Brain Tumor Surgery (Remove All or Part of Tumor)

· Those in Mexicali, Mexico 10 days or more.
· Those with brain tumors.
· Those who want to reduce the amount of tumor to be treated with radiation therapy or chemotherapy..
· Those who want to reduce brain tumor symptoms.
· Those who wish to improve their quality of life and overall health.

Surgery is a common method to remove brain tumors apart from radiation therapy and chemotherapy. In the procedure, the doctor will remove the entire tumor if possible. If it’s not possible to do so, partial removal can also help to relieve symptoms by reducing pressure on the brain and reduce the amount of tumor for further treatments such as radiation therapy or chemotherapy. Brain surgery is a major surgery and is not suitable for everyone as you need to be well overall. Your doctor can help to determine if you can go for the surgery.

· Craniotomy
Craniotomy is the most common type of brain tumor surgery. It is done under general anesthetic and involves cutting an area of bone from the skull. After tumor removal, the bone will be secure with small metal brackets.

· Neuroendoscopy
This procedure is also known as keyhole brain surgery. It is done to remove all or part of a tumor in the fluid filled spaces of the brain (ventricles). In the procedure, a small hole will be made on the skull called a Burr hole to insert an endoscope with tiny forceps and scissors attached at the end of the endoscope to remove the tumor.

1. Scans will be performed to locate the tumor.
2. General anesthesia will be administered.
3. An area of bone from the skull will be cut.
4. Scans may be performed during operation to give a precise location of the tumor.
5. Different tools such as an ultrasound, suction device and special scissors will be used in tumor removal.
6. After tumor removal, the bone will be secured back with small metal brackets. Skin will be stitched over it.
7. End of procedure.

1. A small hole will be made into the skull (Burr hole).
2. Endoscope attached with forceps and scissors will be put through the hole.
3. Tumor will be removed.
4. End of procedure.

<Advantages>
· Relieves symptoms and pressure
· Opens possibilities for more effective further treatments
· Safe procedure
· Commonly performed method for brain tumor removal

<Limitations>
· Risks associated with surgery such as infection, weakness etc.

· Infection
· Bleeding
· Weakness
· Dizziness
· Other risks are related to the part of the brain where the tumor is located. For instance, a surgery for removal of tumor near the nerves that connect to the eyes can carry risks in vision.

· Tell the doctor about all medications and supplements you are taking.
· List all allergies, including to local or general anesthesia.
· If you have worries about the major operation and your risks, please consult with the surgeon and nurses.

· Healing requires extra rest for at least 4 weeks
· Issues may arise with thoughts, feelings or behaviors. Rehabilitation processes such as physical therapy, occupational therapy and speech language therapy may be needed, depending on cases.

Q1: Under what conditions are surgery really necessary?
A1: The doctor may suggest surgery if your tumor is large, or if it’s small and located in an easily accessible area, the tumor is aggressive or if you are a good surgical candidate. Your doctor can help to determine this.

Q2: Does the tumor have a chance of recurring?
A2: When a tumor is completely removed through surgery, it has a reduced chance of recurring, although this may depend on the type of brain tumor and if it can be removed entirely.

Q3: Will I be in a lot of pain after surgery?
A3: Since there are a small number of pain nerve endings in the head, pain is usually minimal. However, you may experience headaches. This can be treated with medications, or narcotic medications like Percocet or Morphine. The medication will be administered through IV until you can tolerate taking pills.

Q4: When can I start my regular exercise?
A4: You should take at least 4 weeks rest from any strenuous activities, and may resume your routine once the doctor has cleared you to do so.

Q5: When should I contact the doctor after the procedure?
A5: If you have high fever, any weakness in arms or legs, seizure, worsening headaches or other symptoms of concern, contact your doctor immediately.

[Clinic Name] Hospital de la Familia
[Location] Mexicali, Mexico
[Nearest Stations / Attractions] The hospital is about 17 mins drive from Mexicali International Airport and 10 mins drive from Holiday Inn Express & Suites Mexicali
[Clinic Opening Time] Monday - Sunday (24 hrs)