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Surgical Procedures

Microneurosurgery For Spinal Cord Tumors

Microneurosurgery For Spinal Cord Tumors

The spinal cord is the most essential organ of the body. It is shaped like a line and connects vital organs like Brain to our body. Any damage to the spinal cord invariably affects other body parts too. It is best to care for the spinal cord but sometimes despite care, it might get affected. The spinal cord can be affected by ailments like Tumor, spinal cord injury, Slip disc’s Sciatica variant like lumber and cervical. It also may get impacted by a sudden head injury. All these conditions need immediate attention. The best person to care for these ailments is Brain specialists, Neurosurgeons.

The best cure for these ailments is Microneuro surgery spinal cord surgery. Microneuro spinal cord surgery is a minimum invasive technique surgery. In this, a small high potent telescope is inserted in the spinal cord. This helps in showing the condition of the spinal cord. It also shows the exact location of the tumour.

A tumour in the spinal cord will manifest itself as a sudden lumpy structure. This will manifest itself suddenly.

The best surgery and cure for Spinal cord tumour removal is Microneuro surgery for spinal cord tumour. Its immense benefits have been recognized by most surgeons today.

Today most Neurosurgeons perform Microneuro surgery due to its ease of operation and its success rate.

Its Benefits.

1. Lesser spinal cord damage.

Being invasive it doesn’t affect the whole spine. In traditional surgeries, the whole spine gets affected. But in Micromeuro surgery, telescope helps to identify the exact location of the tumour. This helps in removing the tumour with minimal effort.

2. Little scarring.

There is very less chance of scarring in this Surgery. A surgeon would identify the area with help of a telescope. This limits the damage to spine leaving no scarring.

3. No full anaesthesia.

In normal surgeries, one would go for complete anaesthesia. This is not the case in Microneuro surgery. A person is only given local anaesthesia for the area of surgery to be numbed.

4. Quicker recovery.

In most surgeries, one would need more time to recover but not in this surgery. As the area to be healed is very less the recovery time becomes lessened. You may have to spend only a few days in the hospital.

5. Little Blood loss.

The amount of blood loss is comparatively less than other surgeries. The incision is very small hence the chances of blood loss decrease.

6. Prevents spine damage.

In spine surgery, the chance of spine damage is very high. But not in this surgery as it only treats the affected area of the spine. The spine will become normal in a few days.

It is the most acceptable surgery and these benefits enhance its success. Today most neurosurgeons recommend this for any spinal cord related injury.

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Surgical Procedures

Microneurosurgery For Brain Tumors

Microneurosurgery For Brain Tumors

The brain is the most essential organ. Imagine beginning the day. it all begins with Brain signalling you to wake up. It’s the brain which sends signals to our body to eat, walk, taste or day everyday work. The brain is the control system of every essential organ in the body. The brain needs to be healthy always but sometimes it may get afflicted by serious ailment like Tumor.

A brain tumour is the most deadly disease which can affect a person at any age. The growth of the tumour is always spontaneous. If you feel a sudden growth around your skill it means you have a Tumor. A brain tumour can affect both insides as outside of the Brain. It is possible to diagnose the tumour with a scan. Once it has been detected it makes sense to approach a good Neurosurgeon to heal it.

There are many surgeries both Traditional and non-traditional for a Brain tumour. Today more and more people are opting for Microneuro surgery for Brain Tumor.

In micro neurosurgery, a high-powered microscope is inserted in the brain. This helps in detecting, evaluating and treating tumours. It allows the surgeon to treat only the afflicted area of the Brain.

Today most Neurosurgeons perform Microneuro surgery due to its ease of operation and its success rate.

Its Benefits.

1. Little brain Damage.

The chances of damage in Brain gets escalated in traditional brain surgery. In Microneuro surgery for a Brain tumour, there is very little risk of Brain damage. It happens due to its invasive nature of the surgery.

2. No full Anaesthesia.

In most surgeries, a person has to undergo full anaesthesia. It’s not the case here. In this surgery, the patient is given partial esthesia. You may be given local or general anaesthesia.

3. Quicker recover rate.

The amount of recover is dependent on the type of surgery performed. The recovery time is the quickest in Microneuro surgery for a brain tumour. Sometimes one would only need short post-operative care.

4. Lowers complications.

Amongst all brain surgery is the riskiest and complicated. But in micro neural surgery, the risk quotient becomes lessened. The complication is very little as the surgery is done only on the small area of the Brain.

