MedTravel Ecuador

Welcome to MEDTRAVEL Ecuador

MEDTRAVEL Ecuador is your medical travel partner to obtain top quality surgical or dental care while you enjoy Quito or travel within Ecuador (South America). We assure you excellent medical services offered by our healthcare providers during your medical vacation.

All of our patients will be provided with a travel insurance policy that covers: medical expenses and hospital stay for accidents or illnesses during your medical vacation, ambulance services, trip cancellation or delay, loss of baggage and legal expenses.

About Us
MEDTRAVEL Ecuador is a medical tourism facilitating company located in Quito – Ecuador's capital. We offer our country as a safe and reliable health destination with top healthcare facilities using USA standards in private hospitals, and the most sought-after medical procedures. We'll carry out all travel arrangements including tailor made tourist packages.

Our Promise:
MTE will take care of your whole trip arrangements and medical needs by offering:

• Partnership with only the best hospitals and doctors that fit your unique needs.
• Competitive prices from our health provider’s network in Ecuador.
• Direct contact with your local doctor or surgeon before your trip.
• Contact with client prior to arrival to discuss the country being visited
• Support in all your travel needs and questions for you and your companion
• Help in defining the best dates for your travel, as well as all flight arrangements, accommodation, food, entertainment, and travel within Ecuador
• Airport Pick up and ground transportation during your whole stay in Quito
• You will have at your disposal one of our staff members during your whole stay, staring with your airport arrival
• 24/7 MEDTRAVEL concierge service
• MedTravel members at your disposal during your whole stay and hospital support if needed.
• 24 hour cell phone assistance (we'll provide you with a local cell number during your stay)
• Travel Insurance Policy

Our Expertise:

• Ophthalmology
• Dental Surgery
• Weight Loss
• Plastic Surgery
• Orthopedics
• Wellness Programs

Traveling to Quito, Ecuador:

Flights:

• You can arrive to Quito via every mayor US airline company. Which in most of the cases have two daily flights.
• The travel time to Quito (South America) from Miami is 3.5 hours and from New York 7.5 hours

Accommodation
We have special rates with five star hotels as well as with boutique hotels in Quito.

Activities and Weather
Quito, Ecuador's capital has more than 2 million people. We enjoy a great weather all year long, with temperatures ranging from 55 °F (at night) to 80 °F (at noon), an average humidity level of 50%. The center of town is the greatest and most well preserved Colonial City in all of the Americas. Its nightlife offers a wide variety of choices of concerts, live music or underground bars and discotecs. There is a great gastronomical offer ranging from awarded international food restaurants to typical food restaurants.

From Quito you can be in the beach or the tropical jungle within 4 hours by land transportation or 30 minutes by plane, you can visit many spots from biodiversity parks, indigenous communities or Inca ruins along with adventure trips to the Amazon rain forest or enjoy a yacht cruise in the Galapos Islands. There will be so much to visit and do during your stay in Quito that you will surely want to extend your trip a couple of days before heading back home.

Visas and local Information

• U.S. citizens do not need a Visa to enter to Ecuador or visit the Galapagos Islands.
• The official local currency is US dollars
• Spanish is the official language in Ecuador, however many people speak some level of English in Quito
• MEDTRAVEL can and will assist you if you desire to take a tour around the city or a week stay at Galapagos Islands, Jungle, Beaches or Mountains. We have a partnership with the biggest corporate travel agency in Ecuador to guarantee excellent services and good rates.

Hospital Metropolitano | ISO 9001:2000

Hospital Metropolitano | ISO 9001:2000 Hospital Metropolitano | ISO 9001:2000 Hospital Metropolitano | ISO 9001:2000 Hospital Metropolitano | ISO 9001:2000 Hospital Metropolitano | ISO 9001:2000 Hospital Metropolitano | ISO 9001:2000 Hospital Metropolitano | ISO 9001:2000 Hospital Metropolitano | ISO 9001:2000It is the first private hospital in the country to have all its clinical and administrative processes certified. In 2007, Bureau VERITAS Certification gave Hospital Metropolitano the ISO 9001:2000 certification.

"AAA-" Rating
Bank Watch Ratings Grading Committee granted Conclina C.A., Hospital Metropolitano, an "AAA-" rating for the emission of preferred shares as well as the Ordinary and Preferred shares previously issued by the company. This rating is an endorsement of efficient management and highly satisfactory results. It also demonstrates the solvency of the institution, which guarantees the use of the latest technology and the provision of high quality services.

Good Environmental Practices
The Municipality of Quito and The Environmental Committee awarded a prize to Hospital Metropolitano as an example of constant improvement and technological innovation in the health services sector for environmental protection.

Please Click here to request more information from MEDTRAVEL Ecuador .

Metropolitan Hospital
In 1977 a visionary group of distinguished physicians with optimism gestated the idea of building in the city of Quito, a hospital with international standards. Metropolitan Hospital was established in Quito on 1979 in a strategic alliance with U.S. company AMI, American Medical International, that day. Conclina C.A. was born. On 14 November 1985, the Metropolitan Hospital opened its doors to the community, initiating a new era in medicine in the country, creating a new model of hospital management.

Since its iconception, the Hospital showed social sensitivity, and so in 1986 "Metrofraternity" Foundation was created, which provides free medical care to thousands of low-income patients.

