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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
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—a thin, flexible tube with a light and camera on the end—into 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.
- 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
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%.
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Meliva Kardiolita Hospital, Vilnius
Vilnius, Lithuania
Kardiolita Hospital, Vilnius located in Vilnius, Lithuania is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- An outpatient department, 56-beds for inpatients
- 13 advanced operation theatres
- 24-hour intensive care unit
- Emergency Department
- Gynecology Center
- Vascular Center
- ENT Center
- Neurology Center
- General and Abdominal Surgery Center
- The staff also takes care of your air travel and pick & drop facility
Vinmec Hai Phong
Ha noi, Vietnam
- Vinmec Hai Phong International Hospital has been providing medical services since June 2018.
- It is located at a strategic intersection in Le Chan District, Hai Phong, offering convenient access for patients.
- The hospital covers nearly 30,000 square meters and includes eight stories above ground and one basement level.
- With a capacity of 200 inpatient beds, it delivers modern and comfortable care in a well-designed facility.
- The hospital serves thousands of outpatients annually, providing comprehensive consultations and treatments.
- The hospital performs a wide range of minimally invasive surgeries, including laparoscopic colectomy, joint replacement, and bronchoscopy, promoting faster recovery and less pain.
- It handles complex emergency procedures like resuscitation for cardiac arrest, severe trauma, and critical care conditions with high success rates.
- Specialised obstetric and gynaecological surgeries are conducted, such as hysterectomy and fertility procedures, using advanced laparoscopic techniques for improved outcomes.
- Patients benefit from a private, respectful environment with attentive care focused on their well-being.
- The medical staff includes highly skilled and compassionate doctors, known for their dedication and professionalism.
- Physicians regularly undergo training and collaborate internationally to keep up with the latest medical advancements.
- The hospital is equipped with cutting-edge diagnostic tools, including a 640-slice CT scanner, a 3.0 Tesla MRI, multifunctional ventilators, and a Cath Lab with 2D DSA technology.
- Vinmec Hai Phong is part of the Vinmec Healthcare System, the only private network in Vietnam with JCI-accredited hospitals.
- It plays a vital role in Northern Vietnam, setting a high standard for healthcare delivery in the region.
- The emergency and intensive care teams have successfully treated complex, life-threatening conditions like cardiac arrest and multiple trauma cases.
- The hospital has pioneered several critical procedures in the region, particularly in the intensive care unit (ICU) and resuscitation care.
- Its surgical department performs minimally invasive procedures such as laparoscopic colectomy, orthopaedic surgeries, and bronchoscopies.
- In women’s health, the hospital has managed high-risk cases like placental complications and eclampsia, with excellent outcomes.
- It also offers advanced laparoscopic gynecologic surgeries, including hysterectomies and infertility treatments.
- Vinmec Hai Phong consistently achieves a patient satisfaction rate above 95%.
- In a government health quality audit, the hospital earned an impressive 4.4 out of 5 rating.
- During the COVID-19 crisis, the hospital swiftly implemented safety protocols and resumed operations within 24 hours of sanitisation.
- Patient testimonials highlight positive experiences, including pain-free recovery after hernia surgery, effective cancer care, and safe childbirth procedures.
Vinmec Central Park International Hospital
Ho Chi Minh, Vietnam
- A modern multi-speciality hospital with 178 inpatient beds across seven floors and three basements.
- Equipped with advanced diagnostic imaging technologies including MRI, CT Scan, X-ray, Ultrasound, and Digital Mammography.
- The cardiology department features state-of-the-art facilities, including cardiovascular intervention suites and advanced echocardiography equipment.
- The Oncology centre offers comprehensive cancer diagnosis and treatment with access to modern radiotherapy and chemotherapy equipment.
- Sophisticated life-support systems and continuous patient monitoring technology support ICU and emergency units.
- Operating theatres are equipped with high-tech surgical instruments and infection control systems to ensure safety and precision.
- Neonatal and pediatric care units are equipped with specialised equipment to support the health of newborns and children.
- Gastroenterology and endoscopy services utilise high-definition endoscopic imaging for accurate diagnosis and minimally invasive procedures.
- Laboratory services certified to international standards offer fast and accurate testing, utilising advanced automation.
- Pharmacy services ensure the availability of a wide range of medications with stringent quality control.
- Integrated IT systems facilitate online patient registration, appointment scheduling, and real-time access to medical results.
- Pain management and anaesthesia departments utilise modern techniques to enhance patient comfort during procedures.
- Specialised centres for obstetrics, gynaecology, and general surgery deliver comprehensive care with expert medical teams.
- Focus on personalised treatment plans developed through collaboration with international medical experts and continuous training.
Vinmec Ha Long Hospital
Ha noi, Vietnam
- Vinmec Ha Long International Hospital has been providing excellent medical care since 2014 as part of the Vinmec Healthcare System under Vingroup.
