Things you need to know before going for Outpatient Spine Surgery

With the improvement in technology and various surgical techniques in recent years, people suffering from spine problems have been opting for surgeries to be performed outside the conventional hospital setting. Instead of the traditional hospital settings, they are going for outpatient spine surgery centers.

What is an outpatient spine surgery center?

An outpatient spine surgery center refers to an ambulatory care facility where people associated with the entire process of spine surgery are focused only on performing spine surgery. The staff in these centers needs to be intensely committed to the cause apart from knowing the techniques of the surgery, as the patients of spine surgery need special care beyond what is usually offered by any ambulatory care facility. In comparison to other ambulatory care facilities, outpatient spine surgery takes help of different anesthetic techniques, post-surgery pain treatments and strategies to move patients.

In outpatient spine surgery center best of the techniques are used to allow the patients to have the shortest possible procedure and quickest recovery. The motive behind the entire process is to make sure the patient gets back to their lives at a considerable cost savings. The surgery done in these centers also aim to allow the patients to recover faster in the comfort of their home.

Why more people want to go for outpatient spine surgery?

In last one decade, there has been a significant growth in outpatient spine surgeries. Several reasons are considered responsible for the increasing rate of outpatient spine surgeries, including convenience, decreased cost, better patient experience and much more. If a patient needs extensive physical therapy after surgery, then services are provided on an outpatient basis. In such cases, patients are sent home and services are provided to them at home. For more details you can look for consultants in neurology, who can suggest you better options to get quickly back on your foot.

A Brief Outline of the Treatments for Spinal Compression Fractures

In recent years a disease called Osteoporosis has created a terror among patients suffering from bone related disorders. People affected by this disease experience bone weakness that increases the risk of fracture on spine, wrist, hip. Around 54 million Americans are suffering from Osteoporosis and osteopenia. If Osteoporosis remain unnoticed or untreated, it silently progresses without causing any pain and finally breaks a bone.

Apart from causing hip and wrist fractures, a case of severe osteoporosis can cause compression fractures in the spine. It happens when the bony block or vertebral body, in the spine suddenly collapses. A patient who is suffering from this disorder, experiences severe pain, loss of weight and deformity. In serious cases, it may cause nerve compression.

Until recent years, doctors did not have better options to treat the osteoporosis-related spine fractures other than giving pain medications, bed rest or invasive spinal surgery. The advancements in the field of spinal surgery have invented two more therapeutic and preventive treatments called vertebroplasty and kyphoplasty.

Vertebroplasty

Originally developed in France in 1986, Vertebroplasty is further refined in the US since 1991. This minimally invasive procedure is developed to relieve the patients from the pain of compression fractures. Along with relieving pain, the weakened vertebral bodies can be strengthened in the process that helps to prevent future health concerns.

Kyphoplasty

This treatment is comparatively newer for patients who are unable to move due to the painful vertebral body compression fractures that are associated with osteoporosis. Just like vertebroplasty, kyphoplasty is also a minimally invasive procedure that is able to reduce up to 90% of the pain caused by compression fractures. Apart from relieving pain, this treatment process can stabilize the fracture and reduce deformity.

If you are suffering from any of the said problems, you should immediately look for Neurosurgery Consultation to discuss your problems without further delay.

Common Future Biomaterials for Spinal Implants

From the end of the last century to the beginning of the present, spinal implants used to be manufactured of metal alloys which include stainless steel, pure titanium and a blend of titanium-aluminium-vanadium. Recently, the field of spinal surgery has seen a lot of changes with the developments in the area of non-metalic biomaterials that has lead to the usage of PEEK and other composite materials. Biomaterails used in the field of orthopedic surgery can be divided under three heads – metals, ceramics and polymers. But, the latest developments are definitely path breakers.