The Hospital History is filled with constant growth and innovation. In 1990 expanded its outpatient care. In 1992 became a teaching hospital, with sponsorship model of university education. In 1995 implemented the Nuclear Magnetic Resonance service, required technology to attend special programs of laparoscopic surgery and open heart transplants. In 2001 start the acquisition of a digital angiography. In 2002 began the renovation of the Hospital's image by launching a new process of technological upgrading all the infrastructure. In 2003 he became the first accredited center in the country for cadaveric donor renal transplantation. In 2004, offers patients the Intelligent Surgical OR1 first and only in the country and the most advanced in Latin America. In 2005 acquired a team of 1.5 Tesla MRI.

photo_metropolitano_panoramica_2In 2006 implements the Integrated System of Quality (SGIC) is also the browser "Orthopilot" high-tech equipment to implant prosthesis with great accuracy. Metrolaser was implemented in 2007, the center of the country's most modern laser to correct vision. In April 2007, is certified with ISO 9001:2000 and acquires a 64 multislice scanner last generation, and an ultrasonic aspirator neuroendoscope, besides an ultrasound system and 4-dimensional volume-the fastest in the world. For 2008, the Hospital completed the digitization of radiological information with the Ris / Packs.

The brilliant career is due to prestigious Medical Corps, a visionary board of directors, and a highly qualified clinical and administrative staff, modern and renovated facilities, high-tech equipment and above all, the generous welcome of the community.

HOSPITAL METROPOLITANO
THE MOST COMPLETE MEDICAL - HOSPITAL COMPLEX IN THE COUNTRY

• 27.000 m2 of construction
• 750 parking spaces
• 136 beds
• 13 operating rooms
• 738 employees
• 235 active doctors
• 60 resident doctors
• 360 associated doctors
• ISO 9001 - 2000

HOSPITAL STATISTICS

PATIENT CARE
1985-2008

INVESTMENT IN RENOVATING INFRASTRUCTURE AND TECHNOLOGICAL INNOVATION (2000-2008)

• 17,377,520

EMPLOYEES (2007)

• 738 employees
• 2.214 beneficiaries

AGREEMENTS WITH IMPORTANT INTERNATIONAL MEDICAL CENTERS

• Cleveland Clinic Foundation
• Mayo Clinic
• Texas University
• Alabama University
• Mount Sinai Hospital Miami
• Fundación Santa Fe Bogotá
• Fundación universitaria del área Andina Colombia
• Brest University Germany
• Clínica Las Condes Chile
• Universidad Católica de Chile
• Hospital de Clínicas Caracas
• Clínica Fleni, Argentina
• Hospital Albert Einstein Brazil

Since its inception, Hospital Metropolitano has contributed to the training of medical specialists and strengthened medical knowledge through international courses.

HISTORY

• In 1977, a group of prestigious visionary doctors with great optimism gave form to the idea of building a hospital with international standards in the city of Quito.
• Two years later, in 1979, through a strategic and historic alliance with an American company, AMI, American Medical International, Conclina C. A. was built. It was the beginning of a medical hospital project that would transform health care in this country.
• On November 14, 1985, Hospital Metropolitano opened its doors to the public, beginning a new era for medicine in our country. It established a new model of hospital management in a dynamic area of the city.
• The hospital's outstanding development is due to a combination of exceptional factors: a group of doctors with recognized prestige, a visionary board of directors, highly qualified clinical and administrative personnel, modern and renewed facilities, high tech equipment, and above all, generous acceptance by the community.

VISION
The system provides the best private services, and is national and internationally recognized for its excellent quality, high technological standards, and education processes, such as teaching and research; It is based on ethical and moral values, dedicated to meeting the needs of clients, collaborators, and shareholders with an explicit social commitment.

MISSION
To provide the highest quality health services, through integral, human, and effective action; to promote education, teaching and research, and contribute to social action and achieve adequate profitability.

VALUES

• Excellence in care characterized by an attitude of service, an integrated perception of the individual, fair prices, timely action, and reliability.
• Respect for the patients' rights and a commitment to improving their quality of life.
• Promoting the human and professional development of all collaborators in the institution.
• Profound professional ethics.
• Quality in education and research.
• Respect for the environment.
• Loyalty.

PROJECTS 2008-2010
TORRES MEDICAS PROJECT

HOSPITAL EXPANSION PROJECT

• LOCATION: SOUTH WEST OF HM
• 6900 M2 OF CONSTRUCTION
• 72 PRIVATE ROOMS
• 34 COVERED PARKING SPACES

AREAS FOR: PHYSIOTHERAPY, PATHOLOGY, NEONATOLOGY, BLOOD BANK, ELECTRO PHYSIOLOGY, CAFETERIA II, CASH DESK AND ADMISSIONS, PHARMACY AND COMMERCIAL PREMISES.

Please Click here to request more information from MEDTRAVEL Ecuador .

Medical Procedures & Dental
All the medical procedures offered by MTE are made within private hospitals. Considering the highest standards of healthcare and technology for our patients. Our health providers have more than 10 year of experience treating international patients plus the support of English speaking staff along with a top of the line service.

INSURANCE

All of our patients will be provided with a travel insurance policy that covers: Medical expenses and hospital stay for accidents and illnesses during your medical vacation, ambulance services, trip cancellation or delay, loss of baggage and legal expenses.

