The Fontan procedure is performed in children with a special type of congenital disorders that leaves them with a single functioning ventricle. There are two ventricles in the heart, one supplies blood to the lungs while the other pumps blood to the rest of the body parts.
Some children may be born with just one functional ventricle because of an absence of a heart valve or an abnormality in the ability of the ventricles to pump blood. As a result, a single ventricle has to work hard to supply blood to the lungs and the rest of the body at the same time. In such children, the Fontan procedure is performed.
The Fontan procedure is usually conducted when the child is between the age two and five. However, it can be conducted before two years of age. The Fontan procedure is contraindicated in children with high pulmonary vascular resistance. This is because as a part of this procedure, the blood must flow through the lungs without the pumping function of the heart. The Fontan procedure is also contraindicated in children with mitral insufficiency, left ventricular dysfunction, and pulmonary artery hypoplasia. The Fontan operation is also conducted in adults with this defect. The treatment is more complicated in such patients, as adults are more likely to develop Protein-Losing Enteropathy (PLE). It is a condition in which the protein is lost through the gut and it may lead to internal bleeding and fluid retention. But the complications resolve on its own when the surgery is performed. Such patients may sometimes even need a heart transplant.
The Fontan procedure is performed under the influence of general anesthesia. The patient is shifted to the surgical room an hour before the actual time of the surgery. General anesthesia is administered and once the patient is in deep sleep, a tube is inserted into the windpipe.
The body of the patient is connected to machines so that his or her vital parameters can be observed throughout the surgery and after that.The main purpose of the surgery is to optimize the Fontan circulation so that a single ventricle is able to effectively pump pure blood to the entire body and the impure blood to the lungs without any pumping mechanism. During the surgery, the surgeon opens the thoracic cavity by cutting through the sternum, which is a bone attached to the ribs. Doing so provides direct access to the heart.
Next, the surgeon uses either the extra-cardiac method or the lateral tunnel method to make the impure blood reach the lungs. The create a hole between the Fontan circuit and the right atrium to relieve the pressure. The hole, also known as “fenestration,” closes of its own later or can be closed off later with the help of cardiac catheterization.
The patient is transferred to the recovery room after the surgery and this is where all his or her vital signs are monitored for a couple of hours. Once the patient is stable, he or she is transferred to the cardiac ward.
The doctors may administer painkillers to control pain after the surgery. Expect the patient to be kept in the hospital for a few days. Additionally, eating and drinking are restricted for a few days after the surgery. Once the bowel movement resumes normally, the patient is given a light diet and fluids. This may take anywhere from two to three days. The medications and fluids are administered through an IV line until the patient starts taking normal diet. The dressing is changed every day during the hospital stay. A majority of patients are able to return to their normal routine within the first three months of the surgery. They are advised to increase their activities gradually and not to exert themselves too much.
The cost of Fontan Procedure in Czechia may differ from one medical facility to the other. The top hospitals for Fontan Procedure in Czechia covers all the expenses related to the pre-surgery investigations of the candidate. The treatment cost usually includes the expenses related to hospitalization, surgery, nursing, medicines, and anesthesia. There are many things that may increase the cost of Fontan Procedure in Czechia, including prolonged hospital stay and complications after the procedure.
There are many hospitals that perform Fontan Procedure in Czechia. Some of the most renowned hospitals for Fontan Procedure in Czechia include the following:
After Fontan Procedure in Czechia, the patient is supposed to stay in guest house for another 30 days. This is important to ensure that the surgery was successful. During this time, control and follow-up tests take place to check for medical fitness.
Apart from the Fontan Procedure cost, the patient may have to pay for additional daily expenses such as for guest house after discharge and meals. The per day cost in this case may start from USD 50 per person.
Some of the cpopular cities in Czechia that offer Fontan Procedure include the following:
After Fontan Procedure, the patient is supposed to stay for about 7 days in the hospital for recovery and monitoring. During the recovery, the patient is carefully monitored and control tests are performed to see that everything is okay. If required, physiotherapy sessions are also planned during recovery in hospital.
There are more than 1 hospitals that offer Fontan Procedure in Czechia. These hospitals have proper infrastructure for the treatment of patients who require kidney transplant. Such hospitals follow all legal protocols and guidelines as specified by the local medical affairs body when it comes to the treatment of international patients.
