A surgical technique called endoscopic third ventriculostomy is used to treat adults and children with obstructive or non-communicating hydrocephalus. There is no longer a need for a shunt because to an alternative surgical technique that produces a bypass for the cerebrospinal fluid in the skull. It is only beneficial to those who have hydrocephalus brought on by an obstruction in the cerebrospinal fluid flow.
The most popular therapy for hydrocephalus is shunting, which involves transferring the cerebrospinal fluid (CSF) to another bodily cavity for reabsorption using a tiny silicone tube.
Factors affect the cost of Endoscopic Third Ventriculostomy:
- Location and Facility: The cost of an ETV can be greatly influenced by the location and kind of medical facility used. Hospitals, outpatient surgical facilities, and specialty neurosurgery clinics may have different prices. Facilities typically charge more in urban locations or in areas where living expenses are higher.
- Type of anesthetic: Depending on the patient's age, health, and the surgeon's preference, ETV may be done under local anesthetic with sedation or general anesthesia. The type of anesthesia selected might have an impact on the total cost; general anesthesia is usually more costly because it requires the services of an anesthesiologist and extra monitoring equipment.
- Surgeon's Fee: A sizeable portion of the overall expense is attributed to the fee the neurosurgeon charges for the ETV surgery charges. Depending on the surgeon's reputation, experience, and level of expertise, fees may differ.
- Fees for Assistant Surgeon and Anesthesiologist: Should these professionals be engaged in the process, their fees will also be added to the total expense of ETV.
- Operating room cost: The total cost of the procedure is increased by the cost of employing the operating room and surgical equipment, which includes endoscopic tools, imaging guidance (such as intraoperative navigation systems), and monitoring devices.
- Pre-operative Assessment and Testing: Before elective total knee replacement surgery, patients might need pre-operative assessment, which includes imaging investigations (such as CT or MRI scans) and laboratory tests. It is important to factor in the price of these diagnostic tests when calculating the total cost.
- Length of Hospital Stay: The entire cost may be affected by the length of hospital stay necessary for ETV. Even though ETV is frequently done as a same-day or short-stay treatment, certain patients might need to stay in the hospital longer to be monitored after surgery or to address any issues.
- Post-operative treatment: Patients may need post-operative treatment after electrotherapy (ETV), which includes pain management, complication monitoring, and follow-up meetings with medical professionals. The entire cost should account for the cost of post-operative care services.
- Complications and Follow-Up: Adverse events following ECT, like as hemorrhage, infection, or CSF leaking, may require further medical attention, prescription drugs, or surgery. It is important to take into account the expense of treating problems and offering follow-up care.
- Geographical Location: The cost of ETV can vary depending on local market dynamics and geographical location, just like the cost of other healthcare services. Regional healthcare laws, provider competition, and local living expenses are just a few examples of the variables that can affect the price.
| Country | Cost | Local_currency |
|---|---|---|
| United Kingdom | USD 4000 - 10216 | 3160 - 8071 |
| Turkey | USD 4498 - 13520 | 135570 - 407493 |
| Spain | USD 10570 | 9724 |
| United States | USD 14000 | 14000 |
| Singapore | USD 8000 - 11000 | 10720 - 14740 |
Endoscopic third ventriculostomy (ETV) is a surgical procedure used to treat obstructive hydrocephalus, a condition characterized by the accumulation of cerebrospinal fluid (CSF) in the brain. CSF is produced in the ventricular system of the brain, which consists of four cavities - two lateral ventricles, the third ventricle, and the fourth ventricle - interconnected by channels.
The third ventricle, situated centrally above the base of the skull, plays a crucial role in CSF circulation. In cases of obstructive hydrocephalus, CSF flow is impeded due to blockage, often occurring at the passage between the third and fourth ventricles, known as the cerebral aqueduct.
ETV involves creating a new pathway for CSF to bypass the blockage by making a small hole in the floor of the third ventricle using an endoscope. This allows CSF to flow directly into the subarachnoid space surrounding the brain, relieving pressure and reducing ventricle enlargement.
