Services

The Himalayan Institute Hospital offers a range of services, previously not locally available, to the people of the Himalayas. Among the services are:

Outpatient Services
Outpatient consultation services in all general and speciality departments are scheduled daily, Monday through  Saturday, from  8:30 am to 4:30 pm. Speciality departments include: general internal medicine, general surgery,  plastic surgery,  orthopedics, gastroenterology, oncology, obstetrics and gynecology, pediatrics,  pediatric  surgery,  cardiology,  urology, nephrology, neurology, respiratory medicine, ENT, ophthalmology,  dentistry,  dermatology, psychiatry, homoeopathy, and rehabilitation medicine.

Inpatient Services
There are spacious and airy general wards, post-surgical wards, observation wards  as well as semi-private and deluxe accommodations for those who prefer privacy and need special attention. Private wards are airconditioned with separate telephone and entertainment facilities.

Accident and Emergency Services
Round the clock casualty department (accidents/emergency and critical care), equipped with all types of emergency facilities and ambulance. Staff consists of a Chief Medical Officer and a team of experts from all disciplines. The casualty department has an attached operation theatre for surgical emergency and observation ward with all monitoring facilities.

Blood Bank
Provides whole blood and blood components, eg. packed red cells, platelet concentrate, fresh frozen plasma and cryoprecipitate on a 24-hour basis. This is the first licensed blood bank in Uttaranchal. Adequate stock is maintained for emergencies. Stringent quality control measures are followed in the blood bank for collection, processing and storage of blood and its components. Camps are also organized in various institutions and colleges for donor motivation and blood donation. 

Anesthesiology and Intensive Care (ICU)
Sophisticated centrally air-conditioned operation theatre complex with laminar airflow. All modalities of anesthesia, including open heart and renal transplantation surgery, at the expert hands of a senior anesthesiologist, with mandatory monitoring facilities as per international standards.
Pre-anesthesia clinic, pain clinic, hi-tech intensive care unit (ICU) with central monitoring of vital parameters and mini-lab for ABGA. Latest technology ventilators, defibrillator with external pacer, microinfusion pumps and ripple beds. Doctors on duty 24 hours with highly trained intensive care nursing staff at a ratio of one nurse per patient.

Operation Theatres
Centrally air-conditioned operation theatre complex fully equipped for general and specialised surgical procedures performed regularly by senior consultants in General Surgery, Pediatric Surgery, Plastic Surgery, Neuro Surgery, Urology, Oncology, Ophthal- mology,   ENT, Orthopedics, and Dental Surgery. Routine diagnostic Laparoscopy along  with Laparoscopic Cholecystectomy, appendectomy, and  other laparoscopic assisted /procedures are conducted.

The hospital has all the facilities available in the following departments for outpatient, inpatient and emergency services.

 
Artificial Limb Center
Manufacturing of quality artificial limbs and rehabilitation equipment for physically disabled and spinal injury patients, including upper limb orthosis, spinal orthosis, lower limb orthosis and lower limb prosthesis.

Cardiology
Cardiology department has fully functional state of the art modern Cath lab. Coronary angiography, angioplasty, stents & TPI & PPI are being done. Latest Holter monitor, lastest TMT with telemetry. Fully computerized and full page ECG, 2D-Echcardiography & colour Doppler.
1. Non-Invasive Cardiology
ICCU, IABP, 3-channel ECG with computerized reporting, 2D echocardiography with colour doppler, contrast echocardiography, computerized TMT and Holter monitoring.
2. Invasive Cardiology
   (i) Angiography and Angioplasty
         Coronary
         Peripheral
         Carotid
         Bronchial
   (ii) Trans radial angiography (walking angiography)
   (iii) Bronchial artery embolization
   (iv) Balloon valvuloplasty ASD defect device closure and PDA
   (iv) ASD and PDA device closure
   (v) Pacemaker implantation
         Temporary
         Permanent (single and dual chamber)
         ICD (single and dual chamber)
         Biventricular
   (vii) Cardiac cath for congenital heart diseases

