Neuro Surgery

Neuro Surgery

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Highly Advanced Neurosurgery at the best centres of the World

Our affiliated neurosurgeons have some of the most advanced available machines for brain tumour resections and other neurological disorders requiring surgical treatment.

Highly skilled team of Neurosurgeons with hands on the most advanced technologies, educated and trained abroad at pioneer hospitals. They have gained valuable knowledge, skills and experience and are backed by some of the highly experienced intensive care specialists and state of the art laboratories to deliver clinical outcomes at par with the world.

NABH and JCI accredited world class hospitals having state of the art facilities.

Brain Suite

Brain Suite is an advanced operating theatre with capability of intra-operative Magnetic Resonance imaging and Magnetic Resonance guided surgery. Surgeon can perform a high resolution MRI during the surgery to assess the degree of tumor removal as well as to avoid normal brain tissues. The safety of the surgeries performed is helped by special techniques to visualize tumor during the surgery (tumor luminescence).

3 Tesla MRI

Magnetic resonance imaging or MRI is an imaging test which uses the magnetic field and pulses of radio wave energy to make pictures of organs and structures inside the body. MRI, in many cases gives different information about structures in the body than cannot be seen with an X-ray, ultrasound, or computed tomography (CT) scan.

Synergy S Linac System

This is a top of the line high-end versatile linear accelerator designed for use in critical areas of the brain and spine. The precision and accuracy, combined with robotic couch capable of finely calibrated movements make this a highly effective tool for radiosurgery.

Endoscopic Neurosurgery Theatre

State of the art endoscopic neurosurgery theatre to perform endonasal, endovascular procedures. The theatre is equipped with intraoperative imaging; navigational capabilities, high definition monitors with intraoperative neurophysiological monitoring. This endoscopic system is dedicated for advanced brain and spine surgeries.

Neurosurgery

Neurosurgery

Neurological surgery or neurosurgery is concerned with diagnosis, treatment, prevention and rehabilitation of any kind of disorders of the nervous system. It comprises the brain, spinal cord and the peripheral nerves. There are many categories in the neurosurgical category. Neurosurgeons often specialize in one of the categories. Neurosurgery might be performed for the following disorders/diseases :-

* Brain Tumours

* Spinal corrections

* Congenital anomalies in the nervous system

* Vascular disorders

* Trauma

*  Infection of the brain and spine

* Degenerative diseases

* Surgery for correction of Epilepsy

* Deep Brain Stimulation

* CCSVI for Multiple sclerosis

All the major types of categories of neurosurgery are performed by our expert team of surgeons. Being one of the most complex surgeries, we employ our greatest potential for the total well-being of our patients. Our affiliated centres are some of the best known neurosurgery centres around the world. Our expert team of neurosurgeons and neurologists work diligently to deliver the best neurosurgery services. Over the years we have assisted people from all the parts of the world, to come and get the best services at affordable rates.

COMPREHENSIVE RANGE OF ADVANCED SERVICES OFFERED BY HEALTH & HOLIDAYS

Our staff is sensitive to the needs of the patients and stand with you every step of the way.  They are capable to deliver assistance 24*7 in case of emergencies.

  • Pre-arrival, no-obligation free quote for your medical condition along with consultations and selection of best doctor/hospital

  • At H&H, all our assistance services are complimentary and you are not charged extra at the hospital if you go through us or go directly. Rather we have the capability of getting you the best prices.

  • Dedicated case manager as one-point contact for all your needs while you are here with us,also responsible to help you get the best price for your procedure

  • Complimentary Airport Pick-up/Drop, Translation,Interpretation services and assistance in choosing the best accommodation.

  • Complete assistance in making the right decisions when choosing the best procedure and full support during your stay at the hospital

  • When you’re back in your home country, we are always a click/call away for your regular follow-up, your visit was just the beginning of our relationship

Pre – Surgery

The patient may be asked by the surgeon to be medically cleared. The primary intent behind this is to check on the possible medical complications in the body. If the patient has heart problems that could lead to a heart attack, separate tests are needed to assess the flow of blood towards heart. Although any major complication for any surgery is rare, brain surgeries are still considered risky. All the medications must be monitored that may affect the body in some significant way.

