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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Gleneagles Hospital Mumbai
Mumbai, India
- Gleneagles Hospital, Parel, Mumbai, is a premier quaternary-care multispeciality hospital and a top destination for complex medical care in Western India.
- Renowned for multi-organ transplants and advanced surgeries, the hospital offers specialised treatment across Cardiology, Neurology, Gastroenterology, Hepatology, Nephrology, Urology, Orthopaedics, Critical Care, Interventional Radiology, Gynaecology, and General Medicine.
- Equipped with state-of-the-art diagnostic and surgical technology, including 3-Tesla MRI, 128-slice CT Scan, Bi-plane Cath Lab, and robotic surgery systems, Gleneagles provides integrated, patient-focused care.
- Its expert team of doctors, nurses, and support staff ensures high standards of safety, efficiency, and compassionate care, making it a trusted healthcare destination for patients in Mumbai and beyond.
Max Super Specialty Hospital, Vaishali
Ghaziabad, India
Types of Endoscopic Third Ventriculostomy & Its Cost at Max Super Specialty Hospital, Vaishali
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Endoscopic Third Ventriculostomy Surgery (overall) | 4,500 - 9,000 | 369000 - 738000 |
Factors affecting Endoscopic Third Ventriculostomy cost in Max Super Specialty Hospital, Vaishali
| Cost Factors | Cost Range (USD) | Cost Range (INR) |
|---|---|---|
| Room Rent (per day) | 70 - 200 | 5740 - 16400 |
| Doctor's Fee (per consultation) | 20 - 100 | 1640 - 8200 |
| Neuroimaging (MRI/CT) | 150 - 500 | 12300 - 41000 |
| Anesthesia | 500 - 1,000 | 41000 - 82000 |
| Medications | 100 - 300 | 8200 - 24600 |
| Diagnostic Tests (e.g., blood tests) | 50 - 150 | 4100 - 12300 |
| Rehabilitation/Physical Therapy (if required) | 50 - 100 per session | 4100 - 8200 (per session) |
| Miscellaneous Expenses (e.g., medical supplies) | 50 - 100 | 4100 - 8200 |
Indraprastha Apollo Hospital
Delhi, India
Types of Endoscopic Third Ventriculostomy in Indraprastha Apollo Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 5610 - 7872 | 451579 - 658123 |
| Standard ETV | 2778 - 3867 | 231375 - 319372 |
| Neuroendoscopic ETV | 3384 - 4645 | 275373 - 393432 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 3876 - 4428 | 316921 - 375058 |
- Address: Indraprastha Apollo Hospitals, Mathura Road, Sarita Vihar, New Delhi, Delhi, India
- Facilities related to Indraprastha Apollo Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Apollo Hospitals
Hyderabad, India
Types of Endoscopic Third Ventriculostomy in Apollo Hospitals and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 5587 - 7963 | 469188 - 659293 |
| Standard ETV | 2792 - 3923 | 235222 - 321633 |
| Neuroendoscopic ETV | 3387 - 4830 | 281497 - 390486 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 3927 - 4416 | 324694 - 366915 |
- Address: Apollo Hospitals Jubilee Hills, Film Nagar, Hyderabad, Telangana, India
- Facilities related to Apollo Hospitals: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Star Hospitals
Hyderabad, India
Types of Endoscopic Third Ventriculostomy in Star Hospitals and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 4673 - 6591 | 384913 - 534456 |
| Standard ETV | 2318 - 3260 | 192430 - 272251 |
| Neuroendoscopic ETV | 2817 - 3961 | 232705 - 326224 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 3310 - 3740 | 268525 - 309842 |
- Address: Star Hospitals, Banjara Hills, Hyderabad, Telangana, India
- Facilities related to Star Hospitals: Mobility Accessible Rooms, Rehabilitation, Religious Facilities, TV in room, Cafe
Sterling Wockhardt Hospital
Mumbai, India
Types of Endoscopic Third Ventriculostomy in Sterling Wockhardt Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 5093 - 7128 | 417667 - 583784 |
| Standard ETV | 2535 - 3557 | 207874 - 290434 |
| Neuroendoscopic ETV | 3059 - 4256 | 249125 - 348350 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 3539 - 4055 | 290297 - 333383 |
- Address: Sterling Wockhardt Hospital, Sion - Panvel Expressway, Sector 7, Vashi, Navi Mumbai, Maharashtra, India
- Facilities related to Sterling Wockhardt Hospital : Mobility Accessible Rooms, Rehabilitation, Religious Facilities, TV in room, Cafe
Venkateshwar Hospital
Delhi, India
Types of Endoscopic Third Ventriculostomy in Venkateshwar Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 5085 - 7117 | 416560 - 581269 |
| Standard ETV | 2533 - 3548 | 207104 - 291077 |
| Neuroendoscopic ETV | 3033 - 4268 | 249199 - 348633 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 3569 - 4077 | 291983 - 333640 |
- Address: Venkateshwar Hospital, Sector 18, Sector 18A, Dwarka, Delhi, India
- Facilities related to Venkateshwar Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Medical Park Usak Hospital
Usak, Turkey
Medical Park is Turkey's largest network of hospitals, with hospitals in 17 cities across the country. The hospitals of Medical Park Group have the latest equipment for accurate diagnosis and effective treatment.
The existence of Medical Park in Uşak, one of the biggest and most reputable healthcare institutions in the nation, is essential to the city's further expansion and transformation into a center of high-quality healthcare. The hospital provides modern medical services, advanced technology, and a staff of highly skilled experts who provide patients in Uşak and the neighboring provinces with compassionate and efficient treatment as part of its dedication to providing high-quality healthcare for everyone.
Medical Park Trabzon Star Hospital
Trabzon, Turkey
Types of Endoscopic Third Ventriculostomy in Medical Park Trabzon Star Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 4453 - 13220 | 135095 - 405760 |
| Standard ETV | 4012 - 7887 | 118479 - 233568 |
| Neuroendoscopic ETV | 4432 - 9562 | 134911 - 291534 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 4554 - 13290 | 138404 - 398197 |
- Address: Pazarkap, Medical Park Trabzon Hastanesi, Devlet Sahil Yolu Caddesi, Ortahisar/Trabzon, Turkey
- Facilities related to Medical Park Trabzon Star Hospital: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Air Ambulance
VM Medical Park Ankara
Ankara, Turkey
Types of Endoscopic Third Ventriculostomy in VM Medical Park Ankara and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 4545 - 13223 | 134871 - 408282 |
| Standard ETV | 3895 - 7864 | 120545 - 237685 |
| Neuroendoscopic ETV | 4465 - 9453 | 137467 - 283002 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 4409 - 13368 | 133199 - 407469 |
- Address: Kent Koop Mah., Medical Park Ankara Hastanesi, 1868. Sok., Batkent/Yenimahalle/Yenimahalle/Ankara, Turkey
- Facilities related to VM Medical Park Ankara: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Air Ambulance
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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
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