Fontan procedure is a surgery carried out for the treatment of Hypoplastic Left Heart Syndrome (congenital (present by birth) abnormality in children, where children possess only a single functional ventricle). In this syndrome, the oxygen-rich and the oxygen-empty blood are mixed in the circulation, causing the child to turn blue. Fontan procedure is the third stage of repair after two other operations and is carried out when a child is between 18 months and 2 years of age. The aim of this procedure is to separate the red blood (oxygen filled) from the blue blood (oxygen-empty). This is a surgery done to decompensate the pressure in the ventricle.
With tremendous medical advancement in Indian hospitals, many disease conditions are being diagnosed and treated accurately and timely. The surgery set up in India is quite good and many hospitals in North and South India have started performing Fontan surgery due to technical advancements in the medical set up. Pediatric cases from all over India and even some parts of the world are being referred to Indian hospitals, and if the cardiologists find the patients fit, Fontan surgery is carried out. With highly experienced cardiologists, cardiothoracic surgeons and nursing staff, Fontan surgery in India are gaining popularity in the medical tourism world.
Low cost of Fontan procedure as compared to abroad and availability of all the diagnostic and therapeutic facilities are few of the many advantages of a Fontan procedure in India. The low cost of Fontan surgery allows people from all over the world, especially in underdeveloped countries, to have an access to first class medical treatment. The type of Fontan hospital where the patient is treated in, treatment method, type of anesthesia or sedation, other treatments performed along with Fontan surgery and the choice of the city are major factors which determine the cost of a Fontan procedure in India.
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 procedure starts from USD 10000 in India. Many multispeciality hospitals which are NABH, JCI certified are approved to operate a Fontan Procedure in India
The cost of Fontan Procedure in India may differ from one medical facility to the other. There are many hospital that cover the cost of pre-surgical investigations of the patient in the treatment package. Typically, the package cost of Fontan Procedure in India includes the expenses related to the surgeon's fee, anesthesia, hospital, meals, nursing and ICU stay. Extended hospital stay, complications after the surgery or new diagnosis may affect the overall cost of Fontan Procedure in India.
After Fontan Procedure in India, 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.
India is considered to be one of the best places for Fontan Procedure in the world. This is because of the availability of some of the best doctors, advanced medical technology and good hospital infrastructure. Some of the other destinations that are popular for Fontan Procedure include the following:
There are certain expenses additional to the Fontan Procedure cost that the patient may have to pay for. These are the chanrges for daily meals and hotel stay outside the hospital. The per day extra expenses in India per person are about USD 50 per person.
Some of the best cities in India which offer Fontan Procedure are:
Patients who are interested in availing telemedicine consultation before they travel for Fontan Procedure in India can opt for the same. There are many Fontan Procedure surgeons who offer video telemedicine consultation, including the following:
|Doctor||Cost||Schedule Your Appointment|
|Dr. Bikram K Mohanty||USD 35||Schedule Now|
|Dr. Ashish Chauhan||USD 14||Schedule Now|
|Dr. Sumit Narang||USD 14||Schedule Now|
After the Fontan Procedure takes place, the average duration of stay at the hospital is about 7 days. The patient is subjected to several biochemistry and radiological scans to see that everything is okay and the recovery is on track. After making sure that patient is clinically stable, discharge is planned.
The average rating for Fontan Procedure hospitals in India is 3.9. This rating is calculated on the basis of different parameters such as attitude of the nurses, cleanliness, quality of food and the pricing policy.
There are more than 49 hospitals that offer Fontan Procedure in India. Such clinics have the required infrastructure and a dedicated unit where patients can be treated. 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.
Accreditation to healthcare providers is given by two bodies in India. One of them is National Accreditation Board for Hospitals & Healthcare Providers (NABH) Standards. NABH is the best benchmark for the quality of hospitals in India. JCI or Joint Commission International is another well known standard which sets benchmark for healthcare providers in India and abroad.
World-class medical treatment is offered at affordable cost in Indian multispecialty hospitals. These hospitals can deal with more than one specialty and offer all kinds of surgeries. The general medical needs of patients are also taken care of by these hospitals. We list here some of the best multispecialty hospitals in India:
One of the leading medical tourism destinations, India offers affordable healthcare and has superior infrastructure. The high end technologies that are at par with the western world and indian hospitals' overall health standards are equivalent to the western world. The strengths of Indian pool of doctors are their professionalism, competence and the high level of precision and accuracy they bring to the treatment. India has several things going for it that ensures that it is the most favored destination for medical travelers such as ease of communication, ease of travel, alternative treatment availability and visa assistance.
Highly skilled Indian doctors with precise application of their skills has ensured that they are positively regarded by patients. No matter what new healthcare challenges are present before them, the doctors in India face and overcome them with a lot of confidence. The doctors in India have been educated at premier educational institutions across the world. You will feel right at home with the best of medical care that Indian doctors and surgeons can provide you with.
As a medical traveler, you begin your travel journey with packing. The documents are of different kinds such as travel related, treatment related and finances. We are listing the documents here for your ease:
Popular procedures that are being performed in India are:
The popular procedures that are being performed in India are being refined over time owing to an upgradation of various techniques and technologies. Procedures like heart surgeries, orthopaedic procedures, organ transplants and cancer treatment are extremely popular because the good quality of doctors who perform these operations and provide treatments at reasonable costs. The steep rise in the number of popular procedures performed regularly in India is also because of a number of good hospitals and related healthcare facilities.
When traveling internationally, you need to get vaccinated and immunised with essential medicines. All medical tourists traveling to India need to get vaccinated before they leave their country to ensure their safety. The travel advisory issued by the Indian government or the hospital is the right source for complete information on vaccination guidelines. The vaccinations like hepatitis A, hepatitis B, Covid, typhoid fever, Japanese encephalitis, rabies, DPT, measles, yellow fever have become essential before your India visit.
Hospitals in India offer world-class facilities to international patients to ensure safety and comfort throughout their stay in India. There are international patient care centers available in hospitals in India which aid and assist all international medical tourists. The needs and requirements of you or your family members are met by the hospitals which makes your stay comfortable. Some of the facilities available at hospitals in India are room reservation, visa assistance, embassy assistance, hotel services/apartment bookings, language interpretation services, tele-consults, and pre departure evaluation.
The urban centers such as Mumbai, Delhi, Bengaluru, Hyderabad, Kolkata are medical tourism destinations in India. India is a hub for medical tourism due to its excellent medical services that are on par with developed countries. The exceptional patient care and treatment plans, seamless availability of medical visas have made India a premier medical tourism destination. The medical tourism sector in India is on a growth spree reflected well in the various medical tourism destinations, being promoted well by the Government of India in tandem with various private players in the healthcare sector.
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