CardioThoracic & Vascular Surgery (CTVS)
The unit started functioning in June 2005, as a part of invasive cardiac care services. It is well equipped with one modular operating theatre and six-bedded CTVS (ICU) ward. The CTVS ICU has all modern facilities to support and monitor their recovery after surgery. The unit is staffed by well-trained and experienced cardiac surgeons, anaesthetists, perfusionists, technical staff and team of dedicated nurses
.
Surgical procedures carried out are:
   1. Cardiac Surgery
      A. Pediatric
         (i) Closed procedures (not requiring heart lung machine)
               Atrial septal defect and PDA closure by device.
               Patent ductus arteriosus (PDA)
               Coarctation of aorta
               Palliative shunts - to improve oxygenation in patients with Tetralogy of Fallot's orother                     
               cyanotic (blue babies) condition.
               Pulmonary valvotomy
               Vascular ring
         (ii) Open heart procedures (those requiring heart lung machines)
               Atrial septal defect (ASD)
               Ventricular septal defect (VSD)
               Repair of Tetralogy of Fallot (TOF)
               Other congenital heart diseases
      B. Adult
         (i) Closed procedures
               Valvotomy - commonly mitral valvotomy
               Pacemaker insertion
               Pericardiectomy
         (ii) Open heart procedures
               Valve repair
               Valve replacement
               Coronary artery bypass grafts
               Mixed procedures
         (iii) Beating heart surgery for coronary bypass grafts.
   2. Thoracic procedures
         Lung lobectomy, pneumonectomy
         Pleura - pneumo - thoraces - management
         pleurodesis empyema - drainage, decortication
         Mediastinal tumor
         Aortic- aneurysm/trauma
   3. Peripheral vascular surgery
         Embolectomy
         Endarterectomy
         Vascular grafts
         Carotid artery disease
         Abdominal aortic and iliac vessel disease.
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Dental
Staff :
One specialist in Conservative and Endodontics (operative)
One specialist of Prosthodontia
One General Duty Resident Dental Surgeon
Dental Hygienest
Dental Assistant
Equipment :
2 fully operational dental chairs with air motors, micro motor, suction, air motor
attachments
Trophy intraoral x-ray machine
Velopex Sprint Automatic Dental X-ray film processor
Suprasson ultrasonic scaler with endopiezo attachments
Fully functional lab with all lab equipment for fabrication of all types of dental
prosthesis and appliances (excluding casting machine and porcelain furnace)
Treatments available :
Prothodontia : complete upper and lower denture
Removable partial denture
Fixed partial denture
Maxillofacial prosthesis
Prosthesis for other parts of body
Operative :
All types of restorations e.g. Light cure composites and compomers, glassionomer, Silver amalgam, Cast inlays and onlays
Anterior aesthetic crown buildups
Laminates for anterior teeth
Endodontics :
Root canal treatment of anterior and posterior teeth includling pulpotomy
and pulpectomy
Bleaching of non vital teeth
Hemi-section and root Amputations
Restorations of endodontically treated teeth with post and core build up
and Jacket crown
Periodontia :
Scaling in supraginginal and subginginal area along with stain removal
Root planing and sub gingival curettage
Gingivectomy and flap, operations etc
Orthodontia :
Removable orthodontic appliances for treatment of alignment of crowded
teeth, protrusion, spacing
Guided eruption of impacted teeth
Habit breaking appliance
Arch expansion appliances
Paedodontia :
Restorations and RCTs primasy teeth, serial estractions
Apexifications
Pit and fissure sealants
Fluoride application
Oral Surgery :
Closed extractions
Surgical extractions
Impactions
Cyst enucleation and marsupializations
Apicoectomies and apical curettage
Alveolar fracture of maxilla and mandible
Close reduction and immobilization of fracture mandible
Alvcolectomy and alveoloplasty:
Biopsies of oral lesions
Dental Surgery
All types of restorations, root canal therapy, surgical extractions, oral prophylaxis, prosthesis and orthodontic arch treatment at advanced level, myofunctional therapy, habit breaking appliances, invisible braces and lingual braces.
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Dermatology

