Best Doctors in India for Craniotomy

Profile Highlights:

  • Dr. Pranav Kumar is one of the best Neurosurgeons in India, having a good success record of over 27 years in performing deep-rooted tumors in the skull.
  • Since 1996, Dr. Kumar has been working as a senior consultant neurosurgeon at Apollo Hospital, New Delhi.
  • Dr. Pranav Kumar is skilled in surgeries for brain tumors deep-seated at the base of the skull and aneurysms affecting the cerebrovascular system.
  • Dr. Kumar specializes in performing the complex ‘Auditory Brainstem Implant,’ where a Bionic device is inserted in the brainstem to recover the hearing capacity in deaf patients who cannot be treated with a cochlear implant.
  • He completed microsurgery training at the National Neurosurgical Centre at Beaumont Hospital in Ireland.

Profile Highlights:

  • Dr. V K Jain is a leading neurosurgeon in India with refined medical surgical precision.
  • Dr. Jain has worked in a variety of significant positions in hospitals all across the world over the course of his career.
  • Dr.  Jain has also served as a visiting professor at a number of prestigious hospitals throughout the world.
  • He has also attended many conferences, workshops, and seminars and has also been invited as faculty to many conventions both in India and abroad.

Profile Highlights:

  • Dr. Ravi Bhatia is a veteran neurosurgeon and spine surgeon at Indraprastha Apollo Hospital New Delhi.
  • He has about six decades of experience in the management and surgeries of neurological disorders. Before retiring, Dr. Bhatia worked at another prestigious Indian hospital, AIIMS, New Delhi.
  • He is particularly interested in Neuro-Oncology, Brain and Spine Tumors, Cerebrovascular Surgery, and Craino vertebral abnormalities.
  • To date, Dr. Bhatia has treated neuro patients with a great success rate.
  • He authored chapters in many textbooks and has around 95 papers for medical journals to his credit.

Profile Highlights:

  • Dr. Abhaya Kumar is a leading name in the field of Neurosurgery who is an expert in Minimally Invasive Spine Surgery, Brain surgery, and Stereotactic Radiosurgery and has performed more than 1400 spine surgeries and 1100 brain surgeries in KDAH alone.
  • Dr. Abhaya Kumar’s primary focus includes Minimally Invasive Spine Surgery (MISS) and has handled over 800 MISS cases till date in the hospital with 96% successful results.

Profile Highlights:

  • Dr. Ashok Hande is a renowned neurosurgeon in Mumbai who holds the credit for 300 AVMs, 1400 skull base tumor surgeries, 3600 surgeries for cranial and spinal trauma, 1200 lumbar prolapsed intervertebral disc surgeries, 800 cerebral aneurysms, and more than 100 microvascular decompressions.
  • He holds an experience encompassing 25+ years and holds the credit for pioneering neurosurgery in Mumbai by bringing in new and advanced neurosurgical procedures for brain and spine surgery.

Profile Highlights:

  • Dr. Deepu Banerji is a leading name in the field of Neurosurgery in India and possesses extensive skills in minimally invasive and micro neurosurgery.
  • He has been practicing neurosurgery for over 28 years and is counted among the best microscopic neurosurgeons in the country.
  • Apart from minimally invasive surgeries, his expertise lies in skull base surgery, brain tumors surgery, vascular surgery, and spine surgeries, and has handled numerous cases of brain and spine diseases and disorders.

Profile Highlights:

  • Dr. Madhusudan H V is an expert Neurosurgeon in South India with 22+ years of experience in neuro and spine surgery.
  • With a specialization in minimally invasive neurosurgeries, Dr. Madhusudan holds the credit for more than 7000 neurosurgeries. He also finds interest in endoscopic interventions and frameless navigations.

Profile Highlights:

  • Dr. Prahraj S S is a leading Neurosurgeon who specializes in all types of neurological surgeries and has performed over 6000 neurosurgeries till date along with complex cranial and spine surgeries.
  • He is one of the most renowned neurosurgeons in the country and has provided his services to some of the premier medical institutes in India such as NIMHANS where he performed a large number of spinal surgeries.

