Ventriculoperitoneal VP Shunt Surgery india | Neuro Surgeon Hospital Cost

Ventriculoperitoneal (VP) Shunt Surgery in india

As of 2020, the estimated cost of VP Shunt Surgery in India typically starts at $6000 and may go up to as much as $10,000. The cost varies depending on the hospital charges and the fee charged by the surgeon. It’s important to note that this price usually does not cover post-operative rehabilitation and medications. Additional costs may involve diagnostics before the surgery and preoperative consultations.

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What is VP Shunt Surgery?

VP shunt surgery is a procedure aimed at removing excess cerebrospinal fluid (CSF) that circulates around the brain and spinal cord. This excess fluid can cause harmful pressure on the brain and skull, a condition known as hydrocephalus.

Symptoms of Hydrocephalus:

The most common symptoms of hydrocephalus include headaches, double vision or blurred vision, poor coordination, nausea and vomiting, irritability, problems with thinking and memory loss (e.g., confusion), trouble with balance and walking, loss of control over urination, changes in behavior.

Purpose of VP Shunt Surgery:

To alleviate the effects of excess CSF on the brain, a VP shunt is placed into the head. The shunt redirects the excess fluid from the brain to the abdomen, where it is absorbed by the body. This helps reduce the pressure and swelling in the head.
VP Shunt Surgery Cost in India

Risks and Complications of VP Shunt Surgery:

Undergoing general anesthesia for VP shunt surgery is generally safe for most people, but some individuals may experience adverse effects such as breathing problems, changes in blood pressure, and changes in heart rate.

Signs that a VP shunt may not be functioning correctly include redness or swelling where the catheter passes under the skin, loss of coordination or balance, persistent vomiting, unrelenting headaches, extreme fatigue, difficulty staying awake, irritability.

Components of VP Shunt Surgery:

A VP shunt consists of three main components: a one-way valve with a reservoir, a short catheter (thin, flexible tube), and a long catheter. The valve controls the movement of fluid and is attached to the short catheter to drain fluid away from the brain. The short catheter can be placed in various locations on the head, and the long catheter is connected to the valve and tunneled under the skin, down the neck, behind the ear, and into the abdomen.

Preparation for VP Shunt Surgery:

Preparation for VP shunt surgery may involve stopping alcohol consumption, discontinuing vitamin E intake, avoiding herbal remedies and supplements, discussing existing medications, disclosing allergies, addressing concerns about smoking and sleep apnea, and following specific fasting instructions before the surgery.

Pre-Surgical Testing:

Before the surgery, various tests such as an electrocardiogram (EKG), chest x-ray, blood tests, CT scan, and MRI of the brain may be conducted to plan the surgery and ensure the patient’s well-being.

During the VP Shunt Surgery Procedure:

The VP shunt surgery is performed in the operating room under general anesthesia and typically takes about 1 1/2 hours. The surgeon makes three small incisions: one in the head, one in the neck, and one in the abdomen to correctly place the catheters. The catheters are inserted under the skin and directed from the head to the abdomen, allowing for proper drainage of excess CSF.

After the VP Shunt Surgery:

After the surgery, the patient is taken to the recovery area and then moved to a hospital room or the ICU, depending on their condition. The recovery period generally takes 3-4 days, and most patients can leave the hospital within 7 days post-surgery. During hospitalization, the patient’s vital signs are monitored, and preventive antibiotics may be administered. The doctor ensures that the shunt is functioning correctly before the patient is discharged.

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Recovery from VP Shunt Surgery:

During the recovery period, patients may undergo monitoring, including questions about their orientation, movement tests, and pupil reactions to a light source to assess brain function. A follow-up CT scan may be conducted a week after the surgery to confirm the proper placement of the catheter.

Overall, VP shunt surgery is an important medical procedure that can significantly improve the quality of life for individuals suffering from hydrocephalus by relieving pressure on the brain through the proper drainage of excess cerebrospinal fluid. The cost of this surgery in India can vary based on several factors, including the hospital, surgeon fees, diagnostics, and post-operative care. It’s essential to consult with medical professionals and plan accordingly for this surgical intervention.