5. Less scarring.

There are chances of very little scarring in this surgery. It won’t disfigure or affect your overall brain function.

It becomes necessary to approach a good brain surgeon for this surgery. Such surgeries have become very common and most surgeons do this to protect the brain.

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Surgical Procedures

Endoscopic Transnasal Skull Base Surgeries

Endoscopic Transnasal Skull Base Surgeries

The brain is a vital organ. It is shaped like a half ball. The brain controls your movements, taste as well as vital organs. It sends a signal to other Body parts to work efficiently. There are times when Brain may not function well.

This usually happens when it gets afflicted with Tumor. The tumour is a condition of sudden abnormal cell growth in the Brain. This Growth can be Benign and Malignant. Such growth is usually removed through surgery. This surgery is known as Endoscopic Transnasal skull base surgery.

This usually happens when it gets afflicted with Tumor. The tumour is a condition of sudden abnormal cell growth in the Brain. This Growth can be Benign and Malignant. Such growth is usually removed through surgery. This surgery is known as Endoscopic Transnasal skull base surgery.

This surgery is much in demand due to its nature of surgery. Any traditional brain surgery tends to have an impact on Brain. This is not the case here.

Its Benefits.


1. Gives little pain.

Most traditional brain surgeries have a high level of pain. This happens it’s performed on a larger section. In endoscopic transnasal skull base surgery, one experiences very little pain. It only works on the targeted area through a small incision to insert telescope.

  1. Less Hospital stay.

It is common to stay in the hospital for a few months after a major Brain surgery. In this surgery, one needs to stay in the hospital only for a few days. However, its duration depends on the intensity of surgery. Normally a person would only stay in the hospital for 2-4 days.

  1. Allows access to the Tumor.

Sometimes it is hard to know the exact location of the tumour. This surgery allows the surgeon to give an exact view of the tumour. This helps in preventing unnecessary skin incision and facial bone damage. It means there are very little cuts in the brain.

  1. No incisions.

When one hears Brain surgery one thinks of the incision. But such is not the case here. In this surgery, there are no visible incisions in the skull. This makes it healthy as it doesn’t affect your brain’s functions.

  1. Lesser risk of neurological damage.

It is very rare for Endoscopic transnasal surgery to go wrong. This never interferes with your Brain. Hence the chances of Neurological damage decreases.

This is the most advanced and safe surgery to treat a Brain tumour. It is good to consult a knowledgeable surgeon to have a successful surgery.

Categories
Surgical Procedures

Endoscopic Rhizotomy

Endoscopic Rhizotomy

The lower back is supported by the spine. It helps us in sitting down, standing and bending back and forth. The Medial branch in the spine is small nerves which innervate the Facet joints. Facet joints connect different backbone of the spine. It’s this Facet joints which helps us in sitting down. However, there are times when our lower back movement becomes restricted. When this happens, it limits your ability to do a common task like sitting down and getting up. In such a scenario, one needs to consult a good Spine surgeon.

The surgery to heal or overcome this condition is known as “Endoscopic Rhizotomy” Surgery. This is a surgery which works well in eliminating your back ailments.

Endoscopic Rhizotomy is the minimum variant surgery performed on the medial branch. This surgery is usually performed under deep sedation. A surgeon would only use a small incision to do the surgery.

Most people prefer this Surgery due to its immense benefits. Some of the benefits of this surgery are:

  1. Minimal surgical process.

Most lower back surgeries use lots of tools. Such is not the case here. In this surgery, there are very little surgical instruments used. This makes it minimal.

Being minimal it is also very soothing for the patient.

  1. Shorter recovery time.

Everyone has heard about surgeries and their recovery time. The recovery time in Endoscopic rhizotomy is very less. You don’t need to stay in hospital. One can go back home the same day. You may be advised to wear a belt as a precaution till you recover fully.

  1. Maintains spine morbidity.

Spine if not morbid affects the lower back. This surgery is beneficial in maintaining spinal morbidity. As there is very little scarring in the surgery. It has very little effect on the spine. In the long run, it helps in maintaining spine morbidity.

  1. High success rate.

The chances of this surgery being successful are very high. It prevents the future regrowth of damaged medial branch nerve by removing it. It is extremely efficient in healing all your lower back problems.

