Epilepsy Surgery

Steps Involved in IVF:

Procedure Description

Epilepsy surgery is a neurosurgical procedure aimed at treating epilepsy, a neurological disorder characterized by recurrent seizures that are often unresponsive to medication. This procedure is considered when anti-epileptic drugs fail to control seizures or when the seizures are so frequent and severe that they significantly impact the patient's quality of life. There are various types of epilepsy surgeries, such as resective surgery, which involves removing the portion of the brain where seizures originate, and palliative surgery, which aims to reduce the frequency and severity of seizures but may not eliminate them entirely.

Before opting for surgery, candidates typically undergo a series of diagnostic tests, including MRI, EEG, and sometimes invasive monitoring, to pinpoint the origin of seizures within the brain. The idea is to remove or isolate the problematic area without affecting other crucial functions like movement or speech. Therefore, a candidate for epilepsy surgery should have seizures originating from a well-defined region in the brain, with minimal risk of causing functional deficits post-surgery.

Epilepsy surgery is generally recommended for patients who have "drug-resistant" epilepsy, meaning they have tried at least two anti-epileptic medications without success. This surgical option offers a chance for these patients to lead a more normal and productive life, free from the burden of frequent and unpredictable seizures.

Procedure Duration

Epilepsy surgeries can range from a few hours to several hours depending on the complexity and the specific type of procedure being performed. Resective surgeries like temporal lobectomy may take around 3-4 hours, while more complex surgeries involving multiple regions or functional mapping may extend beyond that. After the procedure, patients are usually moved to the ICU for close monitoring for about 24-48 hours before being transferred to a regular hospital room.

Recovery time post-surgery varies between individuals. While some may feel significant improvements right away, others might take weeks to months for a complete recovery. Most patients can expect to return to normal activities within 4-6 weeks. However, intensive post-surgical care and rehabilitation may be required, including physical therapy and adjustments to medication.

It's important to note that while the procedure aims at reducing or completely eliminating seizures, it may take up to a year to fully evaluate the surgery's success. In some cases, additional treatments or modifications may be necessary for optimal results.

Benefits

  • Cost Savings: Surgical procedures abroad can often be significantly cheaper without compromising on quality.
  • Expertise: Some countries have renowned specialists in epilepsy surgery, offering high success rates and innovative techniques.
  • Technology: Many overseas hospitals are equipped with state-of-the-art diagnostic and surgical equipment, ensuring accurate and effective treatment.

Potential Destinations

  • India: Cities like Bangalore and New Delhi are known for their advanced neurosurgical facilities.
  • Thailand: Bangkok has several hospitals specializing in epilepsy surgery.
  • Germany: Notable for its high-quality healthcare system and expertise in neurosurgery.
  • South Korea: Seoul is emerging as a hub for medical tourism, particularly for specialized surgeries like epilepsy treatment.

Risks & Considerations

  • Quality of Care: Ensure that the healthcare facility meets international standards.
  • Language Barrier: Effective communication with your healthcare providers is crucial.
  • Travel Concerns: Post-surgery, long flights and travel can be cumbersome and risky.
  • Legal Aspects: Familiarize yourself with medical malpractice laws in the host country.

How to Choose the Right Doctor and Hospital

  • Accreditations: Look for internationally recognized accreditations for both hospitals and doctors.
  • Reviews and Testimonials: Check patient reviews and ask for patient testimonials if possible.
  • Initial Consultation: Use telemedicine services to consult with the doctor before traveling.
  • Local Regulations and Guidelines: Ensure that the hospital follows local as well as international guidelines for medical procedures.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote


Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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