Transjugular Intrahepatic Portosystemic Shunt Cost in India

How Transjugular Intrahepatic Portosystemic Shunt Procedure is Performed?

Before the Procedure

• Inform your doctor about all of your prescriptions, including herbal supplements. Include any allergies, particularly to local anesthetics, general anesthesia, or contrast materials. Before your procedure, your doctor may advise you to stop taking aspirin, nonsteroidal anti-inflammatory medicines (NSAIDs), or blood thinners.
• If a woman is pregnant, she ought to always inform her doctor and a gynecologist. To avoid exposing the fetus to radiation, doctors will not do many tests during pregnancy. If an x-ray is required, the doctor will take care to limit the baby’s exposure to radiation.
• Before your procedure, your doctor will probably tell you not to eat or drink anything after midnight. Your doctor will advise you on what medications to take in the morning.
• You should expect to spend one or more days in the hospital.
• You will be given a gown to wear throughout the procedure by the nurse.

During the Procedure

• The person is positioned on the back.
• Monitors are attached to the body to track vital indicators such as heart rate, blood pressure, oxygen level, and pulse.
• If the procedure is done under sedation, the nursing staff will introduce an intravenous (IV) line into a vein in the hand or arm to provide a sedative. 
• An intravenous (IV) sedative is given to the patient to make them feel relaxed and comfortable during the treatment. A minor pinch may be felt when the needle for the IV line is placed into the vein and the local anesthetic is delivered.
• A local anesthetic is used to numb the area directly above the right collarbone. Once the place is numb, only a small incision or cut is performed.
• The internal jugular vein will subsequently be located using ultrasonography by the IR. Above the collarbone, the vein exists. A catheter is then put into the vessel, which is simply a long, thin, hollow plastic tube.
• After inserting the catheter into the vein, the IR guides the catheter into one of the hepatic veins using real-time x-ray guidance.
• To trace the portal venous system and plan for the implantation of the TIPS stent, a contrast dye substance is injected into the hepatic vein. As the contrast material goes through the vein, the patient may feel some warmth.
• The portal system is then accessible via the hepatic vein with a TIPS needle, which is a unique long needle that extends from the neck into the liver. The needle’s exterior directional indicator helps in the puncture of the portal vein, and the needle creates a passage for the stent. As the needle is advanced through the liver and the channel is enlarged by the balloon, the patient may experience a little pain. If the pain becomes intolerable, the IR should be notified so that further IV drugs can be administered.
• Under fluoroscopy, the IR then inserts a stent from the portal vein into the hepatic vein. The stent is wrapped around a balloon-tipped catheter that is advanced through the TIPS needle. When the stent has reached its desired location, the balloon is inflated and the stent is extended into place.
• The balloon is subsequently deflated and the catheter is withdrawn.
• To validate a reduction in portal hypertension, the pressure within the vein is monitored.
• Additional portal venograms are performed to confirm adequate blood flow via the shunt.
• After the treatment is completed, pressure is administered to the incision site to prevent excessive bleeding. Sutures may not be necessary because the wound is wrapped.
• The treatment normally takes an hour or two to complete, but if the disease or vascular architecture is complex, it may take several hours.

After the Procedure

• After the procedure, the medical staff attentively observes the patient. Once a person has returned from the procedure room, the head should be maintained elevated for a few hours. In most circumstances, when the operation is done voluntarily and no serious complications occur, a person may be allowed to go home the next day. Individuals who experience excessive bleeding are watched in intensive care during recovery and may be retained in the hospital for a prolonged period of time.
• Normal activities can be resumed in one to two weeks after a simple surgery.
• To verify that the TIPS operation remains open and operates well, a person may be required to undergo ultrasounds before being discharged from the hospital and throughout follow-up.

What are the Advantages of having a Transjugular Intrahepatic Portosystemic Shunt in India?

TIPS Surgery in India is intended to give physiological outcomes similar to those of a surgical bypass or shunt while avoiding risks associated with open surgery. As a result, it provides the following advantages:

• TIPS Surgery in India provides a quicker postprocedural recovery time than open surgery because it is a minimally invasive treatment.
• Unlike an open surgical bypass, there is no surgical scar tissue created in the abdomen because the surgery is not transabdominal, i.e. the abdomen is not penetrated. As a result, the chances of future liver transplant operations are not jeopardized due to abdominal scarring.
• The TIPS stent is placed entirely within the diseased liver. It is removed with the liver during the transplant procedure and does not require a separate treatment for stent removal.
• According to existing scientific research, the TIPS treatment reduces variceal hemorrhage in more than 90% of people.
• The treatment can be performed with the smallest incision possible and without the need of stitches.

What are the Risks and Complications Associated with the Transjugular Intrahepatic Portosystemic Shunt Procedure in India?

• Damage to Adjacent Structures: There is a risk of problems such as physical damage to the blood vessel or adjacent tissues, which could result in bruising or bleeding at the puncture site and/or infection. Typically, the doctor will take efforts to reduce these risks; but, if a complication occurs, it can result in:
• Fever
• Stiffness of the Neck Muscles
• Allergic reaction: A person may become allergic to the contrast substance used. Individuals with compromised kidney health may get acute or permanent kidney failure as a result of the contrast substance utilized.

Even if they are far too few, the following major complications are possible:

• Arrhythmias and heart failure are instances of cardiac conditions.
• Damage to the hepatic artery, which may result in severe liver injury or bleeding requiring immediate treatment.
• Confusion or hepatic encephalopathy.
• Infection of the Stent.
• Skin damage from radiation exposure if the operation is challenging and lengthy, necessitating extended fluoroscopy.
• Stent obstruction causes symptom recurrence.

How can Medsurge India Help? 

Medsurge India is a prestigious support system for patients looking for doctors, hospitals, and specialized treatments. We’ll find the most suitable medical options for you. Regarding your medical issues, our team will give you a list of certified, reputable, and trusted doctors and hospitals. Additionally, we offer a treatment strategy that fits your budget. Apart, we assist patients with obtaining travel authorizations, medical visas, and a multitude of other things.