  1. Good visual control.

Most surgeries don’t have visual control. This is not the case in this surgery. Endoscopic rhizotomy has visual control. A Surgeon can view the area to be operated via camera. It helps in doing the surgery in the right section

  1. Prevents Blood loss

Being invasive there is very little or no blood loss at all. The area cut is very precise and small. This helps in lowering blood loss.

It is the need of the hour to have a healthy lower back. One must consult a good surgeon for a successful Endoscopic rhizotomy.

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Profile

Dr. Kalyan Bommakanti

I’m Dr. Kalyan Bommakanti, graduated from Osmania Medical College, the premier Medical College for the state of Telangana and Andhra Pradesh. I got through EAMCET with a top rank in order to enroll at Osmania which is by far the most competitive and highly reputed Medical College in the state of Telangana that strives for clinical excellence each year. I was chosen as the best outgoing student in Microbiology and was also very active at organizing events such as College day, Sports day and Youth fests which furthered my faith in a team effort. Osmania general Hospital is the largest hospital in Andhra Pradesh and Telangana that caters to the poor. I developed a keen sense of responsibility and compassion while treating the poor at Osmania. 

Neurosurgery is an advanced and highly competitive field of study and offers limited seats. It is usually a 3 year course upon completion of a 3 year course of general surgery. Nizam’s Institute of Medical Sciences and a few others like the All India Institute of Medical Sciences (AIIMS) and NIMHANS (National Institute of Mental Health and Neurological Sciences) offers a 5 or 6 year Neurosurgery program. NIMS has only 2 seats in the 5 year/6 year program available each year for the entire state of Telangana and Andhra Pradesh.

I have post graduated and super specialized at Nizam’s after being the top rank holder in the entire state in order to secure a seat. 

Endoscopic Neurosurgery is a specialized branch of Neurosurgery with as few as 4-5 surgeons being trained in both Telangana and Andhra Pradesh. As opposed to open surgery, endoscopic neurosurgery is minimally invasive and provides better results when applied to the correct patient. High definition imaging allows better visualization of deeper operative cavities and allows surgeons to pinpoint tumor locations. At NIMS I have developed this field. . Endoscopic neurosurgery can be applied to various brain pathologies, spine pathologies and particularly skull base pathologies. Endoscopic neurosurgery has a steep learning curve and requires a lot of dedication and many years of training. 

Endoscopic anterior skull base surgeries are one of the difficult surgeries to master. They require a close cooperation and team work between a neurosurgeon and ENT surgeon ( who is specially trained at endoscopic skull base). Our team includes an ENT surgeon with special training in advanced rhinology and endoscopic skull base. Since the last three years we have been working together and have operated extensively for various skull base lesions like pituitary adenomas, clival chordomas, craniopharyngiomas, extensive skull base fungal lesions, sino-nasal carcinomas with intracranial extension, CSF rhinorrhea, cavernous sinus thrombosis. We are looking forward to further develop this
field
.

The most important skill required for Endoscopic Neurosurgery is hand-eye coordination. In order to sharpen my skills required for this, I have attended a number of cadaveric workshops and performed a number of cadaveric dissections. The workshops were mostly conducted by surgeons of International repute belonging to many different countries and these surgeons are pioneers in developing Endoscopic Neurosurgery. 

With my extensive experience and also having authored quite a few articles in journals of National and International repute; when it comes to treating my patients, I strongly adhere to the great principles of love, care and compassion. I believe in taking forward all my colleagues together as a team to achieve the best results in Neurosurgery. Every patient is dealt with utmost love and compassion and with an obligation to cure, nourish and alleviate suffering.


DR. KALYAN

NeuroSurgeon & Spine Surgeon

Dr. Kalyan Bommakanti is an eminent neurosurgeon. He has over 10 years of involvement as a Faculty and Consultant for neurosciences

Professional experience

Jan 2021 – Present: 1.Senior Consultant Neuro and Spine surgeon
Global Gleneagles Hospital, Hyderabad. 2. Senior Neuro and spine surgeon, Shenoy Hospital, Secunderabad. 3. Advanced Neuro and Spine clinic, Secunderabad

Mar 2016 – Dec 2021: Consultant Neuro and Spine surgeon
Medicover hospital, Hyderabad.

Sep 2012 – Mar 2016: Assistant professor
Nizam’s Institute of Medical Science’s, Hyderabad.

April 2012 – Sep 2012: Lecturer
Nizam’s Institute of Medical Science’s, Hyderabad.

Jun 2011 – April 2012: Assistant Professor
Adesh Institute of Medical Science’s and Research, Bathinda, Punjab.

