Awake Surgery

Brain surgery performed on a patient awake enough to describe sensations or contractions evoked by the surgeon who stimulates the cortex to better delineate tissue that can be removed; awake surgery helps minimize the loss of functional tissue
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The tumour was stable for four years until growth was detected, and she had her second awake surgery in September 2014 with 95 per cent removal of the tumour.
"Even well-prepared patients may panic during awake surgery, which can be dangerous," says lead author Kelly Bijanki, PhD, assistant professor of neurosurgery.
Outside of use during awake surgery, understanding how cingulum bundle stimulation works could also inform efforts to better treat depression, anxiety disorders, or chronic pain via deep brain stimulation.
The two other patients that underwent cingulum stimulation and behavioral testing did not undergo awake surgery for epilepsy treatment.
[1,2] Main advantage of awake surgery is to define limits of resection & avoid Postoperative neurological deficits.
Awake surgery for WHO Grade II gliomas within "noneloquent" areas in the left dominant hemisphere: toward a "supratotal" resection.
A new "hypnosedation" technique offers a new alternative for patients undergoing awake surgery for gliomas, suggests a study in the January issue of Neurosurgery, official journal of the Congress of Neurological Surgeons, published by Wolters Kluwer.
When successful, hypnosis was a reliable and reproducible method for awake surgery, with questionnaire assessments showing little or no negative psychological impact.
All of our surgeons at NuBody Concepts have received specialized training from the pioneers themselves in awake surgery. It takes time and great skill to treat patients while they are awake.
As well as removing much of the risk factor, awake surgery also means patients get out of hospital sooner.
Despite it taking longer and costing more, the Irish Cancer Society revealed awake surgery has a much higher success rate and any damage caused can be rectified.
Neurosurgeon Dr Michael Farrell, of Beaumont Hospital, Dublin, said more staff had to be trained in awake surgery techniques and more funding was needed.