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A Comprehensive Guide on Deep Brain Stimulation (DBS) Surgery in India
18 Jun, 2024
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Are you or someone close to you considering Deep Brain Stimulation (DBS) surgery in India? This advanced procedure offers hope for those suffering from neurological conditions like Parkinson's disease and essential tremor. What exactly is DBS surgery, and how does it work to alleviate symptoms? In our comprehensive guide, we'll walk you through the intricacies of DBS surgery in India, from its benefits and risks to the top hospitals renowned for their expertise in performing this life-changing procedure. Join us as we navigate through everything you need to know about DBS surgery, ensuring you make informed decisions for your health and well-being.
DBS Surgery Procedure in India
Pre-surgical Evaluation
The journey to Deep Brain Stimulation (DBS) surgery begins with a thorough pre-surgical evaluation to determine if the patient is a suitable candidate. This step includes:
Neurological Examination: A detailed assessment of neurological symptoms and overall health.
Psychological Evaluation: Ensuring the patient can manage the procedure and adapt to post-surgical lifestyle changes.
Advanced Imaging: MRI and CT scans create detailed maps of the brain, pinpointing the exact target areas for electrode placement.
Surgical Planning
Once deemed suitable, the surgical team, including neurosurgeons, neurologists, and radiologists, collaborates to plan the procedure. This involves:
Identifying Target Areas: Using imaging data to locate precise areas in the brain that will benefit from electrical stimulation.
Planning Electrode Placement: Deciding the optimal path for inserting the electrodes while avoiding critical brain structures.
Implantation Procedure
DBS surgery typically involves two main stages:
Calculate Treatment Cost, Check Symptoms, Explore Doctors and Hospitals
Stage One: Electrode Placement:
Preparation: The patient's head is stabilized using a stereotactic frame for accurate targeting.
Insertion of Electrodes: Small holes are drilled in the skull to insert thin, insulated wires (electrodes) into targeted brain areas. The patient is usually awake during this part to provide feedback, ensuring precise placement.
Testing Stimulation: Electrical impulses are administered through the electrodes to test their effectiveness in reducing symptoms, with adjustments made as necessary.
Stage Two: Neurostimulator Implantation:
Placement of the Neurostimulator: After accurate electrode placement, the patient is put under general anaesthesia, and a neurostimulator device, similar to a pacemaker, is implanted under the skin in the chest area.
Connecting Wires: Extension wires are tunneled under the skin from the electrodes in the brain to the neurostimulator in the chest.
Programming and Follow-up
Post-surgery, the neurostimulator is programmed to deliver the correct electrical impulses. This involves:
Initial Programming: The first programming session usually occurs a few weeks after surgery, where the neurologist adjusts the settings for optimal symptom control with minimal side effects.
Regular Follow-ups: Ongoing follow-up visits are necessary to fine-tune the stimulation settings and monitor progress, maximizing therapeutic benefits and minimizing potential side effects.
Post-Surgical Care
Recovery from DBS surgery involves physical and emotional adjustments. Post-surgical care includes:
Monitoring for Complications: Close monitoring for signs of infection, bleeding, or hardware issues.
Physical Therapy: Rehabilitation to help regain strength and mobility.
Psychological Support: Counseling to help the patient and their family adapt to changes and manage the emotional impact of the surgery.
Benefits and Outcomes
DBS surgery has been shown to significantly reduce symptoms in patients with neurological disorders, improving their quality of life. Benefits include:
Reduction in Symptoms: A marked decrease in tremors, rigidity, and other symptoms.
Improved Mobility: Better motor function and increased independence for many patients.
Medication Reduction: Reduced need for medication, decreasing medication-related side effects.
India's advanced medical facilities, experienced neurosurgeons, and cost-effective treatment options make it an excellent destination for DBS surgery. Patients considering this procedure should consult with top neurosurgeons and choose reputable hospitals to ensure the best outcomes.
Top Doctors for Deep Brain Stimulation (DBS) Surgery in India
Top Hospitals for Deep Brain Stimulation (DBS) Surgery in India
1. Apollo Hospitals, Chennai
Apollo Hospitals
on Greams Road in Chennai was established in 1983 by Dr. Prathap C
Reddy. It was India's first corporate hospital and is acclaimed for
pioneering the private healthcare revolution in the country. Over the
years, Apollo Hospitals has risen to a position of leadership, emerging
as Asia's foremost integrated healthcare services provider.
