At Dr. Rao’s Hospital, one of the best neurology hospitals in Guntur, the endoscopic neurosurgery unit is equipped with state-of-the-art medical infrastructure and cutting-edge technology. Our medical head, Dr. Mohana Rao Patibandla, one of the best neurosurgeons in Guntur, holds years of experience in performing endoscopic neurosurgery in Guntur and had training from the USA. Dr. Rao’s hospital is known for the keyhole brain and spine surgeries.

Moreover, the hospital comprises a team of the best neurosurgeons and the best neurologists in Guntur. They are skilled in various advanced techniques for treating complex problems such as brain aneurysms, and spine and brain tumors that are difficult to reach with greater precision.

We want to help everyone in our care get the best treatment possible while also safeguarding their brain and spine and minimizing collateral damage. We endeavor to provide you with a patient-centered holistic 360 degrees experience that provides you with the most benefits and facilitates your rehabilitation.
Continue reading this article to learn more about endoscopic neurosurgery, its procedure, its benefits, and more.

Endoscopic neurosurgery is a minimally invasive surgical approach that allows neurosurgeons to treat most complex brain disorders such as brain tumors that are deep seated and difficult to treat with traditional surgery. It enables the neurosurgeons to:
Gain access to the deepest parts of the brain that conventional surgery cannot reach without collateral damage.
Remove the tumor without damaging or injuring other sections of the skull or spine.

Some of the brain conditions that may benefit from endoscopic neurosurgery include:

• Pituitary tumors -Cushing’s disease
• Benign brain tumors – deep seated – Acoustic Neuroma
• Malignant brain tumors
• Spasmodic torticollis
• Hydrocephalus
• Trigeminal neuralgia – Microvascular decompression
• Hemifacial Spasm
• Conditions affecting vision
• Facial bone and skull craniosynostosis
• Head and neck tumors
• Nervous system cysts
• Brain aneurysms
• Hemorrhagic stroke – brainpath guided endoscopic aspiration of the clot

What Are The Different Diagnostic Tests Needed Before Endoscopic Neurosurgery?

• Some of the diagnostic tests that our neurosurgeon and neurologist in Guntur may order to assess the present medical state include:
  • MRI
  • Biopsy
  • CT scan
  • PET or PET-CT scan
  • EEG
  • Cerebral angiogram
  • Spinal tap or Lumbar puncture
  • Myelogram
  • Neurological, vision, and hearing tests
  • Molecular testing of the tumor
  • Neuro-cognitive assessment
  • Pituitary hormonal profile

In contrast to traditional open surgery, which requires extensive incisions, endoscopic neurosurgery involves just a few small incisions like laparoscopic surgery for abdomen

Preoperative Information

Before beginning the surgery, the doctors must ensure that the patient is healthy enough to undergo it. For the goal of the evaluation, the patient must undergo specific testing and screening processes.

To avoid infection before or after surgery, the doctor may prescribe certain drugs to the patient a week or two before the surgery.

Before being taken to the operating room, the patient will be given general anesthesia or local anesthesia or regional anesthesia.

Operative Information

Step 1: The neurosurgeon will make a few small incisions in the afflicted area of the brain.

Step 2: The neurosurgeon will make a small incision in the patient’s head and insert an endoscope, narrow telescope-like equipment. It features a tiny video camera attached to its top, about the size of a dime, that projects an inside view of the patient’s brain onto a monitor. These visuals assist the neurosurgeon in performing complex operations efficiently.

Step 3: Then, the neurosurgeon uses the best X-ray images of the brain’s structure to execute the surgery by passing small surgical instruments via these incisions.

Step 4: The neurosurgeon uses sutures to close the incisions and covers them with surgical tape.

Post-Operative Information

After the surgery, the doctor admits the patient to the recovery room for monitoring before transferring to the ICU. After a day or two in the ICU, the patient is transferred to a general ward, where they must remain until they are fit to be discharged.

• Endoscopic neurosurgery has several benefits over traditional surgery:
  • Smaller incisions
  • Less pain
  • Lesser disruption of muscles and tissues
  • Low risk of infection
  • Shorter hospital stay
  • Quicker recovery
  • Low risk of scarring

Is it endoscopic surgery is only for the brain?

NO, we can do it for the spine also especially disc surgery so called PELD and lumbar canal stenosis decompression and fusion. In spine it is almost stitch less surgery.

How is Endoscopic Spine Surgery Performed?

Patients are lightly sedated and positioned comfortably on the operating table. The surgeon then locally numbs the skin surgical site to ensure the patient is comfortable throughout the surgery.

Under X-ray guidance, the physician guides a spinal needle and guidewire to the painful and appropriate spinal disc. A micro-incision of ¼ inch is made. A metal dilator (size of a pencil) and cannula are gently placed over the guidewire down to the spinal disc to establish the surgical portal. The guidewire and dilator are removed.

Selective Endoscopic Discectomy

An HD endoscope with an attached HD camera is inserted into the cannula or often called a tubular retractor. The surgeon can now visualize on an HD monitor the spinal canal, vertebral disc and exiting nerves.

Specialized micro-instruments are placed through the endoscope to assist the surgeon in ablating and decompressing the affected spinal nerves’ pressure. The surgeon often targets and resects herniated disc and bone spurs that may be impinging the spinal nerves.

Laser spine surgery is a marketing gimmick for many, but at DISC, our surgeons utilize a side-firing laser and radiofrequency energy often during ESS as one of many surgical instruments at their disposal.

After surgery, the spinal nerves are decompressed and free from impingement. A steroid injection is often administered thru the scope at the spinal level to enhance patient comfort and minimize post-operative inflammatory pain. The scope and cannula are removed, and one small stitch is used, applying a small bandage on the skin.

Patients are moved to recovery and monitored for an hour or two before being released to go home.

What Are The Precautions One Must Take After Endoscopic Neurosurgery?

After the surgery, the patient must take the following precautionary steps:

Maintain a good posture when sitting and sleeping.

Avoid strenuous exercises.

Take the prescribed medications.

Avoid intercourse.

Maintain a healthy diet.

Avoid the use of tobacco-containing products.

Avoid excessive smoking, alcohol, and drug abuse.

What Are The Complications Associated With Endoscopic Neurosurgery?

No surgery comes without risks. The risks of endoscopic neurosurgery include:

Infection at the incision’s site

Damage to the nerves

Clots in the blood

Excessive bleeding

Anesthesia-related complications

Schedule an appointment at the best neurology hospital Dr. Rao’s Hospital, with one of the best neurosurgeon Dr. Mohana Rao Patibandla in Guntur, to seek reliable and result-oriented endoscopic neurosurgery in Guntur.

Frequently Asked Question