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Examples of neuroendoscopic procedures include
- Ventriculoperitoneal (VP shunt placement and revision)
- Third ventriculostomy
- Septostomy
- Fenestration of multiloculated ventricular cysts
- Choroid plexus coagulation
- Tumour biopsy and excision
- Transsphenoidal procedures for pituitary tumours
- Colloid cyst excision
- Fenestration and excision of arachnoid cysts
- Spinal discectomy
Dr kevalsansaiya routinely performs endoscopic surgery for tumours of the pituitary region and anterior cranial fossa. Virtually all pituitary tumour surgery is now performed using an endoscope and an endonasal (through the nose) approach. The older procedure, using an incision above the lip and below and between the nose and palate causes considerable disruption to the intra-nasal anatomy and often leads to discomfort and difficulties with breathing. By performing surgery with an endoscope, the disruption to the nasal anatomy is considerably reduced. Increasingly, surgeons are able to remove large tumours in the anterior cranial fossa using an endoscopic approach. This removes the need for a large scalp flap with neurostimulation.
Neurostimulation
Neurostimulation is a method of therapy that uses electrical stimulation to cause changes in the nervous system. It is a form of treatment that is used mainly with people who have chronic pain that is unresponsive to other treatments. There are different pain pathways in the human body: those controlled by the brain and spinal cords and those controlled by other peripheral nerves (nerves that extend out from the spinal cord). It is possible to stimulate any one of these pain pathways to reduce pain in a patient, and replace it with a feeling that resembles tingling or ‘pins and needles.’ This alteration in sensation is called paraesthesiae. Neurostimulation is used for many other purposes. For example, it can be used in the brain to treat Parkinson’s disease. Neurostimulation is a neurosurgical form of therapy. This means that it is a surgical procedure that needs to be performed by a trained specialist. There are many forms of neurostimulation that are relatively safe, reversible and adjustable.
Types of Neurostimulation
Spinal Cord Stimulation (SCS)
Spinal cord stimulation is commonly used to treat back and leg pain that is not responsive to other treatments. The stimulator is placed in the spinal cord, generally in the mid to lower spinal region. The stimulator causes feelings of paraesthesiae in the lower back and down the legs. The precise positioning during surgery is conducted with the patient awake so the stimulation carries the area of the pain.
Spinal cord stimulation is commonly used to treat back and leg pain that is not responsive to other treatments. The stimulator is placed in the spinal cord, generally in the mid to lower spinal region. The stimulator causes feelings of paraesthesiae in the lower back and down the legs. The precise positioning during surgery is conducted with the patient awake so the stimulation carries the area of the pain.
Patients who may benefit from SCS include those suffering
- Complex regional pain syndrome (CRPS), a condition where the patient has pain in an area of the body due to nerve damage
- Failed back surgery syndrome (FBSS), where a patient has continued pain after unsuccessful spinal surgery
- Extremity pain due to peripheral neuropathy (for example, phantom limb pain or following spinal cord injury)
- Pain due to lack of blood supply in the limb, usually due to diseased blood vessels supplying the leg
- Other applications of SCS that have been developed in recent years include
- Chest pain, or angina in patients with cardiac problems
- Urinary incontinence
- Occipital neuralgia
Brain surgery
- Head injury
- Surgery for all types of brain tumour
- Skull base surgery
- Surgery for trigeminal neuralgia (surgery for facial pain)
- Surgery for hemifacial spasm(blinking of face and eye)
- Surgery for clipping of aneurysm
- Surgery for brain stroke
- Surgery for pituitary tumour
- Surgery for orbital tumour
- Paediatric neurosurgery
- Epilepsy surgery
- Vascular neurosurgery
Pain Clinic
- Epidural injection of steroids
- Root block
- Facet block
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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.