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DEPARTMENT OF SURGICAL ONCOLOGY

Brain Cancer Surgery

Brain cancer surgeries are complex procedures aimed at removing as much of the tumor as feasible while preserving neurological function. Performed by highly skilled neurosurgeons, these surgeries are influenced by the tumor’s type, location, and size.

Treatment Overview

Brain cancer surgery is a critical component of the comprehensive cancer care offered at Kolhapur Cancer Centre (KCC). As a leading facility in the Kolhapur, Ratnagiri, Sangli, and Kokan regions, KCC is committed to providing top-tier surgical care for brain cancer patients. The objective of this guide is to empower patients with practical and actionable information, making the surgical journey more navigable and less daunting.

Introduction to Brain Cancer Surgeries

Brain cancer surgeries are complex procedures aimed at removing as much of the tumor as feasible while preserving neurological function. Performed by highly skilled neurosurgeons, these surgeries are influenced by the tumor’s type, location, and size. The primary goal is often to alleviate symptoms by reducing tumor burden, improving quality of life, and, when possible, achieving a cure.

When and Why Surgery is Recommended ?

Surgery is often the first line of treatment for brain tumors, particularly when a tumor is accessible and can be differentiated from surrounding brain tissue. It is recommended to relieve pressure on the brain, improve neurological symptoms, provide tissue for diagnosis, and as a preparatory step for adjunctive therapies like radiation or chemotherapy.

Types of Brain Cancer Surgeries

There are several important types of surgeries associated with brain cancers:

  • Craniotomy: A surgical opening made in the skull to access and remove the tumor.
  • Endoscopic Surgery: Utilizing minimally invasive techniques through small incisions, reducing recovery time.
  • Stereotactic Brain Biopsy: A method to obtain a small tissue sample from the tumor for diagnostic purposes.
  • Awake Brain Surgery: Performed while the patient is awake to preserve eloquent brain areas responsible for critical functions like speech.

Key Facts

  • Over 100 types of brain tumors exist, necessitating a tailored surgical approach for each type.
  • The success of brain cancer surgery significantly depends on early detection and accurate diagnosis.
  • Advances in surgical technology, such as intraoperative MRI and neuronavigation, have enhanced outcomes and safety.

Developing a Treatment Plan

A personalized cancer treatment plan is devised through a multidisciplinary approach, taking into account the type of tumor, stage, patient health, and individual preferences. At KCC, this includes consultations with various specialists who collaboratively design a plan that may involve surgery, radiation, chemotherapy, or a combination thereof to maximize efficacy and reduce recurrence.

Transitioning towards prepping for surgery, the next critical step in your treatment journey involves understanding and preparing for the upcoming surgical procedures, ensuring you are both physically and mentally ready. In the next section, we will delve into the “Pre-Surgical Preparations” necessary for optimal surgical outcomes.

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Pre-surgical Preparations and Planning

Preparing for brain cancer surgery is a crucial aspect of the treatment process, requiring careful planning and coordination. The preparatory phase often begins with detailed consultations with your surgical team to discuss the procedure, potential risks, and expected outcomes.

It is essential to provide your brain surgeon with a comprehensive medical history, including any medications you are currently taking, allergies, and previous surgeries.

Pre-operative tests may include blood work, imaging tests such as MRI or CT scans, and assessments of heart and lung function to ensure you are fit for surgery. Your doctor may advise you to adjust or discontinue certain medications prior to the operation.

Nutritional support and lifestyle modifications, such as quitting smoking, may also be recommended to enhance recovery and reduce the risk of complications.

Mentally preparing for surgery is just as important as the physical aspect. It is vital to discuss any concerns or questions with your medical team to alleviate anxiety and ensure you are well-informed about the procedure.

Additionally, arranging for post-operative care and support, whether at home or in a rehabilitation setting, should be part of your pre-surgical planning, ensuring a smoother transition and recovery following the surgery.

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What to Expect and What Happens During Surgery?

Undergoing brain cancer surgery is a significant step in the treatment journey and understanding what to expect during the procedure can help in easing apprehensions.

Typically, the surgery is performed under general anaesthesia, ensuring that the patient remains unconscious and pain-free throughout the process. The surgical team, including neurosurgeons, anaesthetists, and specialised nurses, will employ advanced imaging techniques to precisely locate and access the tumour while minimising impact on surrounding healthy brain tissue.