Post – Surgery

Extra amount of rest is required for getting back to the normal level of energy. The total recovery time after any kind of brain surgery is different for each and every person. It depends upon the age and general health, location of the tumor, areas of brain affected and the procedure used for the surgery. The patient must stay in close vicinity of the hospital for 5 or more days. The doctor gives the instructions for taking care at home.

Epilepsy Treatment

What are the different types of Epilepsy treatments?

  • Medication
    Medication will depend on the type of seizure, and accordingly, the doctor will prescribe different medication. Anticonvulsant medications are most commonly used to prevent seizures.

    • Factors that affect the type of Anti-Convulsant medication are seizure type, cost of the medication, and medical conditions of the patient.
    • Adjustments to the anticonvulsant medications are frequently required after starting the medications.
    • Anti-convulsant medications may be monitored and lab tested.
    • Anti-epileptic medication may not be given unless it is certain that the patient suffers a risk of another seizure that can cause a brain injury or if the patient has a history of epilepsy in the family.

 

  • Other Treatments along with Medication
    Other treatments along with medicines are also used to control seizures as an option to get better result. These include:

    • Ketogenic Diet
      Following this high-fat diet has been helpful in some cases of epilepsy among children with unrestrained seizures. A few doctors may recommend this diet, while some doctors may not advise using it.
    • Vagus Nerve Stimulation:
      A vagus nerve stimulator device may be used while taking medication or after surgery.

Care at Home
It is important that patients get adequate care and treatments that are necessary when they suffer seizures at home. For this, when a patient suffers seizures, an observer or attendant should do the following:

  • Place the patient’s head on a cushion
  • Make the patient lie on the side
  • Make note of the patient’s seizure characteristics to inform the doctor.

The observer should take care not to:

 

  • Restraint the patient or hold the patient down
  • Open the patient’s mouth by placing something in between the teeth
  • Brain Surgery
    Sometimes patients who have not responded well to medication may be able to attain immense success with surgery, and seizures can be successfully reduced by it. Epilepsy patients life has been improved after surgery. There are different types of brain surgeries which are:

    • Anterior Temporal Lobectomy
      This is the very popular brain surgery for adult patients suffering from epilepsy in which a part of the brain’s temporal lobe is detached in this surgery, which helps in  reducing the
    • Hemispherectomy
      This surgery is performed on young children suffering from severe epilepsy. In hemispherectomy the side of the brain which is damaged is removed.
    • CorpusCallosotomy
      This surgery is also generally performed on children who have severe epileptic condition. The two hemispheres of the brain are surgically disconnected to stop generalized seizures. This surgery is not helpful for partial seizures.

What type of treatment is recommended for each patient?
The type of treatment that a patient has to recieve depends upon the type of seizures that a patient is suffering. It also depends upon the patient’s health, age, and lifestyle. The doctor will recommend the type of treatment that is the most benefiting and the one that causes very few side effects. Epilepsy treatment is beneficial to reduce or stop seizures in most patients.

How to prepare for surgery?

  • After the patient is admitted to the hospital, the patient’s brain wave will be recorded using an EEG machine for several days.
  • Monitoring period may take 3 to 7 days.
  • A Wada test may be performed to find out if a temporal lobectomy can be performed on the patient without any risk to the memory of the patient.
  • A cortical stimulation test may be done to determine which parts of the brain should not be operated.

Duration of procedure/surgery : Procedure generally takes around 3 – 5 hours to complete.

Days admitted : Patients admitted for Surgery, will be required to stay at the hospital :-
– 3 to 7 days before the surgery
– 4 to 7 days after the surgery
In total, the patient may need to stay for about 2 weeks at the hospital.

Anesthesia : Surgery for epilepsy treatment is done under general Anesthesia.

Recovery :Recovery from epilepsy surgery:
– Patients will be put in the ICU for 24 hours after the surgery.
– Anti- epileptic medication is prescribed for most of the patients after a surgery. These medications are reduced after about 1 year. Medicines may be stopped if a patient becomes cured of seizures for a long period.
– Patients may be able to resume normal activities within 3 – 6 weeks, depending on the energy levels of the patient.
– Some Patients may hear a small clicking sound until the detached skull gets fixed into its original place  .

