Medical Procedures & Treatments | Royal Bahrain Hospital

Your guide to procedures and treatments

Understand what to expect before, during, and after treatment, so you can make informed decisions with confidence.

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24-hour Holter & 24/7 Ambulatory BP Monitoring

24-hour Holter monitoring continuously records the heart’s electrical activity over a full day to detect intermittent rhythm abnormalities that may not appear during a routine ECG. Ambulatory Blood Pressure Monitoring (ABPM) measures blood pressure at regular intervals over 24 hours, including during sleep, providing a true picture of daily BP variations. Together, these tests help diagnose arrhythmias, unexplained symptoms, masked or nocturnal hypertension, and assess treatment effectiveness with greater accuracy than single readings.

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Abdominal & Pelvic Obstetric Examination

A physical examination performed during pregnancy to assess maternal reproductive organs and fetal health. It evaluates fetal growth, position, and development, and helps identify potential complications early. The procedure includes inspection, palpation (Leopold’s maneuvers), percussion, and auscultation, and may be complemented with the Doppler ultrasound or cardiotocography (CTG) for fetal heart monitoring. Non-invasive and safe, it guides obstetric care by estimating gestational age, assessing fetal lie and engagement, and detecting conditions like multiple pregnancies or intrauterine growth restriction (IUGR).

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Abdominoplasty (Tummy Tuck)

Abdominoplasty, commonly known as a tummy tuck, is a surgical procedure that removes excess skin and fat from the abdominal area while tightening the underlying muscles. It's particularly beneficial for individuals who have experienced significant weight loss or women who have had multiple pregnancies, as these situations often result in stretched skin and weakened abdominal muscles that cannot be improved through diet and exercise alone. The procedure creates a flatter, more toned abdominal profile and can dramatically improve body contour.

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Abscess Drainage

Abscess drainage is a minor surgical procedure performed to remove localized pus caused by infection. It can occur in the skin, soft tissue, or internal organs. The procedure relieves pain, prevents the infection from spreading, and promotes healing. Local anesthesia is used, followed by an incision to drain the pus. The area may be irrigated and packed if needed. Diagnosis is based on clinical examination, and imaging or blood tests may be used for deep or systemic infections.

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Acute Appendicitis – Appendectomy

Acute appendicitis is the inflammation of the appendix, commonly presenting with sudden, severe abdominal pain, nausea, and vomiting. It is one of the most frequent surgical emergencies and, if untreated, can lead to appendix perforation and life-threatening peritonitis. The standard treatment is surgical removal of the inflamed appendix, either through a minimally invasive laparoscopic approach or traditional open surgery. Diagnosis relies on clinical examination, blood tests, and imaging when necessary. Prompt intervention ensures quicker recovery, reduces complications, and prevents severe infections. Post-surgery care involves pain management, wound monitoring, and gradual return to normal activities.

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Acute Asthma Attack – Emergency Management

An acute asthma attack is a sudden worsening of asthma symptoms, characterized by bronchospasm, airway obstruction, and difficulty breathing. It can be life-threatening if not managed promptly. Immediate intervention aims to relieve airway constriction, restore oxygen levels, and prevent respiratory failure. Management typically involves nebulized short-acting bronchodilators, supplemental oxygen, and systemic corticosteroids. In severe cases, intravenous magnesium sulfate may be administered. Diagnosis is based on clinical assessment, peak expiratory flow measurements, and oxygen saturation. Early recognition and appropriate treatment significantly reduce complications and support recovery.

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Acute Cholecystitis – Cholecystectomy

Acute cholecystitis is the sudden inflammation of the gallbladder, most commonly caused by gallstones blocking the cystic duct. This leads to severe right upper abdominal pain, nausea, vomiting, and sometimes fever. If untreated, it can progress to serious complications such as gallbladder gangrene, perforation, or infection. The standard treatment is surgical removal of the gallbladder, preferably via minimally invasive laparoscopic cholecystectomy, or open surgery in complicated cases. Preoperative imaging, antibiotics, and laboratory tests guide management. Post-surgery care focuses on pain control, wound monitoring, and gradual resumption of normal diet and activities.

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Acute Kidney Injury – Management and Support

Acute Kidney Injury (AKI) is a sudden decrease in kidney function, leading to the accumulation of toxins, fluid imbalance, and electrolyte disturbances. It can result from dehydration, infections, medications, or obstruction. Early recognition and treatment are crucial to prevent life-threatening complications such as severe electrolyte imbalance, fluid overload, or multi-organ failure. Management includes correcting the underlying cause, supporting kidney function, and in severe cases, renal replacement therapy (dialysis). Monitoring of urine output, kidney function tests, and hemodynamic status guides recovery. Long-term follow-up may be needed to ensure complete renal recovery.

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Acute Myocardial Infarction (Heart Attack)

Acute myocardial infarction (AMI) occurs when a coronary artery becomes suddenly blocked, causing damage to the heart muscle. It is a life-threatening emergency requiring immediate intervention to restore blood flow and minimize myocardial injury. Early treatment reduces the risk of heart failure, arrhythmias, and death. Diagnosis involves ECG, cardiac enzyme measurement, echocardiography, and coronary angiography. Management includes percutaneous coronary intervention (PCI) with stenting or thrombolytic therapy if PCI is unavailable. Post-procedure care includes cardiac monitoring, medications, lifestyle modification, and cardiac rehabilitation for optimal recovery.

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