompanying person
  • Need to sign a consent form for procedure

Approx. Stay in hospital?

We have very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is around One day only.

Complications:

  • venous perforation: generally subclinical and self-limiting
  • misplacement of coil (e.g. into renal vein): usually retrievable with snare
  • embolization of coil into pulmonary circulation (if coil undersized): usually retrievable with snare
  • failed embolization: usually due to patent collaterals

Resume to work?

You can resume your work after 2-3 days.

Results?

  • outcome almost identical for embolotherapy and surgical ligation
  • technical success rate close to 100%

Rfa Of Osteoid Osteoma

What is it?

Procedure in which the lesion is burn by producing heat. A special needle is placed within lesion and radiofrequency ablation waves are applied for particular time and temperature. This procedure is done under general anesthesia and CT Scan guidance.

Why (Indications)?

It is treatment of choice for disease. Dramatic relief of pain occurs within 6 hours.

Why Not (Contraindication)?

If not fit for anesthesia.

What you are to do before procedure(Preparation)?

  1. Book prior appointment after anesthesia clearance.
  2. Lab investigation (*PT/INR, CBC, Viral markers), Imaging and previous records
  3. 6 Hours fasting.
  4. If you are on blood thinner like Aspirin inform during appointment.
  5. One accompanying person
  6. Need to sign a consent form for procedure
  7. Cash or ATM card

Approx. Stay in hospital?

We have very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is around 1-2 Days.

Complications:

Minor bone fracture (1-2%), Minor pain along needle tract may occur.

Resume to work?

You can resume your work after 2-3 days.

Results?

Recurrence rate is almost nil.

Portal vein embolization (PVE): is a technique used to selectively occlude the blood supply to one of the liver lobes, allowing the other lobe to undergo hyperplasia. This increases the size of the post hepatectomy future liver remnant (FLR), and improves surgical outcomes. 2-4 weeks is usually enough for most patients with normal liver function.

Pre-operative Tumor embolization: It is a minimal invasive procedure which is being done to decrease the blood supply of tumor before surgery. The main aim to reduce the blood loss during surgery.

Deep Vein Thrombosis (DVT): DVT is when a blood clot forms in a deep vein of the legs or, occasionally, the arms. It is a serious condition because these blood clots can break loose and travel through the bloodstream to the lungs, blocking blood flow. This life-threatening and often fatal condition is called a pulmonary embolism (PE). DVT and PE are two parts of the disease known as venous thromboembolism (VTE). Prolong immobilization is the main risk factor along with blood disorder. Pain and swelling are the main symptoms. Color Doppler is the most commonly used modality to diagnose this condition.

The standard of care for the treatment of acute DVT is blood thinning medication (anticoagulation) such as heparin and warfarin (Coumadin).

If blood-thinning medications are contraindicated, a small metal filter may be implanted in the inferior vena cava (IVC Filter), the large vein that returns blood back to the heart. An IVC filter does not speed up the process of dissolving the clot in the vein.

For patients with symptomatic DVT and a large clot burden, a cutting-edge procedure known as DVT thrombolysis is commonly performed to rapidly reduce symptoms and remove the clot from the deep veins.

Arterial and venous thrombosis of intestine vessels: In acute stage there is option of thrombolysis if bowel is relatively preserved. For chronic stage stenting is done.

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