ALL OF OUR MEDICAL PACKAGES INCLUDES:

• Patients medical information analysis
• Hospital Stay
• Medicines
• Surgeon and anesthesiology fees
• Implants if required
• Pre operation check ups
• Post operation follow up (Up to 6 months)

PLASTIC SURGERY
Blefaroplasty (Eyelid Surgery)

• Days before procedure:  2
• Pre - Admition: Pre Anesthetic check
• Surgery Time (Hours):  2
• Hospitalization Days:  0
• Post surgery follow up:  7 Days

The purpose of eyelid surgery is to normalize and rejuvenate the area surrounding the eyes in order to achieve a younger, radiant look. The affectation of this delicate area surrounding the eye is caused by: excess skin, especially on the upper eyelids, the thickening of the muscle that allows the eyelids to close, and due to excess fat or herniation of the palpebral bags, which act as sponges, retaining liquids. The preoperatory study is very important to determine a possible preexisting asymmetry, the laxitude or lack of eyelid support, tear production capacity, etc., in order to discard contraindications and possible complications.

Excess skin on the upper eyelids is usually treated by extirpating spare skin with a small incision located on the crease of the eyelids, where scaring is unapparent. Skin extirpation on lower lids is done cautiously to avoid complications. Fatty bags are treated in the same way and they are removed or repositioned, according to need.

This surgery is carried out with local anesthesia and sedation, or general anesthesia. Eyes are not occluded and patients complain of minimal pain. Sutures are removed the third and fifth day postoperatory. Bruising occurs in several degrees; in any case, the patient may resume labor and social activities within a week.

Most complications are avoidable with a correct quirurgic indication and when proper technique is used, they are treatable if acted upon quickly, at the same moment they begin appearing.

Blepharoplasty or eyelid surgery maybe performed randomly on young patients or in combination with other interventions such as a Rhytidectomy or facial lifting, achieving harmonious global results.

Rinoplasty (Nose Job)

• Pre - Admition:  Pre Anesthetic check
• Surgery Time (Hours):  1
• Hospitalization Days:  0
• Post surgery follow up:  10 Days

Nose preoperatory evaluation is very important in these types of interventions in order to identify anatomical anomalies that cause the problem or deformity (nasal septum deviation, cartilage malposition, prominent bones, etc.) as well as to evaluate preexisting asymmetries and the type of modification needed. A surgical altered nose must be functional, have the correct proportions according to the person as a whole, specifically with the face, and the result achieved must be natural, not artificial, in other words with no signs of surgery.

Depending on the case, the shape of the nose may be modified by extirpating small amounts of cartilage and bone, but on other occasions, to augment the size of a exceedingly small nose, for filling or supporting certain areas, cartilage grafting from the patient will be necessary, these can be taken from the nasal septum or the ear. In those cases in which a nose has undergone previous surgery (secondary), scared tissue or an absence of anatomical structures may be found, thus making correction more complex, as well as when at the same time there is a breathing (functional) problem that must be corrected.

A Rhinoplasty (nose job) may be done with general anesthesia, or local anesthesia plus sedation, and it is an ambulatory patient process. A painless intervention, although bruising and swelling around the eyes is frequent for a few days. The nose is taponaged for a few hours or days, which might make the patient uncomfortable, as breathing must be temporarily done through the mouth. A rigid, moldable plastic bandage or cast is normally applied, which is removed in a week, in order to prevent the swelling to modify the result. It must also be taken in to account that once the bandage is removed the nose will still be slightly swollen and some time must elapse, this will vary in every patient, before the final result is noticeable.

Liposuction

• Days before procedure:  2
• Pre - Admition:  Pre Anesthetic check
• Surgery Time (Hours):  2
• Hospitalization Days: 0
• Post surgery follow up:  8 Days

Liposuction, (also called Lipoaspiration or Liposculpture) is a surgical procedure that definitely eliminates localized fatty deposits in certain areas that have not responded to a dietary plan, exercise or other therapies, and enables the modeling of defined body regions. Liposuction is not adequate for overweight or obesity treatments.

Said body regions improve by removing fat from localized areas, but skin elasticity is a very important factor, as is postoperatory treatment consisting in massages, lymphatic drainage and the use of especially designed girdles to achieve an adequate, favorable result. The ideal regions to be treated are: the neck (double chin), the abdomen, lateral part of the breasts, flanks, external and internal thighs, calves, the back, buttocks, waist, etc.

Surgery is generally performed under general anesthesia, in certain occasions peridural anesthesia may be used or local anesthesia and sedation on smaller areas such as the neck and lower abdomen. This is generally an ambulatory patient procedure unless it complements other procedures such as abdominoplasty. Very small incisions, less than half a centimeter are made, generally in hidden areas such as the navel, pubic hair area and skin folds. A tumescent solution is infiltrated to enable the extraction of fat and avoid bleeding. We proceed to insert different types of cannula (thin tubes), which have been designed for the different regions; these are connected to a pump that vacuums fat. Ultrasonic technology is used, enabling the procedure and providing more satisfactory results for the surgeon and patient.

A compression girdle must be used for a two-week period, but normal activity can be resumed a few days after treatment. The final, permanent result may be evidenced approximately two months after the procedure.

Breast Augmentation (Mammary Implants)

• Pre - Admition:  Pre Anesthetic check
• Surgery Time (Hours):  1:30
• Hospitalization Days:  1
• Post surgery follow up:  8 Days

Breast enlargement is one of the most requested interventions in Aesthetic Surgery by women worldwide with immediate results. Breast size depends on cultural, racial, labor etc., situations. Surgery consists of placing implants that have been specifically designed for the mammary region. Currently, breast implants offer an ample margin of safety due to vast technology in their fabrication. The gel used is denser, cohesive, providing more safety in the extreme case of implant rupture.