Nov 2010 – May 2011: Junior Consultant Neuro and Spine surgeon
Global Hospital, Hyderabad

PUBLICATIONS

1.Bommakanti K, Alugolu R, Chittem LR, Patil M, Purohit AK. Fulminant holocord intramedullary tubercular abscess withenigmatic presentation. Surg Neurol Int. 2013;4:32. doi:10.4103/2152-7806.109506.

2. Bommakanti K, Ankathi P, Uma P, Malladi S, Laxmi V. Cerebral abscess and calvarial osteomyelitis due to Burkholderia pseudomallei. Neurol India. 2010;58(5):801-802. doi:10.4103/0028-3886.72188.

3. Mudumba V, Bommakanti K, Chittem L. Dorsal spine involvement in Takayasu arteritis. Neurol India. 63(4):616-7. doi:10.4103/0028-3886.162090.

4. Bommakanti K, Somayajula S, Suvarna A, et al. Pre-operative and post-operative cognitive deficits in patients with supratentorial meningiomas. Clin Neurol Neurosurg. 2016;143:150-8. doi:10.1016/j.clineuro.2016.02.033.

5. Bommakanti K, Panigrahi M, Yarlagadda R, Sundaram C, Uppin MS, Purohit AK. Optic chiasmatic-hypothalamic gliomas: is tissue diagnosis essential? Neurol India. 2010;58(6):833-840. doi:10.4103/0028-3886.73738.

6. Bommakanti K, Gaddamanugu P, Alladi S, et al. Pre-operative and post-operative psychiatric manifestations in patients with supratentorial meningiomas. Clin Neurol Neurosurg. 2016;147:24-29. doi:10.1016/j.clineuro.2016.05.018.

7. Chittem L, Bommanakanti K, Alugolu R. “Precipitation sign”: a new radiological sign for spinal intramedullary tubercular abscess. Spinal Cord. 2014;52 Suppl 1:S1-2. doi:10.1038/sc.2014.31.

8. Datar G, Shinde A, Bommakanti K. Technical consideration of transforaminal endoscopic spine surgery for central herniation. Indian J Pain. 2017;31(2):86. doi:10.4103/ijpn.ijpn_37_17.

ORIGINAL WORKS, PRESENTATIONS

1.Pre-operative and post-operative cognitive deficits and psychiatric manifestations in patients with supratentorialmeningiomas. Submitted as thesis for the award of M.Ch to the Nizamʼs Institute of Medical Sciences and presented as apaper in AP NEUROCON 2010, Warangal.

2. Optic-Chiasmatic Hypothalamic gliomas: Is tissue diagnosis essential? Original article. Presented as a paper in APNEUROCON 2009, Rajahmundry and 11th Annual Conference of Skull Base Surgery Society of India, Hyderabad-2010.

3. Deep Brain Stimulation for Idiopathic Parkinsons disease: NIMS experience of 23 cases. Presented as a paper at and APNEUROCON-2007, Kurnool and 9th Annual Conference on Stereotaxy, Functional Neurosurgery, Course on Radio Surgery and Hands on Workshop on Neuronavigation, Hyderabad-2006.

4. Intracranial Ependymomas: NIMS experience of 41 cases. Presented as a paper in 55TH Annual Conference of Neurological Society of India, Madurai-2006. 5. Surgical management of gliomas on eloquent cortex: Nuances. Presented at glioma update, Nizamʼs Institute of medical
sciences, Hyderabad, 2015.

6. Hydrocephalus : Current trends. Presented at 65th Annual conference of Neurosurgical Society of India, Hyderabad, 2015.

7. Role of cadaveric dissection in shortening the learning curve for trans-nasal endoscopic pituitary surgeries. 9thInternational conference on Endoscopic Endonasal Skull Base Surgery, Madurai-2014.

8. Glasgow Coma Scale- Common errors, CNN-CME for neuro nurses, Hyderabad-2015.

9. Nursing care for patients with aneurysms and AVMʼs, CNN-CME for neuro nurses, Hyderabad-2015.

Presentations as invited speakers/Faculty / Teacher in workshops or conferences

1.Glasgow Coma Scale- Comon errors. CNN-CME for neuro nurses, Hyderabad-2015.

2. Nursing care for patients with aneurysms and AVMʼs. CNN-CME for neuro nurses, Hyderabad- 2015.

3. Indo-Japan neurosurgical meet and live surgeries-2018, Hyderabad

4.10th International Cadaveric Workshop and Training Course- 2018, Bangalore.