Risks :The risks involved in an epilepsy surgery include:
– Increased neurological problems
– Bleeding
– Infection
– Stroke may occur if there is bleeding in the brain.
– 5% of the patients who have undergone temporal lobectomy may have a noticeable loss of short term memory.

After care : After care of epilepsy surgery:
– the patient is recommended to carry identification, informing that he or she is an epilepsy patient just to decrease the chances of injury caused by seizures.
– The patient’s family, friends and social acquaintances should know how to take care of the patient if the patient suffers a seizure.
– Medication should not be stopped without the doctor’s permission.
– The doctor’s instructions should be followed carefully.

 

Laminectomy

What is Laminectomy?
Laminectomy is a surgical procedure generally performed to treat lower back pain caused by injury, spinal abnormalities or disc degeneration.

How is Laminectomy Performed?
In this procedure, a small fragment of the spinal disc is removed to relieve pain. The patient is required to lie down on the operating table with the face down. An incision is made over the particular vertebrae and deeper to the lamina. The nerve root is pulled back to the middle of the spinal column, and the disk or part of the disk is removed.

How to prepare for Laminectomy?

  • The patient should inform the doctor about any ailments, medical conditions and medication that the patient may be taking.
  • The patient should not smoke for several days before the surgery.
  • Two weeks prior to the surgery, the doctor may stop certain medication that the patient may be taking.
  • The doctor may advise patients undergoing a lumbar spine fusion surgery to take Fleets enema the night before the surgery.
  • The patient may need to give the following tests and examinations:
    • Physical examination
    • Electrocardiogram
    • X-rays
    • Blood and urine tests
    • Anesthesia interview

Duration of procedure/surgery :1 to 3 hours

Days admitted :1 to 3 days

Anesthesia :General anesthesia

Recovery :– The patient is kept in a recovery room until the patient regains consciousness.
– The patient can lie on the side or back.
– A catheter may be placed in the patient’s bladder.
– Pain medication may be prescribed by the doctor.
– The patient may be required to wear compression stocking to minimize the possibilities of blood clots.
– The patient may be asked to move about after the anesthesia wears off.
– The surgeon may schedule a checkup a week after the surgery to ensure that the wound is healing and there are no post-surgery complications. Stitches or staples may also be removed during this visit.
– Follow up visits may be scheduled by the surgeon.

Risks :The risks involved in laminectomy are:
– Vertebral bone infection
– Spinal nerve damage
– No relief from pain
– Problem in the spinal column that is above and below the area of lumbar spine fusion
– Bowel or bladder dysfunction
– Sexual dysfunction
– Numbness
– Weakness
– Paralysis
– Leakage of cerebrospinal fluid
– Injury to other organs and blood vessels

The general risks involved in any surgery are as follows:

– Infection
– Bleeding
– Breathing problems
– Blood clot
– Stroke
– Adverse reaction to medication and anesthesia

After care :– Patients are allowed to sleep on their backs with pillows placed under the neck and knees. Alternatively, they may lie on their sides with knees bent slightly, and a pillow placed between the knees.
– Bending over should be avoided or minimized.
– Driving and doing light activities have to be avoided for 1-2 weeks after surgery.
– Short walks every day is beneficial in speed recovery and  to reduce pain.
– Patients with a sedentary job may return to work in one to two weeks after surgery.Although, patients with strenuous jobs may need to avoid doing work for two to four months.
The doctor should be contacted if the following symptoms occur:

– Redness, swelling and bleeding from the incision
– If staples or stitches come off
– Fever
– Severe pain in the legs, back and backside
– Urinating inability
– No control over bowels or bladder
– Swelling, redness and pain in one of the legs
– Inability to move legs
– Severe headache
– Chest pain and breathing difficulty

 

Lumbar Fusion

What is Lumbar Fusion?
Lumbar Fusion is a surgery performed to relieve the patient from lower back pain due to injury, spinal abnormalities or disc degeneration.

In this surgical procedure, a piece of bone is grafted from another part of the body to the spinal area to reduce friction between the bones. A small incision is made in the lower back and the tissues are dissected from there to get to the bone. Retractors are used to keep the tissues away from the spinal bone. Holes are then drilled into the vertebrae through the pedicles. Metal screws are then placed and adjusted tightly in these holes. Then a posterolateral fusion or an interbody fusion is performed to place the grafts in position.