Location
Address: 21 Greams Lane, Off Greams Road, Thousand Lights, Chennai, Tamil Nadu 600006, India
City: Chennai
Country: India
Hospital Features
Established Year: 1983
Treatment Availability: International
Hospital Category: Medical
Status: Active
Visibility on Website: Yes
About Apollo Hospitals
Apollo
Hospitals has a robust presence across the healthcare ecosystem,
including hospitals, pharmacies, primary care, and diagnostic clinics.
The Group also has telemedicine units across 10 countries, health
insurance services, global projects consultancy, medical colleges,
Med-varsity for e-learning, colleges of nursing, and hospital
management.
Team and Specialties
Cardiology and Cardiothoracic Surgery:
Apollo Hospitals hosts one of the largest cardiovascular groups
globally, with around 14 world-class institutes, over 400 cardiologists
& cardiac surgeons, and 200 heart stations.
Robotic Spinal Surgery: Among the few centres in Asia to perform this advanced procedure, Apollo is at the forefront of spinal disorder management.
Cancer Care:
A 300-bedded, NABH-accredited hospital providing advanced technology in
diagnosis and radiation, supported by an oncology team of renowned
specialists and well-trained medical and paramedical professionals.
Gastroenterology: Offers the latest endoscopic procedures for gastrointestinal bleeding, cancers, foreign body removal, etc.
Transplant Institutes:
The Apollo Transplant Institutes (ATI) is one of the largest, most
comprehensive, and busiest solid transplant programs globally.
Liver Surgery:
Equipped with a 320-slice CT scanner, a state-of-the-art Liver
Intensive Care Unit & Operation Theatre, and various surgical tools
to enable safe & bloodless liver surgery.
Neurosurgery:
Recognized as a leader in acute neurosurgery, Apollo Hospitals,
Chennai, is among the top hospitals specializing in neuro care
worldwide.
Infrastructure
With the
experience of over one million health checks, Apollo Hospitals has
emerged as a key player in the corporate healthcare sector. Over 500
leading corporates, across all industry segments, have tied up with
Apollo Hospitals, providing their employees ready access to
sophisticated medical facilities at over 64 locations in India. The
corporate services initiative of Apollo Hospitals, Chennai, aims to
provide world-standard healthcare within the reach of every individual.
2. Fortis Memorial Research Institute (FMRI), Gurugram
Fortis Memorial Research Institute (FMRI)
in Gurgaon is a premier multi-super specialty, quaternary care
hospital. Known for its international faculty and reputed clinicians,
including super-sub-specialists and speciality nurses, FMRI is supported
by cutting-edge technology. The hospital aims to be the 'Mecca of
Healthcare' for the Asia Pacific region and beyond.
Location
Address: Sector - 44, Opposite HUDA City Centre, Gurgaon, Haryana - 122002, India
City: Gurgaon
Country: India
Hospital Features
Established Year: 2001
Number of Beds: 1000
Number of ICU Beds: 81
Operation Theaters: 15
Hospital Category: Medical
Treatment Availability: International
Status: Active
Visibility on Website: Yes
Specialties
FMRI excels in several medical specialities, including:
Neurosciences
Oncology
Renal Sciences
Orthopedics
Cardiac Sciences
Obstetrics and Gynecology
These specialities leverage advanced technology and top clinicians to deliver exceptional healthcare services.
Team and Expertise
International Recognition:
FMRI has been ranked No.2 of the 30 most technologically advanced
hospitals in the world by ‘topmastersinhealthcare.com,’ surpassing many
other outstanding medical institutions globally.
Patient Care:
Fortis hospitals treat over 3.5 lakh patients annually, relying on
reputed clinicians, state-of-the-art infrastructure, and world-class
technology such as the Da Vinci robot, ensuring patients go home
healthy.
Innovative Initiatives: FMRI's
initiatives range from customized preventive health checks to quaternary
care provided by super-specialized clinicians conducting rare and
complex surgeries.
About Fortis Healthcare
FMRI
is a flagship hospital of Fortis Healthcare, one of the top healthcare
providers in India. Fortis Healthcare is known for its commitment to
quality healthcare and patient safety, making FMRI one of the most
sought-after medical destinations in the region.
For more information or to schedule an appointment, please contact FMRI through the provided email addresses.