The patient must be exhaustively evaluated, the surgeon must ask about her expectations, desired size, and every explanation concerning different techniques must be provided, including possible complications. Surgery is carried out under general anesthesia, as an external patient or 24 hour hospitalization.

Incisions are small and in the long run, unapparent. Inframmary approach is used, which is hidden in the mammary crease and the areola approach, which is excellently hidden on the border of the areola. Preferences depend on the patient and the surgeon.

Implants are placed beneath the pectoral muscle insuring better prosthesis coverage; nevertheless, subglandular or subfascial implantation is preferred by patients active in sports or that present a minimal degrees of ptosis or drooping breasts.

Recovery period and certain restrictions such as driving a car or weigh lifting is approximately a week.

Breast Reduction

• Days before procedure:  2
• Pre - Admition:  Pre Anesthetic check
• Surgery Time (Hours):  3
• Hospitalization Days:  1
• Post surgery follow up:  15 Days

For either genetic or racial reasons, or hormonal changes, in many women there is a great breast development. There may be plainly a glandular tissue component or combined with an increase in fatty tissue.

Large breasts are often pendulous and tend to droop or sag; the areola-nipple are malpositioned. Large breast may cause back and shoulder pain, vertebral lesions. Skin lesions, and irritation are also frequent especially in the submammary canal. There is augmentation in veins and breast weight distends support ligaments, thus causing pain.

Younger patients find themselves limiting their sports activities and their social interrelations are deficient, they try to hide their breast with inadequate clothing for their age. Their self-image is deteriorated and treatment for them is not only aesthetical, but a medical therapy issue as well. There are several techniques for the reduction of hypertrophic breasts, with a variation in design and placement of residual scaring, depending on each particular case. These may be an inverted T, in L, vertical and all its combinations. The periareolar scar is limited to mild hypertrophy.

This surgery is performed with one or two hospitalization days, under general anesthesia, and the patient must be very dedicated and strict with postoperatory care. Suture line care is very important in order to avoid tension and loss of cutaneous areas; suture is removed progressively in several stages.

There may be changes in areola and nipple sensitivity, and in many cases breastfeeding is impossible. Your surgeon can provide further details and options to any concern you might have.

Mastopexy (Breast Lifting)  

After pregnancy and breastfeeding, as well as after significant weigh loss, breasts lose their volume, and changes in ligaments occur as well as skin distension manifesting in excess skin, deterioration in cutaneous coverage with stretch marks and changes in the areola-nipple position.

If the problem is lack of volume, mammary implants do not correct ptosis or breast sagging. The main problem is the incorrect location of remnant tissue, nipple malposition and falling and a variable degree of excess skin, flaccid, sagging breasts.

The surgical intervention that allows the lift of sagging breasts is called Mastopexy and generally consists in modeling the existing mammary content and eliminating the remaining excess skin. There are multiple techniques, an adequate one for each case; scar longitude and localization may vary depending on each particular case.

Surgery is performed under general anesthesia, usually with one day of hospitalization. Drainage is removed 24 hours after. Sutures are gradually removed and a brassier must be used the first several days postoperatory.

In certain circumstances, additional volume may be needed for the breasts as there may not be enough quantity of mammary tissue to achieve the desired shape, therefore a mammary implant must be added. This would be a combination surgery between an Augmentation Mammoplasty and a Mastopexy. Your surgeon will further explain in detail each technique and will recommend the most adequate one for you.

Rhytidectomy (Facial, neck, forehead lift)

• Days before procedure:  2
• Pre - Admition:  Pre Anesthetic check
• Surgery Time (Hours):  3
• Hospitalization Days:  0
• Post surgery follow up:  10 Days

The passing of time, exposure to the elements, especially to solar radiation, and genetic factors cause the deep facial and neck tissue to undergo changes, characterized by atrophia, structure descent and fatty deposits in certain areas.

A Rhytidectomy or Facial Lifting, consists not only in stretching the skin, but also in repositioning deep structures that have descended with aging, placing muscle and tissue support groups in a higher, more normal position. Skin is separated through minimal incisions that remain hidden beneath the natural creases of the ear, hairline, etc. In this way we are able to work on deep structures. Only remaining skin is removed leaving almost unnoticeable scars. It is common practice to combine a facial lifting with surgical eyelid treatment (Blepharoplasty).

It is convenient to practice this surgery in stages, according to the need of each patient. It is not necessary to wait until all facial and neck structures deteriorate, but on the contrary, treat the face when deterioration is presented, subsequently the neck and forehead. In the case of older people, all areas involved may be treated as a whole. In any case, the objective is to achieve a natural look, without changing the facial expression.

General anesthesia is used in gentler cases, and may be practiced under an ambulatory patient regime, nevertheless, one or two hospitalization days is usually the norm. A bandage must remain in place for the first 24 to 48 hours, as well as drainage, which are also removed after the same period of time.

Edema or swelling is moderate and pain is limited and easily mitigated with analgesics. Although it is not an incapacitating surgery, labor and social activities may be resumed 10 to 15 days after.

Hair Transplant (Treatment for Baldness)

• Days before procedure:  2
• Pre - Admition:  Not Require
• Surgery Time (Hours):  3
• Hospitalization Days:  0
• Post surgery follow up:  10

In this procedure, areas lacking hair, quality of hair, presence of scalp disease and genetic background must be analyzed. The procedure consists in removing a strip of scalp from the occipital area (the back of the head), this area is closed with a very delicate suture, leaving no visible scar.