The JCI or Joint Commission International is a renowned accredition body present in over 100 countries. It also accredites hospitals and clinics in Czechia as well. The JCI is a not for profit organisation which ensures that the standards of healthcare and patient safety are maintained for the healthcare system in Czechia. Joint Commission International is the body that has partnered with several healthcare organisations in Czechia to ensure that they maintain quality in healthcare. The organisation management of any hospital or clinic in Czechia or the patient care levels are ensured by their certification from Joint Commission International.
Please find below the list of popular multispecialty hospitals in Czechia.:
There are several advanced multispecialty hospitals in Czechia which are the backbone of the healthcare sector in Czechia and it is them which make Czechia the popular medical tourism destination it is today. The multispecialty hospitals in Czechia make it possible for any patient to get the treatment they deserve across any specialty at reasonable cost. The Czechia multispecialty hospitals’ are equipped with the latest technologies which are upgraded regularly so that the healthcare is equivalent to the best anywhere in the world.
You should opt for healthcare in Czechia because the healthcare systems in Czechia are based on a stringent framework which gives it a lot of credence among all entities be it patients, healthcare professionals, accreditation bodies, private organisations, academicians and governments. Their is a wide range of treatment options available in the hospitals and clinics in Czechia at economical price packages and should be reason enough for you to opt for healthcare in Czechia. It is natural for any medical traveller to opt for healthcare in Czechia hospitals and clinics because there is a variety of treatments being performed here everyday at affordable costs. A strong reason to opt for healthcare in Czechia is the good health insurance coverage that covers Czech citizens, permanent residents, foreigners working for a local company, EU citizens through European Health Insurance Card (EHIC), Global Health Insurance card (GHIC) for UK citizens. Even those who are not covered by any of these options can opt for travel health insurance (less than 90 days stay) and private healthcare insurance schemes (for those staying for over 90 days).
With several decades of experience, on field training in their area of expertise and an education from the most reputed universities in the world, the doctors in Czechia are definitely of good quality. It is well known that the quality of treatment provided by the doctors in Czechia has always had high success rates. The fact that the doctors in Czechia are recognised globally for their contribution to the medical field is testament to their good quality. The efficiency and thorough approach of the doctors that treat patients in Czechia hospitals covers the entire process from the consultation to the post operative care.
We have listed below the documents that are mandatory when you travel to Czechia for your medical treatment:
The documents that you are carrying for your medical travel to Czechia are related to your travel and treatment. Your finances must be in order too to support your medical travel, if not then be assured of sponsorship and insurance options and do carry the relevant documents for the same. Please tally your travel itinerary and treatment plan with the documents that you plan to carry with you on your medical travel to Czechia. Navigating the Czechia travel and medical ecosystem will be a seamless process for you if your medical and travel documents are aligned with what is required.
Let us have a look at the various popular procedures that are being done in Czechia:
Numerous medical tourists are headed to Czechia each year owing to its success rates in weight loss procedures like Sleeve Gastrectomy and Gastric Bypass. Orthopaedics is a well developed medical specialty in Czechia and includes both medical management and surgical management of disease and injury. Therefore, procedures like Knee replacement and Hip replacement are really popular in hospitals in Czechia. Microdiscectomy and Spinal Fusion are two popular spinal procedures that have resulted in lot of medical travellers heading to Czechia.
It is mandatory for you to take vaccinations before your travel to Czechia as per your health conditions. Please find below the mandatory vaccinations that you are required to take when you are going to Czechia as a medical traveller:
The vaccinations that you must take before going to Czechia are those that are considered as routine vaccines and those that are for specific ages and health hazards. It would be good to double check the vaccinations that you need to take well in advance of your journey to Czechia for your medical treatment from the World Health Organisation, a United Nations arm and Centers for Disease Control and Prevention, a US agency.
Hospitals in Czechia provide many additional facilities to facilitate your medical treatment and we are outlining some of them for your convenience:
The healthcare and administration professionals who are at the forefront of international patient care management in the major hospitals in Czechia provide you the best in international patient care facilities. When you come to get your medical treatment for your condition in any major hospital in Czechia, you will need to liaison with only a single point of contact who will ensure that your international, local travel and hospital transfer is made seamless. This is a great facility that is available for all medical travelers to Czechia. There are many kinds of add on facilities that are available in hospitals in Czechia such as laboratories, pharmacies and physiotherapists.
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