5.1st Live course on transforaminal endoscopic lumbar spine surgery under LA, 2018, Jalgoan.

6. Live operative workshop on transforaminal endoscopic spine surgery, Indore, 2019.

7.Prof P.S. Ramani’s Annual Basic course in spinal surgery, Mumbai,2021

EDUCATION

2017: Training in advanced fully endoscopic transforaminal surgery
Sushrutha institute of orthopaedics and traumatology.


2016: Observership and Cadaveric workshop in fully endoscopic transforaminal surgery
(Outside-In technique) Max-More spine, Germany.


2016: Training in fully endoscopic transforaminal surgery. Sushrutha Institute of orthopaedics and traumatology.


2005 – 2010 : Magister Chirurgiae (M.Ch-Neurosurgery -5 Years)
Nizam’s institute of Medical Sciences, Hyderabad.


1995 – 2005: Bachelor of Medicine and Surgery (M.B.B.S)
Osmania Medical College.


1996 – 1998: Board of Intermediate education
Gautami Junior college, Hyderabad.


1986 – 1996: All India Secondary School Examination. Atomic Energy Central School, Hyderabad.

PRESENTATIONS AS CO-AUTHOR

1.Nuances in the management of C1-C2 fractures. Annual conference of Telangana and Andhra pradesh neuroscientitstsassosciation, APNSA, Guntur- 2013

2.Zig-Zag fusion for C1-C2 fractures. Neurotrauma, Dehradun-2014.

3. Lhermitte-Duclos-Disease as a cranial manifestation of Cowden syndrome- A case report,.Annual conference of telangana and Andhra Pradesh neuroscientists assosciation, APNSA, Guntur-2013.

4. Surgical outcome of intramedullary lesions. Annual conference of telangana and Andhra Pradesh neuroscientistsassosciation, APNSA, Hyderabad-2015.

5. Ossification of posterior longitudinal ligament and fluorosis. Annual conference of telangana and Andhra Pradesh neuroscientists assosciation, APNSA, Hyderabad-2015

6.B-Cell lymphoma mimicking intracranial meningioma. Annual conference of telangana and Andhra Pradeshneuroscientists assosciation, APNSA, Hyderabad-2015.

7. Acinetobacter Meningitis- Changing trends. Annual conference of Neurosurgical Society of India, Hyderabad, 2015.

8. Lhermitte Duclos disease: A series of 5 cases. 65th Annual conference of Neurosurgical Society of India, Hyderabad, 2015.

9. Conus hematomyleia: A rare complication of coagulopathy. 65th Annual conference of Neurosurgical Society of India, Hyderabad, 2015.

10. Inflammed interhemispheric arachnoid cyst. 65th Annual conference of Neurosurgical Society of India, Hyderabad, 2015

Conferences, CME and Workshops attended

1.Current Reviews in Brain & Spine Surgery, Hyderabad-2010.

2. Surgical Procedure for the Implantation of INS 400, New Delhi-2007.

3. IACP CON- 2006, First Annual Conference of Indian Academy of Cerebral Palsy, Hyderabad.

4. Annual conference of telangana and Andhra Pradesh neuroscientists assosciation, APNSA, 2007, Kurnool.

5. Annual conference of telangana and Andhra Pradesh neuroscientists assosciation, 2009, Rajahmundry. 6. Annual conference of telangana and Andhra Pradesh neuroscientists assosciation, APNSA, 2010, Warangal.

7. 10th Microneurosurgery Workshop, Chennai-2006.

8. 9th Annual Conference on Stereotaxy, Functional Neurosurgery, Course on Radio Surgery and Hands on Workshop onNeuronavigation, Hyderabad-2006.

9. International Conference on Medical Education and Technology, Hyderabad-2002.

10. Current Concepts in Spine Surgery, Hyderabad-2009.

11. C.E.R CI 2008 ( CANcer Care Education & Research Conference Internationale ), Hyderabad.

12. 11th Annual Conference of Skull Base Surgery Society of India, Hyderabad-2010.

13. 55TH Annual Conference of Neurological Society of India, Madurai-2006.

14. Advanced Asian-Australasian Course in Paediatric Neurosurgery, Banglore-2009.
15.Cadaveric workshop and short endoscopic neurosurgical trainning fellowship, Jabalpur-2011.

