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Cost of Lesionectomy in Major cities of Vietnam
| City | Minimum Cost (USD) | Minimum Cost (VND) | Maximum Cost (USD) | Maximum Cost (VND) |
|---|---|---|---|---|
| Can Tho | USD 13000 | 337545000 | USD 24000 | 623160000 |
| Ha Noi | USD 13000 | 337545000 | USD 24000 | 623160000 |
| Ho Chi Minh | USD 13000 | 337545000 | USD 24000 | 623160000 |
| Nha Trang | USD 11700 | 303790500 | USD 21600 | 560844000 |
| Phu Quoc | USD 11700 | 303790500 | USD 21600 | 560844000 |
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Lesionectomy is a specialised brain surgery designed to remove abnormal tissue causing seizures or other neurological issues, especially in patients who do not respond well to medications. It targets specific brain lesions identified through detailed imaging and diagnostic evaluations.
The procedure involves opening a small part of the skull (craniotomy) to access and carefully remove the lesion, with the help of advanced tools like brain mapping and surgical navigation to avoid damage to healthy brain areas.
Lesionectomy can significantly reduce or stop seizures and may also improve cognitive and functional abilities. Recovery depends on the lesion’s location and complexity, and patients are often supported with short-term rehabilitation and ongoing medical follow-up.
A lesionectomy is a type of brain surgery performed to remove abnormal brain tissue (lesions) that are causing seizures or other neurological problems. These lesions may include tumours, vascular malformations, cortical dysplasia, scarring, or other abnormal brain structures. Lesionectomy is often used to treat drug-resistant epilepsy when seizures originate from a well-defined lesion identifiable on brain imaging. By removing the lesion, the surgery aims to reduce or eliminate seizures and preserve surrounding healthy brain tissue.
You should see a neurologist or neurosurgeon if you experience:
- Frequent or uncontrolled seizures, especially if medications are ineffective
- Neurological symptoms such as weakness, vision changes, speech difficulties, or memory problems
- Changes in personality or cognition
- Brain imaging (MRI, CT) that shows a lesion with unclear or suspicious features
Preparation involves a comprehensive evaluation by a multidisciplinary epilepsy or neurology team:
- Neuroimaging: MRI, PET, or CT scans to locate the lesion
- EEG monitoring: To map seizure activity and confirm the lesion as the source
- Neuropsychological testing: To assess memory, language, and cognitive functions
- Functional MRI or brain mapping: To identify areas responsible for vital functions like speech or movement
- Medication review: Some drugs may be paused or adjusted before surgery
- Fasting: Usually required 6–8 hours before the procedure
- Anaesthesia: The patient is placed under general anaesthesia.
- Craniotomy: A portion of the skull is carefully opened to access the brain.
- Navigation and Mapping: Advanced imaging and intraoperative brain mapping guide the surgeon to locate the lesion precisely.
- Lesion Removal: The abnormal tissue is removed, taking care to avoid surrounding healthy or functional areas.
- Closure: The bone flap is replaced, and the scalp is sutured.
A lesionectomy usually takes 2 to 6 hours, depending on lesion size, location, and complexity. Patients typically stay in the hospital for 3 to 7 days for observation and early recovery.
Although lesionectomy is generally safe, potential risks include:
- Infection
- Bleeding
- Brain swelling
- Neurological deficits (speech, memory, or motor issues, depending on location)
- Seizures after surgery
- Cerebrospinal fluid leakage
- Anesthesia-related complications
- Seizure reduction or elimination, especially in drug-resistant epilepsy
- Improved quality of life, cognitive function, and independence
- Minimal disruption to the surrounding brain tissue when precisely targeted
- Increased effectiveness of medications post-surgery, if still required
- It can sometimes eliminate the need for lifelong anti-seizure medication
After surgery:
- Patients are initially monitored in the ICU and then transferred to a regular neurology unit.
- Headaches, fatigue, or confusion are common during early recovery.
- Physical, occupational, or speech therapy may be needed depending on outcomes.
- Most patients resume light activities in 2 to 4 weeks and return to work or school within 6 to 8 weeks.
- Follow-up includes neuroimaging, EEGs, and ongoing neurology consultations.
Lesionectomy has a high success rate, especially in patients with focal epilepsy and identifiable lesions. Studies show that 60–80% of patients become seizure-free after surgery, and many experience improved cognitive and psychological function.
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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.
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.
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+99Process Involved for Lesionectomy in Ha noi
- Preoperative Evaluation: This includes a neurological exam, EEG, MRI, and sometimes intracranial monitoring to localise the lesion.
- Surgical Planning: Advanced imaging and brain mapping are used to plan a safe and precise lesion removal.
- Surgery (Lesionectomy): The identified brain lesion is surgically removed through a craniotomy.
- Intraoperative Monitoring: Brain function is continuously monitored to protect vital areas of the brain.
- Postoperative Care: Includes observation in the ICU, pain management, and neurological assessments.
- Rehabilitation: This may involve physical, occupational, or speech therapy, depending on the specific brain area affected.
- Follow-up and Monitoring: Conduct long-term follow-up, including imaging and seizure monitoring, to assess outcomes and evaluate the effectiveness of treatment.
- Drug-resistant epilepsy: Lesionectomy is performed when seizures persist despite optimal medication.
- Low-grade gliomas: The surgery removes slow-growing brain tumours that contribute to seizure activity.
- Cortical dysplasia: Abnormal brain tissue responsible for seizures is surgically eliminated.
- Cavernous malformations: These vascular lesions, which cause recurrent seizures, are safely excised.
- Gangliogliomas: Rare tumours made up of nerve and glial cells are removed to help manage epilepsy.
- Dysembryoplastic neuroepithelial tumours (DNETs): Benign brain growths that trigger seizures are taken out.
- Arteriovenous malformations (selected cases): Certain vascular abnormalities linked with seizures are treated surgically.
- Benign brain lesions causing seizures: Non-cancerous brain abnormalities that generate seizures are targeted and removed.
- Hamartomas: These non-cancerous tissue overgrowths are excised when they cause epilepsy.
- Epileptogenic brain tumours: Tumours acting as a source of seizures are surgically treated.
- Neurological evaluation to confirm seizure origin or lesion-related symptoms.
- Imaging tests, such as MRI, CT scans, and PET scans, are used to locate the lesion accurately.
- EEG or intracranial monitoring to identify abnormal electrical activity.
- Surgical planning using neuronavigation and functional mapping.
- Craniotomy to access the lesion in the brain.
- Precise removal of the abnormal tissue causing seizures or symptoms.
- Intraoperative monitoring is used to ensure the safety of the surrounding brain areas.
- Closure of the surgical site and transfer to recovery or ICU for observation.
- Postoperative imaging to confirm complete lesion removal.
- Ongoing follow-up for seizure control and neurological function evaluation.
- Craniotomy
- Electrocorticography (ECoG)
- Stereoelectroencephalography (SEEG)
- Neuronavigation
- Intraoperative MRI
- Cortical mapping
- Functional MRI (fMRI)
- Brain biopsy
- Intracranial EEG monitoring
- Awake craniotomy
- Seizure control in patients with drug-resistant epilepsy
- Improved quality of life due to reduced or complete seizure freedom
- Preservation of brain function by targeting only the lesion
- Minimally invasive options are available in selected cases
- Faster recovery time compared to extensive brain surgeries
- Reduced medication dependence, often leading to dose reduction or discontinuation
- Accurate diagnosis and treatment, when combined with advanced imaging and monitoring techniques
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