Advanced Endoscopic Pituitary Surgery
At Apollo Hospitals in Secunderabad, Dr. Kalyan Bommakanti, a renowned neurosurgeon, specializes in endoscopic transnasal pituitary surgery. This minimally invasive approach, performed in collaboration with ENT specialist Dr. Vyshnavi Bommakanti, allows for precise tumor removal through the nasal passage, avoiding the need for a skull incision.
Understanding Knosp Grading and Surgical Strategy
The Knosp grading system is crucial for assessing the extent of pituitary adenomas invading the cavernous sinus. Grades range from zero, indicating the tumor is confined within the sella, to four, where it encases the carotid artery. For invasive adenomas, Dr. Kalyan employs a two-step surgical plan: maximal safe debulking followed by Gamma Knife radiosurgery for any residual tumor.
Precision with 4K Camera and Joimax HD Endoscope
Utilizing the 4K camera and Joimax HD endoscope, Dr. Kalyan ensures high-definition visualization during surgery. This technology enhances the precision of tumor removal, minimizing risks and improving patient outcomes. The endoscopic approach allows for better access and reduced recovery times.
Gamma Knife Radiosurgery for Residual Tumors
Post-surgery, Gamma Knife radiosurgery targets any remaining tumor tissue with sub-millimeter precision. This non-invasive technique involves converging beams from multiple angles, effectively controlling tumor growth in the cavernous sinus in approximately 85% of cases over five years. The procedure minimizes exposure to surrounding healthy brain tissue.
Comprehensive Patient Care
Dr. Kalyan emphasizes clear communication with patients, especially when dealing with complex Knosp grade three or four cases. Patients are informed about the surgical goals and the importance of combining surgery with radiosurgery for optimal results. With over 7,500 surgeries to his credit, Dr. Kalyan’s expertise ensures the highest standard of care.
Innovation in Spine Surgery
In addition to pituitary surgery, Dr. Kalyan is a leader in keyhole/monoportal endoscopic spine surgery. This muscle-sparing technique uses an 8mm incision, reducing trauma and promoting faster recovery. Functional Dynamic EMG is employed to monitor nerve function during spine procedures, ensuring patient safety and surgical success.
Read more: the full Pituitary Adenoma patient guide.
📱 WhatsApp Dr. Kalyan’s team on 85200 03683 for an appointment.