Craniotomy cost in Lebanon

Craniotomy is a preliminary surgical procedure necessarily performed to access the brain and proceed with further operations. It involves the cutting and opening of a portion of the skull in order to have access the brain. It is performed either in case of severe neurological or cerebral anomaly, or in case of traumatic as well as accidental injuries. Craniotomy is also performed to remove lodged foreign objects like iron rods, bullets, nails, etc. 

What is craniotomy?

The surgical removal of a bone flap or a portion of the skull to perform necessary operation on the brain is known as craniotomy. Post-operation, the bone flap is however fixed in position with the help of metal screws. Craniotomy involves carving out minute incisions or burrholes as well as significant incision known as keyholes to carry out necessary functions. The entire procedure is guided by endoscopes, stereostatic framing, as well as computer based imaging that helps the surgeons to:

  • Remove blood clots in case of hemorrhage
  • Draining of excessive Cerebrospinal Fluid
  • Treat brain tumors
  • Relax stressed arteries, veins or nerves
  • Cure an injury
  • Insertion of devices like Intracranial Pressure Monitoring system, Deep Brain Stimutaling devices

Ideal Candidates for Craniotomy surgery 

Evaluation for ideal candidacy for craniotomy surgery is primarily important. The surgeons shall decide an ideal candidate if the individual:

  • Suffers from an advanced stage brain tumor
  • Requires urgent biopsy of an affected brain tissue
  • Suffers from additional intracranial pressure buildup
  • Needs insertion of an artificial device to control brain functioning
  • Has a foreign object lodged in the brain
  • Suffers from hemorrhage 

Factors affecting the cost of craniotomy surgery in India

Craniotomy is mostly performed to treat or remove brain tumors (malignant or benign). An average brain tumor surgery cost may range from $20,000 to $28,000. Apart from tumors, the surgery is performed for a number of other reasons, depending on which, craniotomy cost may range from $8000 to $20000. It may hinge on:

  • Reason for craniotomy surgery
  • Type of craniotomy required 
  • Extent of bone flap removal
  • Extent of post-surgical follow up required
  • Healthcare benefits required
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About the Craniotomy

Craniotomy surgery is one of the most common types of brain surgery conducted to treat a brain tumor. It mainly aims at removing a lesion, tumor, or a blood clot in the brain by opening a flap above the brain to access the targeted area. This flap is removed on a temporary basis and again put in place when the surgery is done. Around 90 percent of the cases of brain tumors are diagnosed in adults aged between 55 and 65. Among children, a brain tumor is diagnosed within an age range of 3 to 12 years.

Craniotomy procedures are conducted with the help of magnetic resonance imaging (MRI) scans to reach the location precisely in the brain that requires treatment. A three-dimensional image for the same is achieved of the brain in conjunction with localizing frames and computers to view a tumor properly. A clear distinction is made between abnormal or tumor tissue and normal healthy tissue and to access the exact location of the abnormal tissue.

Who requires a craniotomy?

In a minimally invasive craniotomy procedure, a burr hole or a keyhole may be created to access the brain to fulfill the following purposes:

  • To drain out cerebrospinal fluid in case of hydrocephalus by inserting a shunt into the ventricles
  • To treat Parkinson’s disease by inserting a deep brain stimulator (DBS)
  • To insert an intracranial pressure monitor
  • To conduct needle biopsy, where a small sample of abnormal tissue is removed for study
  • For stereotactic hematoma aspiration, in which a blood clot is drained out
  • For insertion of an endoscope to clip aneurysms and for the removal of small tumors

When there are complex craniotomies involved, the procedure may be referred to as a skull base surgery.  In this kind of surgery, a small portion of the skull is removed from the bottom of the brain. This is the region where delicate arteries, veins, and cranial nerves exit the skull. Complicated planning is done to plan such craniotomies and understand the location of the lesions. This type of approach is usually employed for:

  • The removal or treatment of large brain tumors and aneurysm in the brain
  • Treatment after a skull fracture or major injury like a gunshot
  • The removal of a malignant tumor affecting the bony skull

Primary brain tumors are much less common than secondary brain tumors. Primary ones are found to originate very close to the brain itself or in the tissues very close to it, such as the covering membranes of the brain, including the meninges, cranial nerves, pineal, or pituitary gland. It begins with normal cells, which at a later period undergoes some mutational errors in their DNA. The mutation triggers cells to grow and divide at a very high rate while healthy cells keep dying around it. This results in a mass of abnormal cells which gives rise to a tumor. Unlike primary tumors, the secondary tumors begin as cancer elsewhere and spread to the brain.

