Bentall Procedure in Tunisia

A Bentall procedure is a surgery that is conducted to rectify problems associated with the aorta, the largest artery in the human body. An aorta carries oxygenated blood from the heart to the rest of the body.

The Bentall procedure is used for the treatment of joint disease of the ascending aorta and the aortic valve. During this procedure, a composite graft is used to replace the aortic valve, aortic root, and the ascending aorta. When the replacement of any of these components is not required, then some alternative surgery may be carried out instead of Bentall procedure.

When is Bentall Procedure Required?

The following are some of the problems with the aorta and aortic valve that are treated with the help of Bentall surgery

Aortic aneurysm
Aortic regurgitation
Aortic dissection
Lesions associated with Marfan syndrome

Factors Affecting the Cost of Bentall Procedure

Bentall procedure is a complex surgery that must be performed by experienced and skilled cardiothoracic surgeons. It requires a prolonged hospital stay as compared to other cardiac surgeries and the patient requires greater monitoring at the hospital and home.

Some of the factors that affect Bentall surgery cost include the following:

The type of composite graft used
Experience and skills of the surgeon
Duration of hospital stay
Duration of ICU stay
Medicines and consumables used
Duration of ventilator use
Hospital charges and nursing fee
Any unforeseen complications
Hospital room category
Additional investigations required after the surgery

Treatment and Cost

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About the Bentall Procedure

A Bentall procedure is a surgery conducted to correct problems associated with the largest artery in the body, the aorta. The aorta carries oxygenated blood from the heart to the rest of the body. Thus, any problem with this important artery may affect the rest of the body and cause serious complications.

A Bentall operation is conducted to correct problems associated with the aorta. Some of the problems that are resolved with the help of a Bentall surgery include the following:

Marfan’s syndrome: It is a congenital disorder characterized by weakening of the aortic wall
Aortic aneurysm: It is characterized by the widening of the aortic valve
Aortic dissection: It refers to the tearing of the inner layer of the aorta
Aortic regurgitation: It is a condition in which the aortic valve is not able to close properly

How is Bentall Procedure performed?

The following are the typical Bentall procedure steps:

You will be taken to an operation theatre on a trolley or a wheelchair and asked to lie down on a table.
The anaesthetist will administer general anaesthesia to you.
Once you are in a relaxed state, the surgeon makes an incision and removed the affected part of the aorta and the aortic valve.
The coronary arteries are also temporarily removed.
The affected parts of the aorta are replaced with an artificial aortic graft that has a new valve attached to it.
Two holes are created in the artificial graft and the coronary arteries are attached to it.
The incision is closed with the help of sutures and staples.

Recovery from Bentall Procedure

Bentall procedure recovery time varies from one patient to the other. It actually depends on the overall health of the patient and how successfully the procedure was conducted. Immediately after the procedure, you can expect to spend a day or two in the intensive care unit (ICU). During your stay in the ICU, you will be connected to machines that monitor your vital signs such as breathing, temperature, heart rate, and blood pressure.

You should take time to recover well after the surgery. Do not rush things and start with the normal routine as soon as you are shifted back home. You are likely to spend a few days in a normal hospital room before discharge. The surgeon will monitor your progress and give a green signal for discharge at the right time. You must take care of the wound and stitches once you get home. Additionally, make a note of any discomfort, palpitations, pain, fever, blurred vision, and poor appetite and inform it to your doctor. It may take around six to eight weeks to regain normal mobility. Take help from a nurse or a family member while lying down or standing up. You will be taught a safer technique to roll and sit in bed. Remember to follow whatever your doctor suggests you to minimize your recovery duration.

Frequently Asked Questions

What is the health care infrastructure of Tunisia / Why should opt for Tunisia as a destination for your medical treatment?

Hospitals in Tunisia are developing and trying to meet the international standards of healthcare. Although there is a basic set up in most of the hospitals for treatment in Tunisia, one can still expect scope for improvement. The Ministry of Health, along with the Government of Tunisia is making effective changes for the healthcare sector. The private hospitals in Tunisia are also undergoing a robust change to provide effective healthcare and treatment in Tunisia.

Like most other countries, hospitals in Tunisia have a private and public healthcare system. Hospitals in Tunisia include three levels of care: primary, with a network of 81 clinics and 2091 basic health centers; secondary, with 109 district hospitals; and tertiary, with 33 regional hospitals and 24 modern CHUs, according to MoS figures.

What are the conditions of the hospitals in Tunisia? Are they JCI certified? What is the quality of the support staff in the hospitals?

The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety.
In Tunisia, there are no JCI accredited hospitals but 4 private hospitals are certified ISO and OHSAS (Occupational Health and Safety Assessment Series).

Are the doctors/surgeons in Tunisia of the best quality?

The hospitals in Tunisia have seen a constant change in terms of development and technology. Most doctors that are trained in the country understand the needs and requirements of people and are able to diagnose and treat them well. There are various surgeons that fly in from other countries as well to treat patients. This was brought about due to the economic reforms and various expats residing there. The varying levels of health organizations provide reasonable means of treatment for any patient. There are also trained paramedical and emergency service staff in this country.

What is the process for obtaining a medical visa in Tunisia?

Patients who wish to visit Tunisia for medical purposes must contact the Embassy of Tunisia in their home country. One is required to have a valid passport. Those applicants must submit their visa application forms in person together with the following documents:

A duly completed application form with one picture (within a white background).
Original biometric passport and one copy. Passports should have a validity of at least one year from the date of your visa application submission.
Medical certificate stating the type of illness and the treatment to be carried out. This document has to be in English or Spanish language.
Letter from the hospital in Tunisia stating the appointment date and whether the treatment expenses have been already paid in full.
Proof of financial means which enable the applicant to meet life needs while in Tunisia (salary certificate if working, bank statement for the last six months, property deeds, commercial license, other sorts of income).
Travel insurance.
Proof of accommodation (hotel reservation, etc)
Applicants are advised that ALL PASSPORTS HAVE TO REMAIN at the Embassy premises while the visa application is under process (between 10 and 15 days), and therefore cannot be retrieved unless very special and urgent circumstances might arise.
The Embassy has the right to require from the applicant any document that it may deem relevant in order to resolve the visa file.

What support services does MediGence provide in Tunisia?

MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:

Expert Opinion
We help you seek an Expert Opinion on your diagnosis and treatment from an experienced team of doctors at MediGence and specialists from a reputable hospital.
Hospital Recommendation
We recommend a hospital or a healthcare institution that is best suited for you, based on your ailment and its criticality.
360-degree Hospital Review
We give you a transparent and holistic view of the hospital and its infrastructure, accreditation, facilities, and expertise to give you confidence.
Doctor Validation and Communication
We share a comprehensive profile of the treating doctor and also arrange a call to clear queries regarding treatment if needed.
Options to Choose From
Based on your choice of destination and other preferences, we provide you multiple options with respect to hospitals and doctors to choose from.
24X7 Patient Care Support
A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
Transparent Treatment Cost and Other Expenses
We give a clear and accurate indication of the total cost of treatment including treatment, stay, meals, and other expenses.
Visa Assistance
We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
Accommodation Arrangements
We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.

Which are the best cities in Tunisia for medical treatment?

Tunis is the largest country and capital of Tunisia. This country is located in the northern region of Africa and is the best city for treatment in Tunisia.