Tetralogy of Fallot is a rare, complex heart defect that occurs in about 5 out of every 10,000 babies. It usually affects the heart in four ways. It usually presents itself ventricular septal defect, pulmonary stenosis, right ventricular hypertrophy, overriding aorta. Babies and children with TOF often have cyanosis and have a blue tint in their lips, fingernails which are often used as a symptom for diagnosis. The surgery is an open-heart procedure.
As mentioned earlier tetralogy of Fallot is usually performed by either complete intracardiac repair or palliative repair. The surgeon determines the procedure to be performed. An overview of the procedure is given below:
Complete Intracardiac Repair: The surgery is done to ensure proper blood flow to the lungs. The passageway between the right ventricle to the pulmonary artery is enlarged. This ensures that there is a proper blood flow to the lungs thus providing oxygen-rich blood to the entire body. A second fix is performed for the Ventricular Septal defect by placing a patch to cover the hole in the septum. This patch stops oxygen-rich and oxygen-poor blood from mixing between the ventricles. The above mentioned two repairs ensure that there is oxygen-rich blood supply across the body and that the defects of the heart valves are corrected.
Temporary or Palliative Repair: This is done for infants who aren’t strong enough to survive the surgery. It is a procedure that helps to temporarily correct the blood flow to the lungs. The surgery is followed by complete intracardiac repair when the baby grows up. In this surgery, the surgeon places a shunt between a large artery branching off the aorta and the pulmonary artery. One end of the shunt is sewn to the artery branching off the aorta. The other end is sewn to the pulmonary artery. This causes an additional pathway for blood to travel to the lungs to get oxygen. The shunt is removed when the baby's heart defects are fixed during the full repair.
The patient is monitored closely for a week or more. Since the surgery is an open heart procedure extra care should be given while taking care of the patient. The incision for the surgery heals completely in 6 weeks and proper care should be taken to ensure that it doesn’t infect. In case of Temporary repair, the patient may need medicines to keep the shunt open while waiting for the full repair. These medicines are stopped after the shunt is removed.
Different hospitals have different pricing policy when it comes to the cost of TOF Repair in Malaysia. The TOF Repair package cost usually includes all the expenses related to pre and post surgery expenses of the patient. Typically, the package cost of TOF Repair in Malaysia includes the expenses related to the surgeon's fee, anesthesia, hospital, meals, nursing and ICU stay. Stay outside the package duration, post-operative complications and diagnosis of a new condition may further increase the TOF Repair cost in Malaysia.
There are several best hospitals for TOF Repair in Malaysia. Some of the best hospitals for TOF Repair in Malaysia include the following:
While the speed of recovery may vary from patient to patient, they are still required to stay for about 25 days after discharge. 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 TOF Repair cost, there are a few other daily charges that the patient may have to pay. These are the charges for daily meals and accommodation outside the hospital. The per day extra expenses in Malaysia per person are about USD 50 per person.
There are many cities that offer TOF Repair in Malaysia, including the following:
After the TOF Repair takes place, the average duration of stay at the hospital is about 5 days. 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 TOF Repair 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.
The popular hospital groups in Malaysia are:
These hospitals have state-of-the-art infrastructure and are well-equipped with advanced technologies. The Malaysian government extends large support to hospitals through boosting investments 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.
What healthcare accreditation standards are followed in Malaysia? Total 12 hospitals in Malaysia have JCI certification and each of them complies with the global standards. MSQH has recently partnered with Malaysia’s Ministry of Health, Association of Private Hospitals Malaysia and the Malaysian Medical Association, to work together on raising the standards of healthcare in Malaysia. A set of well-defined parameters are in place to gauge the performance of hospitals in Malaysia and several rounds of evaluation are involved in the accreditation process.
Malaysia is an emerging destination for medical tourism and has an effective healthcare system backed by governmental participation and public-private healthcare collaboration. Supported by cutting-edge technology, advanced infrastructure, and skilled medical professionals, Malaysia provides quality and affordable healthcare. With world-class hospitals across Asia and beyond, Malaysia has reported high success rates in cardiology and fertility treatments. Malaysia has a rich culture and several heritage spots which make it one of the most popular medical tourism destinations in the world.
The doctors in Malaysia have deep expertise in their specialty area and most of them are trained internationally before they start work in their home country. Doctors in Malaysia need to undergo a rigorous evaluation process to get a medical degree which in turn ensures that they have achieved an extreme level of professionalism and expertise in their specialty area. 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. 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.
Malaysian Healthcare Travellers Program (MHTP) allows all medical tourists to apply for eVISA for traveling to Malaysia and residing 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.
Malaysia is known for providing some popular procedures, with high success rates, such as prostate surgery, cosmetic surgery, dental work, vitiligo treatment, cancer care, discectomy. Cancer treatment through gene therapy is becoming popular in Malaysia as this novel technique guarantees reduced treatment costs, shorter treatment time, minimal adverse effects of current chemo-drugs. Hospitals and clinics in Malaysia are equipped with the latest technology to perform Assisted Reproductive Technique (ART) procedures such as In Vitro Fertilization (IVF), which has a marvelous success rate of 55 to 60. Malaysia has also reported great achievements in orthopedic surgeries and some of the popular procedures include hip replacement, shoulder replacement, knee replacement surgery.
Some of the leading medical tourism destinations in Malaysia are
With highly trained and qualified doctors and a large pool of multispecialty hospitals, Malaysia offers a great medical travel experience. Both Penang and Kuala Lumpur are the centres of attraction for medical tourists as they are serviced by airlines from around the world; have a number of reasonably-priced hotel rooms and an excellent public transportation system. A large number of hospitals, scenic value, rich culture, availability of translators, and safety of tourists also contribute to the popularity of these cities in medical tourism.
A medical tourist traveling to Malaysia needs to get below vaccines:
Before a trip to Malaysia, you can get pre-exposure vaccination against rabies. Children are more vulnerable. It is always suggested that a person traveling to Malaysia get Japanese encephalitis vaccination. International Certificate of Vaccination would be required if you are coming from a country with a high risk of Yellow Fever.
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