Best Hospitals in India for Craniotomy

Fortis Escorts Hospital, New Delhi

Hospital Highlights:

  • Over the last 33 years, the Fortis Escorts Heart Institute has set new standards in cardiac treatment with groundbreaking research. It is now known around the world as a centre of expertise for Cardiac Bypass Surgery, Interventional Cardiology, Non-invasive Cardiology, Paediatric Cardiology, and Paediatric Cardiac Surgery.
  • The hospital has cutting-edge laboratories that perform a wide range of diagnostic tests in Nuclear Medicine, Radiology, Biochemistry, Haematology, Transfusion Medicine, and Microbiology.
  • Fortis Escorts Heart Institute boasts a diverse group of bright and experienced doctors who are backed up by a team of highly qualified, experienced, and devoted support professionals as well as cutting-edge equipment such as the recently installed Dual CT Scan.
  • Approximately 200 cardiac doctors and 1600 personnel currently collaborate to manage over 14,500 admissions and 7,200 emergency situations each year. The hospital now has a 310-bed infrastructure, as well as five cath labs and a slew of other world-class amenities.

Rela Hospital, Chennai

Hospital Highlights:

  • RIMC is a multi-specialty hospital in a sprawling area of ​​36 acres located in Chromepet, Chennai, Tamil Nadu, India.
  • The facility has 450 beds including 130 critical care beds, 9 operating rooms, modern reference laboratories and radiology services, and is conveniently located near road, rail and air transportation.
  • RIMC is led and managed by world-renowned physicians committed to healthcare.
  • RIMC offers the broadest range of clinical care, education, and research. The hospital offers state-of-the-art technology and modern treatment facilities designed to provide health care at an affordable cost.
  • Rela Institute is driven by patient needs, comfort and confidence.

CARE Hospitals, Hyderabad

Hospital Highlights:

  • CARE Hospitals were established in the year 2000, by CARE Group.
  • The multispecialty hospital has 435 beds, including 120 critical care beds, with an annual inflow of 180000 outpatients and 16,000 in-patients.
  • The hospital provides specialty medical services in Cardiology, Cardiothoracic Surgery, Pediatric Cardiology, Pediatric Cardiothoracic Surgery, Neurology, Neurosurgery, Nephrology, and Urology.
  • The hospital has the first dual source, 128 slice CT scanner (for high precision cardiac imaging) – the first of its kind in south India.
  • The hospital offers a wide range of accommodation facilities for the convenience of its varied patient base, ranging from general wards to super deluxe rooms.

Fortis Hiranandani Hospital, Mumbai

Hospital Highlights:

  • Fortis Hiranandani hospital was established in 2007.
  • The hospital is an advanced tertiary care, multi-specialty hospital equipped with 149 beds.
  • The hospital is equipped with a super ICU to provide emergency medical care to critically ill patients.
  • The hospital is NABH accredited.
  • The critical care facility in the hospital is augmented with the state-of-the-art facilities that facilitate speedier diagnosis and efficient monitoring.
  • The hospital provides specialty medical services in cardiology, orthopedic science, pediatric science, neurology, diabetic care, urology, nephrology, ENT, obstetrics, gynecology, cosmetic surgery, bariatric surgery, neuro and spine care.

Fortis Hospital, Anandpur, Kolkata

Hospital Highlights:

  • Fortis Hospital, Anandapur, Kolkata is a world-class super-speciality equipped with the latest technologies in the medical world.
  • The hospital is NABH accredited.
  • This state-of-the-art facility specializes in cardiology and cardiac surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency care and critical care.
  • The hospital, governed by integrated Building Management System (IBMS), has a pneumatic chute system, for quick vertical and horizontal transportation between floors, facilitating speedy transfer of patient specimens, documents, reports, and medicines to the concerned departments.
  • The hospital also has a nephrology department with over 28 advanced dialysis units.

Fortis Hospital Banerghatta, Bengaluru

Hospital Highlights:

  • Fortis Hospital Bannerghatta, Bengaluru was established in 2006.
  • The hospital is a 276 bedded multi-specialty tertiary care facility.
  • The hospital specializes in cutting-edge medical technology and dedicated patient care services.
  • The hospital is equipped with state-of-the-art technologies like trans-radial angioplasty, trans-abdominal cardiac surgery, and computerized TKR navigation surgery.
  • The hospital provides specialty medical services in cardiology, cardiac surgery, orthopedics, neurology, neuro-surgery, GI, and Minimal Access Surgery (MAS).