How to Prepare for Lumbar Fusion?

  • The patient should inform the doctor about any ailments, medical conditions and medication that the patient may be taking.
  • The patient should not smoke for several days before the surgery.
  • Two weeks prior to the surgery, the doctor may stop certain medication that the patient may be taking.
  • The doctor may advise patients undergoing a lumbar spine fusion surgery to take Fleets enema the night before the surgery.
  • The patient may need to give the following tests and examinations:
    • Physical examination
    • Electrocardiogram
    • X-rays
    • Blood and urine tests
    • Anesthesia interview

Duration of procedure/surgery :2 to 6 hours

Days admitted : 2 to 5 days

Anesthesia : General anesthesia

Recovery :– The patient is taken to the Post Anesthesia Care Unit (PACU) or a recovery room to recover from the effects of anesthesia.
– The patient’s vital signs are monitored during this period.
– The patient’s wound dressing, circulation and movement of toes and legs are also checked.
– The day after the surgery, most patients will be able to get out of the bed and are encouraged to move around with assistance.
– Some patients may require to undergo rehabilitation therapy after being discharged.
– Arrangement for a visiting nurse and a therapist may be done for patients who do not require rehabilitation and can return home.

Risks :The risks involved in lumbar fusion are:
– Vertebral bone infection
– Spinal nerve damage
– No relief from pain
– Problem in the spinal column that is above and below the area of lumbar spine fusion
– Bowel or bladder dysfunction
– Sexual dysfunction
– Numbness
– Weakness
– Paralysis
– Leakage of cerebrospinal fluid
– Injury to other organs and blood vessels

General risks involved in any surgery include:

– Infection
– Bleeding
– Breathing problems
– Blood clot
– Stroke
– Adverse reaction to medication and anesthesia

After care :– Patients may sleep on their backs with pillows placed under the neck and knees. Alternatively, they may lie either on their sides with knees bent slightly, and a pillow placed between the knees.
– Bending over should be avoided or minimized.
– Driving and doing light activities should be avoided for one to two weeks after surgery.
– Short walks every day is recommended to speed up recovery and reduce pain.
– Patients with a sedentary job may return to work in one to two weeks after surgery. However, patients with strenuous jobs may need to avoid working for two to four months.

The doctor should be contacted if the following symptoms occur:

– Redness, swelling and bleeding from the incision
– If staples or stitches come off
– Fever
– Severe pain in the legs, back and backside
– Urinating inability
– No control over bowels or bladder
– Swelling, redness and pain in one of the legs
– Inability to move legs
– Severe headache
– Chest pain and breathing difficulty

 

Spinal Fusion

What is Spinal Fusion?
Spinal Fusion is a surgical procedure to fix two vertebrae together in the body. This permanently fuses two bones together and as a result movement between these bones gets totally restricted. Other surgical procedures such as laminectomy are done prior to a spinal fusion. A graft is used to join the bones permanently together.Auto graft is called If the graft is taken from another body part, commonly from the pelvic bone. The graft can also be taken from a bone bank known as an allograft. In rare cases, synthetic bone substitutes may also be used. Screws, plates or cages are used to join the vertebrae together to ensure that there is no bone movement when they are healing.

What are the Different Types of Spinal Fusion?
The different types of spinal fusion may be used in combination with one another. They are:

  • Posterolateral Fusion
    In this procedure the bone grafts are placed between the transverse processes of the spine. The vertebrae are joined with the help of screws and wires through the pedicles of the vertebra, which is attached to a metallic rod on the sides of the vertebrae.
  • Interbody Fusion
    In this procedure the bone grafts are placed between the vertebra. There are three types of interbody fusion:

    • Anterior Lumbar Interbody Fusion (ALIF), in which the surgery is performed through an anterior abdominal incision.
    • Posterior Lumbar Interbody Fusion (PLIF), in which the surgery is performed through a posterior incision
    • Transforaminal Lumber Interbody Fusion (TLIF) in which the surgery is performed through a posterior incision on one side of the spine.

How is Spinal Fusion Performed?
During spinal fusion, the vertebrae are exposed through an incision. Tissue layers above the bone are put aside on secondry step. Small parts of bone are then placed just beside the vertebrae. A spinal fusion using an autograft is more successful than a spinal fusion performed with an allograft.An autograft may cause more stress on the surgery and blood loss though.

