Carotid Endarterectomy in India

What is Carotid Endarterectomy?

Carotid endarterectomy is surgery that removes plaque buildup from inside a carotid artery in your neck.

How is the Procedure Performed?

Procedure takes 1-2 hrs and it’s done in general anesthesia. Your surgeon makes an incision along the front of your neck, opens your carotid artery and removes the plaques that are clogging your artery. Then, your surgeon repairs the artery with stitches or a patch made with a vein or artificial material(graft)

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Most people are able to return to work 3 to 4 weeks after having a carotid endarterectomy
Carotid Artery Disease is a leading cause of stroke. Plaque hardens and narrows arteries over time. This may reduce the flow of oxygen-rich blood to your organs and other body components.The procedure of Carotid Endarterectomy in India is used to treat Carotid Artery Disease. This condition develops when fatty, waxy deposits form in one of the carotid arteries. The carotid arteries are blood vessels that run down each side of your neck.

The Cost of Carotid Endarterectomy Surgery in India is quite affordable as compared to other developed countries. The total treatment plan may vary as per the severity of the patient as well as location of the hospital.

The average Cost of Carotid Endarterectomy Surgery in India starts from USD 2600.Patient has to stay in the hospital for 2 days and outside the hospital for 4 days. The total cost of the treatment depends on the diagnosis and facilities opted by the patient.

What is Carotid Endarterectomy :

The surgical removal of plaque (fat and cholesterol buildup) from inside the carotid artery, which provides blood to your brain and face, is known as a Carotid Endarterectomy in India. Each side of your neck has one carotid artery. When plaque builds up in the walls of your carotid arteries, blood flow might slow or stop. A stroke can occur if enough blood cannot reach your brain.

The carotid arteries are the main channels of blood that carry nutrients as well as oxygen to the neck, face, and brain. Carotid Endarterectomies are performed when one or both carotid arteries become constricted due to the accumulation of fatty deposits (plaque). This is referred to as carotid artery disease or stenosis.
A vascular surgeon will do the following tests to determine whether a Carotid Endarterectomy in India is appropriate for you:

Examine you.
Assess your medical history.
Conduct diagnostic tests.

You and your doctor will decide whether to pursue surgical treatment. This surgery is carried out in a hospital operating unit by the Best Vascular Surgeon in India.
A local or general anesthetic is used during carotid endarterectomy. Your surgeon creates an incision in the front of your neck, opens your carotid artery, and removes the plaques that have clogged it. The artery is then repaired with stitches or a patch created from a vein or artificial material (patch transplant) by your surgeon.
A method known as Eversion Carotid Endarterectomy in India is occasionally employed by surgeons. This procedure involves disconnecting the carotid artery and turning it inside out before removing the plaque. The artery is then reattached by your surgeon.

Who is the Right Candidate for Carotid Endarterectomy Surgery

Atherosclerosis is the most common Cause of Carotid Artery Narrowing. This is a plaque buildup in the artery’s interior lining. Plaque is composed of lipids, cholesterol, cellular waste products, calcium, and fibrin. Atherosclerosis is sometimes known as “hardening of the arteries.” It has the potential to harm arteries throughout the body. The Symptoms of Carotid Artery Disease are similar to those of coronary artery disease. Blockages happen in the arteries of the heart in coronary artery disease, which can lead to a heart attack. It can cause a stroke in the brain.
To function properly, the brain requires a steady supply of oxygen and nutrients. Even a small interruption in blood supply can cause complications. After only a few minutes without blood or oxygen, brain cells begin to die. A stroke can occur if the narrowing of the carotid arteries gets severe enough to impede blood flow, or if a piece of plaque breaks off and prevents blood supply to the brain. A mini-stroke (transient ischemic attack or TIA) is characterized by stroke-like symptoms lasting only a few minutes to a few hours. A TIA could be the disease’s initial indication.
If you have carotid artery disease, you may not experience any symptoms. Plaque accumulation may not be blocking enough blood flow to induce symptoms. An artery that is just partially stopped or less frequently does not generate any symptoms.

