Adding better quality to life is one of the main aims of modern medicine. The surgical wing of science has grown by leaps and bounds in the recent times that many a procedures could now be performed with the aid of Technology and its advancements.
When it comes to Neurosurgery, like any other niches, there has been teaming up of Neurosurgeons, Neurologists (NeuroPhysicians), Anaesthesiologists and Paramedics skillfully trained in handling the most advanced surgical equipment like Neuronavigation, Neuroendoscopes and Microscopes. Neurosurgery is one of the most advancing field in surgery, latest introduction being intraoperative MRI for Brain Tumors, 3-Dimensional and Virtual Reality guided advance Brain Surgery, Awake brain Surgery under Local Anesthesia and X-Knife Radiosurgery for Brain Lesions.
There are now more powerful ways of being able to see where one exactly is, may it be in brain or the spine, which promises further improvement both in terms of diagnostic accuracy and intraoperative techniques. Future being on simulation technology, there is ample scope of rehearsing a surgery if required or augment the actual procedure as the case may be. We being more inclined towards embracing what is today followed the world-over in Neuro-oncology and spine disorders, learning more about these subspecialties and adopting the same for the benefit of the masses has been our driving force.
Exploring the realm of Functional Neurosurgery - a breakthrough to tackle many a chronic neurological ailments, interdisciplinary collaboration in a cutting-edge environment has demanded coming together of allied expertise to ensure maximum positive outcome. Deep Brain Stimulation (DBS), MR-guided high-frequency ultrasound in neurosurgery - a noninvasive alternative treatment for approved indications such as essential tremor, Parkinson’s disease, intractable psychiatric disorders and expected future use in Alzheimer’s disease could reach the targets only if the concerned specialties join hands to achieve comprehensive results. “3-D printing technology assisted complex Brain and Spine surgery”, which is the latest in this segment, is yet another novel procedure that needs to be exploited to its best. With the need to coordinate more and more disciplines which possibly includes medical physics, clinical neurosurgery and clinical neuroscience, it is time now for many more Research Team join hands in the days to come.
When we’re born, our spine consist of 33 individual vertebrae.
Some of these vertebrae fuse together. The five vertebrae composing our sacrum become one bone and the coccygeal vertebrae – which can vary from three to five bones – fuse together as one. Thus, the tailbone is formed.
The middle portion of the back. You have five vertebrae in your lumbar spine area – the lower back. The cervical area, or the neck, is comprised of seven individual vertebrae.
Did you know that both humans and long-necked giraffes have seven cervical vertebrae? Impressive given the giraffe’s height; however, this demonstrates well the flexibility and versatility of the spinal structure.
Another interesting fact about the first cervical vertebrae is they’re referred to as Atlas, referencing the Greek mythological Atlas who was burdened with carrying the world on top of his shoulders (much like the neck supports and carries the weight of the head.)
Over 100 joints allow for the spine’s extreme flexibility and range of movement.
Did you know, if bent into a circle, nearly two thirds of the shape could be created due to the intricate and flexible formation of the spine?
Over one fourth of the spine’s total length is created from cartilage, the sponge-like substance that separates one vertebral disc from the next.
Cartilage can expand and contract. Interestingly, if gravity is removed (in space travel, for example) a person can return to earth taller than when he or she left. Oppositely, gravity’s pull on our bodies over the years shrinks cartilage, making us decrease in height as we age.
Most back pain, approximately 80%, doesn’t require medical treatment and typically subsides in one to two months. (If, however, back pain is persistent or acute, it’s recommended you seek medical attention.)
Backbones are surprisingly strong, however, and they can sustain the weight and pressure of hundreds of kilograms.
The spine has an excellent memory, and as such, it’s recommended that you take care to provide it with proper support from a young age.
Controlling your posture, engaging in strengthening the back muscles, as well as stretching are all beneficial to the long-term health of your spine.
Getting older. Back pain is more common the older you get. You may first have back pain when you are 30 to 40 years old.
Poor physical fitness. Back pain is more common in people who are not fit.
Being overweight. A diet high in calories and fat can make you gain weight. Too much weight can stress the back and cause pain.
