Neurosurgery is a medical specialty intended for the surgical treatment of multiple diseases of the central nervous system (brain and spinal cord) and the peripheral nervous system (nerve roots and peripheral nerves).
The neurosurgeon is a physician who has performed a 5 year residency in a highly specialized medical center.
In this time of great scientific and technological advances, some neurosurgeons opt for further specialization in a specific area of neurosurgery. Some are dedicated to neuro-oncology (brain and spinal cord tumors), vascular and/or endovascular neurosurgery, column, stereotactic radiosurgery with bladeless GammaKnife, epilepsy, pediatric neurosurgery, psychoneurosurgery and other branches of the specialty.
I chose to also become specialized in neuro-oncology and within my network of friends there are specialists in many other branches, who are always available to provide the support needed to obtain the best results for every one of my patients.
The fundamental point that is required for a surgical decision is the accurate diagnosis or in some rare cases the closest approach to it.
Therefore it is essential to integrate clinical history and physical examination, which was held at the office of Dr. Varela.
After, there are necessary laboratory tests, imaging by one or several techniques (xRays, computed tomography, magnetic resonance imaging, positron emission tomography) or neurophysiological studies. Tests differ according to the needs of each patient will be.
Before each surgical procedure, the patient will undergo a preoperative evaluation by cardiology or internal medicine. This allows for the surgeon and anesthesiologist to perform the surgery with adequate control of systemic diseases such as diabetes, hypertension, heart disease, etc. that the patient may suffer from pre-surgically.
Guadalajara has first-level hospitals with everything for modern neurosurgical practice, equipped with the latest technology. Depending on the needs of each patient, we practice surgical procedures using Mayfield skull clamp system, spinal and cranial Midas Rex drill, visual magnification microscope, monopolar cautery, bipolar coagulation, fluoroscopy, electromyographic monitoring, ultrasound, neuroendoscopy, etc.
In different intraoperative situations we use gelfoam, surgicel, fibrin glue, floseal, alloderm graft, etc.
In spinal surgery, as well as procedures laminectomies, discectomies and/or hemisemilaminectomies, we perform instrumentation with interbody cages or prosthesis, dynamic instrumentation (no fusion) with cosmic system, instrumentation system for fusion with krypton, for patients with osteoporosis fusión using tango system with cannulated screws for transpedicular cement, lyophilized bone graft, bone matrix, etc.
For cerebrovascular diseases we perform microvascular surgery as clipping of aneurysms or arteriovenous malformation resection, cavernous angiomas and procedures to name a few. However, there are cases where the right choice is endovascular therapy procedures such as embolization of aneurysms or arteriovenous malformations carry them out in hemodynamic rooms as well as those patients with less than 3 hours of having suffered a stroke, we conducted endovascular rescue by thrombolysis.