How Carotid Endarterectomy Surgery is Performed :

Before the Procedure :

In addition to a physical checkup, you may be subjected to tests a few days before your treatment to determine that the surgery is safe to execute. A cerebral angiography may be ordered by your surgeon to better identify the anatomy of your brain. A cerebral angiography is an invasive diagnostic technique that creates X-ray images of the inside of your brain’s blood vessels.
However, in many cases, your healthcare physician can now obtain this information via a CT or MR angiography. These are noninvasive ways for obtaining information about your carotid arteries and brain that can be conducted without the risk of a stroke.
Certain medications may need to be stopped before your carotid endarterectomy, so make sure to notify your healthcare practitioner about everything you’re taking (including non-prescription pharmaceuticals, herbs, and vitamins).
Your healthcare team will provide you with detailed information to assist you in preparing for your treatment. Most folks will continue to take aspirin throughout the surgery. If you are using aspirin or clopidogrel, you should consult your doctor before discontinuing these medications.

During the Procedure :

A Carotid Endarterectomy in India usually takes about two hours.
Your healthcare practitioner will either administer general anesthesia (which causes you to go asleep) or regional anesthesia, which causes you to remain awake but numb the area to be operated on. You will be given medication to help you relax if you have regional anesthesia.
The following steps are taken by the surgeon during a carotid endarterectomy:

Make a 4-inch incision in your neck at the location of the blockage.
A small tube may be used to temporarily divert blood flow around the blockage or constriction while isolating the location.
Makes an incision along the artery that contains the plaque.
Removes the plaque and sutures the gap closed, usually with a patch of material to expand the artery and prevent further constriction.
Restores blood flow to the brain via the regular route.

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After the Procedure :

Most people stay in the hospital overnight to monitor for complications following their treatment.
A temporary drain may be placed in your neck to collect fluid from the area where your provider made an incision. This drain is normally only in place for one day.
Your operation results will be discussed with you by your healthcare provider. This technique, for the most part, helps prevent future brain injury and lowers the chance of stroke. However, unless you adopt a better lifestyle, plaque buildup, clot formation, and other carotid artery problems may reoccur.

What is the Cost of Carotid Endarterectomy Surgery in India

The average Cost of Carotid Endarterectomy Surgery in India starts from USD 2600. The entire treatment cost plan may vary depending on the type of hospital and city picked by the patient. Also, Cost of Carotid Endarterectomy Surgery in India can vary depending on a number of criteria, such as:

The package of Carotid Endarterectomy Surgery in India can depend on the hospital’s preference.
Doctor’s competence and experience in the subject.
The patient’s situation: The patient’s disease and whether additional modalities are required for comprehensive treatment.
Duration of hospitalization and stay for Carotid Endarterectomy Surgery in India.
Need for post-operative care.

What are the Advantages of Carotid Endarterectomy Surgery in India

If you’ve ever had a stroke, a carotid endarterectomy can reduce your risk of having another one by one-third in the three years following surgery. The majority of people endure the process well.
Even if the treatment is successful, your doctor may advise you to:

Enhancing your diet.
Beginning to exercise
Tobacco products are not used.
Reduce your stress level.
Taking cholesterol-lowering medication.

These steps can help prevent plaque from forming again.

How Recovery is Done :

A carotid endarterectomy heals quickly. The majority of patients return home the next day. It’s fine to shower when you come home. Just don’t scrub the surgical adhesive or spray it with water.
Check your incision on a daily basis and avoid using lotions on it. Wear clothes that do not rub against your incision.
In three or four weeks, you should be able to resume most of your routine activities. You can drive once your incision has healed and turning your head is no longer painful. For six months to a year, the area surrounding your jawline and earlobe may seem numb.

Conclusion:

A carotid endarterectomy can improve blood flow and help prevent future strokes if you’ve had a stroke or have carotid artery disease. You and your doctor can determine if this procedure is good for you. Even if it is, you will have a better chance of treating carotid artery disease if you improve your diet, move more, and reduce your stress. Attend your follow-up appointments and continue to take your prescription medications.

Q: What exactly is a carotid endarterectomy?
A: Carotid endarterectomy is a surgical operation used to remove fatty deposits (plaque) that create a constriction of the carotid artery. The carotid arteries are the main blood channels that carry oxygen and nutrients to the neck, face, and brain.

Q: What position is a carotid endarterectomy?
A: Positioning for CEA
All patients are positioned supine, with the head on a solid holder and the neck extended and rotated away from the side of surgery. Surgeons employ a variety of techniques to stretch the patient’s neck and insert a pillow beneath the neck and shoulder.

Q: What are different types of carotid endarterectomy?
A: The classical/conventional method and the eversion method are the two basic surgical procedures for carotid endarterectomy. In order to reach the carotid sheath, the surgeon makes an incision alongside the medial aspect of the sternocleidomastoid muscle, cutting through fat and the platysma muscle.

