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Brain Tumor Surgeries

What is Brain Tumor Surgeries ?

Brain tumor surgeries are of different types and could be done for both benign and malignant tumors. Traditionally, open surgery approach was followed based on the MRI/CT scans, however, our surgeons at IBS Hospitals use Neuro- Navigation to perform real-time intra-operative guidance during brain surgery.

This increases the safety & precision of the surgery. Neuro- Navigation helps the surgeon to precisely localize the tumor and thus, limits the size of skull opening or craniotomy.

In Neuro- Navigation Guided Craniotomy, you will undergo Navigation screening protocol which assists the surgeon in planning tumor resection. Once you are shifted to the operating room, post anesthesia various fiducial markers are taped to the scalp and the orientation of these markers is used to register the computer containing the brain image. Once registration is completed, the computer can show the relationship of the surgical instruments to the imaged brain. In this procedure, either partial or complete removal of a tumor is undertaken.

In some cases, due to a risk of neurological damage, some part of the tumor may be left behind. In either procedure, a sample of the excised tissue is sent for histopathological examination to find out nature and type (Benign vs Malignant, grade) of the tumor. In most cases, the surgeon can tell if the tumor is likely to grow again based on the type of tumor.

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Course In Hospital

Day 1

After physical assessment, you shall be medically investigated for your Neuro problem. Once investigations and medical assessment are completed your surgery shall be planned.

Day 2

You and/ or your relative has explained the procedure in detail and consent is undertaken. Pre-anaesthesia checkup (PAC) is done. The intravenous line (IV) is given to provide fluids. You are shifted to OT for a procedure. You are given anesthesia before surgery. Post-procedure, you will be moved to Post Anaesthesia Care Unit (PACU) and you shall be kept ICU for observation. One of your relative/ attendants can visit you in ICU.

Day 3

You stay in intensive care unit or can be shifted to the room depending upon your medical status. Your requisite investigations and vital signs will be monitored. and shall be given appropriate medication including pain relievers. You would start oral intake.

Day 4

You are moved to a normal hospital room and monitored. You would continue to stay on IV medications. You would be slowly mobilized by rehabilitation team. You will also undergo mild physiotherapy. Your catheter would be removed and you would be encouraged to use a regular washroom. One of your attendant or relative will be allowed to stay with you.

Day 5

Your medications would be changed and most likely, you would be shifted on oral medication. Rehabilitation team shall continue to mobilize you and you would also be provided physiotherapy.

Day 6

Your medications would be changed and most likely, you would be shifted on oral medication. Rehabilitation team shall continue to mobilize you and you would also be provided physiotherapy.

Follow up

Follow up is very important to see if the cancer is returning or not. Periodic scans are done after radiotherapy and chemotherapy to check of the cancerous growth. Depending on your condition, you may be prescribed additional surgery.