Minimally invasive neurosurgery
Minimal Invasive Neurosurgery in Nagpur introduces a new concept, so setting goals towards the same therapeutic principles as with open surgery but with minimal invasiveness to the patient’s body.
Using laparoscopic instruments and manipulators-remotely controlled, the surgeon can achieve an unprecedented degree of precision with minimal tissue disruption.
Whereas most open neurosurgeries require large incisions, MIS utilizes punctures that are not more than ½ inch in size. High video clarity at the surgical field allows for precise interventions with greater efficiency and lesser trauma.
Best hospital for neurosurgery
Neurosurgery almost necessitates precision and accuracy. Indeed, since it deals with the brain and the spine where literally every neuron counts, neurosurgery can be said to demand almost precision and accuracy. Meanwhile, everybody knows that in all medical specializations, precision is the key and indispensable; however, in neurosurgery, things are starker because of the nature of the structures it involves.
At the Neurosys Multispeciality Center, we perform some such major operations like Craniotomy. That is primarily for the excision of brain tumors; V-P Shunt Surgery for the treatment of hydrocephalus; surgeries for epilepsy; and operations targeting the brain stem glioma. Besides that, we undertake a whole range of other neurosurgical procedures. If you don’t find an answer to your query here, feel free to reach us through our Contact Us or Book your Appointment.
Benefits of Minimally Invasive Neurosurgery
Some of the advantages of Minimally Invasive Neurosurgery (MIS) over more conventional open surgeries include much less trauma, smaller pain, recovery, and complications.
Less Post-Operative Discomfort: One of the benefits of MIS procedures is that they lead to less post-operative pain, thus causing less use of pain medication.
Shorter Hospital Stay: Minimally invasive neurosurgeries cause less damage which enables the patient to recover much sooner and have a faster return to normal activities and also shorten hospital stay.
Much Smaller Incision: Another benefit of MIS is that its risk of incisional infections is much lowered compared to open surgery, also leaving one with smaller scars.
Preserved Muscle Tissue: With the help of MIS techniques, the muscle tissue is preserved during spinal surgeries, thus allowing for early recovery with lesser postoperative pain.
Higher Accuracy: With MIS techniques, higher accuracy can be achieved through magnification visualization at the surgical site.
Common Types of Minimally Invasive Neurosurgery:
- Endoscopic Brain Surgery
- Procedure: A small camera (endoscope) is inserted through a small hole in the skull or via natural openings (e.g., nasal passages). The surgeon navigates the endoscope to the surgical site, using specialized instruments to remove tumors, treat aneurysms, or perform other procedures.
- Uses:
- Brain tumor removal (e.g., pituitary tumors)
- Skull base surgery
- Cerebrospinal fluid (CSF) leak repairs
- Treating hydrocephalus (fluid buildup in the brain)
- Minimally Invasive Spine Surgery (MISS)
- Procedure: Small incisions are made to insert a tubular retractor that separates muscles and tissue without cutting them. Specialized tools are then used to remove herniated discs, decompress spinal nerves, or stabilize vertebrae.
- Uses:
- Herniated disc removal (discectomy)
- Spinal fusion for degenerative disc disease
- Laminectomy for spinal stenosis
- Vertebral compression fracture repairs (e.g., kyphoplasty)
- Stereotactic Radiosurgery (SRS)
- Procedure: This is a non-invasive procedure that uses highly focused beams of radiation to treat brain tumors, arteriovenous malformations (AVMs), or other brain abnormalities without any incisions.
- Uses:
- Treating small brain tumors (e.g., acoustic neuromas, meningiomas, metastases)
- AVMs
- Trigeminal neuralgia (severe facial pain)
- Minimally Invasive Aneurysm Treatment (Endovascular Neurosurgery)
- Procedure: A catheter is inserted into a blood vessel (usually in the groin) and navigated to the brain. Coils, stents, or flow diverters are placed within an aneurysm to prevent rupture.
- Uses:
- Treating brain aneurysms (coil embolization)
- Treating arteriovenous malformations (AVM embolization)
- Stroke treatment (mechanical thrombectomy to remove clots)
- Laser Interstitial Thermal Therapy (LITT)
- Procedure: A laser fiber is inserted through a small hole in the skull to deliver controlled heat to brain tumors, epilepsy foci, or other abnormal brain tissues, effectively destroying them without open surgery.