  1. Titanium: Apart from steel, recently titanium metal is being used to make cages, hooks, plates, screws, bolts and other varieties of spinal implants. Unlike stainless steel, titanium helps in the betterment of CT and MRI imaging.
  2. Bone Graft: The bone used for grafting is either taken from the patient’s body or can be used from bone bank. Allograft or bone from bone bank is collected from the cadavers and is processed for the purpose of transplanting into patients. But, the problem is if the bone is taken from the pelvic area of the patient, going forward, they may start suffering from chronic pain.
  3. Bone Morphogenetic Proteins: BMP will be placed inside a collagen (protein) sponge or other implants made of ceramic and used as a replacement of bone in the areas where fusion is desired. The availability of Bone Morphogenetic Proteins will minimise the need for both autologous or allograft bone.
  4. Ceramic and carbon fiber: Carbon fiber used for spinal implants are radiolucent. It means that the implants made of this material will not show up on X-Ray. This allows better visibility of bone fusion.

If you are advised by your doctor for spinal implant surgery and wish to know about the materials in more details, you can always ask a neurologist online.

The Connection Between Sleep Deprivation and Epilepsy

When one suffers from sleep deprivation it may start having unlimited adverse effects and it can be more painful if the person has epilepsy. Epilepsy is a common chronic neurological disorder and is linked to the sufferers of seizures who aquire it involuntarily. The seizures are nothing but the symptoms of an irregular and abnormal neuronal activity in the brain. Research shows that 50 million people across the world are either suffering from epilepsy or at least have suffered from epilepsy at least once in their lifetime.

It’s not that all epilepsis are permanent but there is no permanent cure for it. Medications can help to control epileptic shocks, but epilepsy can last for a certain period of time in one’s life or it could very well be a long time health issue. Also, epilepsy itself is not a syndrome. There are numerous factors responsible for the occurence of this disease and all these factors contribute to the occurence of an abnormal activity in the brain, which may cause the shock.

Although in maximum instances, epilepsy shocks keep happening randomly or spontaneously, epilepsy can be triggered as well. If one is getting shock during drug and alcohol withdrawal , it will not be considered epilepsy. The triggers for epilepsy can be normal day to day activities such as reading, hot water on the head and hyperventilation. Flashing or flickering lights can be a type of reflex epilepsy that is called photosensitive epilepsy. There are certain environmental factors that can trigger epileptic shock, which include sleeping or hypnogogia. Stress and anxiety, menstruation, constipation, and alcohol can be some other epileptic triggers.

Someone, who is suffering from such shocks regularly for a long time, may have to go through neurosurgical intervention. In maximum cases, an entire team works to treat such patients, where with the involvement of reputed neurosurgeons, such issues are dealth with.

The specialized Branches of Neurosurgery and the Modern Surgical Methods

Neurology comprises a significant part of medical science and deals with the diagnosis, surgical treatments and rehabilitation of the nervous system related disorders. The human nervous system is comprised of the brain, peripheral nervous system, spinal cord and extra-cranial cerebro-vascular system. Neurosurgery deals with the treatment of trauma, congenital conditions and other infections resulting from degenerative conditions.

The surgery is done in following cases:

Infection cases: Meningitis

Congenital conditions: Hydrocephaus

Trauma: head or spinal trauma that may cause internal bleeding

Degenerative diseases: Parkinson’s disease

General Neurosurgery

Almost all the conditions associated with neurological trauma or emergencies can be treated using this technique. Health conditions such as intracranial hemorrhage is treated under this technique.

Vascular and endovascular neurosurgery       

Associated with the treatments of aneurysms, stroke, carotid stenosis, spinal malformations and vasospasms, this surgical interventions are often done using minimally invasive techniques such as embolization or angioplasty.

Spine Surgery

Doctors prefer to go for spine surgery to treat those disorders which affect the lumbar spines, thoracic and cervical. The most common condition that is treated by spine surgery includes arthritis in the spinal discs, compression of the spinal cord that is caused by trauma or spondylosis. The symptoms that are seen in such cases include balance deficiency or numbness and tickling in the hands and feet.

Microsurgery

While performing this surgery, doctors take the help of microscopic technology so that they can treat the affected areas of the brain through smaller openings. Using this technique, they can magnify the treatment area. The advanced equipments of modern era help them to perform complex procedures through this technique. It is less invasive and convenient for the surgeons.