Symptoms of brain tumor

  • Different patterns of a headache
  • Headaches get more frequent and acutely painful
  • Nausea
  • Blurred vision, double vision, or loss of peripheral vision
  • Loss of sensation in the arm or any leg gradually
  • Balance difficulty
  • Speech problems with confusion in simple matters
  • Hearing problems
  • Personality change
  • Sudden seizures and attacks or bouts of pain

Types of Craniotomy

No matter what the goal of the surgery is, it is best to ensure that the incision is made to address the intracranial lesion keeping some principles in mind. A wide variety of intracranial processes can be done via a craniotomy with a different variety of incisions. Some of these variations include frontal craniotomy, pterional craniotomy, temporal craniotomy, decompression craniectomy, and suboccipital craniotomy.

How is Craniotomy performed?

  • An intravenous line is first placed in the arm and general anaesthesia is employed while the patient lies on the operating table.
  • When the patient is no more awake, the head is placed in a 3-pin skull fixing the device. This is attached to a table and keeps the head in a fixed position all throughout the procedure.
  • An insertion of a lumbar drain is made in the lower back to drain out the cerebrospinal fluid. A relaxation drug for the brain named mannitol can be administered at this stage.
  • With an antiseptic, the skull is prepared and an incision is made usually behind the hairline. A good cosmetic result is achieved after the surgery and a hair sparing technique, which requires shaving only one-fourth inch-wide area along the incision proposed is aimed. At times, the total area of the incision may be shaved.
  • The skin and muscles are then removed from the bone and folded back, burr holes are made in the skull using a drill.
  • A saw is introduced through the holes made and cuts the bone flap’s outline. The protective covering of the brain named dura is exposed after the craniotome (the saw) removes the bone flap. This bone flap is kept aside securely to be attached back again after the surgery.
  • Once the dura is opened with surgical scissors, the surgeon folds it back to access the brain. There are retractors placed on the brain to have a corridor opened gently in the brain to address the region requiring removal or repair. 
  • Loupes are used by neurosurgeons, which are special magnifying glasses or an operating microscope to get a view of the delicate nerves and vessels.
  • The brain is very tightly enclosed within the skull and hence, removal of tissues cannot be done easily to repair problems.
  • Therefore, a variety of tools and instruments are employed to work in the deep circuits of the brain like drills, lasers, ultrasonic aspirators (used to break tumours and have the pieces suctioned), dissectors, long handled scissors, and of course computer-aided guidance.
  • Evoked potential monitoring may also be employed to stimulate the specific cranial nerves and the responses generated are monitored. This step ensures that the nerves are functioning properly and not getting damaged as a result of the surgery.
  • After the problem is rectified, the retractors are released and dura is closed along with sutures and the bone flap is placed in its original position and secured with titanium screws and plates. These screws and plates remain permanently in place to support the region and can be felt under the skin.
  • A drain can also be kept as is for some time. It helps collect blood and fluids from the area that is subjected to the surgery. T
  • he skin and muscles are sutured together and a soft turban-like adhesive is placed as dressing over the incision.

Recovery from Craniotomy

  • The patient is shifted to a recovery room where vital signs are monitored after he or she is in complete senses and the effect of the anaesthesia completely wears off.
  • Drowsiness, nausea, and headache are common in craniotomy recovery surgery. Hands, fingers, and toes must be moved frequently to avoid the formation of blood clots.
  • Anticonvulsant medications may be provided and a nurse may keep asking simple questions to figure out alertness.
  • Hospital stay varies from two to three days or even two weeks, depending on the complications that may result.
  • After discharge, keep away from strenuous activities. Some exercises may be prescribed for the slow movement of head and neck.
  • You should notify your doctor about any increase in temperature or infection observed at the sites of the incision. Bathing instructions should be strictly followed.
  • It almost takes around two to eight weeks for complete recovery. Keep visiting your doctor for follow-up checkup or as instructed. Contact your doctor immediately in case of loss of mental function, stroke, seizure, or nerve damage.

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Frequently Asked Questions

What are the factors affecting the cost of Craniotomy in Lebanon?

Craniotomy cost in Lebanon varies from one hospital to the other. The Craniotomy package cost usually includes all the expenses related to pre and post surgery expenses of the patient. The treatment cost usually includes the expenses related to hospitalization, surgery, nursing, medicines, and anesthesia. Stay outside the package duration, post-operative complications and diagnosis of a new condition may further increase the Craniotomy cost in Lebanon.