Micrografts from pilose follicles are prepared; these will be inserted in the frontal balding areas to be covered. Under local anesthesia, very delicate incisions are made in the scalp where the follicles are microimplanted. A bandage, which will be removed 48 hours later, is then placed on the entire head, leaving scabs that will eventually fall leaving way to new hair growth. Stitches will be removed from the area in 7 days.

Discomfort is minimum, and in important cases of baldness, more than one procedure will be needed.

Mentoplasty (Chin Surgery)
In every facial surgery, we try to give the profile a balance. The search for aesthetics and the adequate proportion of facial features may require the increases or decrease of the chin to fit the rest of the face. Together with a rhinoplasty (nose job) it is one of the few surgeries that must be suggested by the surgeon in order to obtain a harmonious result.

When the chin augmentation is no more than six or seven millimeters, a Silastic implant or Teflon prosthesis is used. In order to introduce the implant, a small incision is made on the skin underneath the chin; another access point is the furrow between the gum line and lower lip (intraoral).

In cases where more advancement is needed, the procedure is intraoral, a section or osteotomy of the inferior maxillary or jaw. This enables to advance, raise or lower the cut osseous segment. It is then fixed in the desired position accordingly to preoperatory planning. In certain cases, a shortening of the chin can be achieved in order to correct an exceedingly long face.

Interventions can be practiced with general anesthesia or local anesthesia plus sedation, and the hospitalization period is only several hours long. In determined cases when osteotomies are practiced in extremely accentuated defects, the patient might night a 24-hour hospitalization period.

Otoplasty (Ear Reshaping Surgery)

• Days before procedure:  2
• Pre - Admition:  Pre Anesthetic check
• Surgery Time (Hours):  1:30
• Hospitalization Days:  0
• Post surgery follow up:  8-10 Days

The ideal age for an otoplasty is around 5 years of age, when the formation of the complex cartilaginous structures of the ear are completed and before the child enters school. After that, it can be done any time during a lifetime. An adult otoplasty is generally performed under local anesthesia plus sedation, but in children, an otoplasty is carried out under general anesthesia. In both cases, it is an ambulatory surgery and does not require hospitalization.

There are different techniques for an otoplasty, some of which are based on the debilitation of the ear cartilage, allowing shape modification; others are based on applying absorbable sutures to approximate the modified structures. In all techniques, the scar remains in the crease that forms the auricular pavilion with the head.

The objective of both techniques is to produce a natural, anatomically proportioned ear, correct the cartilaginous creases that are not adequately formed, restore or maintain the grooves (helix and antihelix) and normal angles.

After intervention, the application of a dressing for a 3 to 5 day period is recommended, although the ears may still be swollen or bruised during this period. Bands or headbands that stay the ears close to the head must be used during postoperatory and during the night, in order to maintain the new structure until cicatrization.

Abdominoplasty

• Days before procedure:  2
• Pre - Admition:  Pre Anesthetic check
• Surgery Time (Hours):  4:30
• Hospitalization Days:  2
• Post surgery follow up:  15 Days

After pregnancies, the abdominal wall undergoes severe distension; this is produced by flaccidity and many times it is caused by tears in fibrotic bands that unite the straight and oblique abdominal wall muscles. Skin flaccidity and striae (stretch marks) and sometimes hernias are frequent. Simultaneously, fat accumulates in variable quantities, and in many cases, its distribution follows hormonal and genetic guidelines.

Patients dislike these changes in the abdominal walls and their self-esteem suffers, as they are unable to practice beach activities freely or wear certain types of clothing. Similar disorders are observed in patients of both genders after undergoing Bariatric Surgery and the consequential loss of massive body weight.

The current trend for this type of surgery is to limit the dissection or the abdominal wall adipose tissue peeling, a Harmonic Scalpel is used and the lymphatic vessels are preserved, decreasing the possibility of complications. The underwear covers the suprapubic incision.

Under general anesthesia, an incision somewhat larger than a cesarean section incision is made, in some cases, it is extended laterally. The abdominal wall is peeled up to the rib border in the abdominal mid section. We then make a plicature by strongly suturing the musculature and fibrous tissue in order to mark the waist and reinforce the abdominal wall. We move the navel, which has been extracted by another incision, and relocate it in its original place.

Excess skin and fat is removed, followed by suturing the wound in its several plains. Drainage is used for safety. Every case of abdominoplasty is combined with selective liposuction on the abdominal flanks and wall. This provides better results and recovery time decreases. Hospitalization lasts 24 to 48 hours. Recovery time is usually a couple of weeks until normal activity is resumed.

WEIGHT LOSS PROCEDURES
Gastric Sleeve

• Days before procedure:  2
• Pre - Admition:  Pre Anesthetic check
• Surgery Time (Hours):  2:45
• Hospitalization Days: 3
• Post surgery follow up:  8 Days

Restrictive Procedure
80% stomach resection
Restricts patient food intake
Indication for selected patients
Nutrition depends on a proper balance of, protein fat and carbohydrate intake with no more than 1600 calories.

Gastric By Pass

• Days before procedure:  2
• Pre - Admition:  Pre Anesthetic check
• Surgery Time (Hours):  4
• Hospitalization Days:  3
• Post surgery follow up:  8 Days

Mixed Procedure, restrictive and malabsorptive.
Creation of small stomach pouch without extraction.
Bypass between created stomach and intestine segment to restrict food absorption.
Permanente weight control
Requires adequate nutritional control.