All routine dermatological services along with tattooing, cryotherapy, PUVA chamber and electrodessication.
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Ear, Nose and Throat (ENT)
All routine and advanced E.N.T. and head-neck surgeries. Micro ear surgery, functional endoscopic sinus surgery (FESS), pure tone audiometry, tympanometry, speech therapy and endoscopic examination.
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Gastroenterology
Diagnostic upper and lower GI endoscopies.
Therapeutic – Variceal Sclenotherapy, Varical and Ligation, Esophageal Structure dilatation and Endoscopic Polypectomy.
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General Medicine

Internal medicine, tropical medicine, geriatrics, endocrinology, medical oncology and all types of specialized chemotherapy under medical supervision. Diabetic clinic, footcare clinic for diabetics, rheumatology, immunology, haematology and health screening. Endoscopic procedures for upper and lower gastrointestinal tracts.
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Nephrology
Hospital is authorized for kidney transplantation by Uttaranchal government and is the only centre in Uttaranchal to perform kidney transplantation.
The nephrology department provides complete kidney care including kidney transplant and dialysis facility. Facility for the nephrologist to perform temporary vascular access (femoral, jugular and subclavian), permanent vascular access (permcath), percutaneous CAPD catheter insertion, acute peritoneal dialysis, kidney biopsy under USG guidance and ICU dialysis.
Comprehensive kidney transplantation package, including donor and recipient workup, preoperative care and post transplantation management.
Dialysis facility including acute hemodialysis, maintenance hemodialysis and CAPD. top

Neurology
All routine neurological diagnostic and treatment facilities, including EEG, video EEG telemetry, VEP(VER), BAEP(BERA), CT Scan, MRI, stress test and monitoring, EMG, NCV, nerve biopsy, muscle biopsy and lumbar puncture.
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Neurosurgery
Expert management of all kinds of head injury and spinal trauma with facility for a 12-bed ICU with 6 ventilators and urgent operative intervention. Surgery for brain tumours, spinal tumours, brain hemorrhages, degenerative diseases of the spine, congenital problems of brain and spine, epilepsy surgery and soon to start neuroendoscopy.
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Obst. & Gynae
Laparoscopic surgery, laparoscopic tubectomy, laparoscopic assisted vaginal hysterectomy, diagnostic laparoscopy and hysteroscopy, TCRE (transcervical resection of endometrium), gynaeoncology, gynaeurology, vaginoplasty, colposcopy, gynaecological cancer screening clinic.
The Gynea Plastic Surgeries like Vaginal Rejuvenation, Vaginal Reconstructive Surgery, Vulval Reconstruction and Cosmetic Surgery, Hymenoplasty repair, Vault Prolapse-repair, Nulliparous Prolapse-repair, Urinary and Fecal Fistula-repair, Surgical Correction of defects of Mullerian Ducts, Complete Perineal Tear, Pediatric and adolescent gynaecological Treatment and Surgery, Management of stress incontinence and Gynae Urology.
Post menopausal, well woman and adolescent clinic, mammogram. Normal vaginal delivery and free tubectomy, free tubal ligation camp. MVA, medical abortion facilities. High-risk pregnancy unit. Level II scan for fetal malformations. Fetal medicine and genetic counseling clinic.
Triple test, Downs syndrome screening facilities. Infertility clinic. Intrauterine insemination. ICU/ventilator facilities and blood component therapy. Cryosurgery, routine gynaecology, obstetric with antenatal clinic, family planning counseling and obstetric services. top

