Microvascular Decompression

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Minimum Cost

₹2,50,000

Average Cost

₹2,80,000

Maximum Cost

₹3,00,000

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microvascular decompression cost in India depends on factors like the city, hospital and doctor.
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What is Microvascular Decompression Surgery?

Microvascular decompression surgery is performed to relieve pressure on the cranial nerves. A small incision is made behind the ear. A microscope is used to locate the affected nerve. The pressure on the nerve is relieved by identifying and moving the blood vessel that is compressing the nerve. Once this is done, a small piece of Teflon is placed between the vessel and the nerve to prevent further compression. The surgery is often used to treat trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia.

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Types of Microvascular Decompression Procedure

Endoscopic Microvascular Decompression

Endoscopic microvascular decompression is a minimally invasive surgery. An endoscope is inserted through a small scalp incision. This allows the doctor to see the affected nerve without needing a large incision. This type of surgery is often preferred because it is less invasive and has a shorter recovery time. Patients who undergo endoscopic microvascular decompression often get less pain and fewer complications than those who undergo traditional microvascular decompression.

Traditional Microvascular Decompression

The doctor makes a larger incision behind the ear. He/She then uses a microscope to locate the affected nerve. The doctor identifies the blood vessel compressing the nerve and moves it. A small piece of Teflon is placed between the nerve and vessel to prevent further compression. This surgery is more invasive and has a longer recovery time than endoscopic microvascular decompression. However, it may be needed in cases where the affected nerve is difficult to access. Doctors use microvascular decompression surgery to treat painful conditions. Examples of such conditions are trigeminal neuralgia and hemifacial spasm. These can cause severe pain and discomfort, and traditional treatments may not be effective. Microvascular decompression surgery offers a long-term solution for chronic pain by addressing the exact cause of the problem.

Minimal Scarring Endoscopic Microvascular Decompression

This involves a small incision in the scalp and leaves minimal scarring. Patients who get this surgery can resume normal activities within a few weeks. Traditional microvascular decompression involves a larger incision behind the ear and may leave a visible scar. However, the scar can often be hidden by hair. Microvascular decompression surgery is very effective in relieving chronic pain conditions. Up to 90% of patients experience symptom relief after the surgery. Microvascular decompression surgery is safe and effective for chronic pain conditions. The surgery can be conducted using an endoscope. It is a minimally invasive approach with less scarring and a shorter recovery time. Traditional microvascular decompression may be necessary when the affected nerve is difficult to access.

When Is Microvascular Decompression Operation Required?

This surgery is usually required to treat trigeminal neuralgia, a medical issue characterized by severe facial pain.

It may also be performed in cases of hemifacial spasm, a condition in which involuntary contractions affect one side of the face.

This surgery may be recommended for patients with glossopharyngeal neuralgia. In this condition, there is severe pain in the throat, tongue, and ear.

How to Prepare for Microvascular Decompression Surgery?

Before the surgery, patients need to undergo a thorough medical evaluation. It may include:

A comprehensive medical history and physical examination

Diagnostic imaging tests like MRI or CT scans

Electrophysiological tests to evaluate nerve function

Consultation with a neurosurgeon to discuss the risks and benefits

How to Prepare for Microvascular Decompression Surgery?

Once a patient is found eligible for surgery, the following steps are necessary:

Stop smoking and limit alcohol consumption before the surgery

Discontinue any medications that may hamper blood clotting, as advised by the surgeon

Ask a relative or friend to drive you home from the hospital. You will also need help at home during the recovery period.

Prepare the home for recovery. Set up a comfortable space for rest and stock up on necessary supplies and medications.

What Happens Before Microvascular Decompression Surgery?

Consultation with a Neurosurgeon:

Patients will have an initial consultation with a neurosurgeon. He/She will assess their symptoms and medical history.

Imaging tests:

In preparation for the surgery, imaging tests are conducted. MRI or CT scans are conducted to locate the blood vessels compressing the nerves.

Medical Evaluation:

Patients will undergo a complete medical exam to assess their overall fitness for the surgery.

Preoperative Instructions:

Patients will receive specific instructions from their surgeon regarding medications, diet, and other necessary preparations for the surgery.

What Happens During Microvascular Decompression Operation?

Anesthesia:

The surgery is done under general anesthesia. The patient will be unconscious during the operation.

Incision:

The surgeon will make a small cut behind the ear to expose the affected nerve.

Microscope:

The surgeon uses a microscope to identify the compressed blood vessels and nerves.

Decompression:

The surgeon moves away the blood vessel using a tiny

Closure:

Once the decompression is complete, the surgeon will stitch the incision with sutures or close it with staples.

Recovery:

After the procedure, patients are taken to the recovery room. Here, they are monitored until anesthesia wears off. After that, the medical staff will transfer the patient to a hospital room for further recovery.

Microvascular decompression surgery is a complex procedure that requires a skilled neurosurgeon. The surgery has a high success rate, and patients get significant relief from their symptoms. However, there are risks involved, including bleeding, infection, and nerve damage. Patients should discuss these with their surgeon and carefully consider their options before the procedure.

Methods/Techniques Used for Performing Microvascular Decompression Procedure

General anesthesia:

The patient is put under general anesthesia to ensure that they remain unconscious and pain-free throughout the surgery.

Craniotomy:

A small incision is made in the scalp. Then, a small portion of the skull is removed to access the brain. After this, the surgeon uses a specialized microscope to view the area where the nerves are compressed.

Identifying the compressed nerve:

The surgeon must identify the compressed nerve/nerves. He/She can do this by visually inspecting the area and testing the function of each nerve.

Decompression:

Once the compressed nerve is identified, the surgeon moves the target blood vessel away from the nerve. He/She then inserts a small pad between the nerve and the vessel to prevent future compression.

Closing the incision:

After the procedure, the surgeon replaces the skull piece and closes the incision.

Post Procedure Details

After the procedure, the patient will be taken to a recovery room. Here, they are monitored closely. Most patients are discharged within a few days of the surgery.

Pain management:

Patients may experience some pain or discomfort following the surgery. In most cases, painkillers help the patient deal with the pain.

Physical therapy:

This helps patients regain strength and mobility.

Follow-up appointments:

Regular follow-ups with the surgeon are necessary. This helps the doctor check their progress during the recovery period.

Risks and Complications Associated with Microvascular Decompression Surgery

Any surgical procedure has benefits, risks and potential complications. This surgery includes the following potential risks:

Brain damage:

There is a risk of brain damage, although this is rare.

Bleeding:

This may happen during the surgery. Additional surgery may be needed for this.

Infection:

The surgical site may get infected. Such infections can be treated with antibiotics.

Recurrent Symptoms:

In some cases, the symptoms of the compressed nerve may return following the surgery.

Stroke:

There is a small risk of stroke, which can result in permanent damage or death.

Nerve Damage:

This is a possible complication and can result in permanent numbness or weakness.

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DisclaimerThe cost of microvascular decompression depends on the following factors: the city, the hospital that is selected, the complexity of the procedure and the room chosen by the patient. The price range mentioned here is an approximation of the surgery cost; Bajaj Finserv Health does not claim that these prices are an exact estimate. For exact information about surgery charges, it is best inquire at the selected hospital.