Craniotomy Surgery cost in India

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A brain tumor is abnormal growth of cells in your brain. Craniotomy is a surgical procedure to remove the brain tumor or abnormal brain tissue from inside the skull. During this procedure, Surgeon removes part of the bone from the skull to access The brain underneath that’s referred to as the ‘bone flap.  After the tumor is removed, surgeon will close the bone flap and replaced or covered with plates and screws or staples and may be covered with a soft bandage

Craniotomy may be done for following Reasons: -

• Removal Brain tumors
• Hematomas (Blood Clots)
• Tumor Biopsy
• Traumatic brain injury
• Hemorrhage Treatment
• Treatment of Aneurysms
• Repaired the Damaged tissue
• Abscesses Brain aneurysm repair
• Severe nerve or facial pain
• Epilepsy Treatment
• Repairing the Skull Fractures
• Brain Infection
• Remove an arteriovenous fistula (AVF)
• Arteriovenous malformation (AVM). 
• Parkinson’s disease or dystonia with an internal stimulator device.

Diagnose Imaging for Brain Tumors

Doctor may order one or more imaging tests: -

• Magnetic Resonance Imaging (MRI)
• MRI with contrast
• CT scan. 
• CT angiography (CTA)
• Positron emission tomography (PET) or PET-CT scan
• Electroencephalography (EEG)

Symptoms

Brain cancer symptoms are depending on the type, size and location of the tumor, 

• Headaches
• Seizure
• Difficulty is speaking
• Loss of sensation in some part of body or Paralysis depending on the region of the brain affected
• Frequent nausea and vomiting.
• Changes in personality, mood, ability to focus, or behavior.
• Loss of balance and trouble walking.
• Weakness
• Unusual sleepiness or change in activity level.

A primary brain tumor starts with an abnormal brain cell and almost never spread to other parts of the body. A metastatic (secondary) tumor began in another part of the body. (Such as lungs or breast) and then spreads to the brain,

There are 2 major types of brain tumor:

• Benign (non-cancerous) – Benign tumours are a slow-growing tumour and less likely to relapse after treatment. Common benign tumours include meningiomas, neuromas, pituitary tumours and craniopharyngiomas.
• Malignant (cancerous) – Malignant tumours are cancerous tumours which either start in the brain (primary) or aggressively spreads to other parts of the body. Common malignant tumours include astrocytomas, oligodendrogliomas, glioblastomas and mixed gliomas.

Treatment of Brain Tumor

Various treatments are used to treat brain cancer, including:

• Surgery – Surgery by an experienced neurosurgeon to remove the brain tumor.
• Radiotherapy - Radiation Therapy

Before Surgery

To prepare for the surgery, you’ll have one or more preoperative appointments with your neurosurgeon. They’ll use various tests to confirm you can safely undergo the procedure. This will likely include:

• Physical exam
• Blood tests
• Neurological exam
• imaging of the brain (CT or MRI)

Your surgeon will also determine the surgical site based on your medical condition and type of craniotomy. On the night before your surgery, you’ll fast (not eat) after midnight. You might also need to wash your hair with antiseptic shampoo.

During the surgery

When you arrive for the surgery, you’ll remove all of your clothing and jewelry. You’ll wear a hospital gown. You’ll sit or lie down on the operating table. The position depends on the part of your brain being operated on. A head device will hold your head in place.

Next, your healthcare team will:

• insert an intravenous line into your arm or hand
• insert a urinary catheter into your bladder
• give you general anesthesia

Once the anesthesia makes you fall asleep, your surgeon will shave the hair on the surgical site. They’ll also clean the area to reduce the risk of infection. Your surgeon will make an incision on your scalp. They’ll use a medical drill and saw to remove a piece of bone called a bone flap. Next, your surgeon will cut the dura mater to access the brain. The dura mater is the brain’s outermost membrane.

Your surgeon will perform the procedure and remove tissue samples, if necessary. When the procedure is done, they’ll stitch the tissue back together. They’ll replace the bone flap with wires, stitches, or plates. Finally, your surgeon will stitch or staple the skin incision, then apply a sterile bandage. The procedure can take approximately 2 1/2 hours.

Complications

Possible complications include:

• head scarring
• dent where bone flap was removed
• injury from the head device
• facial nerve damage
• damage to the sinuses
• infection of the bone flap or skin
• seizures
• brain swelling
• leaking of cerebrospinal fluid
• muscle weakness
• stroke

Rarely, a craniotomy may lead to:

• speech problems
• memory problems
• balance issues
• paralysis
• coma

A craniotomy can also cause general surgical side effects like:

• bleeding
• blood clots
• pneumonia
• reaction to general anesthesia
• unstable blood pressure

Recovery

You’ll be taken to the recovery unit or intensive care unit when the procedure is complete. Nurses will monitor your vitals as you wake up. You can expect to stay at the hospital for about 1 week. During your stay, doctors will likely:

• elevate your head to manage swelling
• give you oxygen for several days
• teach you deep-breathing exercises to prevent pneumonia
• place compression devices on your legs to prevent blood clots

The urinary catheter will stay in your bladder for several days. Doctor will frequently do neurological checkups to ensure your brain and body is functioning properly. Before you go home, your surgeon will provide home care instructions.

At home

You can expect to be out of work for at least 6 weeks. During this time, you might have issues with:

• walking
• talking
• strength
• balance

To regain these functions, you may need Physiotherapy, occupational therapy, or speech therapy. You’ll also need to get lots of rest.

Attend your follow-up appointments so your doctor can see how you’re healing. 

If you have any related query, you can send us your report on below mention email address or you can call us or whatsApp for any second opinion.

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E-mail address- query@satyughealthcare.com
Phone number- +91888-242-4372, +91991-065-5125