The department is involved predominantly in the care of neurosurgical patients. Patients suffering from the entire spectrum of neurosurgical disorders including vascular, skull base, epilepsy, peripheral nerve, malignancy, spine including craniovertebral junction are offered care. The operating rooms are equipped with the most modern surgical equipment including state of the art surgical microscopes, pneumatic drills, C-arm, intraoperative CT, intraoperative ultrasound, intraoperative MRI monitoring systems for MEP/SSEP, CUSA. The department has seven elective and two emergency functioning operating rooms all of which are equipped to perform complex surgeries simultaneously. The trauma services provided by the department run round the clock. Patients requiring emergency surgeries especially following head injury are offered surgical treatment within hours of presenting to the hospital.
Clinical services offered can be considered under the various neurosurgical subspecialities.
The trauma services run for 24 hours. Patients suffering from head and spine injuries are treated in the casualty. Severe head injuries requiring surgery are operated within an hour of presentation in the casualty. All types of traumatic bleeds, brain injuries requiring decompression are treated. The casualty services have dedicated trauma ICU with 14 ventilators. A dedicated head injury ward is available for patients requiring long term stay.
Surgical management of aneurysms, AVMs and Moya Moya diseases are performed routinely in the department. High dependency care is provided to this group of critically ill patients both in the preoperative and postoperative periods.
Advanced spinal surgery including complex instrumentation is routinely performed. Management of complex cranio-vertebral junction anomalies are also performed. Spinal stabilization following spine injury is routinely performed.
Skull base Surgery:
Lesions involving the base of skull are difficult neurosurgical diseases. They require complex surgical procedures with intraoperative monitoring and neuronavigation. All the facilities required for the performing these diseases are available with the department.
Peripheral nerve surgeries:
Traumatic injuries to peripheral nerves and brachial plexus and tumour involving the peripheral nerves are treated.
Benign and malignant tumours of the brain and spinal cord form one of the largest groups of patients reporting to a neurosurgery clinic. The operative procedures are performed using state of the art microscopes with intraoperative monitoring. Selected cases are operated using awake craniotomy. Surgical aids such as neuronavigation, intraoperative ultrasound, intraoperative CT are used in the management of complex lesions.
Movement Disorder Surgery:
Selected patients suffering from diseases like Parkinson’s disease are benefited from surgical management. The surgical management includes placement of implants for Deep Brain Stimulation or by lesioning of specific structures.
Endoscopic surgeries are routinely perfomed for several intracranial diseases including pituitary adenomas, anterior skull base lesions, third ventricular lesions, hydrocephalus etc
A comprehensive program is offered to drug resistant epilepsy patients. Patients are evaluated and selected for surgical management. The entire range of epilepsy surgeries from invasive monitoring to multilobar resections and hemipsherotomies are performed.
Neurosurgery Inpatient Care
1. In-patient admission
- Admissions to the hospital are done based on the patient condition, health status and the ailment.
- The duration of stay can vary depending on the patient’s clinical status and ailment. This needs to be clarified with the treating doctor.
- A relative/ family member or a close confidant should be available to stay with the patient around the clock. In some wards (for examples in the female wards, exclusively female bystanders are a must and in male wards, male attendants are preferred; Children need to be admitted with a female attendant). This is hospital policy and is non-negotiable for safety and security reasons.
- Once you/ your relative’s treating doctor decides to admit you, you will be sent to the admission counter to provide details and for payment based on the chosen wards.
- You will be received by the nursing staff who will also explain to you the rules and regulations of the hospital and the visit times of the doctors, therapists and residents.
2. Hospital Stay
- To hospital stay will depend on the ailment and the condition of the individual.
- The consulting surgical team will see you on rounds.
- The exact date of surgery will be informed in due course. There may be a delay in surgery following admission in view of sick patients being offered precedence.
- The requirements for surgery and the payment issues will be discussed prior to the actual surgery.
- Clearance for surgery may be required in which case the patient will be referred to the concerned speciality hospital(Eg: Cardiac clearance, Pulmonlogy clearance)
- You will be regularly seen by a junior/senior resident on a daily basis. Any clarification can be done with the nursing staff or the resident. The Consultant is aware of all your details through the residents.
- You may also be referred to various other departments and therapies depending on your need. Your treating doctor will usually refer you to them and you will be given appointments.
3. Discharge process
- The discharge date is intimated by the treating doctor well in advance. Be sure to prepare yourself for discharge and clarify all you need with the resident.
- Wound care, specific care of the patient would be informed to you at the time of discharge and mentioned in the discharge summary
- You/ your relative will be given a discharge summary from the hospital with all your treatment details. At the same time you will be prescribed medications and will be given a follow up date that coincides with the treating team’s follow up schedule (as explained above