Endoscopic neurosurgery

One of the most significant procedures in the field of modern neurosurgery, this technique is used in the treatment of cerebrospinal fluid leakage, pituitary tumors, colloid cysts, hydrocephalus and some other disorders.

Things you Should Ask Your Neurosurgeon Before you Make Your Mind for Back Surgery

If you are suffering from a chronic back pain then there is every possibility of you using all manner of conservative back pain remedies, including resting, medication, exercise, heat or cold therapy, consultation with chiropractor or even cortiscosteroid injections. But, if after all these remedies, pain persists, your physician may have to consider a more invasive approach.

Initially, your primary care physician will help you find the right neurosurgeon for your surgery and other stuff, but before you decide on this, you should ask your surgeon the following questions without fail:

  1. Are there any alternative to surgery?

Even if you think, you have tried them all, your neurosurgeon could surprise you with their suggestions beyond what you have attempted so far. Further, he has seen a number of people suffering from the same kind of pain. So, he may know what is the most conservative remedy for you.

  1. What are the risks involved with this surgery?

It’s very much important for you to know the short and long term risks involved with your potential surgery. No doubt, it is a difficult question to ask, but it will help you to take your decisions. It is always better to remain aware of the risks up front.

  1. What are the benefits of this surgery?

It will help you to understand if the benefits of the potential surgery will really impact you. It will also help the surgeon to choose the operation that’s right for you.

  1. How long will you have to be in the hospital?

The answer to this question will basically help you to get an idea how invasive the surgery is going to be. It will also give you an idea to plan other aspects of your life, such as work and family responsibilities.

  1. How long will it take to recover?

Definitely recovery will take longer period of time than your stay in the hospital. Talk about this with your surgeon in details to get a good idea of the full extent of recovery and things you can do to speed recovery.

There are many neurosurgery consultants who are skilled to tackle such cases to ensure the patient is sure about the decision and remain in good mental status before they make their mind for surgery.

Brain Surgery: How to Prepare and What Risks are Involved

If brain surgery turns out to be a must for you, your doctor will provide you with complete instructions on how you should prepare for this procedure. You should tell your doctor about any medication you are taking, including nutritional supplements and over-the-counter medicine. Your doctor may ask you to stop taking those medicines in the days before the surgery. In case you had some prior surgeries or allergies or if you have been consuming a lot of alcohol, you should share that with your doctor. Your doctor may give you a special soap to wash your hair with before the surgery happens.

Risks Involved

All surgical procedures come with some risks. But, as brain surgery is a very complex and major medical event, it carries extra risk. The possible risks involved with brain surgery include:

  • Allergic reaction to anesthesia
  • Bleeding in the brain
  • A blood clot
  • Brain swelling
  • Coma
  • Impaired speech, vision, coordination, or balance
  • Infection in the brain or at the wound site
  • Memory problems
  • Seizures
  • Stroke

Following up after brain surgery

Immediately after the surgery, you will be under close observation to ensure everything works properly. You will be seated in a raised position to prevent any type of face or brain swelling. Recovery from brain surgery mainly depends on the type of procedure done. In ideal cases stay for brain surgery can last up to a week or more. How long you are going to stay in the hospital that depends on how well your body responds to the surgery. During  this time, you will be on pain medications. Before leaving the hospital, your doctor will explain the next steps of the process. If you are planning to go for your brain surgery in Australia then there are a number of modern brain surgery consultants in Sydney who can explain you the pre and post surgery procedure in vivid details.

An Overview of Brain Surgery

When we say ‘brain surgery’, technically it refers to various medical procedures involved in repairing structural problems in the brain. Brain surgery is of multiple types and the type suggested to a particular person depends on the area of the brain being treated and the condition being treated. The latest advancements in this field have helped the surgeons to operate on certain parts of the brain without any incision in or near the head.

Brain surgery is considered one of the most complicated and critical processes of surgery. The type of brain surgery is being done mainly depends highly on the condition being treated. For example, a brain aneurysm can be treated using a catheter that’s introduced into an artery in the groin. Now, for instance, if the aneurysm has ruptured, the surgeon may have to opt for an open surgery called craniotomy. Thus, the surgeons try to be as thorough as possible to treat each surgery on a case-by-case basis.

