Best Cost Transjugular Intrahepatic Portosystemic Shunt in India

Before surgery

• Tell your doctor about all your prescriptions, including herbal supplements. Include any allergies, especially to local anesthetics, general anesthesia, or contrast media. Before surgery, your doctor may recommend that you stop taking aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), or blood thinners.
• If a woman becomes pregnant, she should notify her doctor and gynecologist. To protect the fetus from radiation, doctors don’t do many tests during pregnancy. If X-rays are needed, the doctor will take care to limit the baby’s exposure to radiation.
• Before your surgery, your doctor may tell you not to eat or drink anything after midnight. Your doctor will advise you which medicines to take in the morning.
• You should expect to be in the hospital for one or more days.
• The nurse will give you a gown to wear throughout the procedure.

During surgery

• The person is on the back.
• Monitors are attached to the body to track vital indicators such as heart rate, blood pressure, blood oxygen levels and pulse.
• If the procedure is performed under sedation, the nursing staff will put an intravenous (IV) line into a vein in the hand or arm to provide sedation.
• Patients are given an intravenous (IV) sedative to make them feel relaxed and comfortable during treatment. A slight pinching sensation may be felt as the IV needle is inserted into the vein and the local anesthetic is injected.
• Numb the area just above the right collarbone using a local anesthetic. Once the place is numb, only a small incision or incision is made.
• Infrared ultrasonography will then be used to locate the internal jugular vein. There are veins above the collarbone. The catheter is then placed into a blood vessel, which is just a long, thin, hollow plastic tube.
• After the catheter is inserted into the vein, the IR uses real-time X-ray guidance to guide the catheter into one of the hepatic veins.
• To trace the portal system and plan the implantation of the TIPS stent, a contrast dye substance was injected into the hepatic vein. The patient may feel some warmth as the contrast material passes through the vein.
• The portal system is then accessed through the hepatic vein using a TIPS needle, a unique long needle that extends from the neck to the liver. The needle’s external direction indicator helps puncture the portal vein, and the needle creates a channel for the stent. The patient may experience a little pain as the needle passes through the liver and the passage is enlarged by the balloon. If the pain becomes unbearable, the IR should be notified for further IV medication.
• Under fluoroscopy, the IR then inserts the stent from the portal vein into the hepatic vein. The stent is wrapped around a balloon-tipped catheter that is advanced through a TIPS needle. When the stent reaches its desired location, the balloon is inflated and the stent is extended into place.
• The balloon is then deflated and the catheter withdrawn.
• In order to verify the reduction of portal hypertension, the pressure in the vein needs to be monitored.
• An additional portal venogram was performed to confirm adequate blood flow through the shunt.
• After treatment is complete, apply pressure to the incision site to prevent excessive bleeding. Stitches may not be needed because the wound is wrapped.
• Treatment usually takes an hour or two to complete, but may take several hours if the disease or vascular structure is complex.

After Surgery

• After the operation, the medical staff carefully observed the patient. Once the patient returns from the operating room, the head should remain elevated for several hours. In most cases, when surgery is performed voluntarily and no serious complications occur, the patient can be allowed to go home the next day. People who have lost a lot of blood are observed in an intensive care unit while they recover and may stay in the hospital for a long time.
• You can return to normal activities one to two weeks after the simple surgery.
• To verify that the TIPS procedure remains open and is functioning well, patients may be required to undergo ultrasound examinations before discharge and throughout follow-up.

What are the advantages of Transjugular Intrahepatic Portosystemic Shunt in India?

Indian TIPS surgery Designed to provide physiological results similar to surgical bypass or bypass surgery, while avoiding the risks associated with open surgery. Therefore, it has the following advantages:

• Indian TIPS surgery Since it is a minimally invasive treatment, it offers faster postoperative recovery time than open surgery.
• Unlike open surgical bypasses, there is no surgical scar tissue in the abdomen because the surgery is not transabdominal, meaning the abdomen is not penetrated. Therefore, the chances of a future liver transplant will not be compromised by abdominal scarring.
• The TIPS stent is placed entirely within the diseased liver. It is removed along with the liver during the transplant and does not require separate treatment for stent removal.
• According to available scientific research, TIPS treatment reduces variceal bleeding in more than 90% of people.
• The treatment can be done with the smallest possible incisions and does not require stitches.

What are the risks and complications of transjugular intrahepatic portosystemic shunt in India?

• Damage to adjacent structures: There is a risk of problems such as physical damage to the blood vessel or adjacent tissue, which could lead to bruising or bleeding at the puncture site and/or infection. Usually, doctors try to reduce these risks; however, if complications arise, they may cause:
• fever
• stiff neck muscles
• allergic reaction: A person may be allergic to the contrast medium used. Individuals with compromised renal health may develop acute or permanent renal failure from the use of contrast media.

Even if there are too few of them, the following major complications can occur:

• Arrhythmia and heart failure are examples of heart disease.
• Damage to the hepatic artery can lead to severe liver injury or bleeding that requires immediate treatment.
• Confusion or hepatic encephalopathy.
• Stent infection.
• Radiation exposure can cause skin damage if the procedure is challenging and time-consuming, requiring prolonged fluoroscopy.
• Stent obstruction leads to recurrence of symptoms.

How can IndiaMedAssist Consultant help?

IndiaMedAssist Consultant is a reputable support system for patients seeking medical, hospital and professional treatment. We will find the most suitable medical options for you. Our team will provide you with a list of certified, reputable and trustworthy doctors and hospitals for your medical concerns. In addition, we offer treatment strategies that fit your budget. In addition, we assist patients in obtaining travel authorization, medical visas and many other matters.

Most Important FAQs Best Cost Transjugular Intrahepatic Portosystemic Shunt in India

A: TIPS problems include sudden liver failure, hepatic encephalopathy, hemorrhage, biliary tract injury, organ damage, TIPS thrombosis, dysfunction, migration, etc.

Q: How long does it take for TIPS to recover?

A: After seven to ten days, you should be able to resume normal activities. After TIPS surgery, regular ultrasounds will be done to make sure it remains open and doing well.

Q: Who are TIPS candidates?

A: Accepted indications for TIPS include the following: Uncontrolled variceal bleeding from esophageal, gastric, or intestinal varices unresponsive to endoscopic or medical therapy. Ascites is refractory. Pleural effusion (hepatic pleural effusion)

Q: Is the TIPS procedure urgent?

A: TIPS is recommended as “salvage” therapy if primary hemostasis cannot be achieved with endoscopic and medical therapy, or if uncontrolled early rebleeding occurs within 48 hours.

Q: What happens after the TIPS procedure?

A: It can make you dizzy, cause balance problems, and make you tired. After TIPS, approximately three out of ten patients develop hepatic encephalopathy. It can usually be treated with medication. Some patients may have more liver problems due to less blood flow to the liver.