Some causes of back pain, such as ankylosing spondylitis, a form of arthritis that affects the spine, can have a genetic component.
Some types of arthritis and cancer can cause back pain.
If you have to lift, push, or pull while twisting your spine, you may get back pain. If you work at a desk all day and do not sit up straight, you may also get back pain.
Your body may not be able to get enough nutrients to the disks in your back if you smoke. Smoker’s cough may also cause back pain. People who smoke are slow to heal, so back pain may last longer.
Advanced spinal surgery including complex instrumentation, management of complex cranio-vertebral junction anomalies, Spinal stabilization following spine injury, surgery for back pain,TB Spine, spinal tumours and intervertebral disc prolapse
A comprehensive program is offered to drug resistant epilepsy patients. Remember; not all patients with epilepsy will be subjected for surgical management. Patients are thoroughly evaluated and then selected for surgical management. Epilepsy surgeries ranging from invasive monitoring to multilobar resections and hemispherotomies are in practice.
Ailments requiring surgical management with regard to skull-base calls for highly specialised set up. They require complex surgical procedures which are performed using sophisticated state-of-the-art intraoperative monitoring and neuronavigation techniques.
Pituitary adenomas and anterior skull base lesions, etc are neuro-surgical interventions done without opening the skull. Endoscopic endonasal procedure is adopted in these cases that have proven success rates with minimal invasion.Endoscopic third ventriculostomy(ETV) and ventricular tumors are removed thro endoscopic techniques with a small opening in the skull.
Traumatic injuries to peripheral nerves and brachial plexus and tumour involving the peripheral nerves are part of neurosurgery procedures
Bulk of Neurosurgical procedures done for brain and spinal cord are for benign and malignant tumours. The operative procedures are performed using state of the art microscopes with intraoperative monitoring. Selected cases are operated using awake craniotomy. Surgical aids such as neuronavigation, intraoperative ultrasound, intraoperative CT are used in the management of complex lesions.
Surgical management has shown much benefit in select patients suffering from diseases like Parkinson’s. The surgical management is called Deep Brain Stimulation which involves placement of a pacemaker
These are specialised conditions where time is life and hence surgical management throws ample challenge to overcome with a multidisciplinary approach. Surgical services for all types of traumatic bleeds, brain injuries requiring decompression, Spinal fractures etc are offered.
Surgical management of aneurysms, AVMs and related microvasular surgeries are undertaken.
This is one of the most widely recommended type of spine surgery for conditions caused by spondylolisthesis and stenosis. The surgery involves removing parts of the back bone, to relieve pressure on the spinal nerves. The surgery is usually performed in combination with spine fusion surgery when instability of spine is suspected. A portion of the lamina, which is a layer of the bone that covers the top of the spinal cord is removed. By removing the lamina, the pressure on the spinal cord is released, which helps in reducing the pain.
An artificial disc is used to replace the damaged spinal disc, which is present between the vertebrae. This surgery permits continued spine mobility.
This surgery involves joining two vertebrae together to increase spine stability. This results in restricted movements and limits stretching of nerves. Spinal fusion might help one feel better if back pain is caused by instability of bone
It is a type of spine surgery that is used to treat the herniated disc in the vertebrae. A disc separates two vertebrae and if it herniates inwards it presses on the spinal nerves causing pain. In discectomy all or part of the disc is removed.
It is done to remove the herniated disc which is pressing on the spinal nerves and causes pain. A small incision is made and the operation area is viewed through a camera called the endoscope. A small incision is made in the body and the camera is used to reach the exact spot that is to be operated upon. In this process, the surgeon removes the herniated disc that is pressing on the spinal nerve, thereby eliminating the pain.
This surgery is recommended for patients who are suffering from herniated cervical disc. The procedure is carried out to reduce the discomfort and pressure on the patient’s arm by removing the herniated cervical disc, filling that space with bone graft material. In some cases, the surgeons implant screws or plates to increase the stability.
