Craniotomy cost in United Kingdom

Treatment and Cost

28

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2 No. Travelers

5 Day in Hospital

23 Days Outside Hospital

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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.

Patient Stories

Frequently Asked Questions

What are the factors affecting the cost of Craniotomy in the United Kingdom?

Different hospitals have different pricing policy when it comes to the cost of Craniotomy in the United Kingdom. The Craniotomy package cost usually includes all the expenses related to pre and post surgery expenses of the patient. The comprehensive Craniotomy package cost includes the cost of investigations, surgery, medicines and consumables. Extended hospital stay, complications after the surgery or new diagnosis may affect the overall cost of Craniotomy in the United Kingdom.

Which are some of the best clinics in the United Kingdom for Craniotomyt?

There are many hospitals across the country that offer Craniotomy to international patients. For quick reference, the following are some of the leading hospitals for Craniotomy in the United Kingdom:

  1. Parkside Private Hospital
How many days does it take to recover post Craniotomy in the United Kingdom?

After Craniotomy in the United Kingdom, the patient is supposed to stay in guest house for another 28 days. This is important to ensure that the surgery was successful. During this time, control and follow-up tests take place to check for medical fitness.

Which are some of the other popular destinations for Craniotomy?

One of the topmost destinations for Craniotomy is the United Kingdom. It has a variety of accredited hospital, affordable cost of treatment and some of the best medical fraternity. 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 the United Kingdom apart from the cost of Craniotomy?

Apart from the Craniotomy cost, the patient may have to pay for additional daily expenses such as for guest house after discharge and meals. The extra charges may start from USD 50 per person.

Which are the best cities in the United Kingdom for Craniotomy Procedure?

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

  1. Bristol
  2. London
  3. Norfolk
  4. Kensington
How many days does one have to spend in the hospital for Craniotomy in the United Kingdom?

After the Craniotomy takes place, the average duration of stay at the hospital is about 5 days. 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 the United Kingdom?

There are more than 1 hospitals that offer Craniotomy in the United Kingdom. The above listed clinics are approved to perform the surgery and have proper infrastructure to handle Craniotomy patients. 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.

Who are the best doctors for Craniotomy in the United Kingdom?

FAQ's Related to United Kingdom

What healthcare accreditation standards are followed in the United Kingdom?

The healthcare systems in the United Kingdom receive accreditation from QHA Trent and United Kingdom Accreditation Forum. QHA Trent is an independent holistic accreditation organization that is dedicated to improving quality and reducing risks for healthcare providers, patients, and the general public. There is a strong quality framework to ensure the performance of healthcare systems. Various inspection and improvement processes are merged with accreditation programs and regulatory bodies to provide a common mechanism for quality improvement. KOIHA has a strict procedure for evaluating the healthcare system based on administrative management, quality of patient care, and performance management.

Why should I opt for healthcare in the United Kingdom?

The United Kingdom is considered one of the leading destinations in the world for seeking treatment due to its modern infrastructure and major medical advancements. The country’s more focus on investment in technology and communication and transport and has successfully contributed to significant growth in the medical tourism sector. Some of the important factors that make the United Kingdom’s healthcare system unique include rapid response multi-disciplinary review teams (MDT), appointments and same-day diagnosis, and emerging treatments. Populated with state-of-art hospitals like London Bridge Hospital, BUPA Cromwell, and Great Ormond Street, the country boasts of world-class treatment through highly trained doctors and advanced technology.

What is the quality of medical specialists in the United Kingdom?

The United Kingdom has world-class doctors who undergo mandatory professional training to gain deep expertise in their specialty area. The country has top quality doctors who are very efficient in handling even the most complicated cases with ease ant this quality is attributed to their extensive training and education at premier colleges. The doctors have deep expertise in a wide range of procedures like knee replacement, gallbladder removal, and hip replacement which are performed with great precision and accuracy. The country also has some of the most renowned cardiologists, neurologists, gynecologists, and orthopedic doctors who have handled critical cases effectively.

How to obtain a medical visa in the United Kingdom?

The first thing that you need to check is whether you require a visa to visit the United Kingdom for treatment because a visa is not required for some countries. You can apply for a visa waiver if you are from Kuwait, Oman, Qatar, and United Arab Emirates. The documents required for applying for a medical visa include:

  1. Passport
  2. Visa fee receipt
  3. Two passport size photographs of the candidate
  4. Civil status of the candidate traveling
  5. Travel details
  6. Medical prescription signed by a registered medical practitioner
  7. A letter of acceptance from the doctor
  8. An estimate of stay period.

You are allowed to extend your visa by 6 months in case you need further treatment.

Which are the popular multispecialty hospital groups in United Kingdom?

The most renowned hospitals in the United Kingdom are:

  1. Royal Berkshire NHS Hospital
  2. The Portland Hospital
  3. BUPA Cromwell Hospital
  4. The Queens Square Private Hospital
  5. Royal Brompton Private Care
  6. King Edwards VII's Hospital
  7. The London Clinic
  8. London Bridge Hospital
  9. Priory Hospital London

The hospitals offer a wide spectrum of medical procedures in a comfortable, modern environment with state-of-the-art technology and leading health consultants. Some other reasons for the popularity of these hospitals are the efficiency of the nurses, doctors, and other healthcare staff, the food options, the safety aspects, the quality control, patient care, low mortality rate. If you want to find the best hospital in the United Kingdom, you can refer to a few ratings and rankings systems. Currently, Royal Berkshire NHS Hospital holds the top position in the United Kingdom and is ranked 67 in the world.

What are the popular procedures available in the United Kingdom?

The United Kingdom has received worldwide recognition for its excellence in procedures like:

  1. Radiation therapy
  2. Knee Replacement
  3. Hip Replacement
  4. Chemotherapy
  5. Immunotherapy

Breast reduction and breast augmentation are the most sought-after procedure in the country. The United Kingdom has received worldwide recognition for offering effective cancer treatment and some of the types of cancer that have reported high success rates include breast cancer, brain cancer, and prostate cancer. At least 50,000 hip replacement surgeries are carried out in the United Kingdom each year, with a success rate of 97 percent.

Which are the most popular cities in the United Kingdom for medical treatment?

The most popular cities that are preferred by medical tourists in the United Kingdom are:

  1. Oxford
  2. Manchester
  3. York
  4. London
  5. Cambridge
  6. Edinburgh
  7. Inverness
  8. Belfast

One of the best places to seek treatment in the United Kingdom, Edgbaston Medical Quarter in Birmingham provides easy access to quality treatments, particularly in oncology, trauma, diabetes, and fertility. Birmingham, which attracts a large number of international patients for treatment, has modern infrastructure, better connectivity, highly trained doctors, and top hospitals. Attracting people from different corners of the world to seek treatment, London is the hub for world-class hospitals offering a number of procedures with high success rates.

Is it mandatory to take vaccinations before going to the United Kingdom?

Yes, vaccines are recommended or required for the United Kingdom. The CDC and WHO recommend the below vaccines for the country:

  1. Hepatitis A
  2. Hepatitis B
  3. Rabies
  4. Meningitis
  5. Polio
  6. Measles
  7. Mumps and rubella (MMR)
  8. Tetanus, diphtheria and pertussis
  9. Chickenpox
  10. Shingles
  11. Pneumonia and influenza

It is essential to get vaccinated at least 8 weeks before the exact date of travel. You can travel without getting vaccinated if you have a specific medical condition that prevents you from vaccination. Always check with a doctor and the government authority as to what vaccination must be taken.

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