Manipal Hospitals

The cancer care units at clinics of "Manipal" not only offer medical care for oncological diseases but also carry out cancer prevention.

Diagnostics and treatment are carried out here using advanced technologies, methods such as are used:

• laboratory diagnostics,
• drug treatment
• surgical removal of the swollen
• radiotherapy and radiosurgery,
• BMT.

Unique technology at the unit

• To select the optimal and effective method of cancer treatment, the Manipal Hospitals Oncology Unit uses the IBM Watson artificial intelligence device.
• This system analyzes information from more than 500 medical textbooks, plus 25,000 case histories and rare cases. As a result of this analysis, several treatment options are provided for a specific case, indicating the likelihood of recovery for each treatment scenario.

The unit ensures rapid progress and the introduction of the latest achievements of oncological science into clinical practice. All types are treated here including:

• cancer of the internal organs of the chest, abdominal cavity, small pelvis, brain, and spinal cord;
• malignant diseases of the blood system;
• sarcoma.

All patients are examined according to modern diagnostic programs, including CT, MRI, PET-CT, endoscopic ultrasonography, laboratory diagnostics, including at the level of molecular genetic characteristics of tumors.

The service is offered at Manipal Hospitals are divided into the following categories:

Medical oncology

Medical oncology therapy encompasses all aspects of anticancer therapy (surgery, chemotherapy, and radiation therapy) using cutting-edge minimally invasive procedures, original medications, and cutting-edge protocols. Organ preservation surgeries, including laparoscopic and endoscopic procedures, as well as reconstructive surgery following tumor excision.

The following are some of the therapeutic approaches employed in this field:

• Therapeutic biology
• Chemotherapy delivered intracavitary
• Transplanting bone marrow

Radiation oncology

Noninvasive methods are employed to treat a variety of cancers in this sector, which is the most well-equipped.

Technologies available in the sector

• Linear accelerators Elekta precise and infinite
• Brachytherapy equipment with gamma med
• Image-guided radiotherapy with cone Beam Ct
• Volumetric modulated arc therapy
• IMRT
• SRS, SBRT
• Flattering filter-free faster SRS delivery
• 3DCRT
• 4DCT
• 2D Varian acuity simulator

Surgical oncology

Here only surgical interventions are performed using the following technologies

• Robot-assisted surgery
• Radio guided cancer surgery

Manipal Hospitals Orthopedic Unit assists patients with pathologies and injuries of bones, joints, muscles. Orthopedic surgeons specialize in the following procedures:

• endoprosthetics of the knee, hip, and shoulder joints;
• arthroplasty - operations through small incisions up to 1-3 cm;
• partial endoprosthetics;
• bone lengthening according to the Ilizarov method.

The department uses a modern ortho-navigation system during operations, as well as an orthopedic table with all accessories and other top-notch equipment.

Manipal Hospitals provide high-tech specialized care for adults and children in all areas of the pathology of the musculoskeletal system. More than 8 thousand operations are performed here annually.

Most often, minimally invasive techniques are used, including those involving robotic surgical systems, arthroscopes, and computer navigation. It is known as a high-tech orthopedic center focused on minimally invasive surgery and regenerative techniques in adults and children.

All operations are planned on a computer, individual implant modeling, endoscopic and minimally invasive open surgical techniques with preservation of muscles and ligaments are practiced.

Many interventions are performed on an outpatient basis, as they are well tolerated by patients, and then do not require immobilization and long-term recovery. For treatment and rehabilitation, conservative methods are actively used:

• manual therapy,
• reflexology,
• shock wave therapy,
• physiotherapy.

Manipal Hospitals Heart Care Unit guarantees their patients:

• implementation of the treatment and diagnostic process only by highly qualified professionals with excellent theoretical training and extensive experience, known in their country and abroad for unique practical achievements, their scientific research, discoveries, and developments.
• strict compliance of diagnostic and treatment programs with international medical standards;
• all types of high-tech cardiological and cardiac surgery, including beating heart surgery and endovascular (intravascular X-ray-controlled) interventions;
• the availability of the most effective and modern protocols provided with the qualifications and experience of specialists, as well as a regularly replenished and an updated arsenal of equipment and techniques;
• active use of minimally invasive, primarily endovascular, surgical methods;
• the use of unconditionally original medicines and progressive methods of treatment;
• a full cycle of recovery - from diagnostics to rehabilitation and outpatient support;

Following are the most frequently performed procedures at the Manipal Hospitals:

• endovascular balloon angioplasty and stenting of coronary arteries, stenting of aortic aneurysms;
• correction of heart defects using intravascular catheter technologies;
• minimally invasive reconstruction and replacement of heart valves;
• reconstructive cardiac surgery for severe congenital malformations - underdevelopment or a single ventricle, transposition of large vessels;
• catheter cryo- and radiofrequency ablation of arrhythmogenic foci in the heart muscle;
• heart and lung-heart transplant;
• implantation of various modifications of pacemakers;
• surgery for heart failure and pulmonary hypertension;
• transmyocardial laser revascularization;
• long-term replacement of the pumping function of the heart with the help of various modifications of the artificial heart.

Technologies present at the Manipal Hospitals Heart Care Unit include:

• Da-Vinci Robotic Surgical Systems
• Cath Lab with FD10 Philips machinery
• Intravascular Ultrasound & FFR
• EPS System + RF Ablation
• IABP
• ECMO

The Neurosurgery unit at Manipal hospital successfully treats patients with any type of profile pathology from around the world. Over 15000 complicated neurosurgery operations are performed annually at the department. The most modern technologies are widely used to ensure the accuracy of the intervention with minimal surgical trauma. Following procedures are performed at the department:

• Endoscopic operations with access through the nasal cavity without external opening of the cranium;
• Endovascular (intravascular) catheter operations under X-ray control with access through peripheral vessels for manipulation of the arteries and veins of the brain;
• "Wakeful craniotomy", which ensures the patient's stay in consciousness and his speech contact with the surgeon at the stages of work with especially significant areas of the brain to assess their functional safety in the course of the doctor's actions;
• Radiosurgical removal of tumors using the CyberKnife installation.
• Possibilities of minimally invasive neurosurgery are realized through the systematic use of stereotaxic, computer, magnetic resonance, and ultrasonographic neuronavigation, which makes it possible to accurately plan and perform interventions even on deeply located and small structures.

Following technologies are being used at the department:

• Robotics,
• Minimally invasive surgery,
• Intraoperative MRI,
• Stereotactic radiosurgery,
• Computer-assisted brain surgery,
• Deep brain stimulation.

The Manipal Hospitals Transplantation Unit employs highly qualified surgeons, and there is a full-fledged lab of immunology. The most complex operations are performed here, including 1,500+ kidney transplant operations, as well as laparoscopic operations for donor nephrectomy. The clinic was one of the earliest centers of the Joint Donation Program facilities (SWAP).