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 Fontan Procedure package cost in Malaysia varies from one hospital to another and may offer different benefits. Some of the best hospitals for Fontan Procedure offer a comprehensive package that covers the end-to-end expenses related to investigations and treatment of the patient. The Fontan Procedure procedure in Malaysia includes the fees of the surgeon, hospitalization and anesthesia as well. Extended hospital stay, complications after the surgery or new diagnosis may affect the overall cost of Fontan Procedure in Malaysia.
There are several best hospitals for Fontan Procedure in Malaysia. The top hospitals for Fontan Procedure in Malaysia include the following:
Upon discharge from the hospital after Fontan Procedure in Malaysia, the patients are advised to stay for about 30 days for recovery. During this time, the patient undergoes medical tests and consultations. this is to ensure that the treatment was successful and the patient us safe to return.
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 extra expenses in Malaysia per person are about USD 50 per person.
Some of the cpopular cities in Malaysia that offer Fontan Procedure include the following:
The patient has to spend about 7 days in the hospital after Fontan Procedure for proper recovery and to get clearance for discharge. This phase is important to ensure that the patient is recovering well and is clinically stable. During this time, several tests are performed before the patient is deemed suitable for discharge.
There are more than 1 hospitals that offer Fontan Procedure in Malaysia. The above mentioned hospitals 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.
Malaysia has a large pool of quality hospitals, such as:
These hospitals are supported by the latest medical technologies and superior infrastructure, ensuring world-class treatment. The hospitals in Malaysia are advanced due to more support from the government through investment in medical infrastructure. At par with most of the well-developed countries, the hospitals in Malaysia have outperformed in the last ten years with the help of well-trained staff and excellent facilities.
The healthcare systems in Malaysia receive accreditation from Malaysian Society for Quality in Health (MSQH) and JCI. Around 12 hospitals in Malaysia have received JCI certification and all of them follow the global standards. MSQH, which promotes safety and quality in the healthcare services in Malaysia, has entered into partnership with Malaysia’s Ministry of Health, Association of Private Hospitals Malaysia and Malaysian Medical Association. There is a strict evaluation process for receiving healthcare accreditation in Malaysia and the interested hospitals have to meet all the requirements set by the accreditation bodies.
Solid public-private healthcare collaboration and governmental participation have contributed to a strongly-built healthcare system in Malaysia, making it one of the most favored destinations for medical tourists. Malaysia has received worldwide recognition for its excellent healthcare system mainly attributed to advanced technology, modern infrastructure, and highly trained medical professionals. With world-class hospitals across Asia and beyond, Malaysia has reported high success rates in cardiology and fertility treatments. Besides providing world-class treatment, Malaysia also offers an excellent travel experience through its food, cultural diversity, and heritage spots.
The high-quality doctors in Malaysia have global exposure which makes them efficient in treating various conditions. Malaysia has a very stringent evaluation process for doctor’s certification and all medical professionals have to complete three years of service in the public sector to ensure they have achieved an extreme level of professionalism. Doctors in Malaysia are exceptionally good at handling IVF and cardiology cases and they have delivered excellent results in these two areas using their holistic treatment approach. Medical tourists under Malaysian Healthcare Travellers Program (MHTP) are eligible for applying for eVISA for traveling to Malaysia and living in the country for a period of 30 days.
Malaysia offers all medical tourists the facility of applying for eVisa for traveling to the country for treatment and reside there for a period of 30 days. eVISA is valid for only 3 months and can be availed from online platforms. To apply for an eVisa, a candidate will require:To apply for an eVisa, a candidate will require:
Medical Attendant Visa is granted to the person accompanying the patient to Malaysia and two persons are allowed to travel with the patient.
The most sought-after procedures available in Malaysia are prostate surgery, cosmetic surgery, dental work, vitiligo treatment, cancer care, discectomy. Malaysia makes advances in effective cancer treatment using gene therapy, ensuring shorter treatment time, reduced treatment costs, and minimal adverse effects of current chemo-drugs. Fertility hospitals and clinics have reported high success rates in IFV due to a number of reasons like the use of the latest technology, trained experts, adherence to strict protocols and safety standards, and a holistic treatment approach. Hip replacement, shoulder replacement, knee replacement surgery are some of the popular orthopedic procedures in Malaysia.
Malaysia has some top cities having world-class hospitals, such as:
Backed by world-class hospitals with highly professional and talented hospitals and modern infrastructure, Malaysia delivers unmatched treatment. Kuala Lumpur and Penang attract most of the medical tourists due to their excellent public transportation system, availability of cheap accommodation, and connectivity through airlines. These cities have become leading medical tourism destinations in Malaysia due to many other factors, such as a large pool of world-class hospitals, rich heritage, scenic value, availability of translators, and safety of tourists.
A medical tourist traveling to Malaysia needs to get below vaccines:
Pre-exposure vaccination against rabies is recommended before travel to Malaysia and children are at greater risk of rabies. Japanese encephalitis is common in Malaysia and can be prevented through vaccination. Anyone traveling to Malaysia from a region with a high risk of Yellow Fever, he/she needs to produce International Certificate of Vaccination.
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