Craniotomy cost in Tunisia

Treatment and Cost

28

Total Days
In Country

2 No. Travelers

5 Day in Hospital

23 Days Outside Hospital

Treatment cost starts from

USD 20000

Hospitals

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.

Patient Stories

Frequently Asked Questions

How much does Craniotomy cost in Tunisia?

In Tunisia, the average starting cost for Craniotomy is USD 13000. Craniotomy in Tunisia is conducted across several TEMOS certified hospitals.

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

Different hospitals have different pricing policy when it comes to the cost of Craniotomy in Tunisia. The cost quoted by some of the best hospitals for Craniotomy in Tunisia generally covers the pre-surgery investigations of the patient. The treatment cost usually includes the expenses related to hospitalization, surgery, nursing, medicines, and anesthesia. A prolonged hospital stay due to delayed recovery, new diagnosis and complications after surgery may increase the cost of Craniotomy in Tunisia.

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

There are many hospitals that perform Craniotomy in Tunisia. The following are some of the most renowned hospitals for Craniotomy in Tunisia:

  1. Taoufik Clinique
  2. Clinic Soukra
  3. Hannibal International Clinic
How many days does it take to recover post Craniotomy in Tunisia?

While the speed of recovery may vary from patient to patient, they are still required to stay for about 28 days after discharge. This period is important to conduct all the follow-up tests to ensure that the surgery was successful and the patient can go back to the home country.

Which are some of the other popular destinations for Craniotomy?

One of the topmost destinations for Craniotomy is Tunisia. It has a variety of accredited hospital, affordable cost of treatment and some of the best medical fraternity. Some of such countries are:

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

There are certain additional cost that the patient has to pay apart from the Craniotomy cost. These charges starts from USD 50 per person.

Which are the best cities in Tunisia for Craniotomy Procedure?

Craniotomy in Tunisia is offered in almost all metropolitan cities, including the following:

  1. Soukra
  2. Carthage
  3. Marsa
  4. El Manzah
  5. Tunis
How many days does one have to spend in the hospital for Craniotomy in Tunisia?

The patient has to spend about 5 days in the hospital after Craniotomy for proper recovery and to get clearance for discharge. The patient is subjected to several biochemistry and radiological scans to see that everything is okay and the recovery is on track. After making sure that patient is clinically stable, discharge is planned.

How many hospitals offer Craniotomy in Tunisia?

There are more than 3 hospitals that offer Craniotomy in Tunisia. Such hospitals have the required infrastructure and a dedicated unit where patients can be treated. Such hospitals follow all legal protocols and guidelines as specified by the local medical affairs body when it comes to the treatment of international patients.

FAQ's Related to Tunisia

Which are the popular multispecialty hospitals in Tunisia?

The most popular multispecialty hospitals in Tunisia are:

  1. Hannibal International Clinic, Tunis
  2. Cinic Soukra, Soukra
  3. La Centre International Carthage Medical, Monastir
  4. Clinic Alyssa, Tunis
  5. Taoufik Clinique, El Menzah
  6. Eureka Esthetique, Marsa
  7. Polyclinique L'Excellence, Mahdia
  8. Clinique Avicenne, Tunis
  9. Taoufik Hospital Group
  10. Clinique De L`espoir, Tunis
  11. Ennasr Clinic, Ariana
  12. El Manar Clinic, Tunis
  13. Polyclinique les Jasmins, Tunis
  14. Pasteur Clinic, Tunis
  15. La Clinique Mediterraneenne, Tunis

The outstanding levels of quality and a personal touch in service delivery to patients is the hallmark of the popular multispecialty hospitals in Tunisia. The results of diagnosis and treatment of multiple kinds of health conditions by multispecialty hospitals in Tunisia showcase the efficiency and finesse of these healthcare institutions. The advanced healthcare infrastructure in the hospitals and clinics in Tunisia makes for a pretty good reason for you to get your healthcare in the country.

Why should I opt for healthcare in Tunisia?

You must opt for healthcare in Tunisia because of the cutting edge infrastructure of its hospitals and clinics. The most qualified and skilled surgical, medical, paramedical and administrative personnel are present in the healthcare ecosystem in Tunisia which translates to the country being a great choice for your treatment needs. Healthcare from Tunisia is a great choice as the treatments are competitively priced, waiting periods are less and there is a comprehensive approach to healthcare from consultations to follow ups or rehabilitation. The cleanliness standards of the healthcare organisations in Tunisia in addition to the country being completely safe and secure gives you a good reason to opt for healthcare in Tunisia.

What is the quality of doctors in Tunisia?

