Brain tumor surgical services
- Acoustic Neuroma Surgery
- Awake Craniotomy
- Endoscopic & Microscopic Arachnoid Cyst Surgery
- Endoscopic & Microscopic Brain Tumor surgery
- Endoscopic excision of Intraventricular Brain Tumors
- Endoscopic minimally invasive keyhole brain surgery
- Endoscopic Pituitary Tumor Surgery
- Endoscopic skull base tumor surgery (for meningioma and glioma)
- Glioblastoma multiforme surgery
- Glioma surgery
- Medulloblastoma surgery
- Microscopic Brain tumor Surgery
- Meningioma surgery
- Neuronavigation
- Stereotactic Neurosurgery
Making brain tumor surgery safe:
Dr Ammar Anwer utilizes cutting edge gadgets (operating microscope, endoscope, cavitron ultrasonic aspirator (CUSA), neuromonitoring, facial nerve monitoring and neuronavigation) to make Brain tumor surgery safe. To ensure complete tumor removal, Dr Ammar Anwer utilizes Fluorescence-guided surgery (FGS) (in which special microscopic illumination and intraoperative fluorescein is used to visulize tumor). The surgery is done under general anesthesia. During the process, you will be completely asleep and unable to feel anything. Once the patient has made complete recovery, there is no tell tale sign of surgery.
Types of Surgery for Brain Tumor
- Biopsy (The surgical removal of a sample of tumor tissue)
- Craniotomy (The surgical removal of a portion of the skull. Doing so allows the neurosurgeon to find the tumor and remove as much of it as possible. The piece of skull that was removed is replaced following surgery)
- Craniectomy (Very similar to a craniotomy. The main difference is that, in this procedure, the portion of the skull that was removed to allow access to the brain is not replaced)
- Debulking (The surgical reduction of the size of the tumor)
- Complete Removal (The surgical removal of the entire tumor)
Procedure:
After selective hair removal, a small incision is made on scalp (skin of head). Skull is opened with drill. Brain covering (dura mater) is opened. Tumor is identified and removed. This is the most time consuming part and requires expertise. Once tumor is removed, bleeding is stopped with CUSA and bipolar cautery. Residual tumor is checked. Bleeding is secured. Bone is replaced and secured with titanium plates and screws to ensure cosmetic correction. Wound is closed and dressing is done. Patient is shifted to ICU for observation and is kept admitted for 24-48 hours and is then discharged. Stiches are removed on 14th day.
Complications:
- In 1 to 7% of procedures, a dural tear (cerebrospinal fluid leak) occurs.
- Beeding
- Infection
- Seizures
- Recurrence