Ventriculoperitoneal (VP) Shunt Surgery in india
As of 2020, the estimated cost of VP Shunt Surgery in India typically starts at $6000 and may go up to as much as $10,000. The cost varies depending on the hospital charges and the fee charged by the surgeon. It’s important to note that this price usually does not cover post-operative rehabilitation and medications. Additional costs may involve diagnostics before the surgery and preoperative consultations.
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What is VP Shunt Surgery?
VP shunt surgery is a procedure aimed at removing excess cerebrospinal fluid (CSF) that circulates around the brain and spinal cord. This excess fluid can cause harmful pressure on the brain and skull, a condition known as hydrocephalus.
Symptoms of Hydrocephalus:
The most common symptoms of hydrocephalus include headaches, double vision or blurred vision, poor coordination, nausea and vomiting, irritability, problems with thinking and memory loss (e.g., confusion), trouble with balance and walking, loss of control over urination, changes in behavior.
Purpose of VP Shunt Surgery:
To alleviate the effects of excess CSF on the brain, a VP shunt is placed into the head. The shunt redirects the excess fluid from the brain to the abdomen, where it is absorbed by the body. This helps reduce the pressure and swelling in the head.
Risks and Complications of VP Shunt Surgery:
Undergoing general anesthesia for VP shunt surgery is generally safe for most people, but some individuals may experience adverse effects such as breathing problems, changes in blood pressure, and changes in heart rate.
Signs that a VP shunt may not be functioning correctly include redness or swelling where the catheter passes under the skin, loss of coordination or balance, persistent vomiting, unrelenting headaches, extreme fatigue, difficulty staying awake, irritability.
Components of VP Shunt Surgery:
A VP shunt consists of three main components: a one-way valve with a reservoir, a short catheter (thin, flexible tube), and a long catheter. The valve controls the movement of fluid and is attached to the short catheter to drain fluid away from the brain. The short catheter can be placed in various locations on the head, and the long catheter is connected to the valve and tunneled under the skin, down the neck, behind the ear, and into the abdomen.
Preparation for VP Shunt Surgery:
Preparation for VP shunt surgery may involve stopping alcohol consumption, discontinuing vitamin E intake, avoiding herbal remedies and supplements, discussing existing medications, disclosing allergies, addressing concerns about smoking and sleep apnea, and following specific fasting instructions before the surgery.
Pre-Surgical Testing:
Before the surgery, various tests such as an electrocardiogram (EKG), chest x-ray, blood tests, CT scan, and MRI of the brain may be conducted to plan the surgery and ensure the patient’s well-being.
During the VP Shunt Surgery Procedure:
The VP shunt surgery is performed in the operating room under general anesthesia and typically takes about 1 1/2 hours. The surgeon makes three small incisions: one in the head, one in the neck, and one in the abdomen to correctly place the catheters. The catheters are inserted under the skin and directed from the head to the abdomen, allowing for proper drainage of excess CSF.
After the VP Shunt Surgery:
After the surgery, the patient is taken to the recovery area and then moved to a hospital room or the ICU, depending on their condition. The recovery period generally takes 3-4 days, and most patients can leave the hospital within 7 days post-surgery. During hospitalization, the patient’s vital signs are monitored, and preventive antibiotics may be administered. The doctor ensures that the shunt is functioning correctly before the patient is discharged.
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Recovery from VP Shunt Surgery:
During the recovery period, patients may undergo monitoring, including questions about their orientation, movement tests, and pupil reactions to a light source to assess brain function. A follow-up CT scan may be conducted a week after the surgery to confirm the proper placement of the catheter.
Overall, VP shunt surgery is an important medical procedure that can significantly improve the quality of life for individuals suffering from hydrocephalus by relieving pressure on the brain through the proper drainage of excess cerebrospinal fluid. The cost of this surgery in India can vary based on several factors, including the hospital, surgeon fees, diagnostics, and post-operative care. It’s essential to consult with medical professionals and plan accordingly for this surgical intervention.
Frequently asked questions (FAQs)
Q1: What is hydrocephalus, and how does it relate to VP shunt surgery?
