Taking the shooting pain away
MVD: Step-by-step explanationConsultant Neurosurgeon Dr. Jayantha Liyanage performs microvascular decompression (MVD), with the patient undergoing the procedure sitting up and not lying down.
“Then identification of deep structures is easy, there is less refraction and bleeding is minimal,” he says.
Here is a step-by-step explanation from this Neurosurgeon how he performs this operation:
- The patient is placed under general anaesthesia with intubation.
- With the patient being kept seated up, the neck is rotated towards the side of the lesion.
- The field of surgery is marked and the other areas are covered with drapes.
- A prophylactic dose of antibiotics is administered.
- Anaesthetic parameters are thoroughly observed.
- A scalp incision is made behind the ear (sub-occipital) of the affected side.
- A small craniotomy (surgical removal of part of the bone from the skull to expose the brain) is performed. The bone flap is removed temporarily and replaced after the procedure is concluded.