SURGICAL CLIPPING SURGERY IN INDIA
The patient is put under general anesthesia, and then prepped for surgery. The head is stabilized to make sure it does not move during the surgical procedure. Depending upon where the aneurysm is, an incision is typically made behind the hairline or on the back of the head. Next, a section of bone, or bone plate, is removed from the skull. The surgeon approaches the aneurysm in the cleft between the skull and the brain and not through brain tissue. Under a microscope, the aneurysm is then carefully separated from the normal blood vessels and brain.
What is aneurysm clipping ?
The goal of surgical clipping is to isolate an aneurysm from the normal circulation without blocking off any small perforating arteries nearby. Under general anesthesia, an opening is made in the skull, called a craniotomy. The brain is gently retracted to locate the aneurysm. A small clip is placed across the base, or neck, of the aneurysm to block the normal blood flow from entering. The clip works like a tiny coil-spring clothespin, in which the blades of the clip remain tightly closed until pressure is applied to open the blades. Clips are made of titanium and remain on the artery permanently.
Aneurysms vary in their size and shape. Saccular aneurysms have a neck at their origin on the main artery and a dome that can expand and grow like a balloon. These are the easiest to place a clip across. Some aneurysms have a wide neck or are fusiform in shape having no defineable neck. These are more difficult to place a clip across. Since aneurysms have various neck configurations, clips are made in a variety of shapes, sizes, and lengths
The surgical decision Surgery in india
Endovascular Coiling v. Surgical Clipping Surgery in india
The study found that, in patients equally suited for both treatment options, endovascular coiling treatment produces substantially better patient outcomes than surgery in terms of survival free of disability at one year. The relative risk of death or significant disability at one year for patients treated with coils was 22.6 percent lower than in surgically-treated patients.