Showing posts with label osteoid osteoma. Show all posts
Showing posts with label osteoid osteoma. Show all posts
About Us - Dr. Ajay Upadhyay Radio Frequency Ablation Specialist, Gujarat


Greeting from Dr. Ajay Upadhyay!
I am pioneer to start Radio–frequency-Ablation (Minimal Invasive OPD procedure) in Gujarat in 2007.
Till today (aug 2014) i have performed around 200 RFA of liver and lung and 100 RFA of Osteoid osteoma of bone.
In 100 cases RFA of nidus of Osteoid -Osteoma under CT guidance by Percutaenous route with 100 % clinical success ( femur-57, Tibia -28 ,Spine-4,Scapula-1,Intramedullary-2 others 8) .
This is a FDA approved 1st line of Rx of osteoid osteoma. This is a OPD procedure takes 2-3 hours, under spine/nerve block and precise location of nidus under CT guidance. The patient becomes pain(nidus) free after 24-48 hours and can walk after the procedure.
In liver lesion it should be below 5 c.m., less than 3 in no and with normal coagulation parameters with patient require a day admission.
Thanking You,
Yours truly,
Dr. Ajay R Upadhyay.M.D. (Radiology)
(Visiting Interventional Radiologist Gujarat Cancer and Research Institute)
Mediscan, 2nd floor Nandkutir building,B/h Doctor house, C.G.RoadAhmedabad -380006(Gujarat).
(M)- 09825019486
(C)(079)26441832
Email: drajayu@yahoo.com
www.drajayupadhyay.in
RFA Procedure - Radiofrequency Ablation


We first assess the tumor in detail, using CT scans and MRI, which are performed at our centre. However, if these investigations have already been done, we go through them carefully.
If the lesion is suitable for an RFA procedure from the treatment perspective, we assess the technical feasibility.
If the lesion is technically accessible, then a pre-procedure work-up is performed, which consists of a basic health assessment, and the coagulation profile.
If there is no contraindication, the procedure is then performed under deep sedation, with an anesthetist in attendance.
The procedure for an osteoid osteoma takes upto 30-45 minutes. For all other tumors, it may take from 30mins to 2 hours depending on the size of the tumor.
After the procedure, the patient is observed in the post-procedure room, until he/she is fully conscious. Usually within three hours, the patient leaves our centre. The patient is allowed light food four hours after the procedure. The patient will be on oral antibiotic coverage for another 3 days.
With most tumors including osteoid osteomas, the patient can go back to sedentary, non-strenuous work within 24-48 hours.
Follow-up CT scans or MRIs are performed at 48 hours, 30 days and 1 year and are part of the paid-up package.
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