Spinal instrumentation may also be received by some patients who underwent surgery. Rods, wires and screws are attached to the spine. This is used to keep the vertebrae in place during the fusion. Additionaly ,an external brace may be applied after the spinal fusion Surgical Procedure.

Once the surgery is finished, a drainage tube is placed in incision area to drain out fluid for a few days.

How to Prepare for Spinal Fusion?

  • The patient should inform the doctor about any medical conditions and ailments.
  • The doctor should be informed about any medication that the patient is taking.
  • Certain medication that the patient is taking may be stopped by the doctor a couple of weeks before the surgery.
  • The patient should stop smoking a couple of weeks before the surgery to enable a quick recovery.
  • The doctor should be informed if the patient has been consuming alcohol.

 

Duration of procedure/surgery :Approximately 4 hours

Days admitted :4 to 6 days

Anesthesia :General Anesthesia

Recovery :– The drain tube is removed 24 to 72 hours after the surgery.
– Pain medication may be given in the form of pills or intravenous injections.
– The patient is taught how to move, sit, stand and walk in a proper without causing harm to the spine.
– The patient may be required to be fed through an intravenous tube for 2 to 3 days.
– The patient may need to wear braces post- surgery.
– After the surgery, the patient recover entirely or partially depending on how he has maintained himself.
– Spine problems are possible in upcoming years for any patient after a spinal surgery.

Risks :– The risks involved in spinal fusion include:
– Infection in the vertebrae
– Injury to the spinal nerve that can cause bladder and/or bowel incontinence, pain, weakness, loss of sensation, etc
– Blood clotting
– Adverse reaction to medication and anesthesia
– Bleeding
– Breathing difficulty
– Stroke
– After a spinal fusion, the spinal column may be stressed.

After care :– The patient may need to undergo physiotherapy after some days.
– Normal activities should be avoided for several weeks after the surgery.
– Strenuous activities should be avoided for 6 to 8 months after the surgery.
– The incision area should be kept dry and clean.
– For the scar to get healed sooner, the incision area should be protected from sunburn for a year after the surgery.

 

Cost

The cost for commonly done Neurosurgery procedures at our partner hospitals is as below :-

 

Brain Tumours – US $ 4000 – 12000 depending on the type of surgery and size of tumour. Generally stay required is approximately 6-7days inside the hospital including 2 days in ICU.

 

Spinal Corrections – TLIF/PLIF/Decompression/Disectomy – between US $ 3500- 12000 depending on the number of levels that need correction and also on the cost of implants. Stay of 3-4 days in hospital with 1 day in ICU is part of this cost.

 

Scoliosis surgery – US $ 7500 -12000 depending on the cost of implants. Stay of 3-4 days in hospital with 1 day in ICU is part of this cost.

 

Surgery for Epilepsy correction – US $ 4500-5000 with 3-4 days in hospital.

 

Deep Brain Stimulation for Parkinsonism – US $ 22000 with 4-5 days in hospital.

 

These are just costs for common procedures. Please feel free to contact us if you need details for any other procedure.

Benefits

Our experts will review your case and will arrange opinions/affordable treatment plans from top doctors at 2-3 leading hospitals in India. We give you the power to choose from the best available options.

Write to Us

Give us a brief of history of the case, scan and email your medical reports at yourhealthqueries@gmail.com or info@healthandholidays.com and leave the rest on us.

our Partners

Medanta – The Medicity BLK Super Speciality Hospital Bourn Hall Clinic Sharp Sight Center Center for Sight Global Hostpitals HCG Oncology Jaypee Hospitals MS Ramaiah Rockland Hospitals Columbia Asia Manipal Hospitals Artemis Health Sciences Primus Super Speciality Hospital Apollo hospital max healthcare Fortis Healthcare Medanta – The Medicity BLK Super Speciality Hospital Bourn Hall Clinic Sharp Sight Center Center for Sight Global Hostpitals HCG Oncology Jaypee Hospitals MS Ramaiah Rockland Hospitals Columbia Asia Manipal Hospitals Artemis Health Sciences Primus Super Speciality Hospital Apollo hospital max healthcare Fortis Healthcare
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