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Post-operative PTBD Treatment Cost in India
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Post-operative PTBD Treatment Cost in India is between USD 400 - USD 1000
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Hospital Days: 2 -3
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Procedure Duration: 1 Hrs - 2 Hrs
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Post-operative percutaneous transhepatic biliary drainage (PTBD) manages biliary leaks following surgery. This technique involves inserting a catheter through the skin into the liver to drain bile, relieving pressure and promoting healing. Biliary leaks can occur due to surgical complications, such as injury to the bile ducts during surgery. PTBD helps redirect bile away from the leak site, preventing infection and facilitating recovery. It's an effective method for managing post-operative biliary leaks, allowing patients to heal while minimizing the risk of complications and promoting optimal recovery.
Why Do You Need PTBD- Post Operative/Biliary Leak?
PTBD (Percutaneous Transhepatic Biliary Drainage) for post-operative biliary leaks is necessary to address complications arising from surgery, particularly those involving injury to the bile ducts. The procedure is required for several reasons:
- Drainage of Bile: Post-operative biliary leaks result in the accumulation of bile outside the biliary system, leading to potential complications such as infection or abscess formation. PTBD helps drain bile from the leak site, preventing its accumulation and reducing the risk of infection.
- Pressure Relief: Bile leaks can exert pressure on surrounding tissues, impairing healing and exacerbating inflammation. PTBD alleviates this pressure by diverting bile away from the leak site, promoting tissue healing, and reducing the risk of further complications.
- Facilitation of Healing: By draining bile and relieving pressure, PTBD supports the body's natural healing processes. It creates an environment conducive to tissue repair and regeneration, enabling the affected tissues to heal more effectively.
- Prevention of Complications: Left untreated, post-operative biliary leaks can lead to serious complications such as sepsis or organ damage. PTBD helps mitigate these risks by effectively managing the leak, reducing the likelihood of complications, and promoting a smoother recovery process.
Types of PTBD Post Operative/Biliary Leak
There are several types of Percutaneous Transhepatic Biliary Drainage (PTBD) procedures used to manage post-operative biliary leaks, each tailored to the specific needs of the patient and the nature of the leak:
- External PTBD: In this approach, a catheter is inserted percutaneously through the skin and into the liver to drain bile externally. The catheter is connected to an external drainage bag, allowing bile to be collected outside the body.
- Internal-External PTBD: This technique involves placing a catheter that extends both internally into the biliary system and externally through the skin. Bile is drained externally, while the internal portion of the catheter helps maintain patency of the biliary tract.
- Transanastomotic PTBD: This method involves placing a catheter across a surgical anastomosis to drain bile from the biliary tree. It is used specifically in cases where there is a leak at the site of surgical connection or anastomosis.
- Endoscopic Retrograde Cholangiopancreatography (ERCP) with Stent Placement: In some cases, biliary leaks may be managed using endoscopic techniques. During ERCP, a stent can be placed across the site of the leak to divert bile flow and promote healing.
- Percutaneous Embolization: In cases where the leak originates from a small blood vessel, percutaneous embolization may be performed to occlude the vessel and stop the leak.
How Patients are Selected for the Procedure?
Patients undergoing a PTBD (Percutaneous Transhepatic Biliary Drainage) procedure, particularly in the context of addressing post-operative biliary leaks, are carefully selected based on a thorough evaluation of their medical history, clinical presentation, and diagnostic imaging. The selection process is crucial to ensure the appropriateness of the intervention and the patient's overall well-being.
- Diagnostic Assessments: The initial step involves comprehensive diagnostic assessments, including imaging studies such as ultrasound, CT scans, or MRCP (Magnetic Resonance Cholangiopancreatography). These tests help identify the presence and extent of biliary leaks or other complications following surgery.
- Clinical Evaluation: The patient's clinical condition is thoroughly evaluated. Factors such as the severity of symptoms, overall health, and the potential risks associated with the procedure are considered. This evaluation helps determine the necessity and urgency of the PTBD intervention.