ORTHOPEDICS

• Hip & Knee Arthroplasty
• hiparthroplasty

HIP ARTHROPLASTY:

• Days before procedure:  2
• Pre - Admition:  Pre Anesthetic check
• Surgery Time (Hours):  3
• Hospitalization Days:  8
• Post surgery follow up: 10 Days

KNEE ARTHROPLASTY:

• Days before procedure:  2
• Pre - Admition:  Pre Anesthetic check
• Surgery Time (Hours):  2:30
• Hospitalization Days:  5
• Post surgery follow up:  7 Days

Degenerative joint diseases are more frequent nowadays, especially on hips and knees. Life span has increased as well events involving acute and repetitive trauma. Patients with hip or knee arthrosis are greatly benefited by this joint replacement surgery (ARTHROPLASTY). These are surgeries, with success rates of 95% that allow for an early and complete reinsertion of the patient to his daily, normal activities. Successful surgery basically depends on three factors, the surgeon's skill and experience, hospital infrastructure and the implants used.

Hospital Metropolitano de Quito, Ecuador, is equipped with all of these factors, therefore it is a fact that a hip or knee arthroplasty surgery may be practiced with technology and resources equal to any of the best-specialized centers worldwide.

OFTHALMOLOGY
Laser Eye Surgery

• Days before procedure:  4
• Pre - Admition:  Not Require
• Surgery Time (Hours):  from 30 minutes to 1 hour
• Hospitalization Days:  0
• Post surgery follow up:  15 Days

Since January 2007, Metroláser Hospital Metropolitano laser surgery center offers effective treatment for vision correction. Custom View, an FDA approved procedure constitutes an important advancement for myopia, hypermetropia and astigmatism correction. This equipment, with state of the art technology is unique in Ecuador and allows optimal results in surgical procedures.

CONVENTIONAL OR STANDARD SURGERY:

Our equipment has an Active Track system that tracks the patient's subtle eye movements in three dimensions, allowing locating treatment placement with more precision.

For best surgical results, previous examinations such as topography and paquimetry are suggested, or a refractive pentacam in order to better evaluate the patient and analyze eligibility for excimer laser surgery.

PERSONALIZED SURGERY:

Personalized Excimer Laser procedure requires previous additional diagnosis procedures such as the refractive Pentacam and Wave Scan. Preliminary Wave Scan exam with Wave Front technology makes a detailed map of the eye, same as a fingerprint. A diagnosis 25 times more precise. This diagnosis device offers a representation of the patient's refractive status based on behavior to light waves. We have a highly qualified team in charge of attending the patients and a group of certified ophthalmologists managing the team.

We comply ISO -9001 quality standard in all our installations and quirurgic procedures. In the refractive surgery procedure the following is also included:

• These prices include postoperative control of the first month; the following months will be charged.
• The wave scan is included in the personalized procedure hospital price. The patient must make an appointment to have this exam done at least two days before programmed surgery.
• If the practitioner requests a wave scan to complete the patient's history and is going to perform a standard surgery this will have a charge.

Cataract

• Days before procedure:  2
• Pre - Admition:  Pre Anesthetic check
• Surgery Time (Hours):  0:45
• Hospitalization Days:  0
• Post surgery follow up:  10 Days

A cataract is a clouding that develops in the crystalline lens of the eye or in its envelope, varying in degree from slight to complete opacity and obstructing the passage of light. In most cases it is age-related and begins at forty. At the age of 65, most people have developed a certain degree of cataracts. The only possible treatment consists in removing the deteriorated lens and replacing it with an intraocular lens.

Cataracts may appear in different severity and aggression degrees; this will determine the parameters to be used during surgical procedure, which will be carried out using INFINITI, the best technology available worldwide.

Additionally a great number of lenses may be used to replace the crystalline lens allowing the correction of alterations such as astigmatism, with toric lenses, presbyopia with multifocals, etc.

PROCEDURE

In modern cataract surgery called PHACOEMULSIFICATION, a procedure with minimal incisions that does not require stitches is performed by introducing an ultrasonic probe called PHACO, which disintegrates and suctions the cloudy crystalline in the eye. The INFINITI incorporates new options to traditional ultrasound such as the OZZIL, a technology that has revolutionized crystalline extraction in a safe way.

CANDIDATES FOR SURGERY

• Persons with hypermetria or elevated myopia, outside LASIK limits.
• Patients with incipient or advanced cataracts.
• Persons with presbyopia.
• Persons unable to see near or far.

This technique has also other advantages:

• Quick visual recovery without occlusions.
• Ambulatory, carried out in a few minutes.
• By selecting the adequate lens, the specialist is able to correct existing refractive defects.

Visual Correction with LaserLASIK AND EPILASIK:
This surgical technique allows correction of VISUAL ALTERATIONS with laser such as:

• Myopia
• Hypermetropia
• Astigmatism

State of the art technology allows for PERSONALIZED TREATMENT consisting in personalized measurement of your refractive defect, which include possible optical aberrations, improving your quality of eyesight even in under lit places. By using WAVE FRONT technology, personalized carving of the cornea can be performed for improving eyesight.

PROCEDURE
The procedure is carried out by experienced ophthalmologists in a sterile, aseptic environment with a computer controlled laser. The anesthesia used is in a topical eye drop form, meaning that the patient will not experience pain, and discomfort will be reduced to a minimum during the procedure, which lasts only a few minutes in each eye. The specialist will recommend the most adequate procedure for each case and visual defect.

