Microscopic Surgery

Microscopic Surgery

Restorative of amputation of an arm

Reconstructive and Restorative. In case of work accidents, road or other cause of amputation of an arm, finger, nose or…

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Stroke Clinic

Stroke Clinic

Emergency Service 24x7x365

Emergency Service 24x7x365

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Dermatology

Dermatology

skin problems

Skin diseases occur much more frequent than one may think. Actually almost everyone at some point in his or her…

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Room Service

Room Service

terrace

All the rooms are cleaned twice or thrice a day depending on the need. Patients receive their meals as per…

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Clinique Du Nord Reception

Clinique Du Nord Reception

reception hall

The Clinique Du Nord model is based upon the consolidation of products, services and activities into discrete Strategic Business Units…

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Clinique Du Nord  Front Building

Clinique Du Nord Front Building

Front Building

Being deeply committed to the highest standards of excellence in medical care "Clinique du Nord"was accredited ISO within a short…

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Neurosciences Centre

Neurosciences Centre

Cerebro Vascular

Any kind of neurological disorder-stroke, cerebro vascular accidents, fracturesof the skull... are fully evaluated by our - Image (X-rays,..) Department

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X-ray - Imaging Centre

X-ray - Imaging Centre

An Ultrasound Unit

Clinique du Nord’s large, modern imaging centre is equipped with an X-ray machine, an ultrasound unit, a CT scan, an…

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Operation theatres

Operation theatres

The surgeons dress up in gowns then go to the scrub rooms where the tap water and soap are electronically…

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Telemedicine

Telemedicine

Art Submersed Fiber Optic Connectivity

Mauritius, having strong telecommunication connectivity not only within the country but also through the state of art submersed fiber optic…

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Plastic Surgery

Plastic Surgery

Botox injections for wrinkles on face

Clinique Du Nord has been the pioneer in cosmetic surgery since 1998 by head od departments with long experiences in…

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Bariatric Surgery

Bariatric Surgery

The first bariatric surgery

Bariatric surgery is a technique used to treat obesity and its complications. The first bariatric surgery performed was a jejunoileostomy…

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CDN Ambulance

CDN Ambulance

Our fully equipped ambulances

Clinique du Nord and it's 2 sister clinics- Clinque de L'Occident (CDO) at Flic en Flac and Centre Médical du…

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Endovenous Laser

Endovenous Laser

Powerful, yet simple to use

Endovenous Laser Treatment is a quick, neat and efficient treatment for varicose veins, in particular for dealing with the greater…

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Magnetic Resonance Imaging

Magnetic Resonance Imaging

magnetic resonance tomography (MRT)

Magnetic resonance imaging (MRI) , nuclear magnetic resonance imaging (NMRI) , or magnetic resonance tomography (MRT) is a medical imaging…

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Clinique Du Nord - Let's Talk

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Laurier D'or Award

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24/7 Emergency Services

24/7 Clinic Emergency Services

Patients' Satisfaction

Patient Parameter

Client Testimonial

Dr. Michael J Powers QC
Date: Jun 18, 2010

28 April 2003

Dear Dr. Mike,
I write to thank you for the superb medical and nursing services which you were able to provide to my professional colleague and friend at the Clinique Du Nord.
You will remember his case well. He and I came· to Mauritius...

Bariatric, Metabolic and Diabetic Surgery
Bariatric surgery is a technique used to treat obesity and its complications. The first bariatric surgery performed was a jejunoileostomy done in 1953 by Varco. From then bariatric surgery changed a lot, being performed nowadays by laparoscopic approach (minimally invasive). The mostly commonly practiced bariatric surgeries worldwide are

1. Sleeve gastrectomy

Involves removing 75-80% of the stomach. This forms part of a restrictive surgery.

stomach1

2. Gastric bypass

This is a malabsorptive-restrictive surgery.  The stomach is divided in 2 parts, with the smaller part being used for digestion. The small intestines are also divided so as only part of it absorbs nutrients.

stomach2

3. Gastric banding

The band is place at the stomach level to restrict food intake and slow digestion.

stomach3

4. Gastric greater curve plication

The stomach is plicated in such a form to limit the quantity of food the person can eat.

stomach4

As obesity increased during the last decades, the number of surgeries being performed increased drastically, therefore allowing more studies and comparison. When the results were seen it was observed that the surgeries also had direct effect on one of the most important metabolic disease, Diabetes Mellitus. With this observation appeared the denomination of Metabolic and Diabetic Surgery.

I, Dr Sookha Pravish Rai, took part in the 2nd World Congress on Interventional Therapies for Type 2 Diabetes in 28-30 March 2011 in New York, USA. The direct and indirect complications of Diabetes mellitus are extremely severe. Worldwide currently more than 285 million people is affected of DM, 50.8 million only in India, 43.2 million in China and 26.8 million in USA. In prevalence of diabetes mellitus Nauru is currently leading with 30.9% of its adult population affected. Mauritian population is comes in the 4th most prevalent place with 16.2% of Mauritian adults affected of Diabetes Mellitus.

Worldwide every 10 seconds a person dies from diabetes related causes, and every 10 seconds 2 people develop diabetes.  Diabetes is the largest cause of kidney failure in developed countries and is responsible for huge dialysis costs.

Surgeries are being done worldwide in obese and Nonobese diabetics with great results on the glycemic controls. A study by Dr Lee published in obesity surgery journal this July showed that in patients between BMI 23 – 35 operated by laparoscopic gastric bypass, 57% were diabetes free without any medications, and up to 93 % have improvement in their glycemic level. There are many studies published in the obesity surgery journal and SOARD journal showing the beneficial effect of bariatric surgery on Diabetes mellitus, with all results suggesting best results in patients who have been recently diagnosed of DM. Most bariatric surgeons suggest that the DM patients should be operated within 5 years of being diagnosed of DM. My research work during my PHD studies showed 85% of patients were drug free 2 years after sleeve gastrectomy.

I would like to conclude by saying that all these surgeries are performed laparoscopically (minim invasive surgery). If the type of surgery and the patient is selected well the results are excellent. This year during the 2nd World Congress on Interventional Therapies for Type 2 Diabetes the International Diabetes Federation (IDF) accepted diabetic surgery as an official treatment for Diabetes Mellitus. The actual possibility of treating diabetes by surgery, or even ameliorating it will decrease diabetes related complications as renal failure requiring dialysis, cataract, heart disease, female hormonal disease, gastroenterological disease, neurological disease, arteriopathy going till gangrene and psychiatric disorders. Treatment of all the complications consumes a great part of the health budget.

Treatment of Diabetes is definitely a better solution than treating the complications later.

 

Clinic Services

Unique Services - Microscopic Su...
Microscopic Surgery - reconstructive and restorative. In case of work...
Bariatric, Metabolic and Diabeti...
Bariatric surgery is a technique used to treat obesity and its complications....
Endovenous Laser for Varicose Ve...
Endovenous Laser Treatment is a quick, neat and efficient treatment for...
Telemedicine
Mauritius, having strong telecommunication connectivity not only within the...

Contact Us

Centre Medical Du Nord
Centre Medical Du Nord Address: Royal Road, Pointe aux Canonniers, Mauritius
Tel: +230 263 1010
Email: cmdunord@intnet.mu