- Multidisciplinary Team Collaboration: A multidisciplinary team, including gastroenterologists, radiologists, and surgeons, collaborates to review the patient's case. This ensures a comprehensive and well-rounded assessment, considering different perspectives and areas of expertise.
- Patient Consent: Before proceeding with PTBD, informed consent is obtained from the patient. This involves explaining the purpose of the procedure, potential risks, benefits, and alternative treatment options.
- Monitoring and Follow-up: Continuous monitoring of the patient's condition is paramount. Post-operative care and follow-up assessments are conducted to track the effectiveness of the PTBD procedure and address any complications that may arise.
Risks and Benefits Associated with PTBD- Post Operative/Biliary Leak.
Benefits of PTBD- Post Operative/Biliary Leak:
- Biliary Drainage: PTBD effectively alleviates biliary obstructions or leaks by providing a direct drainage route from the liver to an external collection bag or internal stent. This helps to divert bile away from the affected area, promoting healing and preventing further complications.
- Symptom Relief: The procedure aims to relieve symptoms associated with biliary leaks, such as abdominal pain, jaundice, and other discomforts. By facilitating bile drainage, PTBD improves patient comfort and quality of life.
- Bridge to Definitive Treatment: PTBD often serves as a temporary measure, creating a bridge to more definitive treatments. It allows time for the patient to stabilize before undergoing further interventions, such as corrective surgeries or additional therapeutic procedures.
Risks of PTBD- Post Operative/Biliary Leak:
- Infection: There is a risk of infection associated with the PTBD procedure, as the insertion of the drainage catheter creates a potential entry point for bacteria. Rigorous sterile techniques are employed to minimize this risk, but infections may still occur.
- Bleeding: The insertion of the catheter can cause bleeding, although this risk is relatively low. Monitoring for signs of bleeding and ensuring prompt medical attention if necessary are essential components of post-procedural care.
- Perforation: In rare instances, PTBD may lead to perforation of surrounding structures, posing a risk of damage to nearby organs or tissues. This risk is mitigated through careful procedural planning and skilled execution by the medical team.
- Discomfort and Complications: Patients may experience discomfort, and there is a possibility of complications related to the drainage catheter, such as blockage or dislodgment. Regular follow-up and monitoring are crucial to address and manage these issues promptly.
PTBD for post-operative biliary leaks offers valuable benefits in symptom relief and as a transitional step toward definitive treatments. However, it is essential to acknowledge and manage the associated risks to ensure the overall safety and well-being of the patient undergoing this procedure.
What to Expect After a PTBD- Post Operative/Biliary Leak?
Following a Percutaneous Transhepatic Biliary Drainage (PTBD) procedure for post-operative biliary leaks, patients can expect post-procedural care and recovery. Understanding what to expect during this time is essential for ensuring optimal outcomes and managing expectations.
- Immediate Post-Procedure Care: After the PTBD procedure, patients are typically monitored in a recovery area for a few hours to ensure stability. Vital signs are closely monitored, and any immediate post-procedural discomfort or complications are addressed promptly.
- Pain Management: Patients may experience some discomfort at the site of catheter insertion or in the abdominal region. Pain management strategies, including medication and positioning, are implemented to alleviate discomfort and promote patient comfort.
- Observation for Complications: Close monitoring for potential complications, such as bleeding, infection, or catheter-related issues, is essential during the immediate post-procedure period. Healthcare providers carefully assess the patient's condition and intervene as needed to address any complications that may arise.
- Catheter Care: Patients will receive instructions on how to care for the drainage catheter, including maintaining cleanliness, monitoring for signs of infection, and managing drainage collection. Proper catheter care is crucial for preventing complications and ensuring the effectiveness of biliary drainage.
- Follow-up appointments: Patients will typically have scheduled follow-up appointments with their healthcare providers to monitor progress, assess the need for catheter maintenance or removal, and discuss further treatment plans.