Classification:
Based on the Underlying Cause of Hydrocephalus
- Congenital Obstructive Hydrocephalus
- Acquired Obstructive Hydrocephalus
Based on Patient Demographics
- Pediatric ETV
- Adult ETV
- Standard ETV
Based on the Surgical Approach
- Flexible Endoscope ETV
- Rigid Endoscope ETV
- The catheter or surgical site can become infected
- Bleeding at the catheter insertion site
- Brain damage or stroke may occur if the catheter is placed poorly
- A blocked or dislodged catheter prevents proper drainage of cerebrospinal fluid
- Over-drainage or under-drainage may lead to collapse
- Relieves pressure on the brain
- Enables CSF drainage
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Kings College Hospital Dubai
Dubai, United Arab Emirates
Types of Endoscopic Third Ventriculostomy in Kings College Hospital Dubai and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (AED) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 5533 - 11116 | 20485 - 41907 |
| Standard ETV | 5094 - 8827 | 18217 - 33560 |
| Neuroendoscopic ETV | 5537 - 11409 | 21053 - 41369 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 6177 - 12570 | 22336 - 45114 |
- Address: King's College Hospital London, Dubai, East Exit - Al Marabea' Street - Dubai - United Arab Emirates
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Kuala Lumpur, Malaysia
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Kuala Lumpur, Malaysia
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Bangpakok 9 International Hospital
Bangkok, Thailand
Types of Endoscopic Third Ventriculostomy in Bangpakok 9 International Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (THB) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 5021 - 10039 | 177019 - 366381 |
| Standard ETV | 4475 - 8735 | 154757 - 310276 |
| Neuroendoscopic ETV | 4415 - 8881 | 158150 - 307319 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 5051 - 9024 | 181687 - 314852 |
- Address: Bangpakok 9 International Hospital, International Hospital, Rama II Road, Bang Mot, Chom Thong, Bangkok, Thailand
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Istanbul, Turkey
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Medanta - The Medicity
Gurgaon, India
Types of Endoscopic Third Ventriculostomy in Medanta - The Medicity and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 5585 - 7907 | 451668 - 650836 |
| Standard ETV | 2827 - 3953 | 235360 - 324740 |
| Neuroendoscopic ETV | 3316 - 4782 | 279540 - 386450 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 3971 - 4463 | 319516 - 374492 |
- Address: Medanta The Medicity, Medicity, Islampur Colony, Sector 38, Gurugram, Haryana, India
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+99Process Involved for Endoscopic Third Ventriculostomy
- Consultation: Meet with a neurosurgeon or neurologist to assess symptoms and the need for ETV.
- Pre-surgical Examination: Review medical history and symptoms and perform imaging tests to confirm the diagnosis of hydrocephalus.
- Discussion of Treatment: Evaluate if ETV is the appropriate option or if alternative treatments are required.
- Surgical Planning: Discuss the procedure, risks, benefits, and expected recovery.
- Post-Surgery Follow-up: Monitor recovery, manage potential complications, and assess the procedure's success through follow-up imaging and symptom review.
- Obstructive Hydrocephalus
- Aqueductal Stenosis
- Normal Pressure Hydrocephalus (NPH)
- Cerebral Tumors
- Communicating Hydrocephalus
- Obstructive hydrocephalus (obstruction of the brain ventricles leading to accumulation of fluid)
- A common cause of blockage is aqueductal stenosis, or the constriction of the aqueduct of Sylvius.
- The condition is termed normal pressure hydrocephalus (NPH) if surgery is more favourable than shunt placement.
- The underlying cause of persistent headache, nausea, and vomiting symptoms is increased intracranial pressure.
- Relief from Symptoms of Hydrocephalus
- Minimally Invasive
- Faster Recovery Time compared to traditional shunt placement
- Long-Term CSF Flow Improvement
- Reduced Dependency on Shunts
- Neurosurgeon
- Neurologist
- Fill out the inquiry form: Fill out the form to provide us with the relevant information about your condition.
- Consult with Our Healthcare Expert: One of our qualified specialists will contact you for a consultation.
- Receive a Detailed Treatment Plan: After examining your situation, we will provide you with a detailed treatment plan that includes expert views and cost breakdowns for various choices.
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