3. BLK-Max Super Speciality Hospital
BLK-Max Super Speciality Hospital
in New Delhi was established by Dr B L Kapur, an eminent Obstetrician
and Gynecologist. Originally set up as a charitable hospital in Lahore
in 1930, the hospital was reestablished in post-partition India in
Ludhiana and later in Delhi at the invitation of the then Prime
Minister. The hospital was inaugurated by Prime Minister Pt. Jawahar Lal
Nehru on January 2, 1959.
Location
Address: Pusa Rd, Radha Soami Satsang, Karol Bagh, New Delhi, Delhi, India
City: New Delhi
Country: India
About Hospital
History:
BLK Super Speciality Hospital was founded by Dr. B L Kapur. The
hospital celebrated its Silver Jubilee in 1984, marking its status as
Delhi's premier multispecialty institute.
Services:
The hospital offers services in General Surgery, Ophthalmology, ENT,
Dentistry, Pulmonology, Intensive Care, Orthopedics, and mother &
child care.
Capacity: Spread over five acres with 650 beds, BLK is one of the largest tertiary care private hospitals in India.
Facilities:
Outpatient services are spread across two floors with 60 consultation
rooms. The hospital has 17 state-of-the-art modular operation theatres
equipped with advanced technology.
Critical Care:
The hospital has 125 critical care beds in various intensive care
units, including Medical, Surgical, Cardiac, Pediatrics, Neonatology,
Neurosciences, and Organ Transplant units. Each unit is equipped with
high-end patient monitoring devices, ventilators, and dedicated
isolation rooms.
Infrastructure
Operation Theatres: 17 well-equipped modular operation theatres with three-stage air filtration and gas scavenging systems.
Critical Care: The hospital has one of the largest critical care programs in the region with 125 ICU beds.
Transplant Centers: Dedicated ICUs for Liver and Renal Transplants with specialized instruments and equipment.
Birthing Suites: Specialized birthing suites with telemetric fetal monitors and a dedicated operation theatre adjacent to the labour room.
Technology:
Advanced Building Management System, automatic pneumatic chute system,
Wi-Fi-enabled campus, and top-of-the-line Hospital Information System
(HIS) with contemporary electronic medical records (EMR).
Deep Brain Stimulation (DBS) Surgery Cost in India (USD)
The cost of Deep Brain Stimulation (DBS) surgery in India typically ranges from USD 18,000 to USD 40,000. However, it can vary depending on several factors, including:
Hospital location: Costs tend to be higher in major cities compared to smaller towns.
Neurosurgeon's experience: More experienced surgeons may command higher fees.
Type of DBS device: Rechargeable devices are generally more expensive than non-rechargeable ones.
Your medical condition and any pre-existing conditions: Additional tests or procedures might be needed, affecting the overall cost.
Here's a breakdown of estimated costs you might encounter:
The surgery itself: USD 17,500 - USD 24,000
Hospital stay: Included in surgery cost typically (3-7 days)
Neurosurgeon fees: Can vary depending on experience
DBS device: Rechargeable being more expensive
Deep Brain Stimulation (DBS) Surgery Success Rate in India
DBS surgery has a high success rate in India, with reported rates exceeding 95% for Parkinson's disease specifically. This means a significant portion of patients experience improvement in their symptoms.
However, success rates can vary depending on the underlying condition being treated. It's important to discuss realistic expectations with your doctor based on your specific situation.
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Risks and Complications
While treatment for bone tumours is generally effective, there are potential risks and complications, including:
Surgical Complications: Risk of infection, bleeding, and damage to surrounding tissues during surgery.
Chemotherapy Side Effects: Nausea, fatigue, and susceptibility to infections.
Radiation Therapy Side Effects: Skin irritation, fatigue, and potential long-term effects on bone health.
India provides world-class treatment options for bone tumours, featuring experienced medical professionals and state-of-the-art healthcare facilities. Patients can anticipate both high success rates and affordable treatment costs, positioning India as a preferred destination for bone tumour treatment. Consulting with top oncologists and selecting reputable hospitals are essential steps for ensuring optimal care and achieving favourable outcomes.
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India offers world-class DBS surgery at a fraction of the cost compared to Western countries, with top neurosurgeons and advanced medical facilities, making it a preferred destination for medical tourists seeking high-quality and affordable treatment.
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