Meniscus Repair cost in Tunisia

a. Overview.

The meniscus is a structure in the knee joint, that is located between the femur (also known as the thigh bone) and the tibia (the shin bone). It is a semi-lunar or “C“ shaped joint that consists of cartilaginous and white fibrous tissues. The knee joint has two menisci: medial or central and lateral or one on the side, separately for each knee. They function as shock absorbers and buffer the energy of movements which may damage articular structures. The main indication for meniscus repair surgery is the tearing of the meniscus. It is an exceedingly common knee injury. Usually, the meniscus is torn due to trauma. Especially for older people, the reason can also be degenerative processes. However, during certain cases, meniscus repair surgery is contraindicated. Meniscus repair surgery is usually done to treat damaged cartilage when conventional methods fail to alleviate the symptoms. Symptoms that are associated most commonly with the meniscus tear are:

  • Severe pain in the knee area

  • Stiffness and swelling of the knee joint

  • Locking of knee

  • The sensation of the knee “giving way”

The treatment must be administered, once the torn meniscus is diagnosed. Rest, cold therapy, compression, and elevation of the injured leg are the initial treatments for the torn meniscus. If the injury is mild, the conservative therapy helps enough and therefore the meniscus recovers on its own. However, if the knee remains painful and therefore the motion of it is still limited, surgery is suggested. The surgery is often focused on the reconstruction or on the removal of the damaged meniscus that is meniscus repair surgery and meniscectomy. Saving the meniscus is extremely important because it decreases the danger of secondary osteoarthritis, especially in young patients. However, several factors determine what type of operation will be performed. The location of the tear of the meniscus is the first crucial factor. The ideal location of the tear to settle on the meniscus repair surgery is at the periphery of the meniscus. Further, the opposite criterion is the size of the tear. If it is shorter than 2 cm, surgery to repair it is often performed.

b. Meniscus Repair in Tunisia

Tunisia has a high standard of healthcare and a great reputation for cosmetic procedures. Cosmetic and plastic surgeons are usually licensed by the Ministry of Health. The hospitals and clinics in Tunisia are well equipped and have staff who can speak English too. Tunisia welcomes an ever-increasing number of medical tourists annually, many of whom travel for meniscus repair in Tunisia. One type of surgery that is used to repair the meniscus is open surgery in which the knee is completely opened so that the surgeon can see the tear and repair it. However, this type of surgery is declining in popularity thanks to the introduction of arthroscopic surgery. This procedure involves making a little incision and inserting a camera into the opening to see the surgical site without creating a bigger opening. Appropriately sized surgical instruments are inserted through the opening and therefore the meniscus is sutured together. Second-generation meniscus repair surgery involves an arthroscopically assisted technique. Since modern medicine is concentrated on minimally invasive methods of treatment, this sort of surgery is usually utilized nowadays. An arthroscope is a small fiber-optic instrument that enables the surgeon to inspect and operate the knee from inside without having to open the overlying structures. The first step in meniscus repair surgery is to clean the pathogenic tissue region. Any torn regions are also repaired. Special equipment is used to perform debridement for a meniscus repair in Tunisia. Once this is done, a fixation is initiated. In meniscus repair surgery nonabsorbable or slowly absorbable sutures are used. Depending on the technique of suturing and suture tying, arthroscopically assisted meniscus repair surgery is named ‘inside-out‘ or ‘outside-in. The most progressive technique is third-generation meniscus repair. Specific bioabsorbable devices are specially designed to retrieve the integrity of the torn meniscus. Sutures or accessory skin incisions are not needed in this technique. That is why this type of meniscus repair is also known as ‘all-inside surgery.’ The ultimate decision of the sort of operation is formed at the time of arthroscopy when the surgeon inspects the knee and evaluates the damage. Regardless of the type of technique, the surgery is carried out under regional (spinal or epidural) or general anesthesia.

c. Cost Comparison

Since Tunisia has high standards of health care the cost of meniscus repair surgery in Tunisia is around 1800 USD. The cost of the surgery is based upon the materials and methods used, the timing of the surgery, whether the patent is young or old, the type of tear, chronicity, location of the clinic in Tunisia, the experience of the surgeon, and the cost of anesthesia.

