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Tumours of the brain and spinal cord, tumours of the pituitary gland, Parkinson’s disease – all these diagnoses still cause panic, shock and fear. It is all because many patients from developing countries or even developed countries have read about the traditional treatments, outdated neurosurgical instruments and disappointing statistics about certain procedures but have not even heard about what breakthroughs have occurred in recent years in the treatment of these diseases. So what is modern neurosurgery? Find out the answers to these questions in our article.

 

 

Modern neurosurgery is safe

modern neurosurgery

In the best clinics of Israel, an average of 3,000 neurosurgical operations are performed per year. To accurately diagnose a tumor, doctors use fluorescent diagnostics (for example, ALA-5), which clearly defines the boundaries of the tumor.

 

Often used PET-CT scanning is one of the most informative methods of malignant neoplasm diagnostics. In 93% of cases, Israeli doctors manage to completely remove the tumour.

 

Some types of tumours are treated without direct surgery, thanks to the innovative Cyber-knife and Gamma-knife devices. Apparatus with high accuracy irradiates exclusively the tumor, without affecting healthy tissues, while the patient does not feel pain. Such treatment can be carried out even without hospitalization.

 

It is important that in the treatment of malignant tumours, the operation is carried out by a multidisciplinary team of doctors who can fully control the patient’s condition. For example, in the Israeli clinic Ichilov the team includes specialists such as a neuro-oncologist, neuropathologist, neuroscientist, oncologist-surgeon and oncologist-radiologist.

 

An obligatory condition for patient safety is conducting intraoperative monitoring and using ultrasound navigation during the operation which ensures flawless movement during the surgical intervention.

    Intraoperative monitoring is an electrophysiological technique that is used to assess the functionality of nerve structures during surgery. It protects patients by monitoring the central nervous system when it is at risk of damage during surgery. Depending on the procedure, different tests may be used to measure the function of the nervous system, in particular – electromyography or electroencephalography.

    Ultrasound navigation is a procedure that uses computer systems to produce real-time ultrasound images of the area being operated on. It helps the doctor to accurately visualise and perform surgical procedures without the risk of serious damage to nerve fibres. The navigation method combines preoperative CT or MRI with intraoperative ultrasound imaging.

Learn more about the advances in modern neurosurgery abroad, as well as the possibilities of using modern surgical systems to perform complex brain or spinal cord surgeries from our specialists.

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Recovery after modern neurosurgery is quick

As a rule, modern neurosurgery uses craniotomy (trepanation of the skull) only for treatment of large tumours. In all other cases endoscopic operations is preferrable. Such interventions do not require large incisions or significant damage to healthy tissues. 

 

Safe anaesthesia is applied at all stages of surgery using special EcoFLOW and End-Tidal Control devices. These technologies fully control the anaesthetic process and make it as safe as possible for the patient.

 

Microsurgical and minimally invasive techniques allow the patient to recover quickly after surgery. In the intensive care unit, patients spend only 1-2 days and can be discharged only a week after the operation on the brain. In the case of spinal surgery, it can be even earlier- discharge after 4-5 days.

neurosurgery and rehabilitation

Modern neurosurgery is a proven Innovation

innovations in neurosurgery

Until recently, the only effective method of treating Parkinson’s disease remained Deep brain stimulation (DBS).And today it’s not only patients but even many doctors from developing countries do not know that medicine has moved on.

 

It’s true, the breakthrough is here today, its name is ExAblate Neuro. This is a unique ultrasonic device used under the control of MRI, which can perform complex operations without a single cut, thanks to a special fixed radiation.

 

Its effectiveness was proved by the specialists of the Rambam clinic (Israel), saving a 65-year-old woman from tremors in just three hours of operation. Without cuts and blood – immediately after the operation the patient got up and cut the birthday cake. As a result, for several years the disease hasn’t come back to her, so we can safely talk about the proven effectiveness of neurosurgical innovation.

Modern neurosurgery is without Borders

For many patients, strangely enough, the barrier to obtaining quality modern medical care is in deficit or lack of information. Moreover, most patients think about finding treatment locally, as they think that the cost can be lower but in many cases, it is the opposite. The most important thing is the quality of treatment, and one has to find the right balance between cost and quality.

