Health Tourism: The Great Indian Advantage Minimally Invasive Surgery MIS

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Health Tourism The Great Indian
AdvantageMinimally Invasive Surgery (MIS)

• Dr. M.C.Misra
• MBBS, MS, FACS, FAMS, FRCS
• Professor of Surgery
• All India Institute of Medical Sciences, New
  Delhi
• ASSOCHAM 2005

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The field of surgery

• Constant evolution
• Evolution of inhalation anesthetics at
  Massachusetts General Hospital in 1846
• ASSOCHAM 2005

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The best surgeon

• ? The fastest
• surgeon
• ASSOCHAM 2005

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The Big Surgeon - Big Incision

• Exposure key to safe and successful operation
• Larger surgical incisions absolute necessity to
  successful procedure
• ASSOCHAM 2005

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Frequently Asked Question?

• How
• many stitches?
• ASSOCHAM 2005

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Minimally Invasive Surgery

• Exposure still essential for safe and successful
  operation
• Except now provided with minimal skin incision
  use of a miniature access approach
• ASSOCHAM 2005

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Minimal Invasive Surgery

• Noninvasive Minimally Invasive devices offer
  superior alternative to EXTENSIVE SURGERY
• Use of these technologies dramatic impact on the
  delivery of healthcare
• ASSOCHAM 2005

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Revolution in MIS

• Laparoscopic Cholecystectomy Mouret Dubois
  1987
• ASSOCHAM 2005

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Lap chole
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Minimally Invasive surgery

• MIS applied to numerous other procedures with
  good results
• ASSOCHAM 2005

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Other procedures
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Advantages of MIS

• Laparoscopy offers better visualization
  particularly of the hiatus and deep structures in
  the pelvis
• Better quality of life
• Postoperative pain
• postoperative narcotic use
• pulmonary complications
• ASSOCHAM 2005

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Advantages of MIS

• Small wounds with fewer wound complications
  better cosmesis
• Less blood loss and transfusion
• Reduced risk of hepatitis HIV
• Shorter hospital stay
• Faster return to routine activities
• ASSOCHAM 2005

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Cosmetic superiority
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Laparoscopic Combined procedures
ASSOCHAM 2005
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MIS Cosmetic superiority
ASSOCHAM 2005
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Wound complications
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8yrs Male child Severe hypertension on 4 drugs
Right phaeochromocytoma
ASSOCHAM 2005
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Advantages of MIS in children

• Quicker recovery allows parents to return to work
  faster
• Reduced loss of work hours productivity
• ASSOCHAM 2005

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Disadvantages of MIS

• Initial capital cost of equipment
• Training necessary to develop laparoscopic skills
• ASSOCHAM 2005

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The best surgeon

• Surgeon equally skilled in both open as well as
  Minimally Invasive Surgery
• Utmost patience perseverance
• ASSOCHAM 2005

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MIS Indian Scenario

• Rapid development over last 5 years
• Routine services in most major hospitals in
  private and some in public sector
• Excellent surgical expertise in urban pockets
• Grossly deficient training
• Doctors and Nurses
• ASSOCHAM 2005

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The market

• Endoscopic tools
• 8 billion
• 8 Growth
• ASSOCHAM 2005

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Conclusion

• Health Tourism The Great Indian Advantage
• Reality
• Half achieved
• ASSOCHAM 2005

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What needs to be done?

• Need to develop infrastructure at Airports
  Around Hospitals
• Provide security guides to those seeking
  treatment in India
• Public sector tertiary care centers to be
  strengthened to provide better training
  opportunities

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Technology for the Rural Poor
Benefits of MIS must reach the Indian masses

• ASSOCHAM 2005

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Thank you
ASSOCHAM 2005