Q: Which nerves are at risk with endarterectomy?
A: Because of their close anatomical proximity to the carotid bifurcation, the nerves most at risk of injury during carotid endarterectomy are the marginal mandibular branch of the facial (Vth) nerve, the laryngeal branches of the vagus (Xth) nerve, and the hypoglossal (XIIth) nerve.

Q: What medications are administered following an endarterectomy?
A: Take your meds as directed to keep plaque from forming in your arteries. Continue to take Aspirin (acetylsalicylic acid, ASA) and/or Plavix (clopidogrel) as directed by your doctor. Make lifestyle modifications to maintain your blood sugar, blood pressure, and cholesterol under control.

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Fortis Memorial Research Institute

Number of beds:   1000
ICU Beds:     298
Airport Distance:  17 KMs

Brief About:

Fortis Memorial Research Institute was established in 2001.
It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
Fortis Hosptial Gurgaon is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.

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JCI & NABH Accredited Hospital, NABL Accredited Lab, NABH Certified Nursing Excellence, NABH Accredited Blood Bank
FMRI is a 1000 bedded and 15 Operation theaters and over 400 diagnostics centres (including JVs).
Medical facility endowed with a dedicated team of 200 world-renowned doctors, covering a number of specialities, who aim to provide the best quality medical care to all the patients, national as well as international.
This hospital is well set up with the latest technologies and equipment throughout all the specialties and research labs, which are accredited by NABL.
This ensures that the patients at FMRI receive diagnostic results and treatment with high accuracy and in minimum time.
With a vision for the community, FMRI operates various speciality clinics such as, for Paediatrics, Nephrology, Neurology, Gynecology, Orthopedics, Oncology and many more, which provide long term healthcare management and follow up care.
FMRI is the premium healthcare provider and endeavours to be known as the “Mecca of Medicine” – the ultimate healthcare destination.

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Indraprastha Apollo Hospital

No. of beds: 900
ICU Beds: 262
Airport: 20kms

Brief About:

Indraprastha Apollo Hospital is a flagship hospital of India’s foremost healthcare groups,the Apollo Group. It is a highly renowned multi-speciality facility that offers tertiary and quaternary care services to domestic and international patients.
The 900 bedded hospital is outfitted with the most modern technology for diagnostics as well as therapeutic purposes.
A team of highly trained medical professionals work under all the 52 specialities at the hospital.

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Indraprastha Apollo is an accredited hospital with international standard quality services for patient care and safety norms.
The hospital uses its own system, called The Apollo Standards of Clinical Care (TASCC), to maintain top standards for all kinds of treatment and procedures.
The Apollo Organ Transplant Program is one of the most successful programs in the country that has performed over 1627 transplants (410 Liver and 1210 Kidney), including 979 transplants (289 Liver and 690 Kidney) performed at the Transplant Program in Delhi.
It is the First Hospital in India to perform a Paediatric Liver Transplant in 1998. They have successfully performed various kinds of liver transplant for different kinds of liver conditions.
Indraprastha Apollo Hospital has some world-reputed surgeons and specialists who are the pioneers of their specialities, especially in Cardiology and Neurology.
The hospital has won many national and international accolades and continues to be one of the top healthcare service providers in India.
It is the first hospital in India to get international accreditation by international (JCI) consecutively for the fourth time

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Artemis Hospital Gurgaon

Number of beds: 600
ICU Beds: 185
Airport Distance: 19 Km

Brief About:

Artemis Hospital, established in 2007, spread across 9 acres, is a 600plus bed; state-of-the-art multi-speciality hospital located in Gurgaon, India.
Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon.
Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.

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Artemis has around 400 + best doctors. It has put modern technology in the hands of renowned doctors from across the country and abroad to set new standards in healthcare.
The medical practices and procedures followed in the hospital are research-oriented and benchmarked against the best in the world.
Top-notch services, in a warm, open patient-centric environment, clubbed with affordability, has made us one of the most revered hospitals in the country.
Most Promising Start-Up of the Year 2007 award – Express Healthcare magazine
Best IT Implementation for the Year 2008 – PC Quest magazine for Hospital Information System
Best institute for Medical Value Year 2010 – The CNBC Awaaz travel awards
Asia Pacific Hand hygiene excellence Award Year 2011 – World Health Organisation (WHO)
The patient base is 400000
750000 surgeries conducted since the inception

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BLK-Max Super Speciality Hospital

Number of beds: 700
ICU Beds: 175
Airport Distance: 13 Km

Brief About:

BLK Super Speciality Hospital was established by Dr. B.L. Kapur in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
BLK Super Speciality Hospital was established by Dr. B.L. Kapur in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
BLK has a unique combination of the best in class technology, put to use by the best names in the professional circles to ensure world-class health care to all patients.

