AWAKE CRANIOTOMY SURGERY IN YALA REGIONAL HOSPITAL
Keywords:
awake craniotomy, brain tumor, brain tumor surgery, neurosurgeon, regional hospitalAbstract
Background: Awake craniotomy is a type of brain surgeries in which a patient is conscious during the operation. It aims to test cerebral functions to reduce post-operative morbidity. Previously, awake craniotomy was performed solely in university hospitals or large hospitals with a full team of surgeons and anesthesiologists. However, advanced training systems nowadays makes awake craniotomy become available in regional hospitals.
Case study: Our neurosurgeons and anesthesiologists’ team had performed several awake craniotomy procedures to treat brain tumors in the eloquent area. Each patient was tested during the procedure to make sure that the tumor was well removed, and the surgery did not injure the eloquent cortex. All patients experienced no neurological deficit after the surgery.
Conclusion: Nowadays, awake craniotomy can be performed even in regional hospitals, and it benefits patients in many ways. However, there are many healthcare providers who do not understand the procedure accurately. This publication aims to make a comprehensive review of awake craniotomy from basic knowledge to patient preparations, surgical steps, and post-operative cares. The author hope this will benefit all doctors and patients who need a new standard treatment of brain tumor.
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