- Symptom Improvement: As the PTBD effectively drains bile and alleviates biliary obstructions or leaks, patients can expect improvement in symptoms such as abdominal pain, jaundice, and other discomforts associated with biliary complications.
- Transition to Definitive Treatment: In many cases, PTBD serves as a temporary measure to stabilize the patient and facilitate further definitive treatments, such as corrective surgeries or additional therapeutic procedures. Patients can expect discussions with their healthcare team regarding the next steps in their treatment plan.
How is PTBD- Post Operative/Biliary Leak Performed?
Percutaneous Transhepatic Biliary Drainage (PTBD) is a minimally invasive procedure performed to address post-operative biliary leaks by creating a direct drainage pathway from the liver to an external collection bag or internal stent. The procedure is typically conducted in a specialized interventional radiology suite or operating room and involves several key steps:
- Patient Preparation: Before the procedure, the patient undergoes a thorough evaluation, including a medical history review, physical examination, and diagnostic imaging studies (e.g., ultrasound, CT scan) to assess the extent and location of the biliary leak.
- Anesthesia: PTBD is performed under local anesthesia with sedation or general anesthesia, depending on the patient's condition and preferences. An anesthesiologist or sedationist administers the appropriate anesthesia to ensure patient comfort and safety throughout the procedure.
- Image Guidance: During the procedure, real-time imaging techniques such as fluoroscopy or ultrasound are used to guide the insertion of the drainage catheter into the biliary system. These imaging modalities help the interventional radiologist or surgeon visualize the anatomy and navigate to the site of the biliary leak accurately.
- Catheter Insertion: A small incision is made in the skin overlying the liver, typically in the right upper quadrant of the abdomen. Using image guidance, a needle is advanced through the liver parenchyma and into the bile ducts. Contrast dye may be injected to confirm proper needle placement and identify the precise location of the biliary leak.
- Drainage Catheter Placement: Once the needle is accurately positioned within the bile ducts, a guidewire is threaded through the needle, followed by inserting a drainage catheter over the guidewire. The catheter is then advanced into the biliary system, allowing bile to drain externally into a collection bag or internally through a stent.
- Catheter Securing and Post-procedure Care: The drainage catheter is secured in place using sutures or adhesive dressings, and sterile dressings are applied to the incision site. Post-procedure imaging may be performed to confirm proper catheter placement and assess for any immediate complications.
Leading Hospitals for Post-operative PTBD in India
Doctors for Post-operative PTBD in India
Dr. Amar Nath Ghosh
Consultant
Cardiothoracic and Vascular Surgeons
Apollo Gleneagles Hospital, Kolkata
View Doctor Profile Book an AppointmentDr. Suraj Bhagat
Senior Consultant
Hepatologist, Medical Gastroenterologists
Dr. Vikash Prakash
Senior Consultant
Gastroenterologist, Hepatologist
Manipal Hospital Formerly AMRI Hospital, Broadway, Kolkata
View Doctor Profile Book an AppointmentDr. Ajitabh Srivastava
Director
Hepatologist, Liver Transplant Surgeons, Surgical Gastroenterologists
Aakash Healthcare Super Speciality Hospital, Dwarka, New Delhi
View Doctor Profile Book an AppointmentDr. Rohit Mehtani
Associate Professor
Gastroenterologist, Hepatologist
Dr. Gouri Kumar Prusty
Senior Consultant
