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All Posts in Category: Modern neurosurgical techniques

Disc hernia: new data in its treatment

In recent years, spinal surgery has made tremendous progressUntil recently, or even at the present time, when a patient learned that they needed back surgery, they experienced great fear and uncertainty. Everyone has a friend, acquaintance or neighbor who, after a back surgery for a herniated disc, suffered for a long time, did not solve their problem, or was in even worse pain. Most of course got better, but not for some time after the operation.

Percutaneous Lumbar Decompression

Today this belief is beginning to change and this is only the beginning. Because the most modern technique of waist restoration has come to Greece: Η Percutaneous Lumbar Decompression. The method has all the advantages of surgical treatment, i.e. anatomical and functional restoration of the problem. However, is not accompanied by the discomfort, post-operative pain and bed rest, like the well-known normal surgery.

More specifically: any patient who suffers from symptoms of spinal stenosis, almost 10% of the population over 50 years of age, or from lumbar herniated disc, which causes severe symptoms of back pain and sciatica (persistent back and leg pain, often in young people), until now had 2 options: The first option was to take a lot of medication, do physiotherapy and miss days of work and activities whenever he had a pain attack, usually 1-3 times a year. The second option was to go into surgery, often with fear and uncertainty about the final outcome.

But now with Percutaneous Lumbar Decompression, the patient has almost complete recovery, without the risks of open surgery, or the discomfort of constant recurrence and medication.

Not a day in bed

With a few hourshospitalization in the hospital, an incision of a few millimeters is made, which is then seen as a scratch on the skin. The patient does not lose blood and the musculoskeletal system is not injured. From this small opening, everything needed to fully decompress the spinal canal and the nerves that are under pressure is done.

In just a few days, the patient returns to full activity. He doesn’t have to stay in bed for a day. The relief of his symptoms is immediate and noticeable. As patients say, “the leg stretches out, becomes stronger and walking becomes more confident”. Post-operative medication is practically non-existent (small dose of paracetamol).

The problem ceases to exist and all patients resume their daily activities without pain. Younger people go back to work quickly. Older people can walk again as much as they want, so they can take care of their work or visit their friends, without thinking that they cannot walk more than 100-200 metres without being stopped by pain.

The most modern surgical method is not out of reach for anyone. Thanks to it, anyone who does manual work or leads a sedentary life and needs to work for a living can work again. without pain. But even if he is older, he doesn’t isolate himself at home, pining away because he can’t bear to walk down the street. The solution now exists, for everyone!

Ν. Marathi
Director of the Neurosurgery Clinic
Athens Euroclinic

Published in boro.gr

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For the first time in Greece, a mini craniotomy operation is performed on awake patient

We present to you a reallyinnovative surgery that was recently performed at the Euroclinic of Athens by our Neurosurgery team, which consists of Nikolaos Maratheftis, Director Neurosurgeon, and Evangelos Rokas, Attending Neurosurgeon, on a 38 year-old male patient diagnosed with a lesion with tumor characters in the left cerebral hemisphere. This lesion spread near particularly sensitive areas that control movement in the right hand and foot, as well as speech comprehension and speech. The lesion was deep inside the brain. The patient had a history of kidney transplantation and blood clotting disorders.

When he came to the Euroclinic of Athens, studying the patient’s file in consultation and collaboration with Dr. Stavros Kanellas, Director Anesthesiologist and Maria Saridou, Attending Anesthesiologist, we decided to perform the operation to remove this lesion, the cause of which was a glioma of possibly low malignancy.

The technique of craniotomy with the patient awake craniotomy) is an advanced neurosurgical and anesthesia technique that allows brain surgery to be performed while the patient is conscious, painless, and can speak and execute commands given by the doctors. At the same time the operation proceeds and the diseased tissues are removed from the brain.

This method requires excellent coordination of the administration of anesthetic drugs, in a delicate balance, so that the experience is not painful for the patient while at the same time he maintains his senses.At the same time, the neurosurgeon stimulates the suspicious area with a special electrode, checking whether this stimulation causes a neurological disorder such as paralysis of the hand, foot, speech disorder, patient orientation, etc.

Thus, the pathological tissue is removed from the brain as much as possible , without the slightest impact on the patient’s neurological condition.

The craniotomy on alert has been done again in Greece. In our case, however, for the first time in Greece , this technique was combined with the most advanced minimally invasive method of “mini” craniotomy.

“Mini” craniotomy is a state-of-the-art technique worldwide. The first publications on its application to a sufficient number of patients were made in 2013 and 2014 by neurosurgery centers in the USA and Israel. With this craniotomy, only a small opening is made, a hole of 2.5 cm in diameter in the skull, from where we can reach great depth and extent, without the risks involved in a normal craniotomy.

Using the neuro navigator , we direct a small special lumenused for the first time in Greece, in the affected area, and using a microscope (or an endoscope, if necessary) we remove the pathological tissue, which we send for examination. The advantage of the lumen is that the brain is not substantially compressed, while the lesion is completely removed, and the procedure is not restricted to a simple biopsy. Therefore we combine the definitive diagnosis with the treatment of the disease.

The risk of bleeding and neurological damage to the patient is minimized by the use of minimally invasive (mini) craniotomy. Especially in the case of our patient, who had disorders of the blood coagulation mechanism due to the kidney transplant he had undergone, this method was the ideal choice.

The result of the biopsy showed that it was not a tumor, but inflammatory tissue, in the context of the immunosuppression that the patient had undergone for his kidney disease. His postoperative course was excellent. He was hospitalized only for 2 days, did not suffer from pain or other discomfort, and never showed neurological damage. The swelling of the brain subsided, along with the headaches that had led him to the MRI of the brain, which had initially revealed his problem.

Indeed, thanks to these state-of-the -art techniques that our Neurosurgery team applies to the Euroclinic of Athens, we can offer the leading medical services, such as the best Neurosurgery Centers in the world. The surgeries for the removal of inaccessible brain tumors , for the removal of automatic and traumatic brain hematomas have now been done, thanks to these techniques we apply, less traumaticless traumatic, more effective and require less time of hospitalization. Even tumors that were consideredunoperative can now be safely removed. The risk of postoperative complications (bleeding, infection, neurological damage) is clearly lower with “mini” craniotomies.

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It is important, in a difficult situation for our country, to know that the conditions for the provision of health services at the top level exist and flourish, thanks to the cooperation of the Administration, the Medical and Nursing staff of the Euroclinic of Athens.

 

 

 

Nikolaos Maratheftis

Director Neurosurgeon of the Euroclinic of Athens

www.maratheftis.gr

 

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