A craniotomy simply means creating an opening into the skull to expose the brain. The standard way to perform this surgery is to make a burr hole with a drill and then cut the bone flap through the bone with a special saw. Usually, more than one burr hole is used.
The patient’s head is held in a three-pin cranial fixation clamp to prevent head movement during delicate parts of the operation Dr.Keval Sansaiya aims to make the smallest craniotomy necessary. This is known as minimally invasive or keyhole surgery.
It is also important to ensure a good cosmetic result by keeping incisions behind the hairline and away from the face.
Sometimes, patients with complicated lesions close to critical areas are not given a general anaesthetic for surgery. This is called an awake craniotomy.
The scalp and skull are anaesthetised with a local anaesthetic. The patient is first sedated while the brain is exposed, but then woken so they can talk and move while the surgery is being performed. This is helpful when tumours are in or near what we call ‘eloquent’ areas of the brain – important zones where removal would result in an obvious loss of function, such as speech.
Most craniotomies involve navigation assistance to accurately locate a lesion. This helps minimise the size of the cut and the craniotomy.
Often this involves a brain MRI scan and sometimes a CT scan before surgery.
During surgery, Dr.Keval Sansaiya uses computer software, a television monitor and infrared cameras to create a complex map of the brain, much like a street directory but in three dimensions. This is called stereotactic navigation.
Minimally invasive or keyhole craniotomy does not necessarily mean the surgery is performed through a small hole. Some operations require a large craniotomy – for instance, when there is a large tumour on the surface of the brain immediately beneath the skull. Such a tumour can only be removed with a large bone flap.
Minimally invasive surgery means using the smallest craniotomy that will allow sufficient exposure without compromising the safety of the surgery.
In the majority of cases, Dr.Keval Sansaiya removes little or no hair. It is also important when enclosing the skull not to leave any unsightly defects. For this reason Dr.Keval Sansaiya often does a reconstructive cranioplasty using small plates, special titanium discs and bone cement to ensure an even, cosmetic result on the skull.
Craniotomies are not particularly painful. You can expect to wake with a bandage on your head, much like a turban. This generally stays on for 48 hours and helps keep pressure on the scalp to minimise swelling.
The night after surgery is usually spent in intensive care. The nurse will wake you hourly or two-hourly to take your blood pressure, monitor pulse rate, and check your temperature.
The day after surgery involves a CT scan to ensure there is no blood or complication at the operation site before being transferred to a ward.
We encourage you to get out of bed and be mobile on the first and second day after surgery. Patients usually go home after four to five days.
our safety is taken care of by thermal screening, social distancing, sanitized clinics and hospital rooms, sterilized surgical equipment and mandatory PPE kits during surgery.
We offer free follow-up consultations and instructions including dietary tips as well as exercises to every patient to ensure they have a smooth recovery to their daily routines.
Our surgeons spend a lot of time with you to diagnose your condition. You are assisted in all pre-surgery medical diagnostics. Our procedures are according to the norms of NABH.
A dedicated Medical Coordinator assists you throughout the surgery journey from insurance paperwork, to free commute from home to hospital & back and admission-discharge process at the hospital.
All humans deserve equal treatment but everyone cannot afford costly treatments at multispeciality or super-specialty hospitals.
In India, many people don’t even have mediclaim to deal with medical emergencies. Also, there is a lack of experienced professionals to consult for a second opinion in case of surgery. Surgicare & ICU is built keeping in view the above points. It offers surgery and post-surgery critical care.
Surgicare & ICU Hospital is well equipped for all kinds of surgeries and offers one of the best ICU teams of Vadodara to take care of critical patients. It offers help to all those patients who do not have mediclaim but need treatments. Surgicare & ICU offers the opportunity for second opinions.