CANDIDATES

• Over 18 years of age
• Stable visual measurement alteration with less than 0.50 diopter change in the last year.
• Non-pregnant women
• Patients over 40, will be instructed of the need for reading glasses after surgery, in order to correct presbyopia, which is a normal process when aging. Other options can be taken into account such as facorefractive surgery in which multifocal lenses are used.

It is not recommended for patients with:

• Glaucoma
• Keratocone
• Cataracts
• Uncontrolled Diabetes

RECOMMENDATIONS
There are certain recommendations the patient must take into account before surgery:

Suspend soft contact lenses at least one month before procedure, if they are rigid or gas permeable, at least one and a half months before procedure, in order to avoid false corrections.
Complete ophthalmological examination, including preoperatory, in order to evaluate if the patient is eligible for this type of surgical intervention.

LASER PROCEDURES
Laser Skin

• Days before procedure:  1
• Pre - Admition:  Not Require
• Surgery Time (Hours): from 10 minutes to 1:30 hours
• Hospitalization Days:  0
• Post surgery follow up:  8 Days

In our Hospital, we currently count with the most advanced FOTONA Erbium laser YAG technology for skin treatment, rejuvenation, benign tumors, hiperpigmentations, keratosis and more. Another equipment, the Neodymium Laser YAG with scanner is complementary and is used for vascular lesions, permanent laser depilation and other procedures.

Advanced technology provides safer procedures in all skin types with high effectiveness proved results. Procedure is carried out by the Team's Plastic Surgeons' aided by specialized technologists who operate the equipment.

In order to apply the different procedures, previous skin preparation such as depigmentation and exfolliation are important to achieve adequate cutaneous humectation. 45 to 60 minutes before, an anesthetic cream is applied to achieve enough cutaneous insensibility to perform the treatment. Depending on the type of procedure, it has duration of 15 to 30 minutes of laser use. Post operatory treatment consists in the use of anti inflammatory creams, moisturizers and sunscreens.

Multiple laser sessions are generally required to finish treatment, although this procedure is very useful as a complement with other facial procedures such as a rhytidectomy or blepharopasty.

DENTAL CARE
Oral Rehabilitation

• Days before procedure  
• According to treatment: 0-1 days
• Hospitalization Days:  0
• Post surgery follow up  
• According to treatment: 0-5 days

Specialty that deals with the replacement of the different dental pieces using prosthesis and aesthetic reconstruction of the shape of teeth. Example: different types of restorations, different types of prosthesis, including total, partial, fixed, crowns and bridges.
 
Endodontics

• Days before procedure  1 day
• Hospitalization Days:  0
• Post surgery follow up
• According to treatment: 2-3 days

Treatment of the root canal. Example: Removal of the neuro vascular system in different teeth. We use high technology such as microscopy, apical locator (device that allows the specialist to identify the exact location of the nerve in the tooth), rotary (device that allows the specialist to shorten the working time) and radiovisiography (digital radiography which allows us to see dimensions, density, and pathologies hidden).

Ortodontics

• Days before procedure  1 day
• Hospitalization Days  0
• Post surgery follow up  15 days

Specialty that deals with the correct placement of the teeth in the jaws. Example: brakes placement of different types, such as porcelain, plastic and metal, aided by various attachments that allow tooth movement to reach a correct position.

Orthopedics

• Days before procedure  1 day
• Hospitalization Days  0
• Post surgery follow up  3 days

Specialty that allows us to correct incorrect positioned teeth with removable functional appliances. Examples: removable plates with arch wires that allow us to perform tooth movement.

Pediatric Dentistry

• Days before procedure  
• According to treatment: 0-1 days
• Hospitalization Days  0
• Post surgery follow up  
• According to treatment: 1-3 days

Specialty that allows the child dental treatments since teeth appear until twelve years.

Periodontics

• Days before procedure:  1 day
• Hospitalization Days:  0
• Post surgery follow up:  2 days

Study, diagnosis and treatment of all conditions of our soft tissues and hard tissues of the tooth surround.

Dental Surgery

• Days before procedure:  1 days
• Hospitalization Days:  0
• Post surgery follow up:
• According to treatment: 2-4 days

Are the different surgical procedures that allow us to perform simple and complex extractions. (Simple: remove a piece in good position. Complex: remove a piece in the wrong position or inside the jaw).

Maxillofacial Surgery

• Days before procedure:  1 day
• Hospitalization Days:  0
• Post surgery follow up:  
• According to treatment: 2-4 days

Is surgery of the face, such as fractures, tumor removal and reconstruction.

Aesthetic

Study the dental beautification. Example: whitening, replacement of harmonic forms.

Occlusion

• Days before procedure:  1 day
• Hospitalization Days:  0
• Post surgery follow up:  3 days

Study of the proper bite and temporomandibular joint. Example: bad bites and impaired joints.

Implantology

• Days before procedure:  1 day
• Hospitalization Days:  0
• Post surgery follow up:  4 days

Study the diagnosis and replacement of dental pieces using the placement of titanium fixtures that come to replace the natural root. Example: in the place of no tooth root is placed a titanium bone was integrated and then place the tooth crown.

Oral Health and Prevention

Days before procedure According to treatment: 0-1 days
Hospitalization Days: 0
Post surgery follow up According to treatment: 0-1 days

Specialty that deals with the replacement of the different dental pieces using prosthesis and aesthetic reconstruction of the shape of teeth. Example: different types of restorations, different types of prosthesis, including total, partial, fixed, crowns and bridges.