Neurologists
Calcutta Medical Research Institute | CK Birla Hospitals, Kolkata
View Doctor Profile Book an AppointmentDr. Jayanta Paul
Consultant
Gastroenterologist, Hepatologist
Dr. Tanmoy Kumar Mandal
Senior Consultant
Medical Oncologists
Manipal Hospital Formerly AMRI Hospital, Dhakuria, Kolkata
View Doctor Profile Book an AppointmentDr. Dheeraj Karanth C
Consultant
Gastroenterologist, Hepatologist
Manipal Hospital, Millers Road, Bangalore
View Doctor Profile Book an AppointmentDr. Mridul Chandra Das
Senior Consultant
Hepatologist, Pediatric Gastroenterologists
Dr. Jaya Agarwal
Associate Professor
Hepatologist, Liver Transplant Surgeons
Dr. Bhaksar Nandi
Head of Department (HOD)
Gastroenterologist, Hepatologist
Dr. Sanjiv Saigal
Director
Gastroenterologist, Hepatologist, Liver Transplant Surgeons
Max Smart Super Speciality Hospital, Saket, New Delhi
View Doctor Profile Book an AppointmentDr. Shailendra Lalwani
Head of Department (HOD)
Hepatologist, Liver Transplant Surgeons
Dr. P. Kar
Consultant
Gastroenterologist, Hepatologist
Max Super Speciality Hospital, Vaishali, Ghaziabad
View Doctor Profile Book an AppointmentDr. Adarsh C K
Head of Department (HOD)
Medical Gastroenterologists
Gleneagles BGS Hospital Kengeri, Bengaluru
View Doctor Profile Book an AppointmentDr. Bhuvan Shetty
Consultant
Hepatologist, Medical Gastroenterologists
Gleneagles BGS Hospital Kengeri, Bengaluru
View Doctor Profile Book an AppointmentDr. Sunil Kumar N
Consultant
Gastroenterologist, Hepatologist
Manipal Hospital, Varthur Road, Bangalore
View Doctor Profile Book an AppointmentDr. Shaleen Aggarwal
Senior Director
Hepatologist, Liver Transplant Surgeons
Max Super Speciality Hospital, Saket, New Delhi
View Doctor Profile Book an AppointmentDr. Srikanth K P
Consultant
Hepatologist, Pediatric Gastroenterologists
Manipal Hospital, Old Airport Road, Bangalore
View Doctor Profile Book an AppointmentDr. Prasanna Bhat KS
Consultant
Hepatologist
Manipal Hospital, Old Airport Road, Bangalore
View Doctor Profile Book an AppointmentDr. Nagendra Kumar V R
Consultant
Hepatologist, Pediatric Gastroenterologists
Manipal Hospital, Hebbal, Bangalore
View Doctor Profile Book an AppointmentDr. Deepak Goyal
Additional Director
Hepatologist, Liver Transplant Surgeons, Pediatric Gastroenterologists
Fortis Memorial Research Institute (FMRI), Gurgaon
View Doctor Profile Book an AppointmentDr. Rinkesh Kumar Bansal
Additional Director
Gastroenterologist, Hepatologist
Fortis Memorial Research Institute (FMRI), Gurgaon
View Doctor Profile Book an AppointmentAuthor
Doctor of Pharmacy
Dr. Deepanshu Siwach is a skilled clinical pharmacist with a Doctor of Pharmacy degree. He has 4+ years of experience and has worked with thousands of patients. He has been associated with some of the top hospitals, such as Artemis Gurgaon and Teerthanker
Dr. Deepanshu Siwach is a skilled clinical pharmacist with a Doctor of Pharmacy degree. He has 4+ years of experience and has worked with thousands of patients. He has been associated with some of the top hospitals, such as Artemis Gurgaon and Teerthanker...
Reviewer
Director
Hepatologist, Liver Transplant Surgeons, Surgical Gastroenterologists
Aakash Healthcare Super Speciality Hospital, Dwarka, New Delhi
Dr. Ajitabh Srivastava is one of the best Hepatologists, Surgical Gastroenterologists, and Liver Transplant Surgeons in New Delhi. With over 26 years of experience, he has performed over 2500 liver transplant procedures. He specializes in hepato-pancreato-biliary (HPB) surgery, gastrointestinal surgery, acute liver failure treatment, laparoscopic surgery, and gall bladder surgery....
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