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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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Get Help Explore Hospitals ( 91 )
Apollo Multispecialty Hospitals
Kolkata, India
Types of Endoscopic Third Ventriculostomy in Apollo Multispecialty Hospitals and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 5627 - 8043 | 471049 - 640328 |
| Standard ETV | 2804 - 3918 | 228442 - 326042 |
| Neuroendoscopic ETV | 3318 - 4783 | 273298 - 388027 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 3887 - 4419 | 326838 - 365330 |
- Address: Apollo Gleneagles Hospitals, Canal Circular Road, Kadapara, Phool Bagan, Kadapara, Kolkata, West Bengal, India
- Facilities related to Apollo Multispecialty Hospitals: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Fortis Hospital
Noida, India
3.0 ( 1 Reviews )
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) | 5070 - 7078 | 414204 - 582224 |
| Standard ETV | 2544 - 3541 | 207876 - 292120 |
| Neuroendoscopic ETV | 3059 - 4266 | 249335 - 348435 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 3543 - 4055 | 290681 - 332757 |
- Address: Fortis Hospital, Rasoolpur Nawada, Industrial Area, Sector 62, Noida, Uttar Pradesh, India
- Facilities related to Fortis Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
VPS Lakeshore Hospital
Kochi, India
Types of Endoscopic Third Ventriculostomy in VPS Lakeshore Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 5068 - 7138 | 417135 - 580350 |
| Standard ETV | 2532 - 3562 | 207217 - 291753 |
| Neuroendoscopic ETV | 3035 - 4265 | 249653 - 348228 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 3553 - 4042 | 291235 - 332790 |
- Address: VPS Lakeshore Hospital, Nettoor, Maradu, Ernakulam, Kerala, India
- Facilities related to VPS Lakeshore Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Medical Park Gebze Hospital
Kocaeli, Turkey
Types of Endoscopic Third Ventriculostomy in Medical Park Gebze Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 4511 - 13771 | 137686 - 408118 |
| Standard ETV | 3935 - 8029 | 117309 - 239509 |
| Neuroendoscopic ETV | 4584 - 9393 | 137828 - 284769 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 4506 - 13685 | 138283 - 401036 |
- Address: G
- Facilities related to Medical Park Gebze Hospital: Choice of Meals, Interpreter, SIM, Accommodation, Airport Transfer
Vinmec Phu Quoc Hospital
Phu Quoc, Vietnam
- Phu Quoc Island lacked access to modern, high-quality healthcare infrastructure suitable for both its residents and the growing number of tourists.
- The local healthcare system faced challenges in meeting international standards for emergency, diagnostic, and speciality care.
- There was a strong demand for a facility that could offer comprehensive and reliable medical services across a wide range of specialities.
- Vinmec Phu Quoc General Hospital was launched in June 2015 as part of the Vinmec Healthcare System to close this healthcare gap.
- Spanning over 10,000 square meters, the hospital comprises six stories and features nearly 150 patient beds to cater to a diverse range of medical needs.
- Operates in line with internationally recognised standards, such as those outlined by the Joint Commission International (JCI), to ensure patient safety and service excellence.
- Outfitted with advanced diagnostic and treatment technologies, including MRI, CT scanners, digital X-rays, and more to support high-precision care.
- Maintains 24/7 emergency response capabilities to address critical cases at any time.
- Engages highly qualified healthcare providers, including doctors and specialists who have trained and worked at prestigious hospitals both within Vietnam and internationally.
- The hospital’s design emphasises eco-friendliness and natural lighting, fostering a therapeutic environment for patients.
- To offer premium healthcare services on Phu Quoc Island, aligned with international benchmarks and suitable for both domestic and global patients.
- To contribute to Vinmec’s vision of becoming a leader in academic medicine through research, education, and clinical excellence.
- To ensure that every patient receives compassionate, ethical, and highly skilled care tailored to their unique health needs.
- To position Vinmec Phu Quoc as a trusted medical destination that combines advanced technology, modern infrastructure, and exceptional patient service.
Vinmec Times City
Ha noi, Vietnam
- Vinmec Times City International Hospital is the first hospital to be launched within the Vinmec Healthcare System.
- It is located in the Times City urban complex in Hanoi, offering a central and convenient location for patients.
- The hospital spans 24,670 square meters with a modern infrastructure of seven floors above ground and two basement levels.
- It is the first general hospital in Vietnam to receive JCI accreditation, a globally recognised certification for healthcare quality and safety.
- The medical team comprises highly qualified Vietnamese and international doctors with extensive clinical expertise.
- Vinmec Times City provides comprehensive healthcare services, including outpatient care, inpatient treatment, and emergency services.
- The hospital features specialised departments, including Internal Medicine, Paediatrics, Obstetrics and Gynaecology, Orthopaedics, and Neurology.
- It is equipped to perform advanced medical procedures, including robotic-assisted surgery and organ transplants.
- The facility features a world-class IVF centre and offers dedicated services in endocrinology, dermatology, and traditional medicine.
- On-site imaging, radiology, and laboratory departments ensure fast and accurate diagnostic support.
- With a strong focus on patient-centred care, the hospital offers a safe, comfortable, and internationally standardised medical experience.
Casa di Cura La Madonnina
milan, Italy
- Casa di Cura La Madonnina is a renowned multidisciplinary private clinic in Milan, Italy. It provides premium healthcare services with a focus on advanced diagnostics, personalised care, and surgical excellence. The clinic offers state-of-the-art operating rooms, luxury patient rooms, and an exclusive patient experience for both Italian and international patients. It is recognised for its expertise in fields such as fertility and IVF, cardiology, plastic surgery, and digestive endoscopy.
- It integrates clinical excellence with a high standard of comfort and privacy, making it one of the most prestigious private healthcare institutions in Italy.
Sarvodaya Hospital and Research Centre
Faridabad, India
4.9 ( 4 Reviews )
Types of Endoscopic Third Ventriculostomy in Sarvodaya Hospital and Research Centre and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 5067 - 7094 | 417294 - 581306 |
| Standard ETV | 2542 - 3550 | 208464 - 291169 |
| Neuroendoscopic ETV | 3037 - 4254 | 250280 - 348613 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 3561 - 4067 | 290816 - 334413 |
- Address: Sarvodaya Hospital, Sector 8, Faridabad, Haryana, India
- Facilities related to Sarvodaya Hospital and Research Centre: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Fortis Hospital
Bangalore, India
5.0 ( 1 Reviews )
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) | 5089 - 7105 | 414750 - 580266 |
| Standard ETV | 2534 - 3565 | 208833 - 291470 |
| Neuroendoscopic ETV | 3048 - 4280 | 248489 - 351209 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 3536 - 4075 | 292440 - 333254 |
- Address: Fortis Hospital, Sahyadri Layout, Panduranga Nagar, Bangalore, Karnataka, India
- Facilities related to Fortis Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
NMC Specialty Hospital Al Salam
Riyadh, Saudi Arabia
Apart from in-detail treatment procedures available, NMC Specialty Hospital Al Salam 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:
- The hospital is situated at a prime location with easy access from Mecca-Khurais Road and Al-Imam Shafi road
- 100 Hospital Rooms
- 25 Intensive Care Units with modern equipment
- 24-hour Pharmacy
- 24-hour Emergency Services
- Laboratory
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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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