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This is a specialised catheter-based procedure used to remove a blood clot in an artery or a vein inside the brain.
Most traumatic brain and spine injuries are considered an emergency that need immediate care and therapy to prevent any life-threatening complications.
Where medical management of the injury is not enough, neurosurgeons may perform a variety of surgeries on the brain and spine depending on the nature of the injury.
The main goal of these kinds of surgeries is to relieve pressure on the brain or spinal cord, treat any damage to the vertebrae or spinal discs, remove clotting and plug any bleeding within the brain tissues to prevent brain damage.
Spinal stenosis is an ailment in which there is narrowing of the spinal canal resulting in pressure on the nerves and the spinal cord. If the condition is severe, it can cause debilitating pain and restrict movement.
Lumbar decompression is a procedure wherein the surgeon will remove a small portion of the bone from the back of a vertebra to release pressure on the nerves and give relief from pain.
This is a neurosurgical procedure that may be used for a variety of spinal cord disorders including fractured vertebrae, tumours, prolapsed or degenerated discs, curving and bending of spine and so on.
In this procedure, two or more of the interlocking bones in the spine (vertebrae) are fused together, so that they become joined into a block without leaving any space.
This brings stability and relief from pain.
Surgery for prolapsed or herniated disc is called discectomy.
The vertebrae are flattened, cylinder-like bones that make up the spinal column and between each vertebra there are cushiony discs.
Sometimes, these discs slip or bulge out of their position, pressing on the nerve roots surrounding them, causing pain and numbness.
If more than one disc is diseased, the neurosurgeon may recommend placing an artificial disc in place of damaged one.
A brain aneurysm is a weakened spot in one of the blood vessels in the brain that balloons out and may rupture over time.
A ruptured blood vessel causes bleeding into the surrounding areas of the brain and can result in brain damage.
An effective treatment for an aneurysm is ‘endovascular coiling.’ It is a minimally-invasive procedure, in which the surgeon does not have to open up the skull.
A catheter is passed through another part of the body and threaded up to the affected blood vessel till it reaches the bulge.
A coil is placed inside in such a way that it allows regular blood flow in the vessel but cuts off blood supply to the aneurysm and totally seals it off, making it shrink.
The coil is placed permanently at the site.
Another procedure for an aneurysm is neurosurgical clipping that requires open surgery on the patient.
In this procedure, the neurosurgeon makes an incision in the skull and reaches the affected part. A small metallic clip is then placed along the neck of the aneurysm.
This prevents blood from entering the aneurysm sac and it shrinks down.
AVM is a condition wherein arteries carrying oxygenated blood and veins carrying blood with less oxygen get tangled and divert blood from reaching brain tissue.
Over time, the weakened blood vessels may also burst causing further damage.
Embolization is a minimally invasive surgery performed using a catheter that puts a sticky substance or a coil to seal off the AVM and restore normal blood flow.
The carotid arteries are a pair of blood vessels that carry oxygenated blood to the brain and are located on both sides of the neck.
Sometimes, build-up of fatty and calcium deposits form plaque that causes narrowing and blocking of the arteries.
This is called carotid artery stenosis. In carotid artery stenting, neurosurgeons place a stent (a hollow, cylindrical device) inside the blood vessel in a catheter-based procedure.
The specialised device restores normal blood flow while covering the walls of the artery.
There are various procedures that neurosurgeons may employ to remove tumours inside the brain, based on factors such as size of the growth and location.
All these procedures are quite complex and need immense experience.
One of the common procedures used to access the inside of the brain is craniotomy.
In this procedure, a small piece of skull is removed to reach the affected site. This allows access to the tumour, which is carefully removed bit by bit.
After surgery is completed, the piece of skull is placed in its original position.
A combination of surgery, radiation therapy and chemotherapy may be used to treat brain tumours.
Craniotomy may also be performed to access blood clots, abnormal brain tissue, remove bleeding and pressure on the brain and treat a brain aneurysm.
