Neurosurgery

When it comes to neurosurgery, Biruni Hospital is the perfect place to go, with a top-of-the-line medical team and cutting-edge technology. All neurosurgery procedures, such as brain, spine, and nerve-related issues, are now easily treatable. Neurosurgery at Biruni Hospital can offer you life-changing treatments that will significantly improve your health and quality of life.

What is Neurosurgery?

Neurosurgery is a medical specialty that mainly focuses on the diagnosis, treatment, and surgical procedures of many disorders affecting the nervous system, including:

• The brain
  
• Spinal cord
  
• Peripheral nerves
  
• Cerebrovascular system
  

With the use of advanced techniques, neurosurgeons treat a wide range of neurological conditions that could be life-threatening if left untreated or unchecked. This special field of medicine combines intricate surgical procedures with high precision to improve the quality of life for all patients with complex neurological issues.

Detailed overview of neurosurgery procedures and specializations

Neurosurgery covers a wide range of procedures, including brain and spine surgery, treatment for tumors, vascular disorders, and nerve injuries. Specializations also include pediatric neurosurgery, functional neurosurgery for epilepsy or movement disorders, and minimally invasive techniques for quicker recovery.

Endoscopic hernia surgery

Endoscopic hernia surgery is a minimally invasive technique used to repair hernias through small incisions with the help of an endoscope, a thin tube equipped with a camera. This technique offers several advantages over traditional open surgery, including reduced postoperative pain, quicker recovery, minimal scarring, and a lower risk of infections.

The aspects of the procedure:

• Preoperative assessment: The doctor will perform a medical evaluation and imaging if needed. They will also give you some pre-surgical instructions that you must follow to the letter.
  
• Anesthesia and positioning: The patient is placed in a supine position; after that, the doctor will administer general anesthesia.
  
• Incision and port insertion: The surgeon makes several small incisions in the abdomen area. This is done so that the endoscope and surgical tools can be placed easily in their position.
  
• Hernia Identification: The hernia sac is located along with the protruding tissue. The doctor applies very gentle pressure to push it back into place.
  
• Mesh placement: The doctor places a synthetic mesh over the weakened area to reinforce the abdominal wall.
  
• Closure: The instruments are removed, gas is released, and incisions are closed with sutures or glue.
  
• Recovery: Generally, most patients are able to go back home the same day as the procedure.
  

Brain surgery

 Brain surgery refers to a wide range of procedures mainly aimed at treating conditions and medical problems that affect the brain, such as tumors, traumatic brain injuries, bleeding, infections, and congenital anomalies. The main goal of brain surgery is to remove and repair medical issues that are compromising brain function while ensuring that healthy brain tissue stays intact.

The aspects of the procedure:

• Preoperative preparation: During your first visit, the doctor will perform a comprehensive assessment,, including full brain imaging (MRI, CT scans),, to identify the condition and plan the surgery. The doctor will also review your medical history.
• Applying anesthesia: The doctor administers general anesthesia to ensure you are fully unconscious and pain-free during the procedure.
  
• Incision: Depending on the area of the brain being treated, the doctor performs a craniotomy.
  
• Removal of the tumor: When dealing with a brain tumor or abnormal tissue, the neurosurgeon carefully excises the tumor or lesion, often guided by advanced imaging.
  

Spinal cord surgery

 Spinal cord surgery treats disorders affecting the spine and spinal cord,, such as herniated discs, spinal stenosis, scoliosis, and spinal tumors. The surgical techniques can range from minimally invasive procedures to more extensive open surgeries depending on the complexity of your condition.

The aspects of the procedure:

• Preoperative preparations: The doctor will perform comprehensive imaging (MRI, X-rays) to pinpoint the problem area. They will also review your medical history for previous procedures or medications.
  
• Anesthesia application: General anesthesia is typically used to ensure the patient is unconscious during surgery.
  
• Incision: The surgeon makes a small incision along the back or neck to access the spine.
  
• Spinal fusion: The doctor may fuse two or more vertebrae to prevent further movement and maintain spinal stability if instability or deformity is present.
  
• Recovery: Physical therapy helps restore strength and mobility.
  

Peripheral nerve surgery

Peripheral nerve surgery addresses medical issues involving nerves outside the brain and spinal cord, such as nerve compression, injury, and entrapment. Conditions like carpal tunnel syndrome, sciatica, and traumatic nerve injury are treated through surgical procedures to relieve pain, restore function, and prevent further nerve damage. Procedures can include decompression, nerve repair, or grafting.

The aspects of the procedure:

• Preparation: Diagnosis involves a detailed physical examination and imaging tests such as EMG or MRI to locate nerve damage.
  
• Anesthesia application: Local or general anesthesia is usually used.
  
• Incision: The doctor makes a small incision over the affected nerve to access the treatment area.
  
• Nerve decompression: If nerve compression is present, pressure is relieved by removing surrounding structures causing discomfort.
  
• Nerve repair or grafting: Nerve grafting or direct repair restores nerve continuity and function when the nerve is severely damaged.
  

The post-operative and healing period after neurosurgery

The post-operative and healing period after neurosurgery involves close monitoring, pain management, and gradual recovery of neurological function. Patients may require rehabilitation therapies and follow-up imaging to assess healing, with recovery timelines varying based on the procedure and individual response.

The short-term healing period

The postoperative phase begins immediately after surgery and can last from a few days to a few weeks, depending on the type of procedure and the patient’s overall health. During this time, the doctor monitors the patient closely in the hospital to promptly treat any complications such as infection, bleeding, or neurological changes.

Key aspects include:

• Recovery in the hospital: The patient stays in the hospital for a short time, with intensive monitoring, especially in the ICU during the first 24-48 hours.
  
• Pain management: Pain is managed using prescribed medications, including opioids in early stages and non-opioid alternatives as healing progresses.
  
• Physical monitoring: Neurosurgeons assess motor functions, cognitive abilities, and speech to ensure smooth recovery.
  
• Wound care: The doctor checks for infection signs and performs cleaning and dressing changes to minimize risks.
  

The long-term healing period

After hospital discharge, long-term recovery starts, which may last months or years.

Key aspects include:

• Follow-up appointments: Regular visits allow surgeons to monitor healing, review imaging results, and check for complications.
  
• Rehabilitation: Physical, occupational, and cognitive therapies help regain mobility.
  
• Lifestyle adjustments: Necessary changes in diet and work schedule may be required.
  
• Full recovery: Recovery can take several months to a year depending on surgery severity. Some patients experience permanent changes, while others fully recover.
  

A new beginning after neurosurgery

Neurosurgery is a vast field of treatments designed to change and save lives. It is a critical solution for many complex neurological conditions. At Biruni Hospital, we are proud to offer top-of-the-line treatments to make your life better and easier.