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FAQs On Aneurysm Surgery

by PRIYANSHU SAXENA Medi Marcom

Q- What is Aneurysm Surgery?

Ans- Aneurysm Surgery

Aims of the surgery include clipping the neck of the aneurysm to prevent re bleeding, to remove the clots – which decreases the severity of vasospasm and to do third ventriculostomy [alternative opening for CSF pathway] to decrease the chances of hydrocephalus.

Bone flap will be replaced and fixed. The wound is closed with or without drainage tube which is subsequently removed next morning. Anesthesia may be reversed in operation theatre or continued in the I.C.U. for brain protection.

Surgical complications include but are not restricted to:

1.1) Operative site bleeding – can produce haematoma and may require further surgery for removal if patient shows worsening in consciousness level or if the clot is significant.

1.2) Post-operative seizures – prevented by adequate anti-convulsants drugs.

1.3) Infection – meningitis – which may require injectable antibiotics for few weeks and prolong the hospital stay.

Generally life risk for patients undergoing surgery without any previous medical illness is 2 - 5 % and risk of complications is 10 to 15 % depending upon location of aneurysm and severity of bleed. The risk to life and complications increase depending upon the above factors or if patient is in poor neurological status before surgery.

Q- What is Cervical Discectomy?

Ans- Cervical Discectomy

Neuro-anesthesia specialist and internal medicine consultants will pay visit to you and assess fitness with test including blood tests, X- rays and other radiological tests, Dobutamine stress echocardiogram for cardiac fitness and like. Other specialist may also see you on as and when required basis. Blood grouping and typing will be done so as to be ready for blood transfusion if you so need. Blood will not be routinely required to be reserved for this surgery exception being rare blood groups. Once fit for procedure, a fasting period of 6 hours will be required for anesthesia. Surgery will be done under general anesthesia.

Cervical disc prolapse

Although surgery is relatively safe, it dose carries certain associated risks. The incidence of risks this surgery in our hospital are low and are comparable to any other advanced neurosurgical centre.

Surgical complications include but are not restricted to:

1.1) Injury to larynx (vocal box) and/or nerves to larynx leading to hoarseness of voice which is mostly transient.

1.2) Movement of graft or loosening of instrumentation leading to difficulty in swallowing

After discharge from hospital, for further assistance please contact at following phone numbers: 26825558 / 26925858 or 5801 on ext. no. 2001 and 2012.

Q- What is Cervical Laminectomy?

Ans- Cervical Laminectomy

Cervical laminectomy foramintomy

Surgical complications include but are not restricted to:

Minor Complications :

1.1) Blood collection at the operative site.

1.2) Abnormal sensations or numbness in upper / lower limbs.

Major Complications :

2.1) Injury to the nerve covering (dura with leakage of cerebro-spinal fluid that can cause meningitis and poor wound healing).

2.2) Injury to the spinal cord / nerve root resulting in weakness of arms / legs.

After discharge from hospital, for further assistance please contact at following phone numbers: 26825558 / 26925858 or 5801 on ext. no. 2001 and 2012.

What is Lumbar Decompression?

Ans- Lumbar Decompression

Neuro-anesthesia specialist and internal medicine consultants will pay visit to you and assess fitness with test including blood tests, X- rays and other radiological tests, Dobutamine stress echocardiogram for cardiac fitness and like. Other specialist may also see you on as and when required basis. Blood grouping and typing will be done so as to be ready for blood transfusion if you so need. Blood may be required to be reserved but transfusion will be depend upon the intra-operative blood loss.

Lumar decompression

Surgical complications include but are not restricted to:

Minor Complications :

1.1) Blood collection at the operative site.

1.2) Abnormal sensations or numbness in lower limbs.

1.3) Infection in the wound causing redness or pain. Risk is slightly higher in patients with history of diabetes. Major Complications :

2.1) Injury to the nerve covering (dura with leakage of cerebro-spinal fluid that can cause meningitis and poor wound healing).

2.2) Injury to the spinal cord / nerve root resulting in weakness of legs, impaired sensations, sexual dysfunctions and loss of control of bladder / bowel movements.

After discharge from hospital, for further assistance please contact at following phone numbers:
26825558 / 26925858 or 5801 on ext. no. 2001 and 2012.

Q- What is Removal of Pituitary Adenoma?

Ans- Pituitary tumor

Neuroanesthesia specialist and internal medicine consultants will pay visit to you and assess fitness with test including blood tests, endocrine assays, X- rays and other radiological tests, Dobutamine stress echocardiogram for cardiac fitness and like. Other specialist may also see you on as and when required basis. Blood grouping and typing will be done so as to be ready for blood transfusion if you so need. Blood may be required to be reserved but transfusion will be depend upon the intra-operative blood loss.

Surgical complications include but are not restricted to:

1.1) Operative site bleeding – uncommon but may require re-surgery [craniotomy] is compromising the vision.

1.2) Local bleeding – usually settles down on its own.

1.3) Visual deterioration if any unintended damage occurs during or post-operative bleeding – rare may require high dose steroids or re-surgery.

1.4) CSF leak from nose for which the lumbar drain is kept for a day or two more – may require re-surgery to repair the leak.

After discharge from hospital, for further assistance please contact at following phone numbers: 26825558 / 26925858 or 5801 on ext. no. 2001 and 2012.

Q- What is Surgery for Brain Tumours?

Surgery for Brain Tumours

Ans-Aims of the surgery include getting histopathology diagnosis, decompress the tumor to decrease the tumor load so that subsequent therapies like radiotherapy and chemotherapy are more effective and to decrease the raise intracranial pressure by removing as much tumor as possible without causing much damage to the surrounding brain.

Breathing exercises and anti- embolic stockings help in healthy recovery. Subsequently with a physiotherapist mobilization will be done. After a day or two stay under observation in ICU transit to ward will happen. Discharge from hospital will happen by four- five days after surgery. Physiotherapist will assist and teach you maneuvers which are to be continued even after discharge. Stitches may either be self dissolving, subcuticular (buried) or may require to be removed six to eight days after surgery. Histopathology report should be ready by fifth post operative day, thus enabling us to decide on need for adjuvant therapy i.e. radiotherapy and/ or chemotherapy.

Brain tumors

Check CT scan will be done in post-operative period to confirm post operative status.

Surgical complications include but are not restricted to:

Potential Complications include :

1.1) Operative site bleeding – uncommon but may require re-surgery [craniotomy] is compromising the vision.

1.2) Local bleeding – usually settles down on its own.

1.3) Visual deterioration if any unintended damage occurs during or post-operative bleeding – rare may require high dose steroids or re-surgery.

After discharge from hospital, for further assistance please contact at following phone numbers:
26825558 / 26925858 or 5801 on ext. no. 2001 and 2012.