16. Endoscopic Endonasal Base of Skull Surgery and Sialendoscopy, Trichy-2012.

17. Endoscopic Endonasal Base of Skull Surgery and Sialendoscopy, Jaipur-2013.

18. Endoscopic Endonasal Base of Skull Surgery and Sialendoscopy, Madurai-2014.

19. 9th International conference on Endoscopic Endonasal Skull Base Surgery, Madurai- 2013.

20. Live Endoscopic Skull Base Surgery Workshop, Mumbai-2013

21.1st National Conference of Minimally Invasive Spine Surgeons of India, Ahmedabad-2014.

22. Minimally Invasive Spine Surgery Conference, Pune-2015.

23. Glioma Update, NIMS, Hyderabad- 2014.

24. OTO-2014: Hands on Temporal Bone Dissection and Live Ear Surgery Workshop, Hyderabad-2014.

25. Transnasal Endoscopic Skull Base Surgery Workshop, Mumbai-2015.

26. CNN- CME for Neuro-Nurses, Hyderabad-2015.

27. International Conference of Indian Academy of Cerebral Palsy, Hyderabad- 2014.

28. TAKA Microneurosurgery Workshop, Mumbai-2014.

29. CAN.C.E.R CI 2015 ( CANcer Care Education & Research Conference Internationale ), Hyderabad.

30. APNSICON 2015, Hyderabad.

31. NSICON 2015, Hyderabad.

32. Academy of Minimally Invasive Spine Surgery (ACMISST ), Goa- 2015.

33. Live surgery workshop on Transforaminal Approach, Hyderabad, 2015.

34. Cadaveric workshop on minimally invasive spine techniques, Bangalore, 2015. 35. 16 th Neuroendoscopy Fellowship Programme, N.S.C.B. Govt. Medical college and Hospital, Jabalpur (M.P), 2017

35.Transforaminal Stitchless Spine surgery under local anaesthesia (TSSULA) -2017

36.Transforaminal Stitchless Spine surgery under local anaesthesia (TSSULA) -2018, Hyderabad

37.Transforaminal Stitchless Spine surgery under local anaesthesia (TSSULA) -Dehradun

38.8th International Cadaveric Workshop and Training Course- 2016, Bangalore

39.9th International Cadaveric Workshop and Training Course- 2017, Bangalore

40.10th International Cadaveric Workshop and Training Course- 2018, Bangalore(Faculty)

41.1st Live course on transforaminal endoscopic lumbar spine surgery under LA, 2018, Jalgoan.(Faculty)

42.Live operative workshop on transforaminal endoscopic spine surgery, Indore, 2019(Faculty)

43.Indo-Japan neurosurgical meet and live surgeries-2018, Hyderabad (Faculty)

44.Prof P.S. Ramani’s Annual Basic course in spinal surgery, Mumbai,2021.(Faculty)

Awards Received

1.IInd prize in Table Tennis in graduation.

2. IInd rank in Science Talent Search Examination-1997 (Dr. A S Rao Awards Council).

3. VIth rank in Science Talent Search Examination-1998 (Dr. A S Rao Awards Council).

4. VIth rank in National Science (medical) Olympiad-1998.

5. IInd prize in Caption Writing (English) in Graduation.

6. Gold Medal and Certificate of Merit in the subject microbiology in Osmania Medical College for the year 2001.

7. Best outgoing student from the department of Neurosurgery, NIMS, 2010

Cadaveric Experience and Training

I stongly believe in sound anatomical knowledge and the usefullness of cadaveric dissections. Apart from various cadaveric workshops, which I have attended at various conferences, i have been regularly performing various cadaveric dissections for endoscopic endonasal and endoscopic spine procedures for the past 10 years at government medical colleges in hyderabad and Punjab. I have performed approximately 40-45 cadaveric dissections until now and 16 temporal bone dissections.

ENDOSCOPIC SPINE SURGERY EXPERIENCE

I have been introduced to endoscopic sine procedures by Dr. Satish Chandra Gore, when he has demonstrated live transforaminal approaches at Nizam’s institute of Medical sciences, in late 2014. Since then I have attended various workshops and conferences focussing on transforaminal approaches. Thrice, I have also practised the same approaches on cadavers at Osmania General hospital, Hyderabad. I have introduced the same approach at Nizams Institute of Medical Sciences and have been regularly performing the procedure since than. Until now i have approximately performed more than 500 minimally invasive and endoscopic spine surgeries.

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