Neuroendoscopy in Hyderabad
Neuroendoscopy is a minimally invasive surgical technique that uses a thin telescope (endoscope) with a camera to perform brain surgery through a small incision, avoiding the need for a large craniotomy. Dr. Laxminadh Sivaraju holds a dedicated Fellowship in Neuroendoscopy and Minimal Invasive Neurosurgery from the University of Greifswald, Germany, and is one of the most experienced neuroendoscopic surgeons in Hyderabad.
Conditions Treated
- Hydrocephalus (Obstructive)
- Ventricular Tumors (Colloid Cysts, Ependymomas)
- Arachnoid Cysts
- Skull Base Tumors (Pituitary Adenoma, Craniopharyngioma)
- Intraventricular Hemorrhage
- Cystic Brain Lesions
Surgical Techniques Used
- Endoscopic Third Ventriculostomy (ETV) for hydrocephalus
- Endoscopic Colloid Cyst Removal
- Endoscope-assisted Microneurosurgery
- Transsphenoidal Endoscopic Pituitary Surgery
- Endoscopic Arachnoid Cyst Fenestration
Surgical Outcomes
ETV (endoscopic third ventriculostomy) for obstructive hydrocephalus has a success rate of 60–90% in appropriate patients, avoiding the need for a VP shunt and its associated long-term complications. Endoscopic colloid cyst removal achieves complete resection in >90% of cases with excellent outcomes.
Frequently Asked Questions
What is endoscopic third ventriculostomy (ETV) and how does it treat hydrocephalus?
ETV is a minimally invasive neuroendoscopic procedure where Dr. Laxminadh Sivaraju creates a small opening in the floor of the third ventricle (a fluid-filled space in the brain), allowing cerebrospinal fluid (CSF) to bypass the obstruction causing hydrocephalus. It avoids a permanent VP shunt and its associated complications. ETV is most effective for obstructive hydrocephalus in patients over 6 months of age.
Is endoscopic brain surgery safer than open craniotomy?
Neuroendoscopy offers advantages over open craniotomy for specific indications: smaller incisions (typically 1–2 cm vs. 10+ cm), less brain tissue retraction, shorter hospital stay (1–3 days vs. 5–10 days), less blood loss, and faster recovery. However, it is not universally superior — open microsurgery remains the gold standard for many complex tumors and vascular conditions. Dr. Laxminadh Sivaraju recommends the approach best suited to each individual case.