FAQ's on Aneurysm Surgery

Q- What is Removal of Pituitary Adenoma?
Ans- Pituitary tumor
Neuroanesthesia specialist and internal medicine consultants will pay visit to you and assess fitness with test including blood tests, endocrine assays, X- rays and other radiological tests, Dobutamine stress echocardiogram for cardiac fitness and like. Other specialist may also see you on as and when required basis. Blood grouping and typing will be done so as to be ready for blood transfusion if you so need. Blood may be required to be reserved but transfusion will be depend upon the intra-operative blood loss.
Once fit for procedure, a fasting period of 6 hours will be required for anesthesia. Surgery will be done under general anesthesia. Informed consent will need to be signed so as to permit the surgeon and anesthetist to undertake procedure in good faith. Consent form enumerates the disease process, reasons for undergoing surgery, benefits to expect, risks involved, alternative procedures if any, identifies operating surgeon and needs your informed consent along with a witness signature.
Once in operation theatre, general anesthesia will be introduced by asking you to breath through a mask. Procedure will be done endoscopically or microscopically through the nose without an outside wound. Sella is reached through the nose, opened into and pituitary tumor decompressed.
Nasal pack will be inserted and kept for two to three days. You can breathe through mouth during that period. Large tumors may require craniotomy. There may be fluid and electrolyte disturbances in immediate post operative period which settles down gradually.
Long term hormonal replacement may be required. After a day or two stay under observation in ICU transit to ward will happen. Discharge from hospital will happen by four- five days after surgery. Histopathology report should be ready Pituitary Tumor by fifth post operative day, thus enabling us to decide on need for adjuvant therapy i.e. radiotherapy and/ or chemotherapy. Check CT scan will be done in post-operative period to confirm post operative status.
Although surgery is relatively safe, it dose carries certain associated risks. The incidence of risks this surgery in our hospital are low and are comparable to any other advanced neurosurgical centre.
Surgical complications include but are not restricted to:
1.1) Operative site bleeding – uncommon but may require re-surgery [craniotomy] is compromising the vision.
1.2) Local bleeding – usually settles down on its own.
1.3) Visual deterioration if any unintended damage occurs during or post-operative bleeding – rare may require high dose steroids or re-surgery.
1.4) CSF leak from nose for which the lumbar drain is kept for a day or two more – may require re-surgery to repair the leak.
1.5) Endocrinal disturbances which are taken care by adequate pre-operative and postoperative estimation of the hormonal levels and replacement.
1.6) Increase urination – [diabetic insipidus] – usually temporary for a few days, sometimes permanent.
Generally life risk for patients undergoing surgery without any previous medical illness is 1- 2 % and risk of complications is 5 to 10 % depending upon size of the tumor. The risk to life and complications increase depending upon the above factors or if patient is in poor neurological status before surgery.
After discharge from hospital, for further assistance please contact at following phone numbers: 26825558 / 26925858 or 5801 on ext. no. 2001 and 2012.

Q- What is Surgery for Brain Tumours?
Ans- Surgery for Brain Tumours
Aims of the surgery include getting histopathology diagnosis, decompress the tumor to decrease the tumor load so that subsequent therapies like radiotherapy and chemotherapy are more effective and to decrease the raise intracranial pressure by removing as much tumor as possible without causing much damage to the surrounding brain.
You will undergo pre-operative check up to ensure fitness for the surgical procedure. Neuroanesthesia specialist and internal medicine consultants will pay visit to you and assess fitness with test including blood tests, X- rays and other radiological tests, Dobutamine stress echocardiogram for cardiac fitness and like. Other specialist may also see you on as and when required basis. Blood grouping and typing will be done so as to be ready for blood transfusion if you so need. Blood may be required to be reserved but transfusion will depend upon the intra-operative blood loss.
Once fit for procedure, a fasting period of 6 hours will be required for anesthesia. Surgery will be done under general anesthesia. Informed consent will need to be signed so as to permit the surgeon and anesthetist to undertake procedure in good faith. Consent form enumerates the disease process, reasons for undergoing surgery, benefits to expect, risks involved, alternative procedures if any, identifies operating surgeon and needs your informed consent along with a witness signature.
Once in operation theatre, general anesthesia will be introduced by asking you to breath through a mask. Procedure involves a skin incision on the part of head corresponding to the lesion, creating a window through the skull bone, localizing the tumor and safe excision thereof to the maximum limit possible. Bone flap will be replaced and fixed. The wound is closed with or without drainage tube, which is subsequently removed next morning. Anesthesia will be reversed in operation theatre and you will come out wide awake.
Breathing exercises and anti- embolic stockings help in healthy recovery. Subsequently with a physiotherapist mobilization will be done. After a day or two stay under observation in ICU transit to ward will happen. Discharge from hospital will happen by four- five days after surgery. Physiotherapist will assist and teach you maneuvers which are to be continued even after discharge. Stitches may either be self dissolving, subcuticular (buried) or may require to be removed six to eight days after surgery. Histopathology report should be ready by fifth post operative day, thus enabling us to decide on need for adjuvant therapy i.e. radiotherapy and/ or chemotherapy.
Brain tumors
Check CT scan will be done in post-operative period to confirm post operative status.
Although surgery is relatively safe, it dose carries certain associated risks. The incidence of risks this surgery in our hospital are low and are comparable to any other advanced neurosurgical centre.
Surgical complications include but are not restricted to:
Potential Complications include :
1.1) Operative site bleeding – uncommon but may require re-surgery [craniotomy] is compromising the vision.
1.2) Local bleeding – usually settles down on its own.
 1.3) Visual deterioration if any unintended damage occurs during or post-operative bleeding – rare may require high dose steroids or re-surgery.
 1.4) CSF leak from nose for which the lumbar drain is kept for a day or two more – may require re-surgery to repair the leak.
 1.5) Endocrinal disturbances which are taken care by adequate pre-operative and postoperative estimation of the hormonal levels and replacement.
1.6) Increase urination – [diabetic insipidus] – usually temporary for a few days, sometimes permanent.
Generally life risk for patients undergoing surgery without any previous medical illness is 1% and risk of complications is 5 to 8 % depending upon location and size of the tumor. The risk to life and complications increase depending upon the above factors or if patient is in poor neurological status before surgery.
After discharge from hospital, for further assistance please contact at following phone numbers26825558 / 26925858 or 5801 on ext. no. 2001 and 2012.