Nagpur: Doctors in private hospitals in City save a farmer from Rajnandgaon, in the neighboring Chhattisgarh, by carrying out awake cranotiotomy or maintained brain surgery, a rare procedure carried out in just some cases in the region in the past few decades.
Without surgery, the farmer faces permanent disability.
The doctor at Wockhardt Hospital said there was a tumor near the brain area that controlled important functions such as speech and motor skills.
In such cases, craniotomy wake up is the best for identifying and storing these abilities Awake craniotomy often – but not always – used for various brain tumors in frontal, parietal and temporal lobes, which control speech and motor functions and also for seizure disorders certain.
“The main objective in such operations is to remove as many tumors as possible as can be removed, in the safest way possible.
The patient is comfortable for the entire 3.5 hours of operation.
We aim to prevent damage to the brain, and the importance structure, known as Regions are fluent, “said Dr.
Zamad.Dia added,” The biggest challenge is to keep patients awake, comfortable during surgery and make sure he doesn’t do it.
T feels pain when the anesthetic effect subsides.
“He said so, if the patient can respond by speaking Or make a member movement, the doctor remains comfortable.
“If there is a deficit in these functions or the patient shake his head once, the operation fails, especially when the surgeon is in the brain or tumor,” said Dr.
Zamad.dr Awantica Jaiswal, “his brain does not have a direct pain stimulation means not having a sensation.
First the head numb.
When the brain must be opened, we have to drill it.
So it’s time we have to give a local anesthetic patient but make it stay awake.
In the end, we have to calm him down to make it comfortable.
“He added that the heartbeat and CO2 should not increase, oxygenation It should not be decreased or the brain will begin to swell.
VAIBHAV Agrawal said, “The most important player the procedure is a patient, because he must feel comfortable with the idea of waking up during surgery.
A patient with severe symptoms may not be able to contribute effectively for the neurological exam during operation .
“Dr.
Zamad said before the green signal surgery from the doctor was very important.
“The patient’s fitness is important.
Therefore, he is only emphasized to a certain extent and then sedated to make him relieved while the operation continues,” he said.
Infoawake cranasomy * Also known as a maintained brain operation, patients can talk to doctors during painless surgery without pain and give.
They immediately got feedback if he felt the problem when they operated * the function is located in a certain brain area, with a nerve bundle that passes into the spinal cord and throughout the body.
As long as the surgeon maps this nerve using a brain mapping gadget, to understand that is connected to the main functions, so they can avoid it because they remove tumors * Damage critical nerves can cause permanent defects * Awake craniotomies often – but not always – Used for tumor brain What happens in the frontal, parietal and temporal lobes, which control speech and motor functions, and also for certain seizure disorders.
What is done in Wockhardt * is getting up, patients help map the brain area by letting doctors know the weaknesses in limbs or difficulties in speeches * in this case, the area that is in demand is a motorbike and the premotor cortex.
Neurosurgeon stimulates the part of the brain near the tumor by sending light electric currents to the bottom of the nerve * At the same time, neuro-anesthetic experts provide some simple verbal tasks to see whether stimulation affects neurological functions, and the remaining time also continues to communicate with patients * Finally, When intracranial work is done and the patient’s condition is stable, he is sedated to complete the remaining procedure
Maintained brain surgery rarely helps prevent permanent disability in farmers
