Aneurysm Surgery - Iliac Endo
Steps Involved in IVF:
Procedure Description
An iliac endovascular aneurysm repair, commonly referred to as "Iliac Endo," is a minimally invasive surgical procedure aimed at treating iliac artery aneurysms. These aneurysms, which are balloon-like expansions of the iliac arteries, can pose serious health risks if left untreated, including rupture, internal bleeding, and potential death. The procedure focuses on reinforcing the affected artery walls by placing a stent graft to restore normal blood flow and prevent the aneurysm from expanding further.
The iliac arteries, branching from the aorta, play a crucial role in supplying blood to the pelvis, lower limbs, and reproductive organs. When these arteries develop aneurysms, they weaken over time, often due to risk factors such as high blood pressure, high cholesterol, smoking, and genetic predispositions. The Iliac Endo procedure aims to stabilize these weakened areas by using endovascular techniques, which allow surgeons to access the aneurysm site through small incisions, guiding specialized devices to reinforce the arterial wall.
The endovascular approach significantly reduces trauma compared to traditional open surgery. A stent graft is carefully positioned and deployed at the aneurysm site to restore the artery's structure and ensure normal blood flow. The placement of the stent graft helps exclude the aneurysm sac from circulation, thus reducing the risk of rupture and facilitating healing.
Procedure Duration
The duration of an iliac endovascular aneurysm repair procedure varies, but typically it ranges from 1 to 3 hours, depending on the complexity of the aneurysm and the patient's overall health. The procedure is often performed under local anesthesia with conscious sedation, though general anesthesia may be used in some cases.
During the procedure, a small incision is made in the groin to access the femoral artery, through which a catheter is inserted. Guided by imaging technology such as fluoroscopy, the catheter is navigated to the iliac aneurysm site. A stent graft is delivered via the catheter to the targeted area and carefully expanded to secure its position against the arterial walls. The stent graft acts as a new channel for blood flow, effectively bypassing the aneurysm and protecting the artery from further damage.
Post-surgery, patients typically stay in the hospital for observation for about 1 to 2 days. This duration allows for monitoring of any immediate complications and ensures the patient is stable before discharge. Recovery is usually swift compared to traditional open surgery, with many patients able to resume normal activities within a week or two. However, it is important to follow post-operative care guidelines provided by the healthcare provider to ensure a smooth recovery.
Benefits
- Minimally Invasive Approach: Reduced trauma to the body compared to open surgery, leading to smaller incisions and less post-operative pain.
- Shorter Hospital Stay: Hospitalization is generally limited to 1-2 days, facilitating a quicker return home.
- Reduced Recovery Time: Recovery time is faster than open surgery, with many patients returning to normal activities within a week or two.
- Lower Risk of Complications: The endovascular technique decreases the chances of infection and other complications associated with larger incisions.
- Effective Management of Aneurysm: The procedure effectively reinforces the arterial wall, preventing aneurysm rupture and reducing the risk of life-threatening internal bleeding.
Potential Destinations
- Germany: Renowned for its advanced healthcare system, Germany is a top destination for endovascular surgeries. The country boasts state-of-the-art facilities and experienced vascular surgeons, ensuring high standards of care. Patients can expect efficient pre-operative assessment and cutting-edge technology.
- Turkey: Turkey has emerged as a popular destination for minimally invasive vascular procedures, including Iliac Endo. It offers high-quality care at competitive prices, and its hospitals are equipped with the latest medical technologies. The country's strategic location also makes it accessible to patients from Europe, Asia, and the Middle East.
- India: With an emphasis on affordable healthcare and a growing reputation for medical excellence, India is a preferred choice for aneurysm surgery. Hospitals in metropolitan cities offer comprehensive vascular care, often employing specialists trained in leading international institutions.
- Spain: Spain has a well-established medical tourism sector and is recognized for its quality of care in vascular treatments. The country combines modern healthcare infrastructure with a focus on patient-centered care, offering highly qualified professionals and post-operative support services in pleasant surroundings.
- Mexico: For North American patients seeking high-quality yet cost-effective treatment, Mexico is an excellent choice. Many hospitals in Mexico adhere to international standards and are staffed by experienced vascular surgeons, making it a convenient option for those preferring to stay closer to home.
Risks & Considerations
- Endoleak: One potential complication is an endoleak, where blood continues to flow into the aneurysm sac despite the stent graft. Close post-operative monitoring is required to detect and manage any leaks.
- Infection: Though less common with the minimally invasive approach, there is still a risk of infection at the incision site or around the stent graft. Proper wound care and hygiene are essential to prevent this.
- Stent Graft Migration: Over time, the stent graft may move from its original placement, potentially leading to ineffective aneurysm exclusion. Regular imaging follow-ups are necessary to ensure the stent remains in place.
- Allergic Reactions: Patients may experience allergic reactions to the contrast dye used during imaging or to materials in the stent graft. Pre-operative testing and communication of allergies to the surgical team are important.
- Blood Clots: The insertion of a stent graft may increase the risk of blood clots forming around the device. Anticoagulant medications may be prescribed post-operatively to mitigate this risk.
How to Choose the Right Doctor and Hospital
When choosing a doctor and hospital for iliac endovascular aneurysm repair, it is vital to seek a facility that specializes in vascular surgery with experience in endovascular procedures. Ensure that the hospital is equipped with the latest imaging technologies and has a dedicated vascular team for optimal pre-operative, intraoperative, and post-operative care.
Look for a surgeon with a strong track record in performing iliac endovascular aneurysm repairs and experience managing any potential complications. It is advisable to review patient testimonials, hospital accreditations, and treatment outcomes before making a decision. Additionally, consider a multidisciplinary team approach that includes cardiologists, radiologists, and anesthesiologists, ensuring comprehensive care throughout the procedure and recovery.
To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote
Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com
Frequently Asked Questions
What actually happens during hyperstimulation of the ovaries?
The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.
What happens during egg retrieval?
When the follicles have developed enough to be harvested, the patient attends an appointment where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.
What happens to the eggs?
In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle. Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.
How are the embryos transferred back to the uterus?
The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.
Embryoscope©
Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.
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