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Advanced Brain Tumour Surgery in Bhubaneswar

A brain tumour develops when cells in or near the brain multiply uncontrollably, creating an abnormal tissue mass. These growths can grow in various parts of the brain, including the protective lining, skull base, brainstem, sinuses, and nasal cavity. Brain tumour surgery aims to remove or reduce the tumour while preserving brain function and improving the patient's quality of life. 

Types of Brain Tumour Surgery

Surgical procedures for brain tumours have evolved substantially, offering various approaches based on tumour location and size. 

  • Craniotomy: This procedure remains the most common surgical technique, where surgeons remove a portion of the skull to access and remove the tumour.
  • Endoscopic Endonasal Approach (EEA): EEA allows surgeons to remove tumours through the nose, eliminating the need for external incisions. This technique primarily treats pituitary adenomas and other selected brain tumours.
  • Laser Interstitial Thermal Therapy (LITT): This minimally invasive method utilises laser energy to heat and destroy tumour cells, guided by MRI.
  • Awake Brain Surgery: Surgery performed while the person is conscious allows surgeons to monitor brain function and preserve speech and movement areas.
  • Stereotactic Craniotomy: This craniotomy uses advanced imaging guidance through MRI or CT scans for precise tumour location. Moreover, specialised variations like the extended bifrontal craniotomy target difficult tumours near the front of the brain, while supra-orbital craniotomy (eyebrow craniotomy) treats tumours close to the optic nerves.
  • Keyhole Surgery: The keyhole surgery concept allows tumour removal through smaller, more precise openings, minimising damage to surrounding healthy tissue.

Best Brain Tumor Surgery Doctors in India

Indications of Brain Tumour Surgery 

Surgery stands as the primary treatment choice for brain tumours since it offers multiple therapeutic benefits. Surgical intervention primarily serves two crucial purposes: removing the tumour and confirming diagnosis through biopsy.

The surgical goals encompass:

  • Complete removal of the tumour when possible
  • Partial removal to slow growth and ease brain tumour symptoms
  • Relief from pressure within the skull
  • Enhanced effectiveness of other treatments
  • Collection of tissue samples for precise diagnosis

Symptoms of Brain Tumour

Headaches are the most common symptom, affecting about half of all brain tumour patients. These headaches often feel worse in the morning or at night and typically worsen with coughing or straining. The pain might resemble tension headaches or migraines.

The following are the other most frequent brain tumour symptoms:

  • Vision changes like blurred or double vision
  • Unexplained nausea and vomiting
  • Difficulty with balance and coordination
  • Speech problems or trouble finding words
  • Memory difficulties and confusion
  • Personality or behaviour changes
  • Seizures, especially without prior history

Diagnostic Tests for Brain Tumour Surgery

The following are some common diagnostic measures for brain tumour:

  • Magnetic Resonance Imaging: MRI serves as the primary diagnostic tool for brain tumours. Whilst standard MRIs provide structural information, specialised versions offer additional insights:
    • Functional MRI maps brain activity patterns
    • Magnetic Resonance Spectroscopy analyses tumour chemistry
    • Diffusion Tensor Imaging shows white matter pathways
    • Perfusion MRI examines blood flow patterns
  • Computed Tomography (CT) Scans: CT scans support quick tumour detection, particularly useful in emergencies. 
  • Positron Emission Tomography (PET): Helps determine whether abnormal growths are cancerous.
  • Lab Tests: Blood tests and cerebrospinal fluid analysis help rule out other neurological conditions and assess overall health status. Occasionally, doctors perform neurological examinations to evaluate balance, coordination, and reflexes. These tests check how different parts of the brain function and help determine the tumour's impact on daily activities.
  • Biopsy: Biopsy remains the definitive test for accurate diagnosis. During this procedure, surgeons remove a small tissue sample for laboratory analysis. This crucial step helps determine the tumour type and grade, enabling doctors to develop targeted treatment strategies.

Brain Tumour Surgery Procedure

Neurosurgeons at leading hospitals perform brain tumour surgery with precision and care.

Pre-surgery procedures

The week before surgery requires careful preparation:

  • Stop smoking and alcohol consumption
  • Follow specific dietary guidelines
  • Arrange transport and post-surgery care
  • Pack essential items for hospital stay
  • Complete all paperwork and insurance formalities

Before the operation, patients must fast for at least eight hours. The anaesthesia team provides clear instructions about which medications to take with small sips of water. Patients should shower with antimicrobial soap the night before and the morning of surgery.