- Uses:
- Treatment of brain tumors
- Epilepsy surgery
- Treatment of metastatic lesions
- Endonasal Endoscopic Surgery
- Procedure: A minimally invasive approach that uses the nasal passageways to access and remove brain tumors or repair defects at the skull base. Surgeons use an endoscope inserted through the nose and sinuses.
- Uses:
- Pituitary tumor resection
- Removal of other skull base tumors (e.g., meningiomas, chordomas)
- Cerebrospinal fluid (CSF) leak repairs
- Minimally Invasive Carpal Tunnel Release
- Procedure: A small incision is made in the wrist, and an endoscope is used to guide the release of the compressed median nerve, relieving the symptoms of carpal tunnel syndrome.
- Uses:
- Carpal tunnel syndrome
- Neuroendoscopic Third Ventriculostomy (ETV)
- Procedure: A small hole is made in the floor of the third ventricle in the brain, creating a new pathway for cerebrospinal fluid (CSF) to flow. This procedure is used to treat hydrocephalus.
- Uses:
- Treatment of obstructive hydrocephalus
- Minimally Invasive Deep Brain Stimulation (DBS)
- Procedure: Electrodes are implanted into specific areas of the brain through small holes in the skull. The electrodes are connected to a pulse generator implanted in the chest, which delivers electrical impulses to regulate abnormal brain activity.
- Uses:
- Parkinson’s disease
- Essential tremor
- Dystonia
- Obsessive-compulsive disorder (OCD)
How Minimally Invasive Neurosurgery Works:
- Advanced Imaging Techniques: Real-time imaging, including MRI, CT scans, and intraoperative navigation systems, guides the surgeon during the procedure. These imaging technologies help identify the precise location of abnormalities and ensure accurate treatment.
- Endoscopes and Microscopes: Endoscopes (small cameras) provide high-definition views of the surgical site, while microscopes magnify the area, allowing for precise removal or repair.
- Specialized Instruments: Miniaturized surgical tools are used to perform delicate operations through small incisions, ensuring minimal disruption to surrounding tissues.
Risks of Minimally Invasive Neurosurgery:
While these procedures are less invasive than traditional surgeries, they still carry some risks:
- Infection: There is always a small risk of infection with any surgery, though it’s lower with minimally invasive techniques.
- Bleeding: Minimally invasive surgery can still result in bleeding, especially in brain or spinal procedures.
- Damage to surrounding structures: Despite careful planning and precise tools, there is a small risk of damaging nearby nerves, blood vessels, or brain tissue.
- Incomplete treatment: In some cases, the minimally invasive approach may not fully address the problem, requiring additional procedures.
Recovery from Minimally Invasive Neurosurgery:
The first characteristic is precision, given the minimally invasive nature of neurosurgery. We utilize instruments somewhat like how an endoscope-a medical instrument with a camera and light attached to it-is used in brain surgeries. Another example of robotic assistance is ROSA or Robotic Stereotactic Assistance. It is controlled by the surgeon in order to achieve alignment accuracy in procedures involving image guidance. It uses a robotic arm to do tasks somewhat like laser probe techniques. Therefore, in electrode placement, it is working as if it were a GPS to pinpoint the areas of the deep brain accurately. It is utilized in procedures such as deep brain stimulation, laser ablation, and responsive neurostimulation.
Minimally Invasive Neurosurgery Equipment
The first characteristic is precision, given the minimally invasive nature of neurosurgery. We utilize instruments somewhat like how an endoscope-a medical instrument with a camera and light attached to it-is used in brain surgeries. Another example of robotic assistance is ROSA or Robotic Stereotactic Assistance. It is controlled by the surgeon in order to achieve alignment accuracy in procedures involving image guidance. It uses a robotic arm to do tasks somewhat like laser probe techniques. Therefore, in electrode placement, it is working as if it were a GPS to pinpoint the areas of the deep brain accurately. It is utilized in procedures such as deep brain stimulation, laser ablation, and responsive neurostimulation.