Advance Technologies

da Vinci® Robotic Surgical System

Through the use of the da Vinci® Surgical System, surgeons are now able to offer a minimally invasive option for complex surgical procedures.

Advantage : smallest of incisions, less pain, a shorter hospital stay, faster return to normal daily activities - as well as better clinical outcomes.

Urology
  • Prostate, Bladder & Kidney Cancer
  • Ureteropelvic Junction Obstruction
  • Congenital Defects
  • Vesico-Ureteric Reflux Disease
  • SUKHA - Destress (7 Days - 48 treatments)
Gynecology
  • Multiple Fibroids
  • Uterine and Cervical Cancer
  • Uterine and Vaginal Prolapse
  • Endometriosis
  • Vesico-Vaginal Fistula
  • Ovarian Cyst
Cardiology
  • Atrial Septal Defects
  • Mitral and Aortic Valve Disease
  • Coronary Artery Disease
Gastroenterology and Hepatology
  • Liver Disease
  • Colon and Rectal Cancer
  • Coronary Artery Disease
  • Obesity & Metabolic Disorders
  • Gastric Cancer
  • Esophageal disorders

Renaissance™ Robotic Surgical System

The Renaissance™ Robotic Surgical System transforms spine surgery from freehand procedures to highly-accurate, state-of-the-art robotic procedures, with less radiation and is used for procedures including minimally invasive surgery (MIS), scoliosis, and other complex spinal deformities. It is a minimally invasive robotic guided spine surgery system.

The Renaissance™ Robotic Technology is the only technology specifically designed for spine surgery and the which is a minimally-invasive robotic-guided spine surgery.The Spinal Robotics will offer precision, accuracy and minimally-invasive spinal surgery and will be of immense benefit to patients.

Advantages
  • Higher accuracy
  • Lower radiation
  • Fast learning curve

Renaissance™ Robotics Technology has been successfully used in the placement of over 20,000 implants in the United States and Europe. Numerous peer-reviewed publications and presentations at leading scientific conferences have validated the accuracy, usability, and clinical advantages of Renaissance™ Robotics technology.

Minimally Invasive Coronary Bypass Surgery (CABG) in India

MICAS or MICS CABG surgery is considered to be a safe and complete operation and has revolutionised the way coronary surgery is performed. MICS CABG or MICAS stands for Minimally Invasive CorMinimally Invasive Coronary Bypass Surgery (CABG) in Indiaonary Artery Bypass Surgery and is a newer form of heart bypass surgery in India. It is a relatively new and advanced technique of performing coronary bypass for the treatment of coronary heart diseases.

Advantages over the traditional technique:

  • No bones are cut.,reducing pain, retaining function and having a positive effect on breathing. Return to normal life including driving or other activities is not disrupted and can be started almost immediately.
  • All infections are reduced whether it be wound infections or post-surgical lung infection. This makes the procedure ideal in diabetics and older patients who have poor resistance to infection.
  • The incision is cosmetic and measures just 2 - 3 inches that it's practically impossible to tell that a heart operation has been done.
  • The procedure lasts only 4 days unlike the conventional heart surgery that takes 9 days. All these benefits put together make for very short hospitalization and recovery.
  • Blood loss is negligible.

The best part is that all the blocks irrespective of their location in the heart can be bypassed in a safe and predictable manner.

Bone Marrow Transplant

Autologous Transplant (Stem Cells collected from one's own body)
  • Hodgkin's & Non Hodgkin's Lymphoma: For relapsed / refractory cases, it is standard therapy and in most such cases, it is the only curative option.
  • Myeloma: Although not curative, it is standard treatment as a part of initial therapy, as it prolongs survival substantially.
  • Leukemia: Acute Myeloid Leukemia as part of consolidation therapy, to increase chance of cure in this disease.
Allogenic Transplant (Stem Cells collected from some one else's body)
  • Several other genetic disorders, especially with single gene defects
  • As an option in several advanced or refractory haematological malignancies eg. follicular lymphoma, CLL, myeloma etc
  • Thalassemia
  • Aplastic Anemia
  • Chronic Myeloid Leukemia
  • High Risk AML & Relapsed AML
  • Relapsed ALL (Acute Lymphocytic Leukemia)

Proton Cancer Centre

In the world of medical technology, "state-of-the-art" is a continually upgrading objective and the recent technological advances in genomics and the molecular sciences have opened new vistas to accelerate knowledge about the genetic and environmental components of cancer initiation, promotion and progression through studies in Molecular Epidemiology.

The Proton Cancer Centre at Apollo Hospitals, Chennai will be the first proton cancer centre in South East Asia to identify priority areas for Research & Development and related areas and will carry out basic and applied research. It will develop cancer control strategies which will include newer modalities of prevention, early diagnosis and treatment of cancer.

