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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Werndale Hospital
Carmarthen, United Kingdom
The Circle Werndale Hospital offers patients from Pembrokeshire, Carmarthenshire, and Ceredigion access to private facilities and state-of-the-art equipment. The 27 beds of Circle Werndale Hospital are all private and comfortable, with en suite bathrooms, satellite TV, and phones.
The specialists can perform a variety of operations, from simple investigations to intricate surgeries, thanks to these facilities, the newest equipment, and on-site support services. With committed nursing teams and resident medical officers on duty around the clock, this specialized knowledge is backed by compassionate and skilled medical personnel who offer care in a welcoming and comfortable setting.
Arab Medical Center
Amman, Jordan
- The hospital offers specialised and high-quality medical care to both local and international patients.
- It offers 24/7 emergency services with experienced staff and dedicated rooms for children and patients with infectious diseases.
- AMC performs advanced surgeries, including those for the brain, heart, bones, and eyes.
- The hospital has modern medical equipment and diagnostic tools for accurate testing and treatment.
- It includes speciality clinics for heart, cancer, brain, diabetes, and more.
- AMC supports critical care units like the Intensive Care Unit (ICU), Coronary Care Unit (CCU), and dialysis unit.
- It ensures patient comfort through clean rooms, professional service, and luxury accommodation options.
- The hospital promotes medical education and awareness through services like the Arabi Podcast.
- AMC actively supports medical tourism and is known as a trusted referral hospital in the region.
- It focuses on continuous quality improvement and compassionate care for every patient.
- AMC has a loyalty program (Arabi Care Card) that offers benefits and discounts to regular patients.
- The hospital ensures easy accessibility due to its central location near major landmarks and hotels in Amman.
Ara Damansara Medical Centre
Kuala Lumpur, Malaysia
Situated at the junction of Petaling Jaya and Shah Alam, close to the Oasis Ara, Ara Damansara Medical Centre boasts a serene, luxurious ambiance.
The Centre has been awarded several prestigious awards such as the Global Health Asia Pacific Awards 2023, Newsweek Best Specialized Hospital APAC 2023, Healthcare Asia Awards 2023, and Malaysian Healthcare Wellness Excellence.
Asian Institute of Medical Sciences
Faridabad, India
Types of Endoscopic Third Ventriculostomy in Asian Institute of Medical Sciences and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 5071 - 7086 | 416681 - 580503 |
| Standard ETV | 2543 - 3553 | 208465 - 292166 |
| Neuroendoscopic ETV | 3053 - 4266 | 249807 - 349246 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 3565 - 4056 | 291132 - 333579 |
- Address: Asian Institute of Medical Sciences, Sector 21A, Faridabad, Haryana, India
- Facilities related to Asian Institute of Medical Sciences: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Fortis Hospital
Mohali, India
Types of Endoscopic Third Ventriculostomy in Fortis Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 5072 - 7112 | 417128 - 582783 |
| Standard ETV | 2544 - 3553 | 207081 - 290586 |
| Neuroendoscopic ETV | 3030 - 4257 | 248464 - 350372 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 3539 - 4060 | 290828 - 332963 |
- Address: Fortis Hospital Mohali, Sector 62, Sahibzada Ajit Singh Nagar, Punjab, India
- Facilities related to Fortis Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Iranian Hospital
Dubai, United Arab Emirates
Types of Endoscopic Third Ventriculostomy in Iranian Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (AED) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 5535 - 11443 | 20251 - 41105 |
| Standard ETV | 5141 - 8988 | 18815 - 32427 |
| Neuroendoscopic ETV | 5674 - 11181 | 20926 - 41666 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 6254 - 12130 | 23192 - 45578 |
- Address: Iranian Hospital - Al Wasl Road - Dubai - United Arab Emirates
- Facilities related to Iranian Hospital: SIM, TV inside room, Airport Transfer, Choice of Meals
Eregli Anadolu Hospital
Zonguldak, Turkey
Types of Endoscopic Third Ventriculostomy in Eregli Anadolu Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 4537 - 13500 | 136903 - 409762 |
| Standard ETV | 4005 - 7929 | 117255 - 234681 |
| Neuroendoscopic ETV | 4540 - 9688 | 133312 - 284042 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 4498 - 13426 | 136855 - 400677 |
- Address: M
- Facilities related to Eregli Anadolu Hospital: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Religious Facilities
Riyadh Care Hospital
Riyadh, Saudi Arabia
Apart from in-detail treatment procedures available, Riyadh Care Hospital located in Riyadh, Saudi Arabia has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:
- This healthcare organisation is equipped with modern and advanced healthcare instruments.
- Riyadh Care Hospital has a 325 bed capacity.
- The Department of Emergency and Department of Children Emergency work round the clock to provide the best of emergency care services.
- Respiratory Therapy and Dialysis Center takes care of the respiratory and renal conditions of the patients.
- Medical Rehabilitation Center provides the best in class rehabilitation and recovery services to the patients.
- Laboratory, Blood Bank, Physical Therapy and Radiology departments are also present.
- Intensive & Medium Care Unit for Children and Newborns and Intensive Care Unit for Cardiac conditions are also worth a mention for the outstanding work they are doing.
- Pharmacies for inpatients, outpatients and emergencies.
- The Intensive Care Unit is working to provide care for advanced and critical care.
Taoufik Clinique
Tunis, Tunisia
Taoufik Clinique located in Tunis, Tunisia is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Laboratory services and High end medical imaging equipment is present at this clinic.
- Emergency care services are also available.
- The clinic has a health checkup center as well as an operation theatre.
- The important disciplines at this hospital are cardiology, orthopedics, cosmetic surgery, oncology, urology, bariatric surgery, and gastroenterology among others.
- Some cardiac conditions treated here are peripheral vascular disorder, heart valves disorder, cardiac muscle diseases, and acute and chronic pericarditis.
- Orthopedic and spine surgery which also includes treatment of sports related injuries, and disorders of both upper and lower limb.
- Cancer treatment is performed in Taoufik Clinique through chemotherapy, surgery, and radiation therapy.
Ezzahra Clinic
Ez Zahra, Tunisia
Apart from in-detail treatment procedures available, Ezzahra Clinic located in Ez Zahra, Tunisia has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:
- The clinic has a national and international patient base.
- A cutting edge diagnostic center and an advanced medical imaging platform.
- There are excellent interventional radiology services.
- Interventional radiology department comprises of the following:
- Peripheral infiltration
- Spinal infiltration
- Vertebroplasty
- Guided echo
- Scan biopsy
- Medical imaging section possesses the following:
- 1.5 Tesla MRI
- Standard radiology
- Remote controlled table
- General ultrasound and specialized ultrasound
- Surgical arches
- 2 Color Doppler Echo
- 256 slice scanner
- Cardiac exam unit comprises of the following:
- Doppler Cardiac Ultrasound
- Ligation - esophageal varices
- Polypectomy
- Endoscopic gastrostomy
- Stress Echocardiography
- ERCP
- Gastric Fibroscopy
- Mucosectomy
- Digestive as well as Respiratory Therapeutic, Diagnostic Examinations
- Fetal Heart Rate Monitoring (RCF)
- Colonoscopy
- Complete Maternity Services are also available at the hospital.
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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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