Frequently asked questions (FAQs)

Q1: What is hydrocephalus, and how does it relate to VP shunt surgery?

A1: Hydrocephalus is a condition characterized by an abnormal accumulation of cerebrospinal fluid (CSF) in the brain, leading to increased pressure and potential damage. VP shunt surgery is a procedure to manage this condition by diverting excess CSF away from the brain to alleviate pressure.

Q2: How long does the VP shunt surgery procedure typically last?

A2: The VP shunt surgery procedure usually takes about 1 1/2 hours to complete. However, the overall time can vary based on individual circumstances and the complexity of the surgery.

Q3: Are there any risks associated with VP shunt surgery?

A3: Yes, like any surgical procedure, VP shunt surgery carries certain risks. These can include infection, bleeding, complications related to anesthesia, malfunction or blockage of the shunt, over-drainage or under-drainage of CSF, and in rare cases, damage to brain tissue.

Q4: How long is the recovery period after VP shunt surgery?

A4: The recovery from VP shunt surgery typically takes around 3-4 days in the hospital, with most patients being able to leave within 7 days post-surgery. However, the complete recovery and return to normal activities may take several weeks, during which follow-up appointments with the medical team are essential.

Q5: Can the VP shunt settings be adjusted after surgery?

A5: Yes, if a programmable VP shunt is used, the settings can be adjusted by the healthcare provider to control the drainage of CSF based on the patient’s needs. However, non-programmable VP shunts have predetermined settings that cannot be changed.

Q6: What are the signs that indicate a potential issue with the VP shunt after surgery?

A6: Signs that the VP shunt may not be functioning correctly include redness or swelling where the catheter passes under the skin, loss of coordination or balance, persistent vomiting, unrelenting headaches, extreme fatigue, and irritability. If any of these signs are observed, medical attention should be sought promptly.

Q7: How frequently should follow-up appointments be scheduled after VP shunt surgery?

A7: Follow-up appointments after VP shunt surgery are typically scheduled as per the surgeon’s recommendation, which may include immediate post-operative visits and subsequent check-ups over several months. The frequency of these appointments is essential for monitoring the shunt’s functionality and the patient’s overall progress.

Q8: Are there lifestyle restrictions following VP shunt surgery?

A8: While there may be restrictions immediately after surgery, most patients can eventually resume normal activities. However, individuals with VP shunts should avoid certain activities that could potentially harm the shunt, such as high-contact sports or activities involving rapid changes in pressure, like scuba diving. It’s crucial to consult the healthcare team for specific guidelines.

Ventriculoperitoneal (VP) Shunt Surgery:

Ventriculoperitoneal (VP) Shunt is used for taking out excessive cerebrospinal fluid deposited in the ventricles of the brain and spinal cord.
Ventriculoperitoneal (VP) Shunt is most commonly used by doctors.
The risk component for such conditions are,

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production of excessive CSF fluid
low absorption of CSF
or due to some problem.

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It may be include create some abnormality

headache
Fatigue
irritability
incontinence
abnormally big head size
loss of memory and poor coordination.

Procedure:

In this process, VP shunt, a medical device is implanted to release the pressure building upon the brain because of the CSF accumulation. The surgeon will make total three small incisions,
one is in the head, second is in the neck, and third is in the abdomen.
These incisions will help guide the catheter so it can be implanted correctly. The device is placed behind the ear.When surgery is almost completed the surgeon stitches the incisions to close. VP shunt needs when the primary condition is hydrocephalus. It is done under general anesthesia.

Right Doctor:

The Right doctor who can do VP shunting is a neurologist, neurosurgeon, and a spine surgeon, with the help of an anesthesiologist.

Success Rate:

In general the success rate is around 70 to 80%.
But the success rate of VP shunt surgery largely depends upon the age of the patient and the etiological factor which has caused the situation to arise.

Risk:

There are chances of shunt tube getting infected or obstructed.