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About the Meniscus Repair

The meniscus is a rubbery ligament between the shinbone and the thighbone. Meniscus tear takes place when there is a solid contorting movement of the knee, especially when the knee is bent while the foot is firmly placed on the ground. It is one of the most common knee injuries among sportsperson who play football, cricket, and tennis, and people who perform high-impact activities.

 A few people may suffer from meniscus tear due to ligament of knee degeneration that takes place with age due to several factors.

 Pain, swelling and tightness may increase over several days if you have a meniscus tear. You may not be able to straighten your knee, and it may lock in position. It may be problematic for you to put weight on your leg or even walk normally like before.

 Minor meniscus tears can heal by itself if there is a good blood supply to the area. However, some tears require arthroscopic surgery to fix the tear. It is important to rest and let the ligament heal. Ice packs and physical therapy helps with the recovery of a meniscus tear.

Different Approaches to Meniscus Repair Surgery

 Only 10 percent of meniscus tears can heal by itself if there is an appropriate blood supply.

Most of the surgeries are arthroscopic surgeries in which a special device is used to view inside the knee and see the torn meniscus. There are different procedures, however, that can be conducted to repair or fix the meniscus and these include the following:

  • Meniscectomy: It can be partial meniscectomy or complete, that is, the torn meniscus can be partially removed or completely. It can be done as an open surgery or arthroscopic surgery.
  • Meniscal Repair: It can be performed open or arthroscopically and the preservation of the meniscus involved three aspects:
    • Repair of the torn meniscus
    • Non-surgical treatment of asymptomatic meniscal pathologies
    • Partial meniscectomy and resection

  • Meniscal Regeneration: Meniscal transplantation (MAT) can be performed to restore the meniscus. In this case, a graft is usually taken from the hamstring muscle to reproduce the meniscus.

How is Meniscus Repair performed?

The steps in the procedure vary depending on whether the surgeon has advised arthroscopic removal or resection of meniscus or repair using a graft.

Arthroscopic surgery is a keyhole or minimally invasive surgery that involves 2 to 3 small incisions near the knee. An instrument called an arthroscope, which has a camera attached to its tip is inserted through one of the incisions to view the knee ligaments from the inside.

From another incision, the surgeon inserts the instruments used to resect to remove the damaged meniscus.

In many cases, meniscus reconstruction using a synthetic graft or a graft taken from the muscle of the patient is done. The graft is attached to the meniscus after removing the damaged part. This procedure is also performed arthroscopically nowadays.

Depending on the extent of the injury and whether other ligaments are also ruptured, the surgeon may decide to conduct the surgery traditionally rather than arthroscopically.

Recovery from Meniscus Repair

You can expect to wear a brace or cast to keep your knee stable. You will probably have to use crutches for at least a few weeks to keep weight off your knee.

The total duration of hospital stay is about 2 days. After that, you will have to attend physiotherapy sessions to maintain the movement and stability of the knee. The stitches removal takes place after 7 to 10 days of the procedure when the surgical site has healed.

The physiotherapy has to be continued until you return to the normal routine and activities. Usually, the patient is made to walk the very next day of the procedure with the help of support.

Local anesthetics are injected into the wound and knee joint at the time of surgery. This will wear off within 8 to 12 hours and it is not uncommon for patients to encounter more pain on the first or second day after surgery when swelling peaks.

Most patients will require some narcotic pain medication for a short time – this can be taken as per directions on the bottle.

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Frequently Asked Questions

What are the factors affecting the cost of Meniscus Repair in Tunisia?

The Meniscus Repair package cost in Tunisia varies from one hospital to another and may offer different benefits. Some of the best hospitals for Meniscus Repair offer a comprehensive package that covers the end-to-end expenses related to investigations and treatment of the patient. The comprehensive Meniscus Repair package cost includes the cost of investigations, surgery, medicines and consumables. Extended hospital stay, complications after the surgery or new diagnosis may affect the overall cost of Meniscus Repair in Tunisia.

Which are some of the best hospitals in Tunisia for Meniscus Repairt?

There are many hospitals that perform Meniscus Repair in Tunisia. For quick reference, the following are some of the leading hospitals for Meniscus Repair in Tunisia:

  1. Ezzahra Clinic
  2. Hannibal International Clinic
  3. Taoufik Clinique
  4. Clinic Alyssa
  5. Centre International Carthage Medical
  6. Clinic Soukra
How many days does it take to recover post Meniscus Repair in Tunisia?

