
Endoscopic Brain Surgery
Care Before the Procedure
- Comprehensive evaluation: Imaging tests such as MRI or CT scans are performed to locate the problem and plan the safest surgical approach.
- Specialist assessments: Hormone tests, vision checks, and neurological evaluations may be required, especially for pituitary-related conditions.
- Medication preparation: Blood thinners and certain medications may need to be stopped or adjusted as advised by the surgical team.
- Preoperative counseling: The surgeon explains the procedure, benefits, possible risks, and recovery expectations, and obtains informed consent.
Care During the Procedure
- Anesthesia and monitoring: The procedure is performed under general anesthesia with continuous monitoring of vital and neurological functions.
- Minimally invasive access: The endoscope is introduced through the nostrils (endonasal approach) or a small skull opening, avoiding large incisions.
- Precision treatment: High-definition visualization allows the surgeon to remove tumors, relieve fluid blockages, or repair defects with minimal disruption to healthy tissue.
- Secure closure: Any surgical openings are carefully sealed, often using grafts, to prevent CSF leaks and ensure proper healing.
Care After the Procedure
- Hospital recovery: Most patients stay in the hospital for 1–3 days for monitoring of neurological function and early recovery.
- Symptom management: Mild headache, nasal congestion, or fatigue are common and usually improve within days to weeks.
- Activity precautions: Patients should avoid heavy lifting, straining, bending forward, or forceful nose blowing for several weeks.
- Follow-up care: Regular follow-up visits, imaging studies, and hormone monitoring (if needed) help ensure proper healing and long-term success.
Eligibility
- Patients with tumors, cysts, or lesions accessible via a minimally invasive approach
- Individuals with hydrocephalus needing ventriculostomy or cyst drainage
- People with pituitary or skull base tumors suitable for endoscopic removal
- Patients who are medically stable for surgery under anesthesia
- Comprehensive evaluation: Imaging tests such as MRI or CT scans are performed to locate the problem and plan the safest surgical approach.
- Specialist assessments: Hormone tests, vision checks, and neurological evaluations may be required, especially for pituitary-related conditions.
- Medication preparation: Blood thinners and certain medications may need to be stopped or adjusted as advised by the surgical team.
- Preoperative counseling: The surgeon explains the procedure, benefits, possible risks, and recovery expectations, and obtains informed consent.
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