Oncology
All latest screening and diagnostic facilities by endoscopic, radiological, pathological and biochemical techniques. Dedicated surgical oncology service for complex surgical operations of all cancer patients (head and neck, breast, thoracic gastrointestinal and soft tissue sarcoma). Chemotherapy facilities, integrated holistic and cancer awareness program. A separate cancer center will be commissioned soon.
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Ophthalmology
Institute is having an eye bank and having corneal transplant facility.
Surgery for cataract, including intraocular lens implantation, glaucoma, retinal detachment, squint, ptosis, oculoplasty and vitrectomy. Refraction, contact lenses, orthoptics and pleoptics. Automatic field analysis, phacoemulsification, sutureless surgery for cataract and glaucoma. SICS fundus fluorescein angiography, Nd: YAG laser, retinal laser, operating microscope with CCTV facility, keratoplasty, specular microscopy, lacrimal sac surgery DCR/DCT, orbital implant surgery. Slit lamp with applanation tonometer, hand held applanation tonometer, indirect opthalmoscope, gorrioscope, A-scan, B-scan, kerotometer and lensometer.
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Orthopedics
All latest modalities of treatment for orthopedic conditions like deformities, congenital anomalies, fractures, arthritis and spinal problems. Treatment facilities like interlocking nailing, plating, arthoscopy, joint replacement and spinal surgeries are available. top

Pediatric Medicine
Routine and emergency pediatric facilities. Fully equipped pediatric ward with suction facility (central line), nebulizer, NIBP monitors, pulse oxymeter and infusion pump. Newborn nursery unit for sick and preterm babies, NIBP monitors, syringe infusion pumps, radiant warmers, double surface phototherapy and servo-controlled open-care units.
Facility for exchange transfusion and neonatal resuscitation. Ventilatory care for children available in ICU. OPD providing healthcare to children, running specialty clinics eg. asthma clinic, TB clinic and well baby clinic.
Pediatric Surgery
All kinds of specialized surgical care for pediatric patients, including neonates and low birth weight babies. Effective management of neonatal congenital malformations is provided. Super specialized care with state of the art neonatal cystoscopes for pediatric urology and intersex disorders, pediatric thoracic surgery, pediatric gastrointestinal and hepatobiliary surgery, childhood tumours and malignancies. Congenital neurosurgical problems like spina bifida, hydrocephalus and tethered cord are also treated effectively. The department is backed by a state of the art ICU and neonatal nursery.
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Physiotherapy & Rehabilitation Medicine
Rehabilitation
The latest rehabilitative care for both acute and chronic conditions including holistic health approaches like yoga, Homeopathy and Ayurveda.
Physiotherapy
Manipulative techniques are used for musculoskeletal disorders and for rehabilitating neurologically deficient patients. Other treatment includes electrotherapy and exercise therapy like laser, TENS and IFT.
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Plastic Surgery
Free surgery for cleft lip and palate under Smile Train project with full backup of support services, including speech therapy and orthodontics; surgery for secondary cleft deformities.
Cosmetic surgery: face lift, dermabrasion and scar removal; ear and nose reconstruction, breast augmentation and reduction surgery; liposuction and body contouring, surgery for baldness.
Skin replacement surgery, burn surgery, reconstruction for defects due to trauma, cancer and other surgery, hand surgery and surgery for congenital deformities. top

Psychiatry
A. Psychological assessment
i) Detailed assessment
ii) Psychodiagnostic work

   IQ testing
   Personality testing
   Clinical assessment for various psychological disorders like anxiety, depression and eating disorders.
B. Psychiatric treatment
i) Biological treatment
   Pharmacotherapy
   Modified ECT
ii) Psychological treatment
   Child therapy
   Psychotherapy
   Client-centered therapy
   Behavioural modification therapy
   Group therapy for psychosexual disorders and other common disorders.
   Couple therapy
   Individual therapy
   Relaxation exercises
   Counseling
C. Child psychiatric assessment, examination and therapy top

Radiology
MRI 1.5 tesla: MRI of head, neck, thorax, abdomen, pelvis, musculoskeletal system and spine. MR angiography, diffusion weighted imaging, CSF flow study and MR spectroscopy in progress. MRCP and MRIVP.


