Why minimally invasive ?
- Minimal tissue damage
- We do not shave the hair
- Small incisions (3-4 cm or even smaller), or without incisions for trans nasal surgery
- Small craniotomy, strategically placed
- We use anatomical corridors as much as possible
- We do not use brain retractors
- We are restoring anatomy / never making craniectomies / always fixing bone flaps
- Minimized risk of new neurological deficits
- Quick recovery / rapid mobilization
- Shorter duration of hospitalization (3 days on average)
- Postoperative dressing is not required
- Positive psychological impact on the family and patient
- Operative site infections <1%
How we do it?
- Preoperative planning – multidisciplinary team (neurosurgeons, anesthesiologist, oncologist, radiologist, radiotherapist, endocrinologist, pathologist etc .)
- 3T MRI with neurologic highly specialized protocols (DTI, Perfusion MRI, AngioMR, high resolution structural images, functional images, etc.)
State-of the art technology
- The operating microscope – high end robotic tehnology
- Endoscopy – trans nasal, trans cranial and neuro endoscopy.
- Neuronavigation connected to the microscope and endoscopes – with real time localisation of microscopic focus and endoscopic tips.
- Electrophysiology is a monitoring instrument of the cerebral, spinal and peripheral neural pathways. Permanent monitoring of these pathways can be achieved through electrode implanting and stimulation. It helps to lower the neurological risks during the surgery, and is, in nowadays, indispensable for high quality and low risk neurosurgical interventions.
- The ultrasonic aspirator is a surgical instrument which fragments and aspires the tumor, without putting any pulling tension on the brain. The tumor is fragmented by the tip of the instrument which vibrates at 36 000 Hz.
- Neuroanesthesia techniques allow impressive surgeries like awake brain surgery. During the surgery, the patient is asked to perform specific tests that identify a functional cortical or subcortical area. The surgeon is reassured through direct stimulation of the cortex that he is not harming functional areas like speech, movement, sight.
Examples of neurosurgical intervention in our clinic
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