Neuro Surgery |

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The
Gamma Knife
Gamma Knife surgery is worldwide preferred procedure for the treatment of
brain tumors, arteriovenous malformations and brain dysfunctions. The
procedure offers a non-invasive alternative for different patients for whom
the conventional surgery of brain is not an option. The surgery removes the
physical trauma and the majority of risks, which are associated with
traditional surgery. This is a single session treatment that require an
overnight hospital stay, but is generally done in an outpatient surgical
setting with periodic follow-up. The treatment has been proven safe over the
long-term duration.
Alike as neurosurgery, the Gamma Knife admits noninvasive cerebral surgery
to be done in one session with extreme precision. On the basis of
preoperative radiological examinations, including - CT scans MR scans and
angiography, the procedure offers highly accurate irradiation of deep-seated
targets and uses a multitude of collimated beams of ionizing radiation with
scalpel-like precision.
The advances in the field of gamma knife has improved neurosurgical
Treatments Offered provided to patients with brain tumors and vascular malformations
by offering a safe, accurate and reliable treatment option. The procedure
enables the patients to undergo a non-invasive form of brain surgery without
any risks of surgery, a long stay in hospital or subsequent rehabilitation.
The Gamma Knife can be used to treat following health conditions:
- Parkinsons
- Trigeminal neuralgia
- Arterioveous malformation
- Essential tremors
- Benign tumors
- Malignant tumors
- Epilepsy
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Brain Tumour Surgery
Brain tumor may occur as a result of abnormal growth of cells in the brain
tissue, skull, supportive tissue around the brain, cranial nerves, or the
pituitary or pineal gland. These are two types of brain tumors - Primary
tumors & Secondary tumors. Primary tumors are those, which develop in
the brain, while secondary brain tumors originate somewhere else in the body
and spread to the brain.
Surgery is the procedure of choice for the treatment of brain tumors. The
procedure involves removing as much of the tumor as possible so as to
minimize the damage to healthy tissue. It is possible to remove some tumors
completely, while some others can be removed only partially or not at all.
If a tumor is growing slow, doctors may not operate it immediately, but take
a watch-and-wait approach.
The purpose of surgery is:
- To remove the tumor as much as possible. Partial removal of a
tumor offers relief of symptoms, improved quality of life, and a
smaller tumor burden for other treatment procedures.
- To make and evaluate an exact diagnosis.
- To find and evaluate the extent of the tumor. The neurosurgeon
see the actual tumor in the brain.
- To facilitate access for other Treatments Offered, including - newer
forms of radiation during surgery. Implants can be placed or
radiation may be delivered.
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Biopsy alone can be performed in case, the tumor is
inoperable or when surgery can be delayed. Resection (surgical removal of a
tumor) is the treatment of choice whenever possible.
All types of brain tumors can be removed microscopically. The different
types of brain tumors that are operated are: Meningiomas, Pituitary Tumors,
Craniopharyngioma, Glioma, Hemangioblastomaependymoma, Acoustic Tumors,
Trigeminal Neuromas, Base of Skull Tumors, Skull Tumors, Orbital Tumors,
Intraventricular Tumors and more.
Vascular Surgery
Vascular surgery is the branch of medical science, which occupies itself
with surgical interventions of veins and arteries, as well as conservative
therapies for the problems of peripheral vascular system.
Using the procedure, the removal of the gall bladder, the spleen, the bowel
and other organs, such as the adrenals, an operation for prolapse rectum and
hiatus hernia repair have become fairly successful and common.
Vascular Surgery can be used for the treatment of following health
conditions:
- Clipping of all type of aneurysms of both anterior and posterior
circulation
- Small to giant aneurysms
- Surgery of arterio-venous malformations
- Carotid endarterectomy
- Arterial bypass surgery
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Spinal Surgery
Spinal surgery is focused on correcting a particular anatomical injury and
is never exploratory. For patients suffering from pain but no specific
anatomical cause of the pain is found, it is nor advised to have spinal
surgery and non-surgical treatment procedures are recommended. Advance
diagnostic tools, - such as MRI scan are used to pinpoint the anatomical
cause for the pain. If the diagnosis is uncertain or vague, surgery is not
advised.
Spine surgery is typically an elective procedure, which is considered as an
option to improve your functional ability and decrease your pain. In
circumstances, such as - for patients who have a progressive neurological
loss of function or sudden onset of bowel or bladder incontinence, spinal
surgery becomes necessary on an emergency basis.
The available treatment procedures include:
- Spinal fixation
- Microsurgery for cervical and lumbar disc surgery
- Endoscopic lumbar disc surgery
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Paediatric Neurosurgery
Paediatric Neurosurgery is a branch of medical science that use advanced
operative techniques, including microsurgery, for the treatment of infants
and children, suffering from brain tumor, hydrocephalus, vascular disorders,
head and spine injuries, myelomeningocele and other congenital
malformations.
The team of experts in paediatric neurosurgery may include - a group of
highly trained and skilled group of physicians, scientists, nurses, social
workers and psychologists for the study and treatment of children with brain
tumors. Additionally, the pediatric neurological surgery experts also deal
with pediatric trauma.
The various conditions that can be treated using the paediatric
neurosurgery, include-
All type of congenital, neoplastic, traumatic & vascular problems
- Hydrocephalus
- Craniostenosis
- Spinal dysraphism
- Chiari malformations
- All types of paediatric brain tumors, such as craniopharyngioma,
gliomas, ependymoma, medulloblastoma
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Endoscopic Brain Surgery
Endoscopic brain surgery is a minimally invasive procedure, in which a thin
instrument (endoscope) is used to browse through the fluid filled chambers
of brain. While traditional brain surgery requires opening-up of the skull
to access the brain, the endoscopic approaches require only one or two
dime-sized holes.
The technique can also be used as an alternative to a shunt, in select
patients and provide patients with fewer complications, less pain and faster
recovery than with traditional methods.
The various services, offered by this discipline are:
- Endoscopic transnasal surgery for Pituitary tumors
- Endoscopic third ventriculostomy for hydrocephalus
- Intraventricular tumors -colloid cyst, cysticercus
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