CT Scan: CT Scan of whole body, FNAC and CT guided drainage.
Ultrasound and Doppler: Routine ultrasound of all systems and small parts, interventional ultrasound guided aspiration, drainage, PCN, PTBD, colour Doppler (carotid, peripheral, obstetric and renal), sono-mammogram, TVS and TRUS.
Mammography
Fluroscopy 800 MA with image intensifier: GIT, liver, urinary tract, reproductive system, spine, eye and E.N.T.
General X-rays 800 MA: Renal IVU, KUB, general X-rays of all systems, special views of all systems and baby-gram or infantogram.
Mobile Portable: Adults patients, pediatric, intra-operative, emergency/observation ward and ICU/CICU/CTVS radiography.

Reference Laboratory
Provides all routine and sophisticated special tests of biochemistry, hematology, clinical pathology, microbiology, immunology and hormone assays. All automated instruments based on latest technology are used. Laboratory is manned by highly trained technical staff under direct supervision of faculty members from biochemistry, microbiology and pathology departments. The laboratory maintains day-to-day internal quality control. The turn-around time for most of the tests is the same day, including some special tests. The laboratory is open 24 hours, 365 days in the year. Special investigations for infertile couples, histopathology and fine needle aspiration cytology are also available.

Surgery
All routine and emergency major and minor operations of abdomen, head, neck, limbs, breast, thyroid, oesophogus, laparoscopic cholecystectomy, appendectomy, adhesiolysis, hernia repair, laparoscopic surgery, upper G.I. endoscopies, colonoscopy, breast cancer clinic and thyroid clinic.
Hepatobiliary and pancreatic surgery, including surgery for portal hypertension and pancreatitis. Therapeutic endoscopic procedures such as sclerotherapy, FB removal and polypectomy. All gastrointestinal operations, including liver resection and portocaval shunts. top

T.B. & Chest
Pulmonary function testing (including spirometry with reversibility, lung volume), FNAC of lungs, flexible fiber optic bronchoscopy (including lavage, washing, brushing, TBNA, TBLB). TTNA, IC tube drainage, USG guided intrathoracic drainage, diagnostic and therapeutic pleural fluid, pleural biopsy aspiration, asthma clinic, inhalation therapy, patient education, COPD clinic, pulmonary rehabilitation, chest physiotherapy pleural aspiration, nebuliser therapy, oxygen therapy, BIPAP and free treatment for D.O.T.S.
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Urology Lithotripsy & Urodynamics


A team of qualified urologists provide super specialised care which includes all major urological operations, eg. radical nephrectomy, radical cystectomy and diversions, all incontinence studies and operations including slings and plastic operations; reconstructive surgeries, pediatric and female urological problems, lower tract (TUR-P/TUR-BT) and upper tract (PCNL, URS), laparoscopic, end urology with state of the art equipment, extra corporeal shock wave lithotripsy (ESWL) by latest Dornier machine having IITV and ultrasound modes, uroflowmetry, cystometrography and EMG studies for bladder and urethra pressure by video-based urodynamic machine; microsurgery for infertility, treatment for impotency, advanced workup of impotent patients, penile prosthesis placement and all types of vascular and peritoneal access.
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Voluntary Counseling and Testing Centre (VCTC)
Free of cost HIV testing, pre-test and post-test counseling. Knowledge and general awareness for HIV/AIDS.



Himalayan Institute Hospital
Swami Rama Nagar, P.O. Doiwala, Distt. Dehradun 248140 Uttarakhand, India
Phone: 91-0135-2471200; 91-135-2471300, Fax: 91-135-2471122, ms@hihtindia.org, www.hihtindia.org

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