BLK Super Speciality Hospital

Number of beds: 700
ICU Beds: 175
Airport Distance: 13 Km

Brief about hospital:

BLK Super Speciality Hospital was established by Dr. B.L. Kapur in 1959.
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It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
BLK Super Speciality Hospital was established by Dr. B.L. Kapur in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
BLK has a unique combination of the best in class technology, put to use by the best names in the professional circles to ensure world-class health care to all patients.
Spread on five acres of land, with a capacity of 700 beds,
BLK Super Speciality Hospital is one of the largest tertiary care private hospitals in the country,
BLK has consistently ranked amongst the Top 10 Multi Super Specialty Hospitals in Delhi NCR.
The outpatient services are spread on two floors with 80 consultation rooms. All ambulatory services have been designed with the intent to create dedicated aides for all specialities, with their interventional services in close vicinity.
The hospital has 17 state-of-the-art well equipped modular operation theatres with three-stage air filtration and gas scavenging system to ensure patient safety. All the Operation Theatres are fitted with best in class pendants, operating lights, anaesthesia workstations and advanced information management system.
The Hospital has one of the biggest critical care programmes in the region with 125 beds in different intensive care units viz Medical, Surgical, Cardiac, Paediatrics, Neonatology, Neurosciences and Organ Transplant.
Each Critical care unit is equipped with high-end patient monitoring devices, ventilators and dedicated isolation rooms.
Liver and Renal Transplant Centres have been equipped with dedicated ICUs with individual HEPA filters, specialized instruments and equipment.
Awarded the Prestigious Gold Award at Hospital Management Asia (HMA), Bangkok (2013) and HMA Awards 2014.

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Dr. Anil Kumar Kansal
Speciality: NeuroSurgery
Experience: 23+ years
Hospital: BLK Hospital

Dr. Rohit Bansil
Specialist: Neurosurgeon
Experience: 11 years
Hospital: BLK Hospital

Fortis Memorial Research Institute (FMRI)

Number of beds:   1000
ICU Beds:     298
Airport Distance:  17 KMs

Brief about Hospital:

Fortis Memorial Research Institute was established in 2001.

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It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
FMRI is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.
JCI & NABH Accredited Hospital, NABL Accredited Lab, NABH Certified Nursing Excellence, NABH Accredited Blood Bank
FMRI is a 1000 bedded and 15 Operation theaters and over 400 diagnostics centres (including JVs).
Medical facility endowed with a dedicated team of 200 world-renowned doctors, covering a number of specialities, who aim to provide the best quality medical care to all the patients, national as well as international.
This hospital is well set up with the latest technologies and equipment throughout all the specialties and research labs, which are accredited by NABL.
This ensures that the patients at FMRI receive diagnostic results and treatment with high accuracy and in minimum time.
With a vision for the community, FMRI operates various speciality clinics such as, for Paediatrics, Nephrology, Neurology, Gynecology, Orthopedics, Oncology and many more, which provide long term healthcare management and follow up care.
FMRI is the premium healthcare provider and endeavours to be known as the “Mecca of Medicine” – the ultimate healthcare destination.

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Dr. Sandeep Vaishya
Specialist: Neurosurgeon
Experience: 25+ years
Hospital: Fortis Gurgaon

Dr. Rana Patir
Specialist: Neurosurgeon
Experience: 24 years
Hospital: Fortis Gurgaon

Dr. Vijay Kant Dixit
Specialist: Neurosurgeon
Experience: 17 years
Hospital: Fortis Gurgaon

Dr. Utkarsh Bhagat
Specialist: Neurosurgeon
Experience: 9+ years
Hospital: Fortis Gurgaon

Indraprastha Apollo Hospital

No. of beds: 900
ICU Beds: 262
Airport: 20kms

Brief about Hospital:

Indraprastha Apollo Hospital is a flagship hospital of India’s foremost
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healthcare groups,the Apollo Group. It is a highly renowned multi-speciality facility that offers tertiary and quaternary care services to domestic and international patients.
The 900 bedded hospital is outfitted with the most modern technology for diagnostics as well as therapeutic purposes.
A team of highly trained medical professionals work under all the 52 specialities at the hospital.
Indraprastha Apollo is an accredited hospital with international standard quality services for patient care and safety norms.
The hospital uses its own system, called The Apollo Standards of Clinical Care (TASCC), to maintain top standards for all kinds of treatment and procedures.
The Apollo Organ Transplant Program is one of the most successful programs in the country that has performed over 1627 transplants (410 Liver and 1210 Kidney), including 979 transplants (289 Liver and 690 Kidney) performed at the Transplant Program in Delhi.
It is the First Hospital in India to perform a Paediatric Liver Transplant in 1998. They have successfully performed various kinds of liver transplant for different kinds of liver conditions.
Indraprastha Apollo Hospital has some world-reputed surgeons and specialists who are the pioneers of their specialities, especially in Cardiology and Neurology.
The hospital has won many national and international accolades and continues to be one of the top healthcare service providers in India.
It is the first hospital in India to get international accreditation by international (JCI) consecutively for the fourth time

