Fontan procedure is a surgery performed in children who are born with a congenital abnormality that leaves them with only one functioning ventricle. This could be due to the absence of a heart valve or an abnormality in the ability of the ventricles to pump blood. As a result, only a single ventricle has to do simultaneous work of supplying the blood to the lungs as well as the rest of the body. The main aim of Fontan procedure is to improve the Fontan circulation so that the single ventricle is able to pump the blood effectively to the entire body and the impure blood to the lungs without any pumping mechanism in place. 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.
Thailand has some of the leading internationally recognized hospitals which are serving both native and foreign patients with great care. With highly advanced apparatus and technology, along with certified specialists, Thailand has emerged as one of the top destinations for Fontan surgery. Low cost of Fontan procedure, availability of diagnostic and therapeutic facilities, well connected international flights are some other factors that list Thailand hospitals among the best hospitals for undergoing the Fanton procedure.
Fontan procedure in Thailand is quite affordable as compared to other countries of the world. The overall cost of the Fontan procedure is 60& to 70% lesser than some other developed countries. The average cost of this surgery remains low despite the additional costs such as boarding, hotel expenses, food, investigation costs and duration of stay in the hospital. The cost of this procedure is determined by the type of hospital, choice of city, accommodation, and traveling.
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.
Different hospitals have different pricing policy when it comes to the cost of Fontan Procedure in Thailand. 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 comprehensive Fontan Procedure package cost includes the cost of investigations, surgery, medicines and consumables. Post-surgical complications, new findings and delayed recovery may have an impact on the total Fontan Procedure cost in Thailand.
There are many hospitals across the country that offer Fontan Procedure to international patients. Some of the best hospitals for Fontan Procedure in Thailand include the following:
After discharge from the hospital, the patient has to stay for another 30 days in the country for complete recovery. 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.
One of the topmost destinations for Fontan Procedure is Thailand. It has a variety of accredited hospital, affordable cost of treatment and some of the best medical fraternity. Some of the other destinations that are popular for Fontan Procedure include the following:
Apart from the cost of Fontan Procedure, the patient is also required to pay additionally for daily meals and guest house accommodation. The per day cost in this case may start from USD 50 per person.
Some of the cpopular cities in Thailand that offer Fontan Procedure include the following:
There are several doctors who are available for telemedicine consultation for patients requiring Fontan Procedure in Thailand. The following are some of the best doctors for Fontan Procedure in Thailand who are available for video consultation:
|Doctor||Cost||Schedule Your Appointment|
|Dr. Vichai Benjacholamas||USD 81||Schedule Now|
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 5 hospitals that offer Fontan Procedure in Thailand. Such hospitals have the required infrastructure and a dedicated unit where patients can be treated. These hospitals comply with all the rules and regulations as dictated by the regulatory bodies and medical association in Thailand
The strength of Thai healthcare organisations is that they are wealthy in terms of human resources, financial resources and technological resources. The strength of Thai healthcare is in the healthy symbiois of its public healthcare and private healthcare systems. It is the Institute of Hospital Quality Improvement and Accreditation (HQIA) which maintains the standard and quality of healthcare in Thailand. Not only these criteria but even the service delivery levels are maintained through the Institute of Hospital Quality Improvement and Accreditation.
The clinical care and hospitality in Thailand hospitals is of very high standards. The several multispecialty hospitals in Thailand have made it ease for any medical tourist to make the best of choices available. The globally recognised specialists provide the best treatment to patients and this makes them reliable. We bring to you some names of the multispecialty hospital groups such as:
Thailand has long been synonymous as being a popular health tourism destination. Thailand hospitals have International patient services in their topmost multipsecialty hospitals which makes it easy for the medical travelers to travel to Thailand and get treated. Interpreters, International medical coordinators, concierge services, embassy and airport transfer assistance and International insurance coordination are all available at one place for International medical travellers. Thai healthcare systems are known to give the entire specturm of treatment options, be it aesthetic procedures or tertiary care processes.
It is no wonder that people from all around the world seek out doctors from Thailand. The doctors are well versed in their field of expertise and their skiils are vouched for by various experts. Innovation aiding medical care implementation has ensured that the quality of doctors in Thailand is unmatched. Experience in treating international patients has meant that Thai doctors are sought after from the world over.
The decision to come to Thailand should be done in tandem with getting the documents ready. Travel documents, medical documents and ready finances are needed for your Thailand visit The required documents are outlined here:
Many reasons make Thailand an attractive medical tourism destination. Numerous tourist attractions, best medical treatment at economical prices make Thailand a complete package. Some of the popular procedures available in Thailand are as follows:
Any international travel mandates immunisations and vaccinations. Even medical travellers coming to Thailand must get protected from potential health hazards. These vaccinations recommended by CDC and WHO are as follows. Rabies, Meningitis, Polio, Hepatitis A, Hepatitis B, Typhoid, Cholera, Yellow Fever, Japanese Encephalitis, Measles, Mumps and Rubella (MMR), TDAP (Tetanus, Diphtheria and Pertussis), Chickenpox, Shingles, Pneumonia and Influenza.
The hospitals in Thailand are equipped with the latest technologies and these are applied with precision to treat patients. The patients and their co travellers can approach the center for International patients that can resolve their travel, transfer and accomodation needs. Integrated medical support services and emergency services add value to the existing facilities that hospitals provide in Thailand. Radiology services, operating theaters, Intensive care units, cardiac care units, diagnostic laboratory and pharmacies are the different kinds of facilities being provided by Thailand hospitals.
The tourist attractions in Thailand when seen in conjunction with the medical facilities ensure Thailand is seen as an important medical tourism destination. What you will spend in Thailand as a medical traveller will still be lower than what you will spend on just your treatment in many countries. Healthcare facilities in addition to a strong cultural identity , natural beauty and rich history ensure Thailand has a strong medical tourism potential. Phuket and Bangkok are the topmost destinations in medical tourism in Thailand.
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