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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 )
Medical Park Canakkale Hospital
Canakkale, Turkey
Types of Endoscopic Third Ventriculostomy in Medical Park Canakkale Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 4562 - 13757 | 133447 - 411574 |
| Standard ETV | 3984 - 7998 | 119294 - 232648 |
| Neuroendoscopic ETV | 4578 - 9398 | 135382 - 286147 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 4552 - 13400 | 133911 - 414103 |
- Address: Hamidiye,
- Facilities related to Medical Park Canakkale Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Medstar Antalya Hospital
Ankara, Turkey
- Medstar Antalya Hospital has been providing patients with modern medical services since 2009.
- It is part of the trusted Memorial Health Group, which is known for expert healthcare in Turkey.
- The hospital is situated on a large campus and features advanced medical equipment and facilities.
- It has 124 comfortable beds for patients and five fully prepared operating rooms for surgeries.
- There are 33 intensive care beds, including specialised units for newborns who require additional support.
- The hospital treats many health issues like cancer, heart problems, brain conditions, and more.
- Modern machines, such as MRI, CT, and PET-CT, help doctors identify and treat problems quickly and safely.
- Medstar meets international safety and care standards and is trusted by both local and global patients.
- Care plans are made specially for each person, and emotional well-being is also supported.
- Its location in Antalya makes it easy to reach and ideal for people coming from other countries for treatment.
Vinmec Can Tho Hospital
Can Tho, Vietnam
- Located in the heart of Can Tho city, it addresses the growing healthcare needs of the Mekong Delta region.
- Regional access to international-standard medical services was limited, especially in southern Vietnam.
- Rising demand for modern infrastructure and specialised healthcare due to population growth and urbanisation.
- Established as the 9th hospital in the Vinmec Healthcare System, covering 41,000+ ? with six floors and 155 beds.
- Launched with 21 medical specialities and centres, supported by advanced medical equipment and highly qualified personnel.
- Implemented cutting-edge technology (e.g., 3.0 Tesla MRI, 512-slice CT scanner, digital mammography, AI-integrated mobile X-ray).
- Rolled out incentive programs for community engagement (e.g., free health screenings, discounted cancer checkups).
- Built an expert-led service model focused on early screening, precise diagnosis, and modern treatment protocols.
- To deliver world-class healthcare locally and reduce the need for patients to travel to major cities for treatment.
- To improve public health outcomes in the Mekong Delta by combining advanced technology with expert care.
- To align with Vinmec's mission of providing high-quality, patient-centred care and promoting innovation in Vietnamese healthcare
Vinmec Smart City Hospital
Ha noi, Vietnam
- Vietnam’s growing population and rising expectations for medical quality have put increasing pressure on the national healthcare system.
- Many public hospitals are operating at full capacity, resulting in long waiting times and limited access to advanced treatments.
- There is a clear need for well-equipped private hospitals that can offer efficient, modern, and internationally standardised healthcare.
- To meet this demand, Vinmec Smart City International Hospital was established in the rapidly developing Vinhomes Smart City area of Hanoi.
- The hospital was designed with the capacity to serve tens of thousands of patients annually, addressing both local and international healthcare needs.
- Vinmec Smart City International Hospital officially opened in October 2024, marking the eighth addition to the Vinmec healthcare network.
- The facility spans a large, modern campus and comprises 14 specialised departments, covering areas such as surgery, obstetrics, rehabilitation, and internal medicine.
- It integrates high-end medical technologies sourced from globally recognised brands to enhance diagnostic accuracy and treatment outcomes.
- A significant innovation is the implementation of a fully digital electronic medical records system, enabling the fast and secure sharing of patient data among healthcare teams.
- Artificial Intelligence (AI) tools are applied in various clinical processes, such as disease screening, diagnosis, and designing personalised treatment plans.
- The hospital also features a dedicated Cell and Gene Therapy Centre, offering breakthrough therapies such as CAR-T cell therapy for cancer patients, thereby positioning the hospital at the forefront of medical advancements.
- The hospital strives to deliver exceptional medical care that meets international healthcare standards, prioritising safety, quality, and a patient-centred approach.
- It aims to alleviate pressure on overloaded public hospitals by providing high-quality, efficient, and accessible private medical services.
- By combining innovation, skilled professionals, and modern infrastructure, Vinmec Smart City strives to become a regional leader in medical excellence.
- The long-term vision includes becoming a referral centre for complex treatments, not only in Vietnam but also across Southeast Asia.
Vinmec Da Nang
Da Nang, Vietnam
- Positioned in the Hoa Cuong Bac Ward of Da Nang’s Hai Chau District, along the well-known April 30th Street.
- Spans a total area of over 37,000 square meters, featuring nine floors above ground and a basement, with 222 inpatient beds.
- Carries out bariatric surgery using minimally invasive techniques to support effective weight loss and quicker recovery.
