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Yashoda Hospital, department for Neuro-endoscopy Surgery, is a part of the Department of Neurosciences. Our team uses neuro-endoscopy surgery to reduce the hospital stay of our patients and help them in quicker recovery from hormonal problems. Our doctors and neurosurgeons hold years of experience in performing minimally invasive endoscopic brain surgery.

To treat complex conditions such as brain aneurysms as well as spine and brain tumours, and leak of the brain fluid through the nose, this relatively less invasive technique is performed. Our physicians and surgeons work closely together with the patient to determine the best treatment plan for the patient’s current medical condition. We strive to provide you with a patient-centric experience with maximum benefits and an easier recovery.

What Is Neuro-Endoscopy Surgery?

Neuroendoscopy is a minimally-invasive surgical procedure that allows neurosurgeons to treat most of the complex brain conditions such as a brain tumour, which are hard to treat with traditional surgery. It enables neurosurgeons to:

  • Have access to the deepest area of the brain that one cannot has access to with traditional surgery
  • Helps in removing the tumour without cutting or hamming the other parts in the skull or spine

What Are The Indicators For Neuro-Endoscopy Surgery?

The major indicators that highlight the need for Neuro-endoscopy surgery involve the conditions in which the patient experiences some of these indicators simultaneously:

  • Unbearable headache at the site of tumour.
  • Loss of balance and difficulty with fine motor skills, which is linked with tumour inside the cerebellum.
  • Partial or complete loss of vision due to the tumour in the occipital lobe or the cerebrum's temporal lobe.
  • Altered speech hearing, emotional state, or memory (a person might experience the problem in retrieving or understanding words)
  • Feeling of sluggishness, and muscle weakness or paralysis.
  • Inability to look upward
  • Difficulty swallowing or experiencing double vision

Other general symptoms patient might experience, in addition to the above symptoms include:

  • Headaches (severe that worsen with activity)
  • Seizures
  • Motor seizures
  • Myoclonic
  • Tonic-Clonic (Grand Mal)
  • Sensory
  • Complex partial
  • Drowsiness
  • Sleep problems
  • Nausea or vomiting
  • Fatigue
  • Memory problems
  • Changes in capacity to perform day to day activities (like walking)

What Are The Conditions Treated Under Neuro-Endoscopy Surgery?

Some of the brain conditions that may benefit from neuro-endoscopy treatment include:

  • Pituitary tumours
  • Benign brain tumours
  • Malignant brain tumours (brain cancer)
  • Spasmodic torticollis
  • Cushing’s disease
  • Hydrocephalus
  • Nerve pain disorders, such as
  • Trigeminal neuralgia
  • Bell’s palsy
  • Hemifacial Spasm
  • Glossopharyngeal neuralgia
  • Osteosarcoma of the skull base
  • Conditions affecting vision (optic nerve compression)
  • Facial bone and skull fractures
  • Head and neck tumours (sinus cancer and glomus tumours)
  • Nervous system cysts
  • Neurovascular conditions, including
  • Arteriovenous malformations
  • Brain aneurysms
  • Hemorrhagic stroke
  • Pseudotumours (false tumours -pseudotumour cerebri)

What are the Types of Diagnostic Procedures Required Before Neuro-Endoscopy Surgery?

Your doctor might ask you to take the following diagnostic tests:

  • MRI
  • Tissue sampling/biopsy
  • CT scan
  • Positron emission tomography (PET)
  • Cerebral arteriogram
  • Lumbar puncture or spinal tap
  • Myelogram
  • Molecular testing of the tumour
  • Neurological, vision, and hearing tests
  • Neurocognitive assessment
  • Electroencephalography (EEG)

What Is The Procedure Of Neuro-Endoscopy Surgery?

Neuro-endoscopy surgery is a minimally invasive brain surgery, where, unlike the traditional open surgery, few small incisions are created to perform the surgery.

Preoperative Details

Our doctors ensure that you are fit for the procedure by performing a series of tests and screening process. You might be prescribed some medicines for a week or two before the surgery to avoid any infections.

Before the operation, the patient receives general anaesthesia and will sleep through the surgical procedure.

Operative Details

The surgeon will make an incision at the affected site and insert a thin telescope-like instrument called an endoscope through the incision. The camera attached inside the endoscope helps the doctor to perform complex operations easily. The surgery is performed through surgical instruments or through robots assisted arms. After the surgery, sutures are closed with surgical tape.

In the case of brain tumour patient has to undertake a few therapies for treating cancer completely. These include:

  • Radiation Therapy: Involve the use of high energy waves to kill cancer cells, limit toxicity, and improves results.
  • Chemotherapy: Involve the use of powerful medicines to kill cancer cells.
  • Targeted Therapy: This therapy focuses on cancer’s specific proteins, genes, or the tissue that are associated with cancer growth and survival.
  • Immunotherapy: To destroy the cancer, the body’s immune system or natural defences is boosted by using medicines.

Postoperative Details

  • The patient may have to stay in the hospital depending on the condition, and in order to have faster recovery, physiotherapy sessions may be required.

What Are The Advantages Of Neuro-Endoscopy Surgery?

Neuro-endoscopy Surgery has the edge over traditional surgery process:

  • Small Incisions
  • Less pain
  • Low risk of infection
  • Lesser disruption of muscles and tissues
  • Short hospital stay
  • Quick recovery time
  • Less scarring

The surgeons perform the surgery by making small incisions through the use of cameras, small tools, and lights. By implementing the Robotic surgery technique, it gives them more close control over the surgical process, thereby resulting in fast after surgery recovery outcomes.

What Are The Precautions You Should Take After The Neuro-Endoscopy Surgery?

The crucial precautionary measures one must consider after the surgery are:

  • While sitting and sleeping, maintain a proper posture
  • Do not perform rigorous exercises.
  • Follow the doctor’s advice and medicines.
  • Do not indulge in sexual activities.
  • Eat a very healthy diet.
  • Avoid the use of tobacco in for of Gutka, etc.
  • Avoid excessive smoking and drug abuse
  • Heavy consumption of alcohol is prohibited.

What Are The Complications Associated With Neuro-Endoscopy Surgery?

No surgery comes without risks. The risks of minimally invasive surgery include:

  • Infection at the site of the incision
  • Nerve damage
  • Blood clots
  • Excess bleeding
  • Complications from anaesthesia

 



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