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Doctor insights on: Endoscopic Brain Surgery Vs. Open Brain Surgery

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Is endoscopic brain surgery safer than open brain surgery?

Is endoscopic brain surgery safer than open brain surgery?

Sometimes: Endoscopic brain surgery has both risks and benefits. In the correct hands, this type of surgery can make the previously unthinkable possible but like anything, if this type of surgery is not applied properly, it can have significant (even deadly) risks. In short, open brain surgery can be just as safe as endoscopic surgery but it depends on the comfort level of your surgeon. ...Read more

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When is open heart surgery needed vs less invasive options?

When is open heart surgery needed vs less invasive options?

Age and severity: Coronary artery disease is now often treated with stents placed during a cardiac cath, instead of open heart surgery. What is unclear is whether stents last as long as bypass, or if they are as good for multiple vessle disease. Younger patients, mand patients with more severe multiple vessel disease may do better with an open heart bypass. ...Read more

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Is gamma knife more risky than a surgical operation in a brain tumor?

Is gamma knife more risky than a surgical operation in a brain tumor?

Depends: Gamma knife is a type of very precise radiation that can deliver very high doses of radiation to small confined targets. It dose not require any surgery so in this sense it is safer than an operation. However, one must take great care when using this technique to ensure that the target is drawn correctly and that proper qa and oversight occur during the delivery of treatment. ...Read more

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Is minimally invasive heart surgery the same as open heart surgery?

Is minimally invasive heart surgery the same as open heart surgery?

Mostly....: The biggest difference is usually the incision size, with minimally invasive being smaller and often avoiding opening the breastbone. The actual surgical procedure, such as valve repair or bypass is often identical to the traditional approach. ...Read more

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Is brain cancer surgery a routine operation for neurosurgeons?

Is brain cancer surgery a routine operation for neurosurgeons?

No: Some neurosurgeons are very experienced in the surgery of a brain tumor and some are not. You as the patient need to know this in advance of having that surgeon work on you for treatment of a brain tumor. ...Read more

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Is brain aneurysm surgery safe?

Is brain aneurysm surgery safe?

Depends: In the correct hands, brain aneurysm surgery is less risky than it used to be 20 years ago. Unfortunately, all brain aneurysm surgeries (clipping or coiling) carry a risk for stroke and hence cannot be classified as "safe" surgeries. They are moderate to high risks surgeries depending on the size of the aneurysm and the health of the patient. Ask your doctor for details. ...Read more

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Are there new brain tumor surgery options, like robotic surgery or radiation surgery, etc..?

Are there new brain tumor surgery options, like robotic surgery or radiation surgery, etc..?

Gamma knife: One of the not so new options is the use of gamma knife. Multiple sources of radiation are focused on the lesion, thus minimizing the damage to surrounding normal tissues. ...Read more

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How risky is brain operation in Parkinson's disease?

How risky is brain operation in Parkinson's disease?

Routine risk: More and more dbs units are being surgically implanted into brains of parkinson pts, and if there is need for surgery for another reason, risk should be about similar to pts without the disorder. Main problem in this age group is the presence of medicine for cardiac or stroke prevention which could prolong bleeding if not stopped pre-operatively. ...Read more

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How risky is open heart surgery?

CABG 1-2 % mortality: For coronary artery bypass surgery generally in the 1-2% mortality range; for valve replacement 4-5%, higher in re-do surgery. ...Read more

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Is the laser back surgery safer and less recovery time than open back surgery.wats the difference?

Is the laser back surgery safer and less recovery time than open back surgery.wats the difference?

Beware of Marketing: Gimmicks! The word "Laser" is used simply for the purpose of marketing, & drawing patients in, & not due to anything else. Laser is simply just a TOOL, not a procedure. To be able to use laser, one still has to make an incision, laser can then be used at the area of pathology if applicable pathology is present. It does not minimize the invasiveness of surgery if being performed by a well trained ...Read more

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Which is better for pituitary macroadenoma: transsphenoidal surgery or craniotomy?