I, S.A.Venkatraman, aged 74 yrs... Though I had a By-pass surgery in 2000, I was leading a normal simple life after retirement. However, 3 years ago (2014), I suffered severe pain in the thigh (femur) portion of right leg and was finding it very difficult to walk or stand continuously even for 30 minutes. Dr. Venugopal S , Neurosurgeon, whom I consulted with MRI scan , advised that I can recover fully from the leg pain, if I undergo surgery. I was afraid of surgery being a spinal operation and keeping in mind my age factor. Dr. Venugopal S was firm that neither physiotherapy nor medications would give me permanent relief. But I took a chance with physiotherapy which gave relief. However, after some months same pain started in left leg. Again I went for physiotherapy and also tried Ayurveda. Unfortunately there was no relief and at one stage I could not walk or stand for 5 minutes. Again in January 2018, I consulted Dr. Venugopal S. He again said that I was suffering leg pain because of nerves disorder in the lower back and spinal surgery was only the best treatment to get rid of pain permanently. As I am staying in first floor, he assured me that I could even climb up the stairs after surgery. I found his words were so encouraging and convincing and agreed for surgery. At last on 21/2/18, Dr. Venugopal S did the surgery at Sagar Hospitals , Jayanagar , Bengaluru . True to his words and encouragement, now, after two months from surgery, I have completely recovered, and feel free from leg pain and find no difficulty in standing or walking continuously even beyond 30 minutes! I hereby convey my sincere thanks to Dr. Venugopal S .
I would like to thank you for being a ‘True healer’ to my father, shri S.A Venkatraman. I have seen him struggling with pain and felt helpless. I couldn’t do anything. I am so grateful to you and ‘Thank you’ sincerely for helping my father
Hello sir! My self Shaik Rahmatullah. I would like to share my problem, which is now a story of the past; from which u have given me such a great relief ....8 years back i met with an small accident it got badly hurt to my hand and then slowly …slowly it got severe and it makes me difficult to lift my hand and even to lift any heavy weight. I consulted many doctors in india as well as in saudi arabia but no one cured it but finally by Gods grace i got your number, name and address..and soon i consulted u sir (Dr.venu gopal.S) and u found my problem and operated me from that time its been 4 years sir ALHAMDULILLAH i m doing well and i dont have any problem in lifting weight and my hand s really doing well now ...All thanks to u sir (Dr.Venu gopal) to give me such a relief and hope that Great doctors like u are there to help many people and give awareness... Once again sir Thanks alot. From-shaik Rahmatullah Address-Al hasa ,Saudi Arabia.
- Saudi Arabia
Hello sir, I am Tufan Palit. Last one year I had been suffering from spinal cord tumour n Sr.Venu gopal did my surgery. After surgery i am fully cured. I am able to do my regular job. I am fully obliged to renowned respected Dr Venu gopal sir.
- West Bengal
My wife, Janaki Devi suffered with headache and vomiting for 10 days during January 2016. We the family members have consulted Dr. Venugopal S for treatment. Dr. Venugopal rightly diagnosed the problem and conducted operation. We still remember the day when my wife admitted to hospital for surgery. It is one of toughest times in our life. The personal attention and kindness shown by the doctor helped us overcome our fears about surgery. The counseling we received from the doctor before undergoing the surgery was crucial in my wife's speedy recovery. Thanks to Dr.Venugopal for effective analysis and diagnosis. At present my wife Janaki Devi is doing well.
The first time I met Dr. Venugopal was at 12.45 am in October 2015. I saw him walk calmly into the operation room where my son was admitted and the doctors were waiting for him. My 10.5 month old son had a traumatic brain injury that needed immediate life saving surgery. I cannot imagine what would have happened if Dr.Venugopal did not come at the middle of the night for the surgery. He came across as very calm , reliable and knowledgeable. He asked the right questions to understand the cause of the injury but was empathic enough to not probe us with too many questions. I felt that was so important as were going through terrible times as parents. It was not just the surgery, the case needed many post surgery consultations and procedures which he completely took responsibility of and was extremely responsive on calls. He put up with our doubts and concerns and answered everything patiently. He went out of his way to research and identify the best material for cranioplasty which will be most compatible for an infant's head. Overall I am extremely thankful and forever grateful to Dr.Venugopal for his strong expertise and support when we most needed it.