One may have to go through a brain surgery if they have any of the following conditions in or around their brain:

  • Abnormal blood vessels
  • An aneurysm
  • Bleeding
  • Blood clots
  • Damage to the protective tissue called the “dura”
  • Epilepsy
  • Abscesses
  • Nerve damage or nerve irritation
  • Parkinson’s disease
  • Pressure after head injury
  • Skull fracture
  • A stroke
  • Brain tumors
  • Fluid building up in the brain

It’s not that all these health conditions would require brain surgery, but many of these symptoms may be helped by it. Especially, in cases where these symptoms pose serious threats to health. For example, a brain aneurysm doesn’t require open brain surgery, but you may have to opt for open surgery if the vessel ruptures. Some of the most efficient Australian brain surgeons have been doing these surgeries now for quite a long time saving life of many individuals suffering from such disorders.

What is Microsurgical Plastic Surgery

Microsurgery refers to any surgery performed under the expanded view through microscope. It utilizes magnification up to fifty times produced by the naked eyes and stitches finer than a hair and enables the surgeons to repair transected blood vessels and nerves that are less than 1mm in diameter. In case of plastic and reconstructive surgery, microsurgery has allowed far more perfection in many procedures. The advancement in the field of microsurgery has expanded the range of procedures, surgeons can perform safely with more precision.

Microsurgical procedure improves the ability of surgeons to help patients in complex surgical procedures such as reattaching amputated fingers. Microsurgery is invented to help surgeons to use special operating microscopes to transplant muscle, bone or large sections of tissue, from one part of the body to another. Taking help of the operating microscope, the area being operated is magnified and the blood vessels and the nerves from the part being moved are carefully reattached. Basically, it is done so that the transplanted tissue can live in the new location and the feelings in the transplanted tissue are maintained.

Surgeons take help of microsurgery to take tissue from the leg or back to reattach fingers, reconstruct a breast, or perform plastic or reconstructive surgery on nose, ears, hands, scalps, fingers, tongues, toes and other small yet significant body parts. Microsurgery is frequently used for complex cancer and trauma cases.

Cases demanding microsurgery can be very complex and challenging in the area of plastic and reconstructive surgery. Microsurgical surgery in Melbourne has seen better advancements and is being extensively used in the field of reconstructive surgery to perform hand and face transplantation. These techniques are opening up new avenues in life for severely injured patients whose problems can’t be solved by mere traditional techniques. Advanced computing and robotics are making the process of surgery, precise and more effective.

What is Awake Craniotomy?

As the name suggests, Awake Craniotomy is a neurosurgical technique used to remove a brain tumor while the patient remains awake to avoid brain damage. In this process of surgery the neurosurgeon performs cortical mapping to locate vital areas, referred to as ‘eloquent brain’ which should not be disturbed while removing the tumor. This process of craniotomy is a preferred technique to operate and remove lesions involving eloquent or functionally important parts of the brain. This procedure allows the surgeons to test regions of the brain before they are incised or removed. It also allows to test the functions of the patient throughout the process of operation. The overall motive behind such surgery is to minimize the risks involved with such operations.

How an Awake Craniotomy is Performed

In Awake Craniotomy the patient is taken to the anesthetic room where they will have a drip inserted with some drugs making them feel comfortable and relaxed. Then in the operation theatre, neuronavigation system is used to mark out the incision. A very small amount of hair is shaved across the line of the incision and then cleaned with antiseptic solutions. After this local anaesthetic is inserted around the incision. In the beginning, it stings for a few seconds and then go numb. The surgeons then place some drapes around the wound while you will be able to see the anesthetic team, you will be able to move your arms and legs without any obstacle during the operation. While the operation process continues, for a brief period of time you will hear some noises and the drilling sound.

After mapping out the eloquent regions of the brain to avoid and save, the doctors remove the tumors. In this process, doctors constantly keep testing the patient’s function and in case anything happens, they can stop it immediately. Awake Craniotomy in Australia is getting quite popular these days.