The Proton Cancer Centre will focus on organ specific cancer management and will have a dedicated Apollo Oncology Team. Proton Beam Therapy provides an advanced radiation treatment option for the oncologists. The treatment provided is highly precise and the radiation is focused directly into the tumor, without causing any harm to the adjoining tissues. Tumours in difficult to access areas such as, in head, neck, brain, pancreasand prostate can be targeted. Paediatric cancer patients will also benefit to a greater extent from this technology.

Hand Microsurgery

Micro surgery is a sub-speciality performed with the aid of a microscope on structures that are barely visible to the naked eye. This sub-speciality mainly deals with 'Replantations' (reattaching severed parts of the limb).

It also Offers surgical treatment for hand injuries and problems such as:

  • Reconstructive Surgery (for tumors, nerve compression and arthritis)
  • Replantation of a single finger or multiple fingers
  • Congenital Abnormalities
  • Carpal Tunnel Syndrome
  • Arthritis
  • Microsurgery (for finger deformities)

Infertility

Assisted Reproduction offers world class infertility treatment in India with advanced procedures and equipment has been achieving high success rates.

As a first step, it may just be a few simple measures, like awareness of fertile period and psycho social interventions (Quit Smoking / Alcohol, Relaxation Therapy).

Fertility treatments can be grouped into three categories:

Medicines Clomifene is a medication used to help with fertility It is taken as a tablet.Injectable medications that contain gonadotrophins are another type of treatment. They are used when clomifene does not work, or prior to IUI and IVF, to cause ovulation.

Surgical treatments
  • Fallopian tube problems
  • Endometriosis
  • Polycystic ovary syndrome
  • Fibroids
  • Male infertility
Assisted Conception
  • IUI (Intra Uterine Insemination): IVF (Invitro Fertilization)
  • ICSI (Intra Cytoplasmic Sperm Injection)
  • Semen/Sperm freezing
  • TESA (Testicular Sperm Aspiration): Embryo Freezing Excess (Surplus): Assisted Hatching

Fractional Flow Reserve (FFR)

Fractional Flow Reserve (FFR) is used to determine if a cardiac patient really needs a stent or bypass surgery or can be kept only on medicines avoiding any procedure. This highly scientific and evidence based procedure is beneficial to the patient as FFR technology not only saves lives while avoiding unnecessary surgery but also helps patients to save cost. Fractional flow reserve - guided stent implantation has been established to be economically attractive in cost-effectiveness analysis.

Now with advances and availability of scientific data, Fractional Flow Reserve (FFR) procedure is done to measure how "tight or serious" a blockage is. The FFR is defined as the ratio between distal heart blood vessel pressure and aortic pressure, both measured simultaneously at maximal flow using a tiny coronary pressure guide wire. FFR is determined by a carefully calibrated sensor that measures the blood pressure upstream and downstream (before and after the block) after the administration of medicine like adenosine to induce maximum flow.

Fractional Flow Reserve is physiologically based and describes the ratio of the maximum achievable flow in the presence of a stenosis to the theoretical maximum flow in the same vessel in the absence of a stenosis. It takes into consideration the multiple, complex variables influencing coronary flow including lesion severity, lesion length and collateral flow.

Thus, if the FFR finds the difference between the two measurements is significant, then the blockage is considered to be significant. FFR has been shown to correlate very well with non-invasive stress testing and is considered to be complementary to a conventional Angiogram, particularly when the tightness of a blockage is difficult to establish by Angiography or when patients have not had non-invasive stress testing.

Hip Arthroscopy

Apollo Institute of Orthopaedics introduces for the first time in India - the revolutionary Hip Arthroscopy Hip Arthroscopy is one of the most rapidly evolving arthroscopy techniques. It combines the benefits of a Minimally Invasive procedure and a short rehabilitation period. Improved instrumentation and technical skills have advanced our ability to accurately diagnose and treat various conditions. The role of this procedure continues to evolve with new indications that might change the outcome of degenerative joint disease of the hip joint.

Hip arthroscopy is also being used for surgery to the structures surrounding the hip as snapping hip syndromes, greater trochanteric pain syndrome, and arthroscopic repair of abductor tendon tears. Better understanding of the arthroscopic anatomy, improved operative techniques, lowered complication rate and objective outcome measuring tools will further define the optimal role of hip arthroscopy and improve its outcome.

Trans Oral Robotic Surgery

During TORS, the surgeon uses a sophisticated, computer - enhanced system which displays a magnified, 3 - D view of the surgical area that enables him to visualize the procedure in much greater detail than in a traditional surgery. TORS gives the surgeon an enhanced view of the cancer and surrounding tissue. Using a robotic system to guide the surgical tools, allows for more-precise movements in narrow spaces and the capability to work around corners. This result in preservation of maximum amount of healthy muscular and neurovascular tissue which helps the patient swallow on their own sooner and discharged home earlier.