After Meniscus Repair in Tunisia, the patient is supposed to stay in guest house for another 14 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.

Which are some of the other popular destinations for Meniscus Repair?

Tunisia is considered to be one of the best places for Meniscus Repair in the world. This is because of the availability of some of the best doctors, advanced medical technology and good hospital infrastructure. However, there are other countries as mentioned below that are popular for Meniscus Repair as well:

CzechiaUSD 5600
HungaryUSD 2500
IndiaUSD 3000
LithuaniaUSD 4000
PolandUSD 5300
SingaporeUSD 3000
SpainUSD 12500
ThailandUSD 7500
TurkeyUSD 3500
United Arab EmiratesUSD 7000
United KingdomUSD 7000
United StatesUSD 5500
How much are the other expenses in Tunisia apart from the cost of Meniscus Repair?

There are certain expenses additional to the Meniscus Repair 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 Tunisia per person are about USD 50 per person.

Which are the best cities in Tunisia for Meniscus Repair Procedure?

There are many cities that offer Meniscus Repair in Tunisia, including the following:

  1. El Manzah
  2. Soukra
  3. Marsa
  4. Tunis
  5. Carthage
How many days does one have to spend in the hospital for Meniscus Repair in Tunisia?

The patient has to spend about 2 days in the hospital after Meniscus Repair 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.

How many hospitals offer Meniscus Repair in Tunisia?

There are more than 6 hospitals that offer Meniscus Repair in Tunisia. 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.

Who are the best doctors for Meniscus Repair in Tunisia?

Some of the renowned medical specialists for Meniscus Repair in Tunisia are:

  1. Dr. Fathallah Mounir

FAQ's Related to Tunisia

Which are the popular multispecialty hospitals in Tunisia?

In Tunisia, there are numerous good hospitals and clinics, some of which we have mentioned below:

  1. Hannibal International Clinic, Tunis
  2. Cinic Soukra, Soukra
  3. La Centre International Carthage Medical, Monastir
  4. Clinic Alyssa, Tunis
  5. Taoufik Clinique, El Menzah
  6. Eureka Esthetique, Marsa
  7. Polyclinique L'Excellence, Mahdia
  8. Clinique Avicenne, Tunis
  9. Taoufik Hospital Group
  10. Clinique De L`espoir, Tunis
  11. Ennasr Clinic, Ariana
  12. El Manar Clinic, Tunis
  13. Polyclinique les Jasmins, Tunis
  14. Pasteur Clinic, Tunis
  15. La Clinique Mediterraneenne, Tunis

The outstanding levels of quality and a personal touch in service delivery to patients is the hallmark of the popular multispecialty hospitals in Tunisia. The results of diagnosis and treatment of multiple kinds of health conditions by multispecialty hospitals in Tunisia showcase the efficiency and finesse of these healthcare institutions. The advanced healthcare infrastructure in the hospitals and clinics in Tunisia makes for a pretty good reason for you to get your healthcare in the country.

Why should I opt for healthcare in Tunisia?

The world class infrastructure in the healthcare institutions such as hospitals and clinics in Tunisia are a good reason for you to opt for treatment in Tunisia. The hospitals and clinics in Tunisia have not only the most qualified medical and paramedical personnel but quality administrative professionals as well making Tunisia a good choice for your healthcare. Healthcare from Tunisia is a great choice as the treatments are competitively priced, waiting periods are less and there is a comprehensive approach to healthcare from consultations to follow ups or rehabilitation. The healthcare system in Tunisia is conscious of keeping high levels of cleanliness and as a medical traveler to Tunisia you are bound to feel absolutely safe and secure.

What is the quality of doctors in Tunisia?

The quality of doctors in Tunisia is very good as they have had the best of practical training and experience and this translates into their strong ability to treat patients successfully even when working under pressure for long hours. In their quest to learn and apply that knowledge to treat patients satisfactorily, the doctors in Tunisia get the best of education and upgrade their qualifications throughout their career. It must be put forth that the doctors in the Tunisian healthcare system are good in people skills and thus great at managing relationships with fellow doctors and healthcare professionals and in leading teams. It must be put forth that the doctors in the Tunisian healthcare system are good in people skills and thus great at managing relationships with fellow doctors and healthcare professionals and in leading teams.

