Brain and nerve surgery, also known as Neurosurgery (Neurochirurgie, Neurosurgery); It is a surgical specialty that performs advanced examination, diagnosis and treatment of central and peripheral nervous system disorders through mechanical intervention. Medical doctors who specialize in this branch are called Brain Surgeons or Neurosurgeons.
Diseases Diagnosed and Treated
- Lumbar disc disease and Cervical Disc Herniation. All kinds of spine diseases, especially (cervical disc disease),
- All kinds of compression of the arm and leg nerves called peripheral nerves (Carpal Tunnel Syndrome), trauma and cuts, surgical treatment of tumors,
- Head and Spinal Cord injuries, Trauma surgery,
- Brain hemorrhages,
- Cerebral Vessel occlusions (Cerebral Paralysis, Stroke)
- Narrowing of the neck vessels called carotid stenosis,
- Disorders that develop during the formation of the nervous system such as congenital (congenital) meningocele and meningomyelocele, roughly the increase in the amount of fluid in the brain cavities called hydrocephalus, as well as the treatment of congenital skull deformities,
- Tumors originating from inside the spinal cord tissue or causing problems by pressing on it from outside,
- Disorders such as aneurysm (ballooning) of the vessels feeding the brain tissue or spinal cord,
- Arteriovenous malformation, cavernoma
- Surgical treatment of neurological diseases such as severe epilepsy and Parkinson's disease, and some psychiatric diseases such as OCD (obsessive compulsive disorder),
- Such as trigeminal neuralgia, severe cancer pain, tic disease (hemifacial spasm). Surgical treatment of diseases. (Functional neurosurgery),
- It is the pinpoint bloodless, anesthesia-free treatment of lesions such as tumors and cerebrovascular diseases, using methods called "stereotactic radiosurgery", especially in recent years.
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DISCULAR DISCUSSION SURGERY WITH MICROSCOPE
Great successes have been achieved in surgeries performed with increasing technological developments in recent years. The most important of these technological developments is the operating room microscope.
The microscope device is used in many branches. As mentioned, it is one of the most important assistants in neurosurgery operations. Especially brain surgeries, herniated disc and cervical disc herniation surgeries are performed with this device.
Advantages of microdiscectomy;
- By benefiting from the magnification and wide field of view of the microscope, many It is possible to work in a smaller area.
- A smaller skin incision is made compared to simple discectomy. The surgery is performed through an incision of approximately 2 cm.
- There are no problems such as removing stitches after the surgery. The patient can take a bath after 5 days.
- Under the microscope, the nerve tissue and hernia material are clearly seen and Intervention for hernia is done under a microscope.
- Complications such as bleeding and nerve damage are minimized. Blood is not used unless possible.
- The risk of infection is minimal.
- Since the surgery is performed through a small skin incision, the patient has fewer post-operative complaints and the recovery process is faster.
- After the surgery, the patient can stand up after 6 hours on the same day.
- The hospital stay is short, they can be discharged the next day.
- The recurrence rate is at the lowest level.
- It is recommended that he return to his daily life and start exercising 1 week after the surgery.
- The most important problem at this point is for the patient to overcome the fear of recurrence of the hernia and gain self-confidence.
- The patient's leg pain improves immediately after the surgery. Prolonged sitting, driving and lifting heavy loads should be avoided for one month after surgery. To prevent the recurrence of the hernia, the waist muscles should be strengthened by doing the recommended exercises.
- As a result, the microdiscectomy method is the distinguished treatment method today when performed by expert hands.
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