During brain tumour surgery procedures

Neurosurgeons at leading hospitals perform brain tumour surgery with precision and care. The surgical team begins by administering general anaesthesia, ensuring the patient remains comfortable throughout the surgery.

The surgical process involves several carefully planned steps:

  • Positioning the patient appropriately based on tumour location
  • Making precise incisions in the scalp
  • Creating a small opening in the skull
  • Using microscopes for enhanced visualisation
  • Removing the tumour whilst protecting surrounding tissue
  • Closing the surgical site meticulously

Throughout the procedure, vital sign monitoring remains constant, with dedicated staff tracking blood pressure, heart rate, and oxygen levels.

Meanwhile, surgical nurses arrange specialised instruments and assist the lead surgeon. Advanced navigation systems display real-time brain images, guiding the surgical team's movements with millimetre accuracy.

The main stages of the procedure include:

  • Continuous brain wave monitoring
  • Blood loss management
  • Temperature regulation
  • Fluid balance maintenance
  • Neurological response checking

Post-brain tumour surgery procedures

Recovery from brain tumour surgery begins as soon as the procedure ends. Medical staff transfer patients to a specialised neurological recovery unit for close monitoring. Nurses check vital signs every 15-30 minutes whilst assessing neurological responses.

The first 24-48 hours prove crucial for recovery. Patients receive pain medication through intravenous lines, and the medical team carefully manages fluid balance. Nurses help patients change positions regularly to prevent complications and maintain comfort.

Key aspects of post-operative care include:

  • Regular neurological assessments
  • Wound care and dressing changes
  • Gradual return to normal diet
  • Physical therapy exercises
  • Medication management

Why Choose CARE Hospitals for a Brain Tumour Surgery Procedure?

CARE Hospitals stands out as a leading medical institution for brain tumour surgery in Bhubaneswar. The neurosurgery department combines expertise and state-of-the-art technology to deliver exceptional patient care.

The hospital's dedicated neurosurgical team brings together specialists from multiple disciplines:

  • World-recognised neurosurgeons with extensive experience
  • Skilled neuro-anaesthesiologists
  • Specialised nursing staff
  • Rehabilitation experts
  • Dedicated patient care coordinators

Advanced surgical facilities at CARE Hospitals feature cutting-edge equipment for precise tumour removal. At CARE, our operating theatres house sophisticated neuronavigation systems and microscopes that aid surgeons in performing complex procedures with remarkable accuracy.

The hospital maintains strict protocols for patient safety and infection control. Each patient receives personalised attention from admission through discharge, regularly monitored by experienced doctors. Our rehabilitation team works closely with patients to ensure optimal recovery outcomes.

CARE Hospitals place a strong emphasis on comprehensive care. The team conducts detailed pre-operative assessments and creates tailored treatment plans for each patient. Regular follow-up care helps track recovery progress and address concerns promptly.

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Frequently Asked Questions

CARE Hospitals offer excellent neurosurgical care in Bhubaneswar. These facilities maintain high success rates and employ experienced specialists.

Surgical removal remains the treatment of choice for most brain tumours. Complete tumour removal through surgery undoubtedly offers the best outcomes for suitable candidates.

Most patients recover well after brain surgery. The recovery period typically spans 6 to 12 months, with significant improvement seen within 3 to 6 months.

Post-surgical care involves:

  • Regular wound care and dressing changes
  • Gradual return to normal activities
  • Physical and occupational therapy
  • Scheduled follow-up appointments
  • Medication management

Hospital stays typically last 3 to 10 days. Complete recovery takes 6 to 12 weeks, varying based on tumour size, location, and overall health.

Surgical complications might include bleeding, infection, or neurological issues. Patients with complications stay longer in the hospital, averaging 11.8 days compared to 4.4 days for uncomplicated cases.

After discharge, patients must avoid lifting more than 10 kilograms for two months. They should keep the incision clean & dry and sleep with their head elevated.

A neurosurgeon leads the operation, supported by a skilled team. Open craniotomies typically take 3-5 hours, whilst awake procedures might extend to 5-7 hours.

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