Trans Oral Robotic Surgery may be used to treat:

  • Throat cancer
  • Tongue cancer
  • Tonsil cancer
  • Obstructive Sleep Apnea

Surgery for Parkinson's disease

We have the latest in surgery for Parkinson's disease - Sub Thalamic Nucleus (STN) Deep Brain Stimulation (DBS) to India. The procedure is done under local anesthesia. The results are visible immediately and are sustained.

DBS is often described as a pacemaker for the brain. It works much like a pacemaker, sending electrical signals to the brain instead of the heart. It is primarily utilized for patients who have Parkinson’s disease, dystonia, or essential tremor (ET), and who can’t adequately control their disease with medication.DBS does not damage healthy brain tissue by destroying nerve cells. Instead the procedure blocks electrical signals from targeted areas in the brain.

For those with Parkinson’s, DBS can reduce tremors and significantly improve slowness and stiffness; and make tremors disappear for those with ET. DBS can help relax muscles and improve abnormal postures caused by muscle contractions for those with dystonia. In all cases, DBS can help enhance quality of life.

It’s important to understand that DBS does not offer a cure for your disease, but a way to manage it more effectively. It can offer many benefits, including the need to take less medication and therefore experience fewer medication side effects.

CyberKnife®

The Apollo Hospitals Group has introduced the most advanced CyberKnife® Robotic Radio Surgery System in the Asia Pacific. The world's first and only robotic radiosurgery system is designed to treat tumors anywhere in the body with sub-millimeter accuracy. An innovation in the treatment of cancer, a breakthrough technology, a non-invasive alternative to surgery, the CyberKnife® brings an unparalleled approach to treating inoperable tumors. Patients who previously had no options or only high-risk options for treatment now have a safer alternative.

NovalisTx

As one of the most advanced cancer treatment options available, NovalisTx™ radiosurgery & radiotherapy is changing the face of cancer treatment,

Precise
  • Shapes the radiation beam to match the exact contour of the tumor or lesion, ensuring the maximum prescribed dose of high-energy radiation is delivered to the entire tumor.
  • Adapts the treatment beam to breathing and other body movements to continuously maintain safe, complete and accurate dose delivery.
  • Protects surrounding healthy tissue.
Fast
  • Non-invasive, outpatient procedure lasts for just 15 to 20 minutes, rather than hours, for a more comfortable and less restricted treatment experience than other radiosurgery devices.
  • Reduces the likelihood of patient or tumor movements, ensuring the highest possible level of treatment accuracy.
  • Treatment can take place in a single day, although your doctor will decide if your treatment should be administered in a single dose or in a series of doses.
Versatile
  • Employs a wide range of treatment modalities, ensuring you receive the best treatment for your individual case. Other radiosurgery devices are limited to only one treatment modality.
  • Frameless radiosurgery offers a more patient-friendly alternative to other radiosurgery devices that require immobilization with a head ring that attaches to the skull.
  • Delivers the industry's highest dose rate, penetrating deeper to treat tumors previously considered untreatable.
  • Offers hope to patients with clinical conditions once considered untreatable and those for whom surgery is not an option.

ECMO

What is ECMO ?

Extra-Corporeal Membrane Oxygenation (ECMO) is a life saving advanced intensive care technology that is used when a child/adult has a condition which prevents the lungs or heart from working properly. It involves a machine that will take over the work of the heart and lungs (modified heart - lung machine in ICU) until they get better. It is used only when all other therapies fail or stop working.

ECMO can support the patient for days to weeks.

The ECMO technology has a proven track record in a variety of conditions especially with respect to children and requires a dedicated team of medical and paramedical experts with round the clock bedside care.

G scan - an Open Standing MRI scanner

In India, we have a first-of-its-kind cutting edge technology G (Gravity) Scan - an open standing MRI scanner.

Advantages of the standing MRI

This new open standing MRI Machine is a revolutionary platform for musculoskeletal applications including the spine, which provides surgeons a unique additional diagnostic element.

When lying down, the patient hardly puts weight on the lower limb because of which a conventional MRI scan cannot detect some vital problems and deviations. This technology enables true weight-bearing examination which was not possible before and was one of the greatest challenges to MRI.

By allowing scanning in standing position, the technology also helps doctors diagnose functional alignments of patients' joints and whether the condition will get worse. In addition, the machine is open and thus most friendly for patients who have claustrophobia (fear of small closed-in space).

One can have various tilting positions such as 45 degrees, 90 degrees etc on this machine - the standing MRI, which uses the principle of gravity in giving added advantage in diagnosing spinal diseases and musculoskeletal disorders of the patients including joints.