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Spread on five acres of land, with a capacity of 700 beds,
BLK Super Speciality Hospital is one of the largest tertiary care private hospitals in the country,
BLK has consistently ranked amongst the Top 10 Multi Super Specialty Hospitals in Delhi NCR.
The outpatient services are spread on two floors with 80 consultation rooms. All ambulatory services have been designed with the intent to create dedicated aides for all specialities, with their interventional services in close vicinity.
The hospital has 17 state-of-the-art well equipped modular operation theatres with three-stage air filtration and gas scavenging system to ensure patient safety. All the Operation Theatres are fitted with best in class pendants, operating lights, anaesthesia workstations and advanced information management system.
The Hospital has one of the biggest critical care programmes in the region with 125 beds in different intensive care units viz Medical, Surgical, Cardiac, Paediatrics, Neonatology, Neurosciences and Organ Transplant.
Each Critical care unit is equipped with high-end patient monitoring devices, ventilators and dedicated isolation rooms.
Liver and Renal Transplant Centres have been equipped with dedicated ICUs with individual HEPA filters, specialized instruments and equipment.
Awarded the Prestigious Gold Award at Hospital Management Asia (HMA), Bangkok (2013) and HMA Awards 2014.

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Max Super Specialist Hospital Saket

Number of beds: 500
ICU Beds: 267
Airport Distance: 13 KM

About Hospital:

Max Super Speciality Hospital at Saket is one of the topmost healthcare service
Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.

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Max Hospital, Saket aims to provide the highest standard of medical care to the patients, right from admission and all the way to the patient discharge.
Max Smart Super Speciality Hospital, Saket, offers the advantage of integrated medical care in a multidisciplinary setting provided by a faculty of highly qualiﬁed doctors, nurses, & healthcare professionals.
Max Smart Super Speciality Hospital, Saket, is a regional hub for complex procedures such as neurovascular intervention, targeted cancer treatments, heart surgeries, orthopaedic surgeries, liver & kidney transplant, and fertility treatments.
With over 35 Speciality units, this renowned hospital caters to many patients from different parts of India as well as abroad on an everyday basis.
The super specialty hospital is well known for having Asia’s first and the world’s third BrainSUITE technology.
It is an advanced Neurosurgical operation theatre, which allows the medical team to use MRI during the surgery. This sophisticated technology can be used for various kinds of brain surgery.
Max Hospital group is also the first super speciality tertiary care centre that has the facility for advanced cardiac life support ambulances and air evacuation service.

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Medanta-Hospital-Gurgaon

Medanta The Medicity Hospital

Number of beds: 1250
ICU Beds: 300
Airport Distance: 18 KMs

Brief About:

Medanta – The Medicity is amongst India’s largest and most renowned multi-super speciality healthcare centre with 1250 beds, 29 super speciality units and more than 800 accomplished doctors.
Supported by state-of-art infrastructure, all the departments in the hospital are fully equipped with cutting-edge technology, modular Operation Theatre and modernized monitoring systems in ICUs.
The panel of doctors from Medanta, headed by A.S.Soin performed the first successful intestinal transplant in India.

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The team of Medanta has performed over 15,000 cardiac surgeries and 2500 joint replacement surgeries.
It Has performed over 500 living donor liver transplants. It is the highest number of liver transplants done in India and the 2nd highest in the world.
Further to its credits, the doctors at Medanta are highly trained experts with international repute and have contributed in making world records and claimed many firsts not only in India but on a global scale.
It has all kinds of procedures like Liver transplant, intestine,transplant and Knee Replacement surgery.
The hospital maintains a high standard of quality clinical care and is operational with the latest technologies like 256 Slice CT, Brain Suite with Intraoperative MRI Imaging, Da Vinci a surgical system with Robot for Minimally Invasive Surgery, Artis- Zeego Endovascular Surgical Cath Lab- with combined operating room.

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Sanar International Hospital

Number of beds: 130
ICU Beds: 35
Airport Distance: 20 Km

About Hospital:

Sanar International Hospital was established in 2018.
Sanar International Hospital founded by Mr. Naresh Kapoor.
Sanar International Hospital offers comprehensive advanced surgical care in specialties like Cancer, Heart, Blood and Marrow Transplant, Lung, Liver, and Neurosciences along with other major departments with advanced state-of-the-art facilities.

