Dr. Mazda Turel

Hi,

My name is much that you tell and I am a neurosurgeon at Wockhardt hospitals in Mumbai central as well as an assistant professor at the grant Medical College and sir JJ group of hospitals. I am going to talk to you about how can one prepare for brain surgery once one is diagnosed with a problem that requires a brain operation.

You could be even having a brain tumor or a vascular problem in the brain or refractory epilepsy requires something called as a craniotomy. It can be Priya Nursing for the patient is well as for the family we usually do all investigations on an outpatient basis and ensure that the patient is fit for surgery to undergo a pre-anesthetic evaluation and make sure that all the blood tests are in order typically used something called as neuronavigation.

At surgery which enables us to approach the exact location of the problem in a three-dimensional space in gases towards that location of patients ask me if there will head is going to be saved before surgery news me that's not the case which is save strip of hair along which where we meet me in station. So what typically happens is patience cremated one day prior to surgery the anaesthesia doctor takes 1 final look at them to make sure that heart rate blood pressure everything is under control and the next morning there being into the operating room xxvi anaesthesia doctors will wake you up a certain monitors the ECG leads extra before putting a tube done your throat to give you something college general anaesthesia when which your unconscious throw the operation there are some operations where in which humans are located in elopement areas of the brain and we need patients to be awake so that we can check their motor function and actually we can do the operation when patients are awake and talking to US and moving the hands and legs and that's something college in awake craniotomy which requires a slightly different preparation the operation takes place and the extremely sterile conditions and everything is cleaned and raped in a systematic fashion the protocol of which is completely standardized you make a skin incision usually using a drill remove the part of the bone that is wire to be removed.

When there is a covering of the brain called the dura which is what we cut and then enter the appropriate space and deal with the pathology it will be the beer tumor it will be a vascular malformation it could be anything that requires to be removed or transacted or disconnected usually Brain Tumor operation last for about 3 or 4 hours on an average it could be longer depending on the case what happens is 13 belt with the pathology we close that layer of dura back and we replace the bone flap and we fix it with plates and screws are often than not activated immediately after the operation in the operating room itself very rarely if the operation is really long or there is a lot of blood loss be kept overnight on a ventilator in extubated the next morning in the ICU typically there will into the ICU for about 24 hours after surgery.