The open standing MRI Machine would be also be a critical diagnostic tool for patients who continue to experience pain after spine surgery because it can evaluate the role and effect of patients' weight on the curvature of spine, which cannot be accurately analyzed with conventional MRI Machines. Such patients can now hope to get proper and accurate spine surgery done, as with this scan the surgeons would have an exact idea and better analysis of the extent and nature of injury, visualized along with the effect of gravitational forces.

320 Slice Advanced Technology

The 320 Slice CT Scan system is an advanced imaging system that scans your body from head to toe, in less than one minute. It helps to accurately identify any abnormality. The system uses X Rays to obtain cross-sectional images or “slices “of the targeted area. The computer system reconstructs multiple two dimensional and three dimensional images which provide an accurate picture of the targeted area

How can you benefit from the 320 Slice Heart CT Scan?

  • The 320 Slice CT Scan is more accurate than the 64 Slice CT scan due to its superior image quality.
  • It is simple, painless, super fast and scans the heart in half a second.
  • FrameThe shorter scan time provides comfortable breath holding, making this procedure ideal for people of all ages.
  • The 320 Slice Heart CT scan can identify deposits on the walls of the heart blood vessels and indicate your vulnerability to Cardiac diseases.
  • For patients with confirmed Cardiac ailments, the 320 Slice Heart CT Scan can help periodically monitor the status of blood vessels without resorting to invasive procedures.
  • In cases of non Cardiac chest pain, the 320 Slice Heart CT Scan can detect any other abnormality/body conditions causing the pain and facilitate the appropriate treatment.
  • It is non-invasive and does not require any hospitalization.

OCT Technique - Optical Coherence Tomography

OCT - Optical Coherence Tomography is a light-based catheter which acquires on an image (photo) inside the heart blood vessel. OCT is a recently-developed, catheter-based Intravascular Imaging Technology that provides micron-scale resolution. It is a laser light equivalent of ultrasound imaging, measuring the intensity of backscattered infrared light rather than sound waves, and translates these optical echoes into a high-resolution, two-dimensional tomographic image. OCT has the highest imaging resolution of any currently-available technology. Cross-sectional resolutions of catheter-based OCT systems are in the range of 10-20 µm.

Bioresorbable Vascular Scaffold (BVS)

BVS is the latest advance in treating Coronary Artery Disease.Bioresorbable Vascular Scaffold is similar in appearance to a stent, but is a non-metallic, non-permanent, mesh implant which gets absorbed gradually, dissolves over time and allows the artery to function naturally again. This new scaffold disappears over 12-24 months and supports the vessel until it has the ability and strength to stay open on its own.

BVS is made of a material commonly used in other medical devices, such as dissolving stitches. This material allows the BVS to break down into elements already found in your body like water (H2O) and carbon dioxide (CO2), enabling the artery to return to a more natural state.

Single Port Endoscopic technique of Carpal Tunnel Release (ECTR)

Carpal Tunnel Syndrome if untreated, it may result in permanent nerve damage causing constant numbness, wasting of the muscles of the hand involved in thumb movements.

With the aid of an optically linked video monitor and Smart Release device in this single port endoscopic technique of carpal tunnel release, the surgeon precisely cuts the transverse carpal ligament from underneath using a retractable blade, without cutting open the entire palmar skin. Once done the blade retracts and the endoscopic instrument is withdrawn. The less than 1 cm skin incision is closed with absorbable sutures.

The resultant cosmetically acceptable scar is small and concealed within the wrist skin crease. Patients have the advantage of returning to work after surgery within eight days or earlier.

TrueBeam STX

TrueBeam STX treats cancer anywhere in the body where radiation treatment is indicated, including cancers of the lung, breast, prostate and head and neck. TrueBeam STX system offers doctors, a non-invasive alternative to traditional surgery. TrueBeam STX has helped pioneer new stereotactic treatment technologies in use for the treatment of cancer and other conditions.

Advantages of TrueBeamSTX :

With TrueBeam STX's enhanced imaging and flexible open architecture, our doctors can interface with multiple technologies for imaging and disease-specific solutions.

Minimally Invasive Subvastus Total Knee Replacement

Minimally Invasive Subvastus Total Knee Replacement is a revolutionary procedure performedin India with great success.

The Minimally Invasive Subvastus technique differs completely from the conventional technique. In the Minimally Invasive Subvastustechnique the skin is cut only 8-10cm.The muscles are preserved by pushing them to the side without cutting them. The knee cap is not flipped and the thigh and leg bones are not separated but are cut in place. All these resulting in less pain and quick recovery.

The combined benefits of the new implant and the surgical technique make this procedure as the 'Ideal Total Knee Replacement' for patients who are waiting for it. In short, patients can get back to their everyday activities they love to do, more comfortably and confidently within a month or two.