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Dr. Sudhir Tyagi
Specialist: Neurosurgeon
Experience: 27 years
Hospital: Apollo Hospital

Dr. Ravi Bhatia
Specialist: Neurosurgeon
Experience: 50 years
Hospital: Apollo Hospital

Dr. Rajendra Prasad
Specialist: Neurosurgeon
Experience: 36+ years
Hospital: Apollo Hospital

Dr. Pranav Kumar
Specialist: Neurosurgeon
Experience: 25+ years
Hospital: Apollo Hospital

Dr. S K Sogani
Specialist: Neurosurgeon
Experience: 35+ years
Hospital: Apollo Hospital

Artemis Hospital Gurgaon

Number of beds: 600
ICU Beds: 185
Airport Distance: 19 Km

Brief about Hospital:

Artemis Hospital, established in 2007, spread across 9 acres, is a 600plus bed;
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state-of-the-art multi-speciality hospital located in Gurgaon, India.
Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon.
Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.
Artemis has around 400 + best doctors. It has put modern technology in the hands of renowned doctors from across the country and abroad to set new standards in healthcare.
The medical practices and procedures followed in the hospital are research-oriented and benchmarked against the best in the world.
Top-notch services, in a warm, open patient-centric environment, clubbed with affordability, has made us one of the most revered hospitals in the country.
Most Promising Start-Up of the Year 2007 award – Express Healthcare magazine
Best IT Implementation for the Year 2008 – PC Quest magazine for Hospital Information System
Best institute for Medical Value Year 2010 – The CNBC Awaaz travel awards
Asia Pacific Hand hygiene excellence Award Year 2011 – World Health Organisation (WHO)
The patient base is 400000
750000 surgeries conducted since the inception

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Dr. Aditya Gupta
Specialist: Neurosurgeon
Experience: 24+ years
Hospital: Artemis Hospital

Dr. Sk Rajan
Specialist: Neurosurgeon
Experience: 16+ years
Hospital: Artemis Hospital

Dr. Sanjeev Srivastava
Specialist: Neurosurgeon
Experience: 14+ years
Hospital: Artemis Hospital

Max Hospital, Saket

Number of beds: 500
ICU Beds: 267
Airport Distance: 13 KM

Brief about Hospital:

Max Super Speciality Hospital at Saket is one of the topmost healthcare service
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providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.
Max Smart Super Speciality Hospital, Saket aims to provide the highest standard of medical care to the patients, right from admission and all the way to the patient discharge.
Max Smart Super Speciality Hospital, Saket, offers the advantage of integrated medical care in a multidisciplinary setting provided by a faculty of highly qualiﬁed doctors, nurses, & healthcare professionals.
Max Smart Super Speciality Hospital, Saket, is a regional hub for complex procedures such as neurovascular intervention, targeted cancer treatments, heart surgeries, orthopaedic surgeries, liver & kidney transplant, and fertility treatments.
With over 35 Speciality units, this renowned hospital caters to many patients from different parts of India as well as abroad on an everyday basis.
The super specialty hospital is well known for having Asia’s first and the world’s third BrainSUITE technology.
It is an advanced Neurosurgical operation theatre, which allows the medical team to use MRI during the surgery. This sophisticated technology can be used for various kinds of brain surgery.
Max Hospital group is also the first super speciality tertiary care centre that has the facility for advanced cardiac life support ambulances and air evacuation service.

