PGI docs perform awake surgery on 8-year-old
Tribune News Service
Chandigarh, December 15
A team of the PGI has successfully performed an awake craniotomy (the surgical removal of part of the bone from the skull to expose the brain) on an eight-year-old girl — the youngest ever to undergo this procedure at the institute. The surgery marks a new chapter in the treatment of brain tumours in children.
Awake craniotomy is a specialised surgical technique where the patient remains awake and responsive during the operation, allowing for real-time monitoring of critical brain functions such as language. Traditionally performed on adult patients, this complex procedure presents unique challenges in younger patients due to their limited ability to cooperate amid fear and anxiety associated with surgery. The young patient was suffering from focal seizures and weakness in her left limbs due to a large tumour on the right side of the brain. The surgery was performed by Dr Sushant Kumar Sahoo, a neurosurgeon; and supported by Senior Resident Dr Lalit Tomar.
A meticulous planning, skilled execution and the child’s cooperation led to a safe removal of the tumour without any post-operative complications. The young patient has shown no additional weakness and is recovering well.
Before the surgery, extensive preparations were made to build rapport with the patient. A team, led by a neuroanaesthetist, Dr Rajeev Chauhan; Senior Resident Dr Mithelesh, and Junior Resident Dr Manjri, neuro-monitoring technician Hitesh Thakur, nursing assistant Kamal and OT technician Dr Gurpreet engaged in detailed discussions about the procedure. They educated the eight-year-old patient about various tasks like recognising items, counting and storytelling that she would be required to perform during the surgery. This emphasis on communication and trust was crucial in ensuring her active participation throughout the operation.
Innovative techniques
During the surgery, the neuroanaesthesia team performed awake sedation to keep the child alert and responsive while monitoring her brain activity. The application of electrical stimulation on the brain’s surface provided vital information regarding functional brain areas, enabling the surgical team to navigate around crucial regions and minimise postoperative deficits.
