Knee Replacement Surgery – Dr. Sanjay Agarwala
Thank you for opting to have your surgery done with us.
I hope that you are cognizant of the other methods of treatment of your problem which has been discussed with you by me, my staff and assistants in my clinic, in advance, at the time of your consultation, and I trust if you have had any queries, they have been answered.
Based on our discussions, we have determined the suggested plan of action as the best option under the circumstances, keeping in mind your requirements and our current expertise.
To help you understand the process, I am comparing it to taking a flight from Mumbai to a foreign destination.
Just like before a flight, you need passports, visa, ticket bookings, like-wise for the operation, you need to book a date for admission and a date and time for surgery.
Just like the visa process, we need to know that you are fit for surgery and therefore, you need to share your medical history with us, alongwith ALL the medication that you normally take including tablets such as Aspirin and Clopilet which are blood thinners and can cause bleeding at the time of surgery, and medication for Asthma (you may need more oxygen during the surgery) and Diabetes (if your blood sugars are high, then wound healing is very poor). All inputs by you help make us more prepared to help you.
Specific medication & conditions of the heart (ECG, 2D Echo), lungs (PFT/X-rays), liver and kidney etc., need to be known as various drugs can interact with these functions. The physical act of giving you anesthesia may require extra tests like specialized x-rays of your spine, CT or MRI screening of parts of your body, so that we are better prepared to tackle your spinal position during the process of the surgery.
Just like you have a security check before taking a flight, we need the Physician and the Anesthetist to look through these pre-operative medical reports and to examine you so that we may reduce the risks still further.
Just like in an aircraft before take-off, there is a safety drill in case of any risks, likewise, in any surgery we are taking RISKS but minimizing it by trying to cover as many events as we can.
Just as every landing at an airport, the pilot has to contend with cross-winds, haze, other flights, weather changes, quality of communication etc., similarly every surgical procedure is individualized, some are longer, some are shorter and there are multiple variables.
The OTC is like a ticket. Just like you pay for a ticket before your travel. The Hospital expects you to do an OTC (Operation Theatre Clearance) so that the hospital and you are both aware of the expected expenses. Against your paid ticket you get a boarding pass, likewise against an OTC, the institution permits you to be taken to the theatre for surgery. This is based on averages, but in your individual case the total expenses may be more if there are complications or emergency requirements which may or may not be related to the actual surgical procedure.
You need to be aware therefore that this is an estimate only based on an AVERAGE and is NOT a PACKAGE.
Recovery thereafter is a natural process, and we as doctors help nature help you, with medication, nursing, physiotherapy and other techniques required for your recovery. I reiterate that healing is a process dictated by nature, we only help in this. Just as nature has storms, weather changes, etc, recovery can sometimes in your individual cases be slower and therefore worrisome to you.
Such delays are also worrisome to us as individuals and as a team. The nurses, other staff and my team help the recovery process. Your concerns will be addressed.
Just like in the airline industry the cost of the ticket for travel supports the airline staff, the salaries, the fuel for the aircraft etc., for our team to successfully execute the whole process, there is staff in the hospital which is supported by the expenses incurred for your case, for administration, security, laundry, dining, meals, air-conditioning, water, catering etc.,
Like certain budget airlines offer cheaper fares and skeleton services many doctors and medical facilities will be able to offer you these at lesser rates. In our institutions we have overheads to ensure that checks and measures are carried out for your safety and these necessitate the charges quoted by us.
Just like in any travel there is an Economy class or Business Class or First class at different charges, helping you reach the same destination, similarly in the hospital there are various classes of admission with different levels of comfort, helping you attain the best results. My team’s training, experience, etc., should make this a smooth landing.
I hope this helps you understand the process and I really look forward to greeting you on the other side with every success in your case.
– DR. SANJAY AGARWALA
SA:bf:10th July 2018
Information About Knee Replacement Surgery for Patients and Their Families
If your doctor suggests knee surgery as a treatment for your injury or arthritis of the knee, you may feel a little scared and unsure about what’s likely to happen to you. Relax. Getting the right information and knowing the options can help you approach your impending treatment in a calm, unstressed state of mind.
This section of our website provides key facts about knee replacement surgery and related issues for patients and their families.
By browsing the site, you will be able to gather information about:
- Various Knee Surgeries and Alternatives
- Knee Anatomy and Function
- Degenerative Changes Associated with Knee Arthritis
- What to Expect on Surgery Day
- Guidelines for Post-Operative Care and Rehabilitation
- Getting back to Life After Knee Replacement
The long-term goal of a knee replacement is to provide pain relief, restore normal activities of daily living, and enhance your quality of life.
Knee Surgery Overview
There are three major types of knee surgery: arthroscopic, partial knee replacement, and total knee replacement. Your doctor will advise you as to which surgery is right for your situation.
In knee arthroscopy, a small camera is inserted into the knee joint through a small incision. The camera is attached to a video monitor so the doctor can see inside the knee.
Once the camera is in place, salt water is pumped into the knee joint. This expands the joint to make the surgery easier, and controls bleeding in the joint.
Once the surgeon has determined what injuries exist, he will make one to four new incisions for the surgical instruments. These may include a blunt hook for pulling on various tissues, a shaver to remove damaged or unwanted tissues such as torn cartilage, and a burr to remove bone.
After the surgery, the knee joint is drained, the incisions are closed, and a bandage or dressing is applied to the knee.
Arthroscopy may be used for a variety of knee joint conditions, including a torn meniscus, mild arthritis, loose pieces of broken cartilage in the joint, a torn or damaged anterior or posterior cruciate ligament, inflamed or damaged synovium or lining of the joint, or misalignment of the knee cap.
After the surgery, most people are able to go home the same day. Patients with no other problems, such as arthritis, can expect a full recovery within four to six weeks and with relatively little pain.
Partial Knee Replacement (Uni-compartmental)
Partial knee replacement is a procedure that provides patients with a minimally invasive solution for arthritis of the knee. Partial knee replacement is used for cases of osteoarthritis where damage to one section or compartment of the knee is causing debilitating pain.
This procedure replaces only the damaged area of your knee joint, may require only one day of hospitalization, and results in dramatically less recovery time when compared with total knee replacement surgery.
Total Knee Replacement
In advanced cases of arthritis it may be necessary to replace the knee joint with an artificial joint in a procedure known as total knee replacement. This procedure normally takes between one and two hours and is the most comprehensive of the three surgical procedures available for treating arthritis of the knee.