- Analytics Manager
Hi. I am Aditya, an analytics consultant in Bangalore. I have known Dr Venugopal for a little more than three years now. The first time I met him was in the most trying circumstance of my life. My 10 month old son had a subdural hematoma with midline shift. Simply put a severe head injury which required a major surgery. Thankfully the surgery done by Dr Venugopal went well and my son has recovered well from the accident. The three things we look for in a doctor - calmness, patience and responsiveness. He checks all the boxes. He has answered all our questions with great care and patience. He simplifies his answers to ensure we understand them. He gave us the contact number to his personal line. Barring the times he is in surgery he has always been reachable. At times when we don't get him on the line he always makes it a point to respond later. The experience thru surgery and multiple consults hence for post surgery care has been very reassuring and comfortable. Thanks for all the help doctor.
- Analytics Consultant
We are from Boyamusalanagari palli (village), Puttaparthi talika, Ananthpur Dist. AP. My son L.Lohik Reddy S/o Akkula Reddy was ill and was operated on the neck at Sagar Hospital. Dr.Venugopal had done the surgery on 28.2.2018. My son is recovered completely now. He is able to walk now. He was not able to have his neck movements properly. Surgery was done by Dr.Venugopal and he not feeling any discomfort now. At present his health is stable.
A case of Craniopharyngioma (Brain tumor), underwent Stereotactic assisted placement of catheter into the tumor cyst..
I would like to share, my daughter is at the age 4 yrs 6 months and had openly head pain and had showed to all different doctors for which result was same. Finally, we have reached out to Dr.Venugopal. Dr.Venugopal had spent a huge amount of time with us on the visit and then he had advised to do diagnosis and it is been identified as tumor and immediately it is been operated and it took almost 8 hrs of operation which was huge pain for parents to bear and during this time we prayed, prayed and prayed more for the quick recovery of my daughter. We believe, our prayer was answered through competent, caring and composed doctors; Dr.Venugopal and team it was successfully removed and now the baby is normal and good. Dr.Venugopal is far and away the best doctor I have ever met and nothing I can say really does justice to the man: he is extremely intelligent, a compassionate and caring person and a truly outstanding doctor. I count myself truly lucky to have found him.
30yrs old patient from Assam who underwent surgery for Cervical spine severe deformity (kyphosis)
I am happy to put on record that my son, now two and a half years old, is progressing well. Unfortunately, at his time of birth he suffered with Intraventricular brain hemorrhage, for which Dr. Venugopal treated him successfully by putting a temporary subgaleal shunt. Dr.Venugopal, to my perception is not only a competent clinician and Neurosurgeon par excellence, but also he is gem of a person who is very compassionate and understanding towards his patients.
He was always ready to explain us the tough situations and handled them with the most feasible solution in the best favor of the child. We found him to be very confident and skilled with the most advanced specializations in his field, which always gave us a comfort feeling of being in the right hands.
May God bestow his blessings on Dr.Venugopal for the good of humanity. I strongly recommend him to all patients looking for similar treatments.
Thanks a lot doctor for what you have done for me and my family!
I am Sudha residing in Ramanagar district. My daughter (Yogita) by birth had a defect in her right side of chest, it was affecting her growth. Till her age of 12, we did not notice that this was causing her some problem. After 12 yrs she started complaining of pain. Then we took her to a nearby hospital in Ramanagar wherein they advised me to consult Dr.Venugopal. Then through some known sources we consulted the doctor who prescribed some investigations. After going through the reports, he informed that surgery at this stage would benefit the patient. Later on she was taken to surgery and was successful. Now the treatment given to my daughter had a speedy recovery and their is no hurdles in her growth. Hence we are thankful to the doctor we are grateful to him as he is the reason for my daughter's healthy recovery.
Myself Praveen Simhasana hail from Hanumasagar, Kaustagi talk, Kopalla district. The surgery was performed on my backbone to make it straight and normal.It is successful and I am grateful to u sir. I'll never forget this incident till my end. Due to your grace, I regained my health and confidence to lead a normal life style and I am able to carry on my day to day work.