Neurosurgical Devices in Vogue

Surgery on the brain is one of the oldest medical arts, dating back to the Neolithic (late Stone Age) period. In ancient Rome, Aulus Cornelius Celsus operated on depressed skull fractures in the first century A.D. Asia was home to many talented brain surgeons, and an Islamic school of brain surgery flourished between 800 and 1200 A.D. Harvey Williams Cushing (1869-1939), an American neurosurgeon, is considered the father of modern neurosurgery. Cushing controlled bleeding with silver clips and contributed to the development of electro-surgery and basic technical methods for performing neurosurgical operations.

Modern Neurosurgical Devices

At Hannah Joseph Hospital, we utilize state-of-the-art neurosurgical devices to ensure precision, safety, and the best possible outcomes for our patients. Here are some of the cutting-edge tools we use:

Neurosurgical Microscopes

Neurosurgical microscopes, such as those from CARL ZEISS and LEICA, have transformed modern brain and spine surgeries. A small group of neurosurgeons in the 1960s turned microneurosurgery from a revolutionary experiment into the standard of care. Today’s sophisticated operating microscopes allow for advanced real-time angiographic and tumor imaging during surgery, significantly improving the handling and practical operation of the microscope.

Neuroendoscopy

Neuroendoscopy, with devices like STORZ, has become an integral part of neurosurgery, allowing surgeons unprecedented access to deep structures within the cranial and spinal compartments. This technique enables minimal incisions, tissue retraction, and faster post-operative healing. Though standalone applications of endoscopy in neurosurgery are few, it significantly enhances microneurosurgery.

Ultrasonic Surgical Aspirator

The Ultrasonic Surgical Aspirator (e.g., CUSA and SONOCA) plays a crucial role in tumor surgery involving the brain and spinal cord. These devices generate ultrasonic waves to produce tissue cavitation. The mechanical energy is delivered through a hollow tip that vibrates at 23,000 cycles per second. The device includes an irrigator and aspirator to dispose of tumor tissue debris, reducing operating time, increasing safety, improving quality, and facilitating selective surgery.

CT-Guided Stereotactic Biopsies and Craniotomy

CT-guided stereotactic biopsies and craniotomy are performed using frames like LEKSELL or CRW. This minimally invasive surgical intervention uses a three-dimensional coordinate system to locate small targets inside the brain. It allows for precise biopsy, injection, aspiration, stimulation, and radiosurgery.

Intraoperative Neurophysiological Monitoring (IONM)

Intraoperative Neurophysiological Monitoring (IONM) involves using electrophysiological methods such as EEG, EMG, and evoked potentials to monitor the functional integrity of the brain, spinal cord, and other neural structures. IONM reduces the risk of iatrogenic damage to the nervous system and provides functional guidance to neurosurgeons and anesthetists.

Neuronavigation

Neuronavigation is a computer-assisted technology used by neurosurgeons to navigate within the skull or vertebral column during brain and spine surgeries. It allows the surgeon to visualize the surgical scenario in a 3D fashion, facilitating efficient tumor removal. Neuronavigation adapts to real-time imaging, transferring information to the operating room for 3D localization, real-time neuro monitoring, and robotics in neurosurgery using computer technology.

Advancing Neurosurgery at Hannah Joseph Hospital

At Hannah Joseph Hospital, we are committed to staying at the forefront of neurosurgical advancements. Our use of the latest devices and technologies ensures that our patients receive the highest standard of care. From advanced microscopes and neuroendoscopy to sophisticated neuronavigation systems, we integrate cutting-edge tools into our surgical practices to enhance precision, safety, and outcomes.

Why Choose Hannah Joseph Hospital?

  • – Comprehensive Care: Our approach encompasses diagnosis, treatment, and post-operative care, ensuring holistic management of neurosurgical conditions.
  • – Expert Team: Our neurosurgeons and medical professionals are highly skilled and experienced in using the latest neurosurgical devices.
  • – Advanced Technology: We utilize state-of-the-art equipment to provide the best possible care and outcomes for our patients.
  • – Patient-Centered Approach: We prioritize patient education and involvement in their treatment plans, ensuring they are well-informed and comfortable throughout their healthcare journey.

If you or a loved one requires neurosurgical care, trust Hannah Joseph Hospital for expert, compassionate, and technologically advanced treatment. Contact us today to learn more about our services and how we can help you achieve the best possible health outcomes. Your well-being is our top priority.

Author:

Dr. M. J. Arunkumar, M. Ch., DNB
Senior Consultant Neurosurgeon
Hannah Joseph Hospital
Madurai

Neurosurgical devices in Vogue at the Hannah Joseph Hospital !