    Treatment abroad ensures you with quality but it doesn’t mean that it can be costly as you can explore many clinics abroad which can suit your needs. The best clinics abroad have departments for the reception of foreign patients or medical coordinators who help patients understand the possible procedures and outcomes. On our site, you can find a list of the Top clinics in different countries, information on each disease, and get a free personal consultation from the medical coordinator.

    We live in a world of possibilities, and medicine is no exception. Patients shouldn’t miss the opportunity to receive quality medical care, given that today quality medicine has become much more affordable. To understand more about this topic you can leave your query and get a free medical consultation from our Doctor-Coordinator.

Leading clinics and neurosurgery specialists abroad

Neurosurgery is one of the priority areas of medical tourism in Turkey. There are more than 1,300 doctors practising in this field. Every year they provide services for the treatment of pathologies of the nervous system to more than 150,000 patients from all over the world. Top neurosurgeons work in the clinics of LIV and Medicana networks. They are Prof Baran Yilmaz and Prof Selcuk Peker, Prof Nurperi Gaziolu.

 

Motol University Hospital is one of the most sought-after neurosurgery clinics in the Czech Republic. It is certified by the Czech Commission for Accreditation of Medical Institutions (SAK). It has a large neurosurgical department, which is divided into 2 parts: paediatric and adult. The department is headed by a neurosurgeon with more than 30 years of experience – Professor Michal Tychy. Professor Jan Stulik also practices here.

 

State-of-the-art diagnostic, navigational and surgical technologies are available at Motol. One of them is awake craniotomy under local anaesthesia. This involves keeping the patient conscious during brain surgery. In this way, the functions of the organ can be continuously monitored and any abnormalities can be quickly detected.

 

In Spain, the leading medical centres for neurosurgical care are considered to be: Quironsalud Madrid University Hospital and Navarra University Hospital. They have everything necessary to perform even the most complex CNS surgeries, in particular a fluorescent microscope. 

 

In South Korea, medical tourists who need neurosurgical interventions most often choose SoonChongHyang and Samsung hospitals.

 

 

    Summary

    иконка галочки Neurosurgery is one of the most dynamic and fastest-growing medical fields abroad. It involves diagnosis and surgical treatment of a wide range of diseases and lesions of the nervous system. The success rate of such interventions abroad exceeds 93%. 

    иконка галочки Modern neurosurgery uses innovative neuronavigation and monitoring technologies that make it possible to perform operations on the spinal cord and brain without the risk of damaging vital structures. Microsurgical instruments, robotic devices and endoscopy are also used to perform interventions. 

    иконка галочки The top destinations for neurosurgical operations abroad are: Turkey, Spain, Czech Republic, Israel and Korea. The following medical centres are particularly popular among patients: Liv, Medicana, Motol, Quironsalud Madrid, SoonChungHyang, Samsung, Uniclinica Navarra. 

On our website you can find a list of the best clinics for neurosurgery, as well as information on each condition and get a free, personalised consultation with a medical coordinator. Click on the button below and fill in the feedback form.

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Sources:

  1. 1. Frontiers in Neurology: Fluorescence-Guided Surgery: A Review on Timing and Use in Brain Tumor Surgery
  2. 2. Cancers (Basel): Use of PET Imaging in Neuro-Oncological Surgery
  3. 3. Brain and Nerve: CyberKnife radiosurgery – present status and future prospect
  4. 4. Neurologia medico-chirurgica: Role of γ knife radiosurgery in neurosurgery: past and future perspectives
  5. 5. Current opinion in anaesthesiology: Neurophysiological monitoring during neurosurgery: anesthetic considerations based on outcome evidence
  6. 6. StatPearls: Intraoperative Neurophysiological Monitoring
  7. 7. Frontiers in Surgery: Application of Intraoperative Ultrasound Navigation in Neurosurgery
  8. 8. Parikinson’s foundation
  9. 9. A patient’s guide to exablate neuro trans-cranial MR guided focused ultrasound surgery for essential tremor


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