Which is better for pituitary macroadenoma: transsphenoidal surgery or craniotomy?

Depends: Assuming it is an operative mass: this really depends on what the tumor looks like on imaging. Most of these masses can be done via transphenoidal approach with microscope or endoscope. Rarely it gets so large and if the patients medical condition is ok can be done via combined transphenoidal and craniotomy. Patients recover from transphenoidal surgery more quickly than craniotomy. ...Read more

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Which is better: transsphenoidal surgery or craniotomy for pituitary macroadenoma?

Which is better: transsphenoidal surgery or craniotomy for pituitary macroadenoma?

Depends: Transsphenoidal approach has been standard for years as it avoids brain retraction and optic nerve manipulation. In larger tumors with more of a suprasellar location (think in the brain), a craniotomy is occasionally required to reach the whole tumor. ...Read more

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How costly is open heart surgery?

How costly is open heart surgery?

It depends: The cost will depend on your insurance carrier. The hospitals typically bill around $40-$50, 000 for the entire procedure and hospitalization. ...Read more

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Is an endoscopic brow lift safer than the traditional long incision method? I'm really worried about risks during surgery, especially elective ones. I'd like a brow lift and i'm wondering if an endoscopic surgery would be the safest way to go. .

Is an endoscopic brow lift safer than the traditional long incision method? I'm really worried about risks during surgery, especially elective ones. I'd like a brow lift and i'm wondering if an endoscopic surgery would be the safest way to go.

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An : An endoscopic brow lift has a much shorter incision (actually several short incision are typically used) to the risk of injurying hair follicles and long term scalp numbness are much less. The long incision (coronal) technique still has its place in certain circumstances. Your surgeon should be able to discuss the risks and benefits of each approach and whether one is a better choice for your situation. ...Read more

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What is minimally invasive spine surgery and how is it different from traditional spine surgery?

What is minimally invasive spine surgery and how is it different from traditional spine surgery?

Less Invasive: Minimally invasive spine surgery techniques treat spine disorders with minimal disruption of normal structures, particularly the back (para spinous) muscles. This is accomplished with smaller incisions, x-ray guidance, and gentle dilation of muscles instead of destructive techniques and large retractors. The overall results are the same as open spine surgeries but with much faster recovery. ...Read more

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Is sleeve gatrectomy surgery safer as compared to the gastric bypass surgery?

Is sleeve gatrectomy surgery safer as compared to the gastric bypass surgery?

Sleeve gastrectomy: That's a common misconception by patients. The gastric bypass is a more complicated operation than a sleeve, but the risk of a leak is the same for either operation. In addition, if a leak occurs, it is much harder to control in a sleeve than in a bypass. There are many other pros/cons for each, but the bottom line is that the risk is about equal. For diabetes and heartburn/reflux, bypass is best. ...Read more

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Is laser eyelid surgery better or safer than traditional eyelid surgery?

Is laser eyelid surgery better or safer than traditional eyelid surgery?

Cold steel-hot light: In my opinion, there is very little difference between the two in terms of final results. A laser seems real "cool" but it does not necessarily mean you will get a better outcome. ...Read more

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How risky is minimally invasive spine surgery?

Depends: It depends on exactly what is being done, your surgeon's experience and training, your size and medical condition, the type of condition being treated. All surgery has risks. Mis can reduce some risks, but may increase other. Have a frank discussion with the surgeon recommending the procedure. ...Read more

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What are the risks of radiation surgery? Is it still safer than traditional surgery?

What are the risks of radiation surgery? Is it still safer than traditional surgery?

Depends on details: It really depends on the details of the specific situation. The risks and benefits of any competing or complimentary treatments really need to be considered in the context of the specific situation. There are clearly many situations were traditional surgery will be the preferred option and there may be specific situations were radiosurgery can be used with good effect. ...Read more