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Dr. V. K. Jain
Specialist: Neurosurgeon
Experience: 33 years
Hospital: Max Hospital

Dr. Arun Saroha
Specialist: Neurosurgeon
Experience: 20+ years
Hospital: Max Hospital

Dr. Sanjay Saxena
Specialist: Neurosurgeon
Experience: 22+ years
Hospital: Max Hospital

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Medanta-Hospital-Gurgaon

Medanta Hospital Gurgaon

Number of beds: 1250
ICU Beds: 300
Airport Distance: 18 KMs

Brief about Hospital:

Medanta – The Medicity is amongst India’s largest and most renowned multi-super speciality
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healthcare centre with 1250 beds, 29 super speciality units and more than 800 accomplished doctors.
Supported by state-of-art infrastructure, all the departments in the hospital are fully equipped with cutting-edge technology, modular Operation Theatre and modernized monitoring systems in ICUs.
The panel of doctors from Medanta, headed by A.S.Soin performed the first successful intestinal transplant in India.
The team of Medanta has performed over 15,000 cardiac surgeries and 2500 joint replacement surgeries.
It Has performed over 500 living donor liver transplants. It is the highest number of liver transplants done in India and the 2nd highest in the world.
Further to its credits, the doctors at Medanta are highly trained experts with international repute and have contributed in making world records and claimed many firsts not only in India but on a global scale.
It has all kinds of procedures like Liver transplant, intestine,transplant and Knee Replacement surgery.
The hospital maintains a high standard of quality clinical care and is operational with the latest technologies like 256 Slice CT, Brain Suite with Intraoperative MRI Imaging, Da Vinci a surgical system with Robot for Minimally Invasive Surgery, Artis- Zeego Endovascular Surgical Cath Lab- with combined operating room.

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Dr. V. P. Singh
Specialist: Neurosurgeon
Experience: 31 years
Hospital: Medanta Hospital

Dr. A.K. Banerji
Specialist: Neurosurgeon
Experience: 59+ years
Hospital: Medanta Hospital

Dr. Sudhir Dubey
Specialist: Neurosurgeon
Experience: 16+ years
Hospital: Medanta Hospital

Dr Karanjit Singh Narang
Speciallist: Neurosurgeon
Experience: 16+ years
Hospital: Medanta Hospital

Aakash Health Care Dwarka

Number of beds: 230
ICU Beds: 70
Airport Distance: 10 Km

Brief about Hospital:

Aakash Healthcare Super Speciality Hospital is a tertiary care facility,
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with 15 Dialysis, and 70 Critical care beds for treating the most complex cases in the National Capital Region (NCR) of Delhi, Dwarka.
The hospital is equipped with state of the art infrastructure, latest technology, competent clinicians and compassionate staff.
Aakash Healthcare Super Specialty Hospital is known for its leading care in Orthopaedic and Joint replacement surgery.
The hospital also has a 24×7 ‘Trauma & Emergency Center’, blood bank, with state of art Neonatal and Paediatric ICU.
The Super Specialty Hospital is being managed by highly qualified and trained experts from their respective fields and a unified team of healthcare experts ensure 24×7 comprehensive patient care
The Hospital has deployed high-end technologies and smart digital systems along with robust Hospital Information Systems to address complex medical needs and convenience of patients.
Mr. J C Chaudhry is the chairman of Hospital and Dr. Aashish Chaudhry is Managing Director, who is also a renowned Orthopedic Surgeon in this region.
Total number of surgeries done is 25000+ till now.

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Dr. Nagesh Chandra
Specialist: Neurosurgeon
Experience: 19+Years
Hospital: Aakash Hospital

Dr. Amit Srivastava
Specialist: Neurosurgery
Experience: 20+ years
Hospital: Aakash Hospital

Jaslok Hospital

Number of beds: 364
ICU Beds: 75
Airport Distance: 18 KMs

Brief about Hospital:

The Jaslok Hospital & Research Centre is one of the
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oldest tertiary care, multi-specialty hospitals of the country.
In the late 60s, when the establishment of large private hospitals was not common, the institution was conceptualized & endowed to the city of Mumbai by Seth Lokoomal Chanrai.
The Government of India awarded Dr. Mehta the third highest civilian honour of the Padma Bhushan.
The hospital was inaugurated on 6th July 1973 by the erstwhile Prime Minister Mrs. Indira Gandhi.
The number of consultants has increased from the initial 50 to around 265 with 140 fully trained resident doctors.
It attracts patients not only from Mumbai but all parts of Maharashtra, other States and abroad.