- Offers comprehensive cardiac services, including diagnostics, surgeries, and 24/7 monitoring, utilising state-of-the-art equipment.
- Performs hysterectomies through both open and laparoscopic procedures, based on individual medical requirements.
- Internationally accredited by JCI, affirming its commitment to world-class healthcare standards and patient safety.
- Manned by highly skilled medical staff who prioritise personalised attention and patient well-being.
- Equipped with modern medical technology to support accurate diagnosis and advanced treatment methods.
- Houses dedicated departments such as emergency medicine, oncology, paediatrics, women’s health, and diagnostic imaging.
- Features complete diagnostic support, including laboratory testing and advanced imaging systems.
- Serves both children and adults with a modern, patient-centred approach to general and specialised care.
- Offers preventive healthcare services, including vaccinations, maternity monitoring, rehabilitation, and regular wellness exams.
- Operates as a part of the Vinmec healthcare network, developed by Vingroup to provide high-quality private medical care throughout Vietnam.
Vinmec Nha Trang
Nha Trang, Vietnam
- Located on Tran Phu Street in Vinh Nguyen Ward, Nha Trang City, is a prime area easily accessible to residents and tourists.
- Built on a total area of over 19,000 ?, with eight above-ground floors and one basement, designed to support modern healthcare delivery.
- Provides private inpatient rooms, each with one bed, ensuring comfort and personalised care for every patient.
- Holds international accreditation from a globally recognised body (JCI), reflecting a strong commitment to safety, quality, and patient-centred care.
- Equipped with advanced imaging systems and diagnostic tools to support accurate and timely treatment.
- Offers services across primary specialities, including cardiology, paediatrics, obstetrics, surgery, and diagnostics.
- Utilises digital healthcare systems to streamline operations and enhance treatment precision.
- Staffed by a team of experts who are regularly trained through partnerships with global medical institutions in countries like France, Japan, the U.S., and Singapore.
- Welcomes both Vietnamese and international patients, promoting high-quality care and regional medical tourism.
- Operates as part of a nationwide private hospital network developed by Vingroup, focused on delivering premium healthcare across Vietnam.
- Built with strict sterilisation and infection control standards to protect patient health.
- Continuously updates its technology and practices to align with global medical advancements.
Kalra Hospital
Delhi, India
Kalra Hospitals, regarded as one of Delhi's best hospitals, is dedicated to providing high-quality healthcare to people in need and has four locations: Dwarka, Kirti Nagar, Najafgarh, and Palam. The skilled physicians, who specialize in critical care and cardiovascular conditions, are committed to giving our patients comprehensive medical care. In addition to its emphasis on heart health, Kalra Hospitals offers services in the following areas: dentistry, endocrinology, gastroenterology, rheumatology, burns and plastic surgery, cancer therapy, and vascular medicine.
Batra Hospital
Delhi, India
- More than 35 years of trusted healthcare service
- Multi-specialty tertiary care with over 30 departments
- Comprehensive preventive, diagnostic, and therapeutic care under one roof
- International patient coordination team for seamless overseas care
Fortis Hiranandani Hospital
Mumbai, India
Types of Endoscopic Third Ventriculostomy in Fortis Hiranandani Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Endoscopic Third Ventriculostomy (Overall) | 5082 - 7139 | 414349 - 580343 |
| Standard ETV | 2549 - 3543 | 208989 - 291788 |
| Neuroendoscopic ETV | 3056 - 4266 | 249704 - 351027 |
| Combined ETV and Choroid Plexus Cauterization (CPC) | 3538 - 4066 | 292502 - 332858 |
- Address: Fortis Hiranandani Hospital Vashi, Sector 10A, Vashi, Navi Mumbai, Maharashtra, India
- Facilities related to Fortis Hiranandani Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Fortis Hospital, Shalimar Bagh
Delhi, India
4.5 ( 4 Reviews )
Types of Endoscopic Third Ventriculostomy & Its Cost at Fortis Hospital, Shalimar Bagh
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| Endoscopic Third Ventriculostomy Surgery (overall) | 4,000 - 8,000 | 328000 - 656000 |
Factors affecting Endoscopic Third Ventriculostomy cost in Fortis Hospital, Shalimar Bagh
| Cost Factors | Cost Range (USD) | Cost Range (INR) |
|---|---|---|
| Diagnostic Tests (MRI/CT Scan) | 200 - 400 | 16400 - 32800 |
| Room Charges (per day) | 60 - 100 | 4920 - 8200 |
| Medications (per day) | 15 - 30 | 1230 - 2460 |
| Surgeon's Fee | 1,500 - 4,000 | 123000 - 328000 |
| Anesthesia | 400 - 800 | 32800 - 65600 |
| Doctor Consultation | 150 - 400 per visit | 12300 - 32800 (per visit) |
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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.
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