Which are some of the best hospitals in Lebanon for Craniotomyt?

Many hospitals in Lebanon perform Craniotomy. Some of the most renowned hospitals for Craniotomy in Lebanon include the following:

  1. Clemenceau Medical Center
  2. Bellevue Medical Center
How many days does it take to recover post Craniotomy in Lebanon?

After discharge from the hospital, the patient has to stay for another 28 days in the country for complete recovery. This duration of stay is recommended to complete all the necessary follow-ups and control tests to ensure that the surgery was successful.

Which are some of the other popular destinations for Craniotomy?

Lebanon is considered to be one of the best places for Craniotomy in the world. This is because of the availability of some of the best doctors, advanced medical technology and good hospital infrastructure. Some of the other destinations that are popular for Craniotomy include the following:

CountryCost
IndiaUSD 4600
IsraelUSD 32000
MalaysiaUSD 20000
SpainUSD 31000
ThailandUSD 30000
TunisiaUSD 13000
TurkeyUSD 9000
How much are the other expenses in Lebanon apart from the cost of Craniotomy?

Apart from the cost of Craniotomy, the patient is also required to pay additionally for daily meals and guest house accommodation. These charges starts from USD 50 per person.

Which are the best cities in Lebanon for Craniotomy Procedure?

Some of the best cities in Lebanon which offer Craniotomy are:

  1. Beirut
  2. Mansourieh
How many days does one have to spend in the hospital for Craniotomy in Lebanon?

After Craniotomy, the patient is supposed to stay for about 5 days in the hospital for recovery and monitoring. During the recovery, the patient is carefully monitored and control tests are performed to see that everything is okay. If required, physiotherapy sessions are also planned during recovery in hospital.

How many hospitals offer Craniotomy in Lebanon?

There are more than 2 hospitals that offer Craniotomy in Lebanon. These hospitals have proper infrastructure for the treatment of patients who require kidney transplant. Apart from good services, the hospitals are known to follow all standard and legal guidelines as dictated by the local medical affairs body or organization.

Who are the best doctors for Craniotomy in Lebanon?

FAQ's Related to Lebanon

What healthcare accreditation standards are followed in Lebanon?

The hospitals in Lebanon seek to get accredited from Joint Commission International or JCI, an international body present in over 100 countries. We bring to you the JCI certified hospitals and medical centers in Lebanon.

  1. Advanced Eye Care Hospital, Lebanon
  2. Mount Lebanon Hospital, Hazmieh
  3. American University of Beirut Medical Center (AUBMC), Beirut
  4. Bellevue University Medical Center, Mount Lebanon
  5. Clemenceau Medical Center, affliated with Johns Hopkins International, Beirut

The Joint Commission International not just provides accreditation to health organisations but helps them in maintaining these standards of quality delivery as well. The Joint Commission International accreditation can also be considered as the gold seal of approval for healthcare providers and academic medical centers in Lebanon.

Which are the popular multispecialty hospitals in Lebanon?

Please find below the well known multispecialty hospitals in Lebanon:

  1. Saint George Hospital University Medical Center, Beirut
  2. Believue Medical Center (BMC), Mansourieh
  3. Clemenceau Medical Center (CMC), Beirut
  4. American University of Beirut Medical Center (AUBMC), Beirut
  5. Najjar Hospital, Beirut
  6. Trad Hospital, Beirut
  7. Sahel General Hospital, Beirut

Please find outlined here some of the specialties present in the many multispecialty hospitals in Lebanon:

  1. Hematology/Oncology
  2. Neurology
  3. Cardiology
  4. Paediatrics
  5. Orthopaedics
  6. Nephrology

A class apart, the multispecialty hospitals in Lebanon ensure not only a holistic medical treatment experience to the patients but giving the best patient care. The specialists delivering on patient care in the hospitals in Lebanon are proving to be equivalent to the best of healthcare professionals in the world.

Why should I opt for healthcare in Lebanon?

You must opt for healthcare in Lebanon because its healthcare providers are centers of excellence who are pushing the boundaries of what medicine can do in making people healthier. The involved decision making process that healthcare providers in Lebanon follow by ensuring that the patients are made aware of all their options and have intricate knowledge of their treatment journey is reason enough for you to choose to get your healthcare from Lebanon. The healthcare providers in Lebanon are known to focus on the specialised clinical programs and services and their application in removing the limitations of treatment, if any. The healthcare infrastructure in the hospitals, clinics and medical centers in Lebanon is constantly upgraded and is one good reason for you to opt for healthcare in Lebanon.