- Situated in Ha Long City, Quang Ninh Province, the hospital offers easy access for both residents and visitors to the area.
- The facility spans 12,768 square meters and comprises an 8-story building with an underground level for comprehensive services.
- With 150 patient beds, the hospital serves around 200,000 outpatients annually, ensuring quality care for all.
- A full range of medical specialities is available, including internal medicine, surgery, paediatrics, obstetrics, and gynaecology.
- Patients receive treatment in a safe, comfortable, and hygienic environment that meets strict healthcare standards.
- A team of highly trained doctors, nurses, pharmacists, and technicians delivers care, with many having completed advanced training programs both locally and internationally.
- The hospital maintains close partnerships with other Vinmec hospitals and collaborates with global medical experts for specialised treatments.
- State-of-the-art medical equipment enables accurate diagnostics and effective therapies for patients.
- High patient satisfaction rates reflect the hospital's commitment to compassionate, personalised healthcare services.
- As a member of the Vinmec network, the hospital adheres to international quality benchmarks, offering care that matches global standards.
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IRCCS Ospedale San Raffaele
milan, Italy
- Premier multi-speciality research hospital specialising in molecular medicine, gene therapy, and cardiovascular care.
- Part of Gruppo San Donato (GSD) and affiliated with Università Vita-Salute San Raffaele.
- Treats around 1.5 million patients annually, including many international visitors.
- Designated as a European Reference Centre (ERN GUARD-Heart) for complex heart conditions.
- Offers advanced services in cardiac surgery, electrophysiology, oncology, urology, gene therapy, plastic surgery, and diagnostic imaging.
- Equipped with state-of-the-art operating theatres, diagnostic labs, and 1,640 patient beds.
- Provides multilingual support, patient-focused care, and on-site pharmacies, labs, and cafeterias.
- Ranked among the World’s Best Specialised Hospitals (2025) for cardiology and cardiac surgery.
Manipal Hospital, Dwarka
Delhi, India
Types of Endoscopic Third Ventriculostomy in Manipal Hospital, Dwarka and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 5099 - 7085 | 414150 - 582425 |
| Standard ETV | 2548 - 3553 | 208317 - 292083 |
| Neuroendoscopic ETV | 3043 - 4248 | 249914 - 350386 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 3564 - 4061 | 290390 - 331456 |
- Address: Manipal Hospital Dwarka, Palam Vihar, Sector 6 Dwarka, Dwarka, New Delhi, Delhi, India
- Facilities related to Manipal Hospital, Dwarka: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Jimenez Diaz Foundation University Hospital
Madrid, Spain
With about 80,000 m 2 , it is equipped with the highest sanitary technology and offers a wide portfolio of services-
- Day hospital
- 11 central operating rooms
- 3 operating rooms for CMA
- 6 Delivery rooms
- 686 beds
- Ambulatory major surgery
- Emergencies
- Pediatric emergency
- ICU
- Neonatal ICU
- External Consultations
Parkside Private Hospital
London, United Kingdom
Apart from in-detail treatment procedures available, Parkside Private Hospital located in London, United Kingdom 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:
- Patient bedrooms with ensuite facilities like TV, internet access, direct dial phone, etc.
- 4 Operating Rooms
- 69 registered beds
- 21 Outpatient Consulting rooms
- 4 minor procedure rooms
- 11-bed day unit
- Endoscopy suite
- Pathology Laboratory
- Pharmacy
- Cafeteria/Restaurant
- Car Parking
NMC As Salama Hospital
Al Khobar, Saudi Arabia
Apart from in-detail treatment procedures available, NMC As Salama Hospital located in Al Khobar, 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:
- Technology Advancement- Hospital has an ultrasound unit, a mammogram, a CT scan unit, and an X-ray imaging unit
- Laboratory
- 60 Private bedrooms
- Operating rooms
- Labor and Delivery Units
- Isolation rooms
- 2 Dental clinics
- Special Care Units
- 24*7 Emergency Services
- Intensive Care Unit
- Pharmacy
- Cafeteria
Apollo Hospital
Chennai, India
Types of Endoscopic Third Ventriculostomy in Apollo Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 5646 - 7881 | 466339 - 645556 |
| Standard ETV | 2806 - 3901 | 227391 - 322000 |
| Neuroendoscopic ETV | 3307 - 4729 | 280822 - 388890 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 3964 - 4510 | 316009 - 365849 |
- Address: Apollo Hospital Greams Road Chennai - Best Hospital in Chennai, Greams Road, Thousand Lights West, Thousand Lights, Chennai, Tamil Nadu, India
- Facilities related to Apollo Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
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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.
- Choose your preferred option: Choose the treatment option that suits you the best.