Fortis Hospital, Malar, Chennai

Hospital Highlights:

  • Fortis Malar was established in 1992 and was formerly known as Malar Hospital.
  • The hospital specializes in cutting-edge medical technology and dedicated patient care services.
  • The hospital is multi-specialty, tertiary care facility with 180 beds.
  • The hospital offers comprehensive medical care in specialties such as cardiology, cardio-thoracic surgery, neurology, neurosurgery, orthopedics, nephrology, gynecology, gastroenterology, urology, pediatrics, and diabetes.

Gleneagles Global Hospital, Parel, Mumbai

Hospital Highlights:

  • Gleneagles Global Hospital The 450-bed facility comprises of 17-stories, housing state-of-the-art infrastructure, and advanced medical care facilities.
  • The hospital offers end-to-end clinical, surgical, and diagnostic services. It is equipped with a team of eminent medical professionals aided by qualified nurses and medical staff
  • The Hospital offers advanced Endoscopic procedures, Hepatobiliary and Liver Surgeries, Surgical and Medical Gastroenterology, Bariatric Surgery, and Robotic surgery.
  • The hospital is a center of excellence for Orthopedics, Joint Replacement, Knee Replacement, and Hip Replacement surgery.

Jaypee Hospital, Noida

Hospital Highlights:

  • Jaypee Hospital is the flagship hospital of the Jaypee Group.
  • This hospital has commissioned 525 beds in the first phase and has been planned and designed as a 1200 bedded multi-specialty facility.
  • It holds the accreditation of the NABH and NABL.
  • The hospital has state-of-the-art infrastructure equipped with the latest technologies and modern equipment like 64 Slice PET CT, Dual Head 6 Slice SPECT CT, Gamma Camera, and Da Vinci Robotic Surgery for comprehensive robotic surgical solutions.
  • It has special Centers dedicated to the major specialties to provide hassle-free and high-quality clinical care.

Manipal Hospital, Dwarka, Delhi

Hospital Highlights:

  • Manipal Hospitals, Dwarka, is a super-specialty hospital in Dwarka, New Delhi, which is a part of Manipal Hospitals Group.
  • The hospital aims to provide the best treatment on par with international standards at a fraction of the cost.
  • Equipped with 380 beds, the hospital is also one of the new age hospitals which are equipped fully with state-of-the-art infrastructure, cutting-edge technology as well as the latest and advanced clinical practices. The hospital also has 13 modular Operation theatres with 118 beds which are solely meant for critical care.
  • The hospital comprises internationally acclaimed doctors and highly professional and experienced hospital and medical staff who are able to provide preventive, therapeutic, and diagnostic services all under one roof.

Craniotomy

A Craniotomy is a type of surgery for the brain that involves the removal of a part of the cranium or skull for gaining access to the brain. The surgery involves the replacement of the bone. Doctors perform this procedure to treat aneurysms or remove brain tumors. Usually, a neurosurgeon will perform the surgery.

Types of craniotomy

Craniotomies are of various types depending on the name of the technique or the location of the surgery:

  • Stereotactic craniotomy This type of craniotomy involves the use of an MRI or a CT scan. Your doctor will use imaging tests for creating 3-D images of your brain that will allow them to differentiate between healthy tissue and normal tissue. The technique helps to figure out the best spot for an incision on the scalp and easily make smaller cuts for performing minimally invasive procedures.

 

  • Endoscopic craniotomy- Your doctor will make a small cut into your skull and insert an endoscope (small lighted device) with a camera.

 

  • Keyhole craniotomy- Meant for removing brain tumors, it is a minimally invasive procedure. It has a shorter recovery time and causes less scarring. Your doctor will make a small incision behind the ear for removing the brain tumor.

 

  • Awake craniotomy- You will stay awake during this surgery as your doctor asks you some questions for monitoring the activity of your brain. He or she will observe which parts of your brain are involved in vision, speech, and movement to about them at the time of the surgery.

 

  • Supra-orbital eyebrow craniotomy- This procedure helps to remove brain tumors present in your front brain by allowing your surgeon to make a small incision in your eyebrows. It causes minimal scars as it is a minimally invasive approach.