When traveling to Tunisia for medical treatment, what essential documents do I need to carry along?

The important documents that are needed for your medical travel to Tunisia are mentioned here for your convenience:

  1. Visa
  2. Passport
  3. Credit Card/Debit Card/Net Banking
  4. Sufficient finances to cover your expenses
  5. Medical Reports
  6. Referral from hospital from country of origin recommending your treatment
  7. Return flight tickets
  8. Accommodation proof

The documents that are important for you to carry to Tunisia must be representative of your itinerary and your medical treatment. The Government of Tunisia is making an effort to make sure that your medical travel to Tunisia is made easier. It is introducing the online visa application for Tunisia where your short term visit for medical tourism is preceded with a hassle free visa process. An essential document for your medical travel to Tunisia, the medical visa would now be easier to get with the introduction of a more seamless online visa application process.

What are the popular procedures available in Tunisia?

Please find outlined here the popular procedures done in Tunisia everyday:

  1. Breast Cancer Treatment
  2. Fibroid Removal Surgery
  3. Knee Replacement
  4. Hip Replacement
  5. Spinal Fusion

Of the many popular procedures available in Tunisia, the Spine and Orthopaedic treatments are a big draw. The advanced Breast Cancer treatment is making sure that a lot of medical travellers are heading to Tunisia to get a new lease of health and life. The types of popular procedures being performed everyday in Tunisia are growing in number and scope but of the existing ones, gynecological procedures such as fibroid removal surgery are performed routinely.

Is it mandatory to take vaccinations before going to Tunisia?

It is mandatory to take vaccinations before going to Tunisia and we are listing the important ones here.

  1. Chickenpox
  2. Shingles
  3. Pneumonia
  4. Influenza
  5. Hepatitis A
  6. Hepatitis B
  7. Typhoid
  8. Rabies
  9. Meningitis
  10. Polio
  11. Measles Mumps and Rubella (MMR)
  12. TDAP (Tetanus, Diphtheria and Pertussis)
  13. Covid19

To make sure that you are well prepared for your journey to Tunisia by getting vaccinated as per guidelines of WHO: World Health Organisation and CDC: The Centers for Disease Control and Prevention, the US agency with both the recommended vaccines and the routine vaccines. There are certain vaccines that are linked to potential health conditions such as Hepatitis A, Hepatitis B, Rabies and Typhoid. There are other vaccines which are considered routine or regular for conditions that you must be protected from at all times. It is always wise to get vaccinated before going on your medical travel to Tunisia whether recommended by any health agency or not.

What are the other facilities provided by hospitals in Tunisia?

Whenever you are in the process of deciding to go to Tunisia for medical travel, the many additional facilities extended by the hospitals make the decision easier. We bring to you the additional facilities present for medical tourists in hospitals in Tunisia:

  1. In house laboratories to run tests
  2. Language proficient interpreters
  3. Accommodation for patients and co-travellers
  4. International and local travel assistance
  5. Hospital transfers
  6. Pharmacies managed through computerized systems

In Tunisia, the healthcare organisations make it possible for you to ascribe to virtual consultations pre treatment and engage in evaluations and follow ups through virtual mediums. There are other facilities that are in hospitals in Tunisia like presence of dietitians, physiotherapists and prayer rooms.

What are the major medical tourism destinations in Tunisia?

Even though Tunisia is the smallest North African nation, it has found its niche in medical tourism owing to the most wonderful tourist attractions and the cutting edge and advanced healthcare infrastructure. We bring to you the many medical tourism destinations in Tunisia:

  1. Tunis
  2. Monastir
  3. Bizerte
  4. Sousse
  5. Tabarka
  6. Sfax
  7. Gabes
  8. Jerba
  9. La Marsa

The Medical Tourism Index of 2020-21 puts Tunisia on the world map with a ranking of 38 among 46 nations. The healthy tourism industry, healthcare focus, excellent relationships of Tunisia with European union and Arab nations made this happen. Tunisia is on the fast track to growth as a sought after medical tourism destination because it provides excellent healthcare at competitive prices, an easy to get medical visa and warm hospitality shown by the people in Tunisia.