The length of the surgery can vary depending on the complexity of the tumour’s location and size. In some cases, a technique called ‘awake brain surgery’ may be used, where the patient is brought back to a semi-conscious state temporarily during the procedure.

This allows the surgical team to monitor critical brain functions in real time and ensure key areas such as those controlling speech or movement are not adversely affected.

After the operation, patients are typically moved to a recovery unit or intensive care for close monitoring. Initial post-surgical effects may include swelling, headaches, or seizures, which the medical team will manage with appropriate medications.

Understanding these aspects of brain cancer surgery can help patients and their families prepare for the procedural day and support a smoother overall experience.

Potential Risks & Complications

While brain cancer surgery can be a pivotal step in treatment, it does carry potential risks and complications. Patients might face infection, bleeding, or blood clots, which need immediate medical attention.

Swelling or edema in the brain is another concern that can lead to increased intracranial pressure. This may manifest as severe headaches, nausea, or vision changes.

Neurological deficits, such as weakness, numbness, or difficulty with speech and movement, can also occur depending on the surgery’s location.

When to see specialist?

It is crucial for patients and their families to be vigilant about symptoms that may require specialist attention. Any sudden or worsening neurological symptoms, such as confusion, persistent vomiting, seizures, or loss of coordination, should prompt an immediate visit to a brain specialist.

Regular follow-ups with a specialist are essential for detecting changes that may not be apparent through self-monitoring. Maintaining open communication with the medical team ensures timely intervention should complications arise, facilitating rapid response to any concerning developments.

Post-Operative Care

Post-operative care is a crucial component of the recovery process following brain cancer surgery. Upon discharge from the hospital, patients will be provided with a detailed plan that includes medications, follow-up appointments, and activity guidelines. It’s necessary to take prescribed medications as directed, which may include pain relievers, anti-seizure drugs, or steroids to reduce inflammation.

Regular follow-up visits are essential to monitor progress and detect any potential complications early. During these appointments, brain doctor may perform imaging tests to assess healing and ensure there are no signs of tumour regrowth.

Patients are often advised to gradually resume daily activities, taking care to avoid strenuous exertion until fully cleared by the medical team. Family and support networks play a vital role in aiding recovery, providing assistance with daily tasks and offering emotional support.

Additionally, cognitive and physical therapy may be recommended to help regain any lost functions and improve overall quality of life. By adhering to the post-operative care plan, patients can optimise their recovery and improve their long-term outlook.

Recovery Timeline

Recovery from brain cancer surgery is highly individualized and can vary greatly depending on factors such as the type and location of the tumor, as well as the patient’s overall health and age. However, a general recovery timeline may include:

  • Immediate Post-Surgery (Days 1-7): Patients typically remain in the hospital for monitoring and initial healing. This period involves pain management, initial physical therapy, and close observation to address any immediate complications.
  • Short-Term Recovery (Weeks 2-6): During this phase, patients gradually increase their activity levels. Outpatient therapies, such as physical, occupational, and speech therapy, may be initiated. It is a crucial time for monitoring and managing swelling and other symptoms.
  • Mid-Term Recovery (Months 2-6): Patients may begin to experience marked improvements in strength and cognitive function. Continued therapy can help in regaining lost skills and adapting to any lasting neurological deficits. Regular check-ups with specialists to evaluate recovery progress and adjust care plans are essential.
  • Long-Term Recovery (6 Months and Beyond): This phase may involve the completion of rehabilitation therapies and adjustment to a new normal. Ongoing monitoring through regular MRIs and neurological assessments helps ensure that any recurrence is detected early. Long-term care plans focus on maintaining a good quality of life and managing any chronic symptoms.

It is important for patients to have realistic expectations and remain patient throughout the recovery process, as it can take time to achieve optimal recovery results.

Consult us

For personalised guidance and to explore the most advanced treatment options, patients are encouraged to consult our expert brain cancer specialist.

They offer comprehensive assessments and tailored treatment plans to address each individual’s unique circumstances, ensuring the best possible care and support throughout the cancer journey.

Whether it’s through cutting-edge therapies or compassionate support services, our specialist is dedicated to improving outcomes and quality of life for brain cancer patients.

Key Facts About Surgery

  • Brain cancer surgery removes tumors while protecting important brain functions.

  • Imaging tools help surgeons target the tumor precisely.

  • Sometimes, patients stay awake during surgery to protect speech or movement.

  • Recovery includes monitoring for issues and may need therapy for regaining skills.

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