 

  • Frontotemporal or Pteronial craniotomy- The frontal, temporal, parietal, and the sphenoid bones meet at the pterion in the skull. The pterion is located near your temple on the side of the skull. The procedure involves the removal of a part of the pterion by making an incision behind the hairline. This lets the surgeon gain access to several parts of the brain.

 

  • Orbitozygomatic Craniotomy- It finds its use in treating aneurysms and difficult tumors. Your surgeon will make a small cut behind your hairline and remove a part of the bone temporarily. This creates a curve of your orbit, cheek, or eye socket. Your surgeon will be able to reach deeper areas of your brain and there will be minimal risk of brain damage.

 

  • Posterior fossa craniotomy- If a tumor is present in the posterior fossa of the skull, it may put pressure on the spinal cord, cerebellum, and brainstem. The procedure helps to remove this tumor while alleviating the pressure. Your surgeon will do this by making an incision at your skull base.

 

  • Translabyrinthine craniotomy- It involves an incision behind your ear for removing a part of your mastoid bone & the semicircular canals that help to balance. Your doctor can also remove an acoustic neuroma with this procedure. There is a lower risk of facial nerve damage with this surgery.

 

  • Bifrontal craniotomy- It helps to remove hard tumors present at the front of your brain and when the tumor removal is complex through minimally invasive surgery. Your doctor will make an incision behind the front hairline for removing a piece of bone forming the curve of the forehead. This helps your doctor to gain access to the front of your brain.

Reasons for the procedure

Your doctor will perform the procedure for treating:

  • Infection
  • Blood clot
  • Tear in the dura mater
  • Intracranial pressure
  • Tumor
  • Cerebral edema or swelling
  • Brain abscess
  • Arteriovenous malformation
  • Epilepsy
  • Aneurysm
  • Bleeding from the skull
  • Skull fracture
  • Arteriovenous fistula

What to expect?

Before the procedure

Your neurosurgeon may call you for multiple appointments before the surgery and use various tests for confirming if you can undergo the procedure without any risks. These tests may be a physical examination, blood tests, neurological examination, and CT scan or MRI scan. Your surgeon will also be able to determine the site of surgery according to the type of Craniotomy and your medical condition. You will have to start fasting a night before your surgery and wash your hair with an antiseptic shampoo.

During the procedure

The team of doctors will ask you to remove all the jewelry and accessories that you might be wearing and change your clothing with a hospital gown. You will be asked to lie down on the operating table as a device holds your head in place. The staff will insert an IV line into your arms, a urinary catheter into your urinary bladder, and administer general anesthesia to you. When you fall asleep due to anesthesia, your surgeon will shave your hair present at the surgical site and also clean the area for minimal risk of infection.

Your surgeon will cut your scalp while using a drill & saw to remove the bone flap. He or she will incise the dura mater to gain access into your brain and perform the procedure while removing tissue samples, wherever needed. The team of surgeons will stitch the tissues together and replace the bone flap with wires, plates, or stitches. Next, they will apply a sterile bandage after stitching.

Results

The nurses will take you to the recovery unit and monitor your vitals. If they are stable, they will shift you to your hospital room and ask you to stay there for a week. You might need to elevate your head for managing the swelling and will get oxygen for a few days. You will have to perform deep breathing exercises for treating pneumonia and need commission devices on your legs for preventing blood clots. You will wear the catheter for a few days and the team of doctors will check you regularly for the proper functioning of your brain. You may need to take medications and take rest for at least 6 weeks. Additionally, you might need physiotherapy and speech therapy for regaining the normal functions of walking, talking, and strength.

Risks

Certain factors are contributing to the risks associated with the Craniotomy procedure including your medical condition. The most common risks of Craniotomy procedure may be:

  • Head scarring
  • Facial nerve damage
  • Seizures
  • Muscle weakness
  • Dent where the bone flap was removed
  • Damage to the sinuses
  • Brain swelling
  • Stroke
  • Injury due to the head device
  • Infection of the skin or bone flap
  • The leaking of the CSF or the cerebrospinal fluid
  • Speech and memory problems
  • Coma or paralysis
  • Balance issues
  • Bleeding or blood clots
  • Unstable blood pressure
  • Pneumonia
  • Reaction to anesthesia

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