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Dr. Deepu Banerji
Specialist: Neurosurgeon
Experience: 34+ years
Hospital: Jaslok Hospital

Dr. Batuk Diyora
Specialist: Neurosurgeon
Experience: 20+ years
Hospital: Jaslok Hospital

Dr. Paresh K. Doshi
Specialist: Neurosurgeon
Experience: 21+ years
Hospital: Jaslok Hospital

Global Hospital, Mumbai

Number of beds: 450
ICU Beds: 120
Airport Distance: 16 KMs

Brief about hospital:

Global Hospitals located at Parel, Mumbai is the latest addition to the geographical
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footprint of Gleneagles Global Hospitals India.
The 450-bedded facility comprises 17-stories, housing state-of-the-art infrastructure and advanced medical care facilities.
The Hospital offers advanced Endoscopic procedures, Hepatobiliary and Liver Surgeries, Surgical and Medical Gastroenterology, Bariatric Surgery and Transplants.
The Global Team of doctors perform 18,000 surgeries every year.
Global Healthcare Group treats 30,000 out patients and 50,000 in patients every year
The hospital has round-the-clock services for Emergencies, Critical Care and Trauma.
Gleneagles Global Hospitals has multi-super speciality hospitals in Bengaluru, Hyderabad, Chennai and Mumbai.
The brand is the most preferred hospital group for multi-organ transplants in Asia region.
The parent entity of Gleneagles Global Hospitals is IHH Healthcare, a leading premium integrated healthcare provider with a network of 84 hospitals and more than 16,000 licensed beds.

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Dr. Naren Naya
Specialist: Neurosurgeon
Experience: 11+ years
Hospital: Global Hospital

Dr. Suresh Sankhla
Specialist: Neurosurgeon
Experience: 20+ years
Hospital: Global Hospital

DR. ANSHU WARADE
Specialist: Neurosurgeon
Experience: 10+ years
Hospital: Global Hospital

MGM Healthcare Chennai

Number of beds: 400
No. of ICU Beds: 100
Airport Distance: 13 Kms from Chennai Airport

Brief about Hospital:

MGM Healthcare is a super specialty hospital in Chennai, with 400 beds &100 critical care beds.
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South Asia’s highest-ranking USGBC LEED Platinum-certified Green Hospital – an environmentally friendly, solar-powered hospital that cares for a better tomorrow
Spread over 3.5 lakh square feet in an expansive 2.5-acre campus.
Voice-assisted technologies for 24×7 in-room care and information access.
The MGM Healthcare has 55 outpatient consultation rooms, 12 operation theatres, 250+ doctors, 30+ departments and 24×7 emergency care.
MGM Healthcare has a team of experts to handle every complex case and provide comprehensive treatment and care.

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Dr. Sridhar K
Specialist: Neurosurgeon
Experience: 30+ years
Hospital: MGM Hospital

Dr. Vigneshwar R.
Specialist: Neurosurgeon
Experience: 8+ years
Hospital: MGM Hospital

Dr. Satish Kannan
Specialist: Neurosurgeon
Experience: 9+ years
Hospital: MGM Hospital

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Ventriculoperitoneal (VP) Shunt Surgery in india

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What is VP Shunt Surgery?

Symptoms of Hydrocephalus:

Purpose of VP Shunt Surgery:

Risks and Complications of VP Shunt Surgery:

Components of VP Shunt Surgery:

Preparation for VP Shunt Surgery:

Pre-Surgical Testing:

During the VP Shunt Surgery Procedure:

After the VP Shunt Surgery:

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Recovery from VP Shunt Surgery:

Frequently asked questions (FAQs)

Ventriculoperitoneal (VP) Shunt Surgery:

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It may be include create some abnormality

Procedure:

Right Doctor:

Success Rate:

Risk:

Brief about hospital:

Brief about Hospital:

Brief about Hospital:

Brief about Hospital:

Brief about Hospital:

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Brief about Hospital:

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Brief about hospital:

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