Our Services

 

MINIMAL INVASIVE BRAIN SURGERY

Endoscopic brain surgery is a minimally invasive surgical technique utilizing a high-definition lighting instrument connected to a camera for visualizing different regions of the brain. The endoscope can be used in virtually any part of the brain through minimally invasive routes, with accuracy of less than a few millimeters. The result is improved outcomes for the patient. This technology is now allowing surgeons to treat lesions of the skull base, pituitary and pineal glands, and ventricles with smaller incisions, increased success and lower risk. Our goal is to maximize treatment or while minimizing disruption to vital neural structures within the brain. This not only avoids complications, it also minimizes the chance of infection, promotes more rapid healing and a less painful recovery.  

Who is a candidate for minimally invasive?
  • Large, difficult tumors may still require conventional open surgery.
  • It is important to note that minimally invasive approaches require specialized instrumentation and much surgical planning. They are not appropriate for all brain tumors.



MINIMAL INVASIVE SPINE SURGERY

In general, the goal of minimally invasive spine (MIS) surgery is to preserve the stability of vertebral bones and spinal joints and/or relieve pressure being applied to the spinal nerves — often a result of conditions such as spinal instability, bone spurs, herniated discs, scoliosis or spinal tumors. As opposed to open spine surgery, minimally invasive surgical approaches can be faster, safer and require less recovery time. Because of the reduced trauma to the muscles and soft tissues (compared to open procedures), the potential benefits are:


  • Better cosmetic results from smaller skin incisions (sometimes as small as several millimeters).
  • Less blood loss from surgery
  • Reduced risk of muscle damage
  • Reduced risk of infection and postoperative pain
  • Faster recovery from surgery
  • Diminished reliance on pain medications after surgery

In addition, some MIS surgeries are performed as outpatient procedures and utilize only local anesthesia so there is less risk for an adverse reaction to general anesthesia.
As with any surgical procedure, no matter how minimal, there are certain risks associated that include, but are not limited to:


  • Possible adverse reaction to the anesthetic
  • Unexpected blood loss during the procedure
  • Localized infections, no matter how small the incision area

Conditions Treated Using MIS Procedures
  • Degenerative disc disease
  • Herniated disc
  • Lumbar spinal stenosis
  • Spinal deformities such as scoliosis
  • Spinal infections
  • Spinal instability including spondylolisthesis
  • Vertebral compression fractures
  • Spinal tumors
 

Endovascular Brain Surgery

In this procedure, instead of opening the skull to treat neurological problems, surgeons instead puncture a blood vessel in the leg, arm, or neck to gain access to the body’s system of arteries and veins. Then, using a tube called a catheter, the surgeon navigates to the problem area by viewing radiology images on a high-resolution screen. Along with the advantage of having a tiny surgical incision, patients who undergo endovascular surgery generally have a shorter recovery time and fewer post-surgical complications.

What conditions can be treated with endovascular surgery?
  • Endovascular surgery involves a small puncture wound at the skin and can be safely performed under conscious sedation, rather than a general anesthetic.. The procedure is often less time-consuming than traditional “open” vascular access surgery.
  • Recovery time is generally shorter and there’s also less of a chance of post-surgical complications compared with traditional surgical techniques.
  • Endovascular surgery isn’t appropriate in every situation. Patients must be individually evaluated to determine the best course of treatment.


 

Endoscopic Pituitary Surgery

The pituitary gland is located at the bottom of your brain and above the inside of your nose. It is responsible for regulating most of your body’s hormones, the chemical messengers that travel through your blood.   Endoscopic surgery is performed through the nose to remove tumors from the pituitary gland and skull base. In this minimally invasive surgery, the surgeon works through the nostrils with a tiny endoscope it is the most common surgery used to remove pituitary tumors.  

Our Features Services
  • Endoscopic Pituitary Surgery can be used in the following conditions
  • Hormone-secreting tumors.
  • Nonhormone-secreting tumors or in Cancerous tumors.


 

Deep Brain Stimulation

  • Deep brain stimulation is also called as a Pacemaker for the Brain. The implantable electrodes produce electrical impulses that regulate abnormal impulses in the brain. DBS is largely used for patients who have Parkinson’s disease, dystonia, or essential tremor.
  • It’s important to understand that DBS does not cure the disease completely, but a way to manage it more efficiently. The benefit of DBS includes that the patient needs to take less medication and therefore experience fewer medication side effects.
  • The risk of stroke in DBS is less than 1 percent while in brain surgery risk is much higher and also the infection rate is very less.

Am I a Good Candidate for DBS?
    • You have had PD symptoms for at least five years.
    • You have “on/off” fluctuations despite consistent and regular medication dosing.
    • You are unable to tolerate anti-parkinson’s medications due to side effects.
 

 

BRAIN TUMORS

Brain tumor is a mass or growth of Abnormal Cells in Brain. Some brain tumors are noncancerous(benign) and some are cancerous (malignant).   Some begin in brain (primary brain tumor) or some spread to brain from a cancer in other parts of body (secondary or metastatic). Sign and symptoms include headache, nausea or vomiting, vision or speech problems, loss of sensation or movement in arm or leg, behaviour changes etc. MRI and CT scan help in diagnosing these tumors. Treatment for brain tumor depends on the type,size and location of tumor as well as overall health of the patient. Treatment modalities include surgery, radiation therapy, chemotherapy, radiosurgery. Technological advances with computer assisted surgeries (stereotactic and navigation systems) at our centre has made surgery of brain tumors safe, precise & accurate with less morbidities.  

Types of Brain Tumors
  • Acoustic neuroma
  • Astrocytoma
  • Brain metastases
  • Choroid plexus carcinoma
  • Craniopharyngioma
  • Embryonal tumors
  • Ependymoma
  • Glioblastoma
  • Glioma
  • Medulloblastoma
  • Meningioma
  • Oligodendroglioma
  • Pediatric brain tumors
  • Pineoblastoma
  • Pituitary tumors


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