Minimally invasive neurosurgery

Why minimally invasive? Because using small access and advanced surgical techniques, we minimize neurological risks, infection rate, aesthetic deficiency and ensure rapid recovery, increasing perisurgical and postsurgical comfort. Minimally invasive is not just small incisions, but also observation of the nerve, vascular structures and all other tissues.

At the beginning of surgery, the saying "great surgeon large incision" was the one that guided the surgeons, believing that this would increase patient safety and improve prognosis. Today, with the evolution of technology and surgical techniques, the shortcomings of the above concept have been demonstrated. Today, in all surgical branches, the invasiveness is increasingly being practiced, with its obvious advantages being noticed. Paradoxically, after some, obviously for others (especially for treated patients and surgeons practicing these techniques), surgical risks decrease, maximizing the results in terms of repeatability (tumor) or curability (other surgical lesions). As I have already said, minimal invasiveness means not only small incisions but also observance of all anatomical structures and the use of natural corridors that allow access to almost any area of ​​the brain without affecting healthy or ill but recoverable structures. Thus, these techniques enable patients to recover quickly, preserving and frequently significantly improving neuro-cognitive function.

For us, minimally invasive means respect for the invidual in all his being, from his brain, through his appearance and to what he represents in society.

Minimizing neurological risks

We use as much as possible natural anatomical corridors that allow us access to deep regions without damaging neurovascular structures.

Also, we do not use brain retractors, known as the cause of surgically induced brain injuries, except in exceptional cases. We respect all the anatomical structures, starting with hair, skin, muscles, dura mater skull, and continuing with neurovascular structures.

Minimizing, often lacking aesthetic deficiency

We do not shave the hair;

Small incisions, well placed, invisible in the postsurgical;

Small shutter, strategically located;

We do not use bandages, dressings or drains;

We reattach the anatomy: dural closure is as „water tight” as possible, refitting the bones in the initial position, closing the musculo-aponevrotic planes and skin as well as possible.

Rapid recovery and increased postsurgical comfort

We use resorbable threads that do not need to be removed.

Average hospitalization time is 3 days.

Scheduling a consultation

Consultation appointments by phone at +4.031.0050510 or email contact@neurohope.ro or irina.neurohope@gmail.com

Examination preparation

If you have a diagnosis, it is important to come up with an MRI / CT exam and all the other investigations already performed. Usually an MRI is superior to a CT for assessing a cranio-cerebral or spinal pathology.

If your program changes, please let us know by phone to organize our program.

The doctor will have a chat with you asking your illness history, if you had other illnesses, if you have relatives with important diseases, etc.

Your doctor will look at your MRI and / or CT, but also at your other medical records.

After that, a clinical exam wil follow where the doctor will test various neurological and general functions, and may ask you to undress, sometimes indispensable for correct diagnosis.

After these steps, your doctor will explain to you what treatments and / or investigations can / should be done, what are the risks and benefits of various therapeutic options, etc. if this is the case for surgery, the doctor will explain the main stages of the surgery, what are the risks and benefits of such surgery.

At this point in the examination, you can address your doctor all the questions you want to answer. Feel free to ask any questions and our doctors will answer and give you all the time you need to find out what you want.

When appropriate, if you decide to undergo a surgery in our clinic, you will establish with your doctor the date of the surgery and the pre-anesthetic consultation, mandatory before any surgery.

Hospitalization

Our team will do its best to make the period you spend in the Provita Medical Center to be as enjoyable as possible. You will be answered any question, you will be helped with warmth in any way and we will strive to make you fell, as much as possible, at home. We will be your family, and we will behave accordingly.

Registration for hospitalization to a neurosurgical surgery will be done at Provita Medical Center (see map), located in 82 Agricultorilor street, District 2, Bucharest, at the information office.

Once hospitalized, a nurse will be permanently at your disposal, and your health will be closely monitored.

All staff at Provita Medical Center will do their best to make your stay in the hospital as comfortable and why not even agreable

Embarkation, depending on the complexity of your case, is done either during the day before intervention or on the morning of the surgery.

If necessary, further examination will be performed. These test are usually performed before hospitalization.

You will take a shower of betadinated shampoo in the morning of the surgery to minimize the risk of infection, observing the indications of the medical staff.

At the scheduled time, you will be taken to the surgery room, where the anesthesia team will take care of you.

After surgery, you will be awakened in the surgery room and then transported to intensive care, where you will be under continuous monitoring.

Family access to intensive care is restricted, but it can be done within a limited number of times with adequate equipment provided by Provita (bootees, gown, mask, helmet). These restrictions are important to limit the infectious risk for you and our other patients.

The period of stay in intensive care depends on the conditions treated, so the cerebrovascular interventions require surveillance in the ATI for 24 hours postsurgical, and the spinal interventions 2-6 hours.

Patient mobilization is early, immediately after leaving the intensive care service, which significantly reduces postsurgical complications and your comfort.

After the intervention, the average time of hospitalization is 3 days, but for many spinal interventions the hospitalization time is 1 day.

Upon discharge, the patient will receive a discharge note that records the diagnosis, examinations, surgical protocol, evolution, and appropriate recommendations.

Receiving the results for some tests may take several days, so you will receive them at a later date (for example, histological and immunohistochemical results).

After discharge, you will need to submit to post-surgical checks as they were scheduled and noted in the output sheet.

Postsurgical tracking

Postsurgical follow-up has several stages. Immediately in postsurgical you will go into intensive care, then you will be moved to your ward, where you will be mobilized very quickly. At the time of discharge, you will be provided with the treatments that will be needed, as appropriate (eg kinetotherapy, radiotherapy, radiosurgery, chemotherapy, medical treatments, etc.) and we will help you to access them, with partnerships that give you access to high quality services. After that, you will follow the regular checkups, usually with MRI control, after a program that you set up with your doctor. Some neurosurgical conditions require tracing for a lifetime, and in this approach we will be with you.

Immediately postsurgical, during hospitalization:

After surgery, you will be awakened in the surgery room and then transported to intensive care, where you will be under continuous monitoring.

Family access to intensive care is restricted, but it can be done with a limited number of times with adequate equipment provided by Provita (bootees, gown, mask, helmet). These restrictions are important to limit the infectious risk for you and our other patients.

The period of stay in intensive care depends on the conditions treated, so the cerebrovascular interventions require surveillance in the ATI for 24 hours postsurgical, and the spinal interventions 2-6 hours.

Patient mobilization is early, immediately after leaving the intensive care service, which significantly reduces postsurgical complications and increases your comfort.

After the intervention, the average time of hospitalization is 3 days, but for many spinal interventions the hospitalization time is 1 day.

Upon discharge, the patient will receive a discharge note that records the diagnosis, examinations, surgery protocol, evolution, and appropriate recommendations.

Receiving the results for some tests may take several days, so you will receive them at a later date (for example, histological and immunohistochemical results).

After discharge, you will need to submit to postsurgical checks as they were scheduled and noted in the output sheet.

Postoperative check

Post-surgical check is initially after 2 weeks for the evaluation of the surgery scar then, depending on your condition, the doctor will tell you when it will be done. Usually, starting with the second postsurgical check, you will need to present yourself with an IRM or CT check as appropriate. You can find out the periods of examination, depending on pathology here.

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