What is the quality of doctors in Lebanon?

The doctors in Lebanon have had the best of education, the best of training at the hands of experts and are dedicated to their profession. The ability of the doctors in Lebanon to rise to newer healthcare challenges and their quick uptake of knowledge of medicine leads them to become good quality doctors. Any medical research that is on the uptake is followed closely by the doctors in Lebanon and applied with alacrity to the medical treatment being provided to patients. The combination of having first hand knowledge of the latest treatment methods and the experience in treating innumerable international patients is what makes doctors in Lebanon good quality.

When traveling to Lebanon for medical treatment, what essential documents do I need to carry along?

Please find here the important documents for your medical treatment related travel to Lebanon.

  1. Visa
  2. Passport
  3. Healthcare reports and records
  4. Communication between your healthcare providers of both countries
  5. Bank Statement (Proof of your adequate financial resources for travel and treatment )
  6. Invitation letter from healthcare provider in Lebanon
  7. Accommodation and two way travel proof
  8. Credit card/Debit Card/Online payment options

As you begin your medical travel to Lebanon, make sure that you have all your documents ready to make your journey and medical treatment process seamless and effortless. It is imperative that both kinds of documents, related to your medical treatment and the ones which are a proof of your ability to support your travel and treatment or sponsorship details (if any) are with you before you begin your medical travel to Lebanon. All the travel and treatment requirements should be covered with the checklist that you prepare for your medical travel to Lebanon.

What are the popular procedures available in Lebanon?

We bring to you some of the most popular procedures in Lebanon:

  1. Sleeve gastrectomy
  2. Gastric bypass
  3. Chemotherapy
  4. Microdiscectomy
  5. Spinal Fusion
  6. Lap hernia repair

Popular weight loss surgeries namely Gastric bypass and Sleeve gastrectomy have the potential to become an attraction for medical tourists coming to Lebanon. If you are suffering from Cancer and have been recommended Chemotherapy for your ailment, then come to Lebanon as a medical traveller as it is a popular procedure in the hospitals in this country. Sleeve gastrectomy and Gastric bypass are two of the most popular procedures in Lebanon and this makes it amply clear that surgical weight loss is quite commonly done medical treatment here.

Is it mandatory to take vaccinations before going to Lebanon?

Planning your medical travel to Lebanon, please get vaccinated as mandated by World Health Organisation, a United Nations agency and Centers for Disease Control and Prevention, US government body. The vaccines that you need to take before going to Lebanon are as follows:

  1. Chickenpox (Varicella)
  2. Diphtheria-Tetanus-Pertussis
  3. Flu (influenza)
  4. Measles-Mumps-Rubella (MMR)
  5. Polio
  6. Hepatitis A
  7. Hepatitis B
  8. Rabies
  9. Typhoid

Prior to your medical travel to Lebanon, please get these recommended vaccines Typhoid, Hepatitis A and B, MMR (one dose before travel irrespective of the routine vaccine for infants) and Rabies. Before you go for your Lebanon travel, it is advised that you get vaccinated to protect yourself and your loved ones from avoidable ailments.

What are the other facilities provided by hospitals in Lebanon?

We have outlined here for your convenience additional facilities given by the international patient services office in the hospitals in Lebanon:

  1. Language assistance
  2. Insurance coverage assistance
  3. Planning and scheduling visit
  4. Financial modalities

It is prudent to understand that even prior to reaching Lebanon, you can pre plan your visit by reserving online and getting pre-admission done in the wonderful multidisciplinary hospitals in Lebanon. There are some more facilities provided to you as a patient in the hospitals in Lebanon such as:

  1. Prayer rooms and services
  2. Local transportation
  3. Internal, local or overseas phone calls

The hospitals in Lebanon function on a patient centric approach and that is visible in all the facilities present for the patients in hospitals in Lebanon.

What are the major medical tourism destinations in Lebanon?

It is factors such as services quality, nature of facilities, destination environment, medical tourism industry that have put Lebanon in the list of 46 nations of the 2020-21 Medical Tourism Index. Lebanon has been a great medical tourism destination for over a century with interludes in between. It has now regained that position and is a on a growth path in this industry. There are several good medical tourism destinations in Lebanon as presented here.

  1. Beirut
  2. Mansourieh
  3. Tyre
  4. Tripoli
  5. Sidon

It is Beirut, Lebanon’s capital city which has become its major tourist attraction and a medical tourism hot spot.