MEDICAL CHECKS

• Executive health Check 24 hours
• Executive health Check 12 hours

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Plastic Surgeons

Weight Loss Procedures

Weight Loss Procedures

Weight Loss Procedures Weight Loss Procedures

Orthopedics

Orthopedics

Orthopedics Orthopedics

Ophtalmology

Dental Care

Dental Care

Dental Care Dental Care

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Beaches

3 DAYS / 2 NIGHTS

FEEL THE CONCTACT WITH VIRGIN BEACHES ALONG THE ECUATORIAL COAST !!!

PACKAGE INCLUDES:

• 3 night stay in local cabanas
• Breakfast, lunch and Dinner
• Silver island day trip
• Visit to the "Frailes" Beach
• Visit to a local archeology community in white bay
• Taxes

NOT INCLUDED:

• Beverages
• MACHILLA NATIONAL PARK Entrance Fee
• Local Transportation

Mountains

3 DAYS / 2 NIGHTS

CONNECT WITH THE WORLD OF ELFS, INDGENOUS CULTURE AND THE MAGIC OF THE HIGHLANDS!!!

INCLUDES:

• 22% taxes
• Transportation
• Guide
• Train trip to Ibarra
• Visit to the Hcd  Hacienda  Santa  Ana  (8  agroturistic activities)
• Party Night at the Hacienda
• Entrance to Cachimbiro  termal waters.
• A night stays in the Polylepis Lodge.
• All tours and walks with local guides (Polilepys, Frailejones, etc)
• Carchi Night, drink zunfo until you drop (highlands energy drink)
• Chimenea in all of your cabins

Jungle

3 DAYS / 2 NIGHTS

GET CLOSER - THE TROPICAL PURITY OF NAPO RIVER IN THE AMAZON RAIN FOREST !!!

INCLUDES:

• 3 Nights stay at “cabana del Suizo”
• All foods ( breakfast, lunch and dinner)
• Excursions
• Native Guide
• Taxes

NOT INCLUDED:

• Tips / Gratuities
• Canoe ($15.00 aprox)
• Drinks
• Park entrance fee
• Transportation

JUNGLE (AMAZONAS)

3 DAYS / 2 NIGHTS

GET CLOSER - THE TROPICAL PURITY OF NAPO RIVER IN THE AMAZON RAIN FOREST !!!

INCLUDES:

• 3 Nights stay at “cabana del Suizo”
• All foods ( breakfast, lunch and dinner)
• Excursions
• Native Guide
• Taxes

NOT INCLUDED:

• Tips / Gratuities
• Canoe ($15.00 aprox)
• Drinks
• Park entrance fee
• Transportation

Galapagos Islands

SANTA CRUZ - FLOREANA - ISABELA ISLANDS (Red Mangrove Hotel)

Net Rates

RATES ARE PER PERSON AND INCLUDE:

• Service Charge 10%
• Transfers In / Out to / from Baltra Airport
• Welcome cocktail
• Tortoise Quest" upon arrival

(Airport-Finca El Chato-Aventura Lodge)

• Access to the Jacuzzi, Private Terrace.
• Wireless internet in rooms and social areas
• 4 Nights of accommodation at

Aventura, Floreana and Isabela Lodges

• All meals included on a fixed menu basis
• Excursions with English speaking

Naturalist guide

• Use of bikes in Puerto Ayora
• 25% discount for children under 10 years old

RATES DO NOT INCLUDE:

• Air ticket to /from Galapagos
• Entrance fee to the Galapagos National Park ($100 International visitors and $6 Ecuadorians)
• Control Visitor Card ($10)
• Personal expenses
• Alcoholic Beverages
• Gratuities

Platinum Experience
Arrive to Quito and transfer to your five star Hotel Marriot. Meet your guide and see the world´s cultural heritage of Quito and then visit ¨The Middle of the World¨. After we will go to the Cotopaxi National Park where you will stay in the colonial Hacienda of San Agustín de Callo, built on the site of an Inca palace! Here you´ll enjoy exciting horseback riding. Afterwards we will head to the Amazon Jungle accommodating in the fantastic Napo Wildlife Center. Finally fall in love with the wicked eastern cloud forest of San Isidro Lodge... End relaxing in the Papallacta Thermal Springs...Get Hypnotized!

Gold Experience
Arrive to Quito and transfer to your comfy Hostel Cafe Cultura. Meet your guide and see the world´s cultural heritage of Quito and then visit ¨The Middle of the World¨. After we will go to the Cotopaxi National Park and lodge in the magic Hacienda El Porvenir where you´ll experience lots of adrenaline in the Canopy adventure. Now head into the cool Amazon Jungle forest of Sani Lodge where you will visit the parrots´ clay lick or the 30m (100ft) tree tower. Finally we´ll go to the western cloud forest and stay in Kaoni Lodge... Get Mesmerized!

Silver Experience
Arrive to Quito and transfer to your cozy Bed & Breakfast La Casa Sol. Meet your guide and see the world´s cultural heritage of Quito and then visit ¨The Middle of the World¨. After we will go to the Cotopaxi National Park where you will have the chance to sleep in a cool acclimatization centre at 3,750m above sea level. And then... Adrenaline pure Adrenaline rafting white water rivers in the Amazon Jungle. Finally we will head to the western cloud forest staying at Mariposas de Mindo lodge feeling the closeness with nature, birds & amazing butterflies only found here in Ecuador... Get Fascinated!

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