Another procedure for brain tumour is Endoscopic Transsphenoidal surgery, wherein a small cut is made at the rear of the nasal cavity and an endoscope is inserted through this to access the tumour and remove it.
About
Brain and Spine Surgery
Brain and spine surgery (neurosurgery) is an evolved speciality that is concerned with the diagnosis and treatment of ailments that affect the brain, nerves and spine and related parts that make up the system.
Hindu Mission Hospital is highly regarded for its neurosurgery unit and our expert neurologists and neurosurgery consultants.
The hospital includes dedicated accident and trauma care unit with qualified neurointensivists to attend to brain and spine injury patients.
There is a modular neurosurgery operation theatre with state-of-the-art equipment to facilitate quick and effective treatment for patients who need surgery.
Our hospital is recognised as a centre for treatment of medico-legal cases that involve head injuries and related trauma. Some of the specialised diagnostic and therapeutic facilities include—
- Nerve conduction studies with EMG,
- Brain screening with video EEG
- Stroke Clinic
- Botox Clinic
- Epilepsy Clinic
- Headache Clinic
Our surgeons perform some of the most complicated procedures to treat brain and spinal cord conditions. Some of these surgeries include
Diseases
Gynaecological problems treated in the Department
Children reach puberty or become sexually mature too early for their age. When girls experience puberty at age 8 or before and boys become mature by the time they are 9 years, it is called precocious puberty. The doctor will counsel the child and parents and in some cases, recommend treatment such as hormone therapy.
It is a debilitating condition, in which the tissue that lines the inner wall of the uterus (endometrial tissue) starts growing outside the uterus. This can affect the ovaries, fallopian tubes and the pelvis. Our gynaecologists have the expertise of diagnosing this condition and giving timely treatment to control the symptoms, which include heavy menstrual bleeding, lower abdominal pain and irregular periods.
Fibroids are benign growth that occur on the wall of the uterus and are common among women. Most often they do not pose any problems but if a woman has large or multiple fibroids, it can lead to heavy bleeding and painful periods. Fibroids can be removed through minimally invasive surgery.
These are small sacs filled with fluid that appear on the inner or outer wall of the ovaries and can sometimes cause pain and discomfort.
It is the second most common cancer among women in India, after breast cancer and often goes undetected until it is in an advanced stage. This type of cancer affects the cells in the cervix, which is the lower part of the uterus and is caused by the Human Papillomavirus (HPV). Early screening and diagnosis can help women get suitable treatment.
Signs that Indicate you
Should see a Gynaecologist
Menstrual irregularities
Severe pain and heaviness
in the abdomen/pelvis
Sleeplessness and hot flashes
Heavy vaginal bleeding
Pain and burning sensation
in the vagina
Post-menopausal bleeding
Bleeding between periods
Foul-smelling
vaginal discharge
Signs that indicate you
should see a Gynaecologist
Menstrual irregularities
Severe pain and heaviness in the abdomen/pelvis
Sleeplessness and hot flashes
Heavy vaginal bleeding
Pain and burning sensation
in the vagina
Post-menopausal bleeding
Bleeding between periods
Foul-smelling
vaginal discharge
Our Special
Treatments
If you experience any of the above symptoms, consult your gynaecologist to avoid major complications. The gynaecology unit at HMH has best-in-class facilities and the doctors are highly experienced in handling all kinds of problems concerning the reproductive organs. We have the latest in diagnostic techniques including blood tests, advanced ultrasound, Pap smear and laparoscope-assisted tests to detect various disorders.
Our gynaecologists use their clinical experience and advanced technology to detect complex diseases early and start timely treatment by way of medical management or surgical procedures. They have vast experience in performing minimally invasive surgeries for issues concerning the uterus such as fibroids, cysts, uterine polyps, endometrial cancer and cervical cancer.
Some of the procedures done at our unit