When it comes to performing procedures effectively, the doctors in Tunisia are able to do so with great results as their long term practical training and vast experience enables them to function well under pressure for long hours. The doctors in Tunisia strive to learn throughout their career; therefore, they are highly educated and continue to upgrade their knowledge and qualifications as they practise medicine and treat patients successfully. The doctors in Tunisia are not just well educated and experienced but good managers. This becomes especially relevant when as a patient you find they are in charge as they liaison with doctors, healthcareprofessionals and as the head of the team that is treating you. It must be put forth that the doctors in the Tunisian healthcare system are good in people skills and thus great at managing relationships with fellow doctors and healthcare professionals and in leading teams.

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

The essential documents that you need to carry when traveling to Tunisia for your medical treatment are as follows:

  1. Visa
  2. Passport
  3. Credit Card/Debit Card/Net Banking
  4. Sufficient finances to cover your expenses
  5. Medical Reports
  6. Referral from hospital from country of origin recommending your treatment
  7. Return flight tickets
  8. Accommodation proof

Your travel itinerary and the medical treatment procedure should be covered with the complete set of documents so that you can travel to Tunisia and get treated with ease. An essential document for your medical travel to Tunisia, the medical visa would now be easier to get with the introduction of a more seamless online visa application process. The medical travel preparation to Tunisia would necessarily involve two important documents vis a vis the medical visa invitation letter and the medical treatment recommendation letter.

What are the popular procedures available in Tunisia?

Please find outlined here the popular procedures done in Tunisia everyday:

  1. Breast Cancer Treatment
  2. Fibroid Removal Surgery
  3. Knee Replacement
  4. Hip Replacement
  5. Spinal Fusion

It is the Spine and Orthopaedic treatments that are making waves in the medical travel industry in Tunisia. Breast Cancer treatment is a strength of the oncologists in Tunisia and one of the main reasons for the increasing number of medical travellers heading to the country. The gynecological procedures such as fibroid removal surgery are done on a regular basis in Tunisia and is one among the various popular procedures regularly performed in the hospitals here.

Is it mandatory to take vaccinations before going to Tunisia?

Please find below the vaccinations that are important for you to take before your travel to Tunisia:

  1. Chickenpox
  2. Shingles
  3. Pneumonia
  4. Influenza
  5. Hepatitis A
  6. Hepatitis B
  7. Typhoid
  8. Rabies
  9. Meningitis
  10. Polio
  11. Measles Mumps and Rubella (MMR)
  12. TDAP (Tetanus, Diphtheria and Pertussis)
  13. Covid19

The recommended and routine vaccinations before medical travel to Tunisia are advised by CDC: The Centers for Disease Control and Prevention, the US agency and WHO: World Health Organisation, a UN body. There are certain vaccines which you must be up to date with at all times and then there are vaccines which are for specific health hazards and to be used conditionally such as for Hepatitis A, Hepatitis B, Typhoid and Rabies. As you begin to plan your medical travel to Tunisia, make sure that you are vaccinated against the many ailments atleast a month prior irrespective of recommendation by a health agency.

What are the other facilities provided by hospitals in Tunisia?

It is the many additional facilities extended by the hospitals in Tunisia that make yourdecision to head to the country for medical travel easier. We bring to you the additional facilities present for medical tourists in hospitals in Tunisia:

  1. In house laboratories to run tests
  2. Language proficient interpreters
  3. Accommodation for patients and co-travellers
  4. International and local travel assistance
  5. Hospital transfers
  6. Pharmacies managed through computerized systems

As an international patient availing any treatment option in Tunisia, you can avail virtual consultations before you begin your treatment and virtual post procedure evaluations and follow ups as well. There are other facilities that are in hospitals in Tunisia like presence of dietitians, physiotherapists and prayer rooms.

What are the major medical tourism destinations in Tunisia?

Even though Tunisia is the smallest North African nation, it has found its niche in medical tourism owing to the most wonderful tourist attractions and the cutting edge and advanced healthcare infrastructure. The medical tourism destinations within Tunis are outlined here:

  1. Tunis
  2. Monastir
  3. Bizerte
  4. Sousse
  5. Tabarka
  6. Sfax
  7. Gabes
  8. Jerba
  9. La Marsa

The liberal economy, strong focus on healthcare, close ties with European union and Arab countries, a growing tourism industry has lead to Tunisia ranking 38 among the 46 global destinations on the 2020-21 Medical Tourism Index. The people here are warm and welcoming, getting medical visa is easy and there is good healthcare at economical prices which all together makes Tunisia a wonderful medical tourism destination.

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