A1: Hydrocephalus is a condition characterized by an abnormal accumulation of cerebrospinal fluid (CSF) in the brain, leading to increased pressure and potential damage. VP shunt surgery is a procedure to manage this condition by diverting excess CSF away from the brain to alleviate pressure.
Q2: How long does the VP shunt surgery procedure typically last?
A2: The VP shunt surgery procedure usually takes about 1 1/2 hours to complete. However, the overall time can vary based on individual circumstances and the complexity of the surgery.
Q3: Are there any risks associated with VP shunt surgery?
A3: Yes, like any surgical procedure, VP shunt surgery carries certain risks. These can include infection, bleeding, complications related to anesthesia, malfunction or blockage of the shunt, over-drainage or under-drainage of CSF, and in rare cases, damage to brain tissue.
Q4: How long is the recovery period after VP shunt surgery?
A4: The recovery from VP shunt surgery typically takes around 3-4 days in the hospital, with most patients being able to leave within 7 days post-surgery. However, the complete recovery and return to normal activities may take several weeks, during which follow-up appointments with the medical team are essential.
Q5: Can the VP shunt settings be adjusted after surgery?
A5: Yes, if a programmable VP shunt is used, the settings can be adjusted by the healthcare provider to control the drainage of CSF based on the patient’s needs. However, non-programmable VP shunts have predetermined settings that cannot be changed.
Q6: What are the signs that indicate a potential issue with the VP shunt after surgery?
A6: Signs that the VP shunt may not be functioning correctly include redness or swelling where the catheter passes under the skin, loss of coordination or balance, persistent vomiting, unrelenting headaches, extreme fatigue, and irritability. If any of these signs are observed, medical attention should be sought promptly.
Q7: How frequently should follow-up appointments be scheduled after VP shunt surgery?
A7: Follow-up appointments after VP shunt surgery are typically scheduled as per the surgeon’s recommendation, which may include immediate post-operative visits and subsequent check-ups over several months. The frequency of these appointments is essential for monitoring the shunt’s functionality and the patient’s overall progress.
Q8: Are there lifestyle restrictions following VP shunt surgery?
A8: While there may be restrictions immediately after surgery, most patients can eventually resume normal activities. However, individuals with VP shunts should avoid certain activities that could potentially harm the shunt, such as high-contact sports or activities involving rapid changes in pressure, like scuba diving. It’s crucial to consult the healthcare team for specific guidelines.
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IBS Institute of Brain and Spine
Number of beds: 50
ICU Beds: 12
Airport Distance: 15 Km
About Hospital:
- Established in 2011, IBS Hospital specializes in advanced neurosurgery, neurology, spine surgery, and joint replacement surgeries.
- The hospital receives more than 600 international patients per year.
- It has world-class infrastructure and a dedicated team of specialists and qualified staff.
Medanta The Medicity Hospital
Number of beds: 1250
ICU Beds: 300
Airport Distance: 18 KMs
Brief About:
- Medanta – The Medicity is amongst India’s largest and most renowned multi-super speciality healthcare centre with 1250 beds, 29 super speciality units and more than 800 accomplished doctors.
- Supported by state-of-art infrastructure, all the departments in the hospital are fully equipped with cutting-edge technology, modular Operation Theatre and modernized monitoring systems in ICUs.
- The panel of doctors from Medanta, headed by A.S.Soin performed the first successful intestinal transplant in India.
Max Super Specialist Hospital Saket
Number of beds: 500
ICU Beds: 267
Airport Distance: 13 KM
Brief About:
- Max Super Speciality Hospital at Saket is one of the topmost healthcare service
- Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
- With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.
BLK-Max Super Speciality Hospital
Number of beds: 700
ICU Beds: 175
Airport Distance: 13 Km
Brief About:
- BLK Super Speciality Hospital was established by Dr. B.L. Kapur in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
- BLK Super Speciality Hospital was established by Dr. B.L. Kapur in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
- BLK has a unique combination of the best in class technology, put to use by the best names in the professional circles to ensure world-class health care to all patients.