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It establishes itself as a center of excellence with world-class infrastructure, a team of experienced surgeons, doctors, and nursing staff.
Sanar International Hospitals is not only leaving a mark amongst domestic patients but also making it a preferable choice for patients from other countries.
Sanar International Hospital offers comprehensive advanced surgical care in over 15 Specialties.
The hospital’s skilled faculty is on numerous medical clinical & advisory boards and lectures nationally & internationally on a regular basis.
It focuses on High-End Complex Surgeries with cutting-edge technology to enable the carrying-out of the most complex surgical procedures with clinical excellence at par with anywhere in the world.
All facilities are based on the latest revolutionary and technological advancements of global standards particularly in radio diagnosis, research, clinical and surgical practices.
Hospital technology & Radio Diagnostic foray is of the latest generation of MRI, CT, Digital X-Ray, Ultrasound, pharmacy, ambulance & 24 hrs Transfusion Medicine, Laboratory & Emergency services.

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W Pratiksha Hospital Gurgaon Delhi

Number of beds: 110
ICU Beds: 31
Airport Distance: 19 KMs

About Hospital:

Established in 1995, W Pratiksha Hospital is a 110+ bedded flagship hospital of the Pratiksha group.
W Pratiksha Hospital in Gurgaon, the flagship hospital of Pratiksha Group is a one-of-its-kind facility in Gurgaon that brings to you 30 years of experience.
The hospital has treated more than 25,000 people In 2018.

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The chairman of the Pratiksha group – Dr. Pramod Kumar Sharma is one of the pioneers of IVF treatment.
The hospital has done more than 5500+ IVF success
It is an accredited hospital with NABH,& NABL.

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Accord Superspeciality Hospital

Number of beds: 380+
ICU Beds: 41
Airport Distance: 46 Km

About Hospital:

The story of Accord began with the thought of leveraging the new age technology with the healthcare infrastructure to serve the patients, rightly, effectively, and timely.
Accord Superspeciality Hospital (A Unit Of SCL Healthcare Pvt. Ltd) is India’s first smart hospital and one of the first of its kind in the world.
Accord Superspeciality Hospital aims at providing technologically advanced healthcare services to international patients who are looking out for medical tourism in India.

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It delivers world-class patient care services.
Highly experienced team of super specialist available at accord superspeciality hospital
It believes in enhancing the expertise of doctors through the use of augmented artificial intelligence, generated through various systems and software.
Its smartness is the result of a super-brain that accompanies the hospital.

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Jaypee Hospital Noida Delhi

Number of beds: 525
ICU Beds : 150
Airport Distance: 32 KMs

About Hospital:

The Jaypee Hospital was conceptualized by a revered Founder Chairman, Shri Jai Prakash Gaur in 2014, with the vision of promoting world-class healthcare amongst the masses by providing quality and affordable medical care with commitment.
Jaypee Hospital at Noida is the flagship hospital of the Jaypee Group, which heralds the group’s noble intention to enter the healthcare space.
This hospital has been planned and designed as a 1200 bedded tertiary care multi-speciality facility and has commissioned 525 beds in the first phase.

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The Jaypee Hospital is constructed across a sprawling twenty-five-acre campus in Sector 128, Noida which is easily accessible from Delhi, Noida and the Yamuna Expressway.
With its best in class facilities, state-of-the-art technology, diagnostic services, and skilled doctors.

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Aakash Health Care Delhi

Number of beds: 230
ICU Beds: 70
Airport Distance: 10 Km

About Hospital:

Aakash Healthcare Super Speciality Hospital is a tertiary care facility, with 15 Dialysis, and 70 Critical care beds for treating the most complex cases in the National Capital Region (NCR) of Delhi, Dwarka.
The hospital is equipped with state of the art infrastructure, latest technology, competent clinicians and compassionate staff.
Aakash Healthcare Super Specialty Hospital is known for its leading care in Orthopaedic and Joint replacement surgery.

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The hospital also has a 24×7 ‘Trauma & Emergency Center’, blood bank, with state of art Neonatal and Paediatric ICU.
The Super Specialty Hospital is being managed by highly qualified and trained experts from their respective fields and a unified team of healthcare experts ensure 24×7 comprehensive patient care
The Hospital has deployed high-end technologies and smart digital systems along with robust Hospital Information Systems to address complex medical needs and convenience of patients.
Mr. J C Chaudhry is the chairman of Hospital and Dr. Aashish Chaudhry is Managing Director, who is also a renowned Orthopedic Surgeon in this region.
Total number of surgeries done is 25000+ till now.

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