Endoscopic brain surgery in Delhi or neuro endoscopy is a minimally invasive technique that provides quick access to the cranial cavity through small cranial holes, thus avoiding the need for wide cranial approaches and retraction of brain tissue. In neurosurgery, like other specialities, the use of the endoscope has been gaining ground little by little but steadily. Currently, a large number of surgeries can be carried out by endoscopy or with the help of the endoscope. The advantage of the endoscope is that it allows the eye to be brought closer to the surgical field, which allows us to see in very small spaces, and that with lenses of different angles, allows us to see from the front, side or even back. It is a very versatile instrument, which wisely used provides undoubted advantages in the surgical field.
Neuroendoscopy occupies a very important place in the current neurosurgical arsenal when it comes to reducing trauma to the tissues, particularly the nervous one, as well as in the diagnosis and treatment of neurosurgical pathology. This type of surgery involves a more comfortable, less painful post-operative and with a lower risk of complications, allowing a quick recovery of the patient and reducing the days of hospital stay, since the surgical technique is less aggressive than conventional open surgery.
INDICATIONS OF THE ENDOSCOPIC BRAIN SURGERY IN DELHI:
- Fenestration of the floor of the III ventricle to treat hydrocephalus (without implanting catheters).
- Ventricular fenestrations of both the septum pellucidum and intraventricular septa.
- Stenosis of the Silvio aqueduct.
- Treatment of arachnoid cysts
- Cystic intraventricular tumors
- Placement of intra ventricular catheters in hydrocephalus.
- Cerebral cysticercosis (Neurocysticercosis)
- Suprasellar cysts.
- Cystic hemispheric tumors.
- Intraventricular hemorrhages.
- Chronic subdural hematoma (to explore the cavity after the hematoma is drained).
- Pineal tumors.
- Pathologies of the cerebellopontine angle, particularly trigeminal neuralgia.
- Assistance in microscope operations to see at angles where it cannot be seen with the microscope (the microscope can only see from the front and at a very specific angle, while the endoscope allows you to see from the side or even backwards).
It is particularly useful in lesions such as complex multi-septum hydrocephalus and intraventricular tumors and cysts, where it represents the first surgical option. Surgery with endoscopic techniques is already applied regularly to treat skull base injuries, complex hydrocephalus, and cranial malformations (craniosynostosis). Access, in this case, is through small incisions, which entails a lower surgical risk, a significant reduction in days of hospitalization and less blood loss, compared to open surgery. Neuroendoscopy is currently a tool for daily use and can be used as the primary method of approaching injuries, or as a complement to open or guided surgeries with stereotaxy.