Artemis Hospital Gurgaon
Number of beds: 600
ICU Beds: 185
Airport Distance: 19 Km
Brief About:
- Artemis Hospital, established in 2007, spread across 9 acres, is a 600plus bed; state-of-the-art multi-speciality hospital located in Gurgaon, India.
- Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon.
- Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.
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Sanar International Hospital
Number of beds: 130
ICU Beds: 35
Airport Distance: 20 Km
About Hospital:
- Sanar International Hospital was established in 2018.
- Sanar International Hospital founded by Mr. Naresh Kapoor.
- Sanar International Hospital offers comprehensive advanced surgical care in specialties like Cancer, Heart, Blood and Marrow Transplant, Lung, Liver, and Neurosciences along with other major departments with advanced state-of-the-art facilities.
Fortis Memorial Research Institute
Number of beds: 1000
ICU Beds: 298
Airport Distance: 17 KMs
Brief About:
- Fortis Memorial Research Institute was established in 2001.
- It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
- Fortis Hosptial Gurgaon is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.
Indraprastha Apollo Hospital
No. of beds: 900
ICU Beds: 262
Airport: 20kms
Brief About:
- Indraprastha Apollo Hospital is a flagship hospital of India’s foremost healthcare groups,the Apollo Group. It is a highly renowned multi-speciality facility that offers tertiary and quaternary care services to domestic and international patients.
- The 900 bedded hospital is outfitted with the most modern technology for diagnostics as well as therapeutic purposes.
- A team of highly trained medical professionals work under all the 52 specialities at the hospital.
Accord Superspeciality Hospital
Number of beds: 380+
ICU Beds: 41
Airport Distance: 46 Km
About Hospital:
- The story of Accord began with the thought of leveraging the new age technology with the healthcare infrastructure to serve the patients, rightly, effectively, and timely.
- Accord Superspeciality Hospital (A Unit Of SCL Healthcare Pvt. Ltd) is India’s first smart hospital and one of the first of its kind in the world.
- Accord Superspeciality Hospital aims at providing technologically advanced healthcare services to international patients who are looking out for medical tourism in India.
CK Birla Hospital
Number of beds: 75
ICU Beds: 15
Airport Distance: 20 Km
About Hospital:
- CK Birla Hospital is a part of $1.8 billion diversified and one of India’s most popular business houses- CK Birla Group
- The CK Birla Hospital for Women aims to improve the quality of healthcare with an emphasis on UK NHS guidelines for nurse and midwife training with policies and protocols adapted from UK’s National Institute for Health & Care Excellence (NICE) guidelines.
- Our state-of-the-art technology and facilities which have been set up by a team of international consultants.
- The hospital, spread over 78,000 sq ft having spacious patient rooms and suites with all amenities, outpatient rooms, advanced labour and recovery rooms, state-of-the-art diagnostics, physiotherapy unit, an advanced IVF unit with a modular egg collection theatre, andrology lab, IVF lab, IUI/embryo transfer facility and a cryo store.
W Pratiksha Hospital
Number of beds: 110
ICU Beds: 31
Airport Distance: 19 KMs
About Hospital:
- Established in 1995, W Pratiksha Hospital is a 110+ bedded flagship hospital of the Pratiksha group.
- W Pratiksha Hospital in Gurgaon, the flagship hospital of Pratiksha Group is a one-of-its-kind facility in Gurgaon that brings to you 30 years of experience.
- The hospital has treated more than 25,000 people In 2018.
Jaypee Hospital Noida
Number of beds: 525
ICU Beds : 150
Airport Distance: 32 KMs
About Hospital:
- The Jaypee Hospital was conceptualized by a revered Founder Chairman, Shri Jai Prakash Gaur in 2014, with the vision of promoting world-class healthcare amongst the masses by providing quality and affordable medical care with commitment.
- Jaypee Hospital at Noida is the flagship hospital of the Jaypee Group, which heralds the group’s noble intention to enter the healthcare space.
- This hospital has been planned and designed as a 1200 bedded tertiary care multi-speciality facility and has commissioned 525 beds in the first phase.
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