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| City | Cost (USD) | |
|---|---|---|
| Kaunas | Starting $11.5k | Explore More |
| Vilnius | Starting $11.5k | Explore More |
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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.
Based on the Underlying Cause of Hydrocephalus
Based on Patient Demographics
Based on the Surgical Approach
Hydrocephalus is treated via endoscopic third ventriculostomy (ETV), which removes the brain's excess cerebrospinal fluid (CSF) accumulation. The ETV makes a tiny hole in the third ventricle's floor to allow CSF to flow in a new direction, aiding in pressure reduction without using a shunt.
In order to evaluate your general health and comprehend your symptoms, your surgeon will perform a physical examination and prescribe tests prior to a ventriculostomy. The surgery will be planned based on imaging and test findings. Following surgery, you might need to make arrangements for assistance at home, finish more testing, and modify your medication. During your pre-surgery examination, make sure to ask your care team any questions you may have.
Your surgeon will plan a ventriculostomy by performing a physical examination and reviewing imaging studies. You may need to stop taking certain medications, taking antibiotics, and taking additional tests. Making arrangements for assistance at home following surgery is also crucial.
After making a tiny incision, a surgeon inserts an endoscope\u2014a thin, flexible tube with a light and camera on the end\u2014into the bottom of your third ventricle. Because of its central placement, the third ventricle is simple to reach and see. The opening allows your body to drain into the surrounding tissue to reabsorb the CSF.
Depending on the complexity and urgency of the case, a ventriculostomy procedure usually takes 20 to 45 minutes.
After a ventriculostomy, post-operative recovery usually requires careful observation in an intensive care unit (ICU). Medical professionals examine for infection or complications, evaluate the drainage system, and monitor intracranial pressure. The underlying disease determines the recovery time; however, most patients need to stay in the hospital for several days and may require follow-up imaging or additional treatment.
Endoscopic Third Ventriculostomy (ETV) has a success rate of approximately 74.7% in adults, while some studies have found success rates as high as 87%.
80–90%
Successful CSF flow restoration3–5 days
Typical hospital stay2–6 weeks
Typical recovery period
Vilnius, Lithuania
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Vilnius is the capital of Lithuania and it is the largest city in the country. Vilnius has two types of healthcare systems: public and private. It also has a two-tiered healthcare insurance system, with public and private providers. The public system was founded in 1993 by the Compulsory Health Insurance Fund (CHIF), commonly known as "valstybin ligoni kasa." As an expat, you will have access to the public healthcare system if you are a permanent or temporary resident working in the country. Both private and governmental healthcare in Vilnius is generally regarded as of high quality. Vilnius has an excellent reputation for all types of treatments, particularly cardiology and dental care, as evidenced by its expanding importance as a medical tourism destination. The private medical sector offers high-quality care at competitive pricing that can be as low as 25% less than those in other nations. A variety of primary and hospital care, as well as elective cosmetic surgery, laser eye treatment, and dental care, can be covered by private health insurance. A patient should also consider purchasing a medical evacuation policy. There is practically little private provision for inpatient treatment in Vilnius.
The hospitals in Vilnius deliver quality care and treatment. They are internationally recognized and accredited by healthcare organizations like JCI and ISO. Some of the top hospitals in the city include:
The doctors in Vilnius play a vital role in delivering top-level healthcare services focusing on each patient’s needs. Some of the top doctors in the city include:
Vilnius is an easily reachable city by train, bus, and flight. The nearest airport to Vilnius is Vilnius (VNO) Airport from where you can travel to the city by bus or cab. If you are planning to undergo treatment here, MediGence can assist you in planning your medical travel.
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