A neurosurgeon is a highly trained medical professional who specializes in surgery on the brain, spine, and peripheral nervous system, in short he is a brain & spine surgeon. The neurosurgeons work is usually regarded as some of the most complex within the medical field, in part because of how specialized, intricate and important these parts of the body are.
The aim of the best neurosurgeons is cure with the least or no morbidity. We use various tools to accomplish this aim- Microscope, Endoscope, Stereotaxy system, Neuronavigation, drills, CUSA. We also uses techniques like awake craniotomy, intraop neuromonitoring, combination of techniques like microscope and endoscope or surgery and radiation to produce the best possible results.
Microsurgery is utilized and fundamental to many aspects of neurosurgery. The clipping of aneurysms, brain and spinal tumor removal is performed using a microscope. Minimally invasive spine surgery utilizes these techniques. Minimally invasive endoscopic surgery is also utilized by neurosurgeons. Techniques such as endoscopic endonasal surgery is used for pituitary tumors, craniopharyngiomas, chordomas, and the repair of cerebrospinal fluid leaks. Ventricular endoscopy is used for colloid cysts and neurocysticercosis. Endoscopic techniques can be used to assist in the evaculation of hematomas and trigeminal neuralgia.
Repair of craniofacial disorders and disturbance of cerebrospinal fluid circulation ( hydrocephalus) Conditions such as chiari malformation, craniosynostosis, and syringomyelia are also treated by neurosurgeons. Procedures such as microdiscectomy, laminectomy, and artificial discs rely on microsurgery. More extensive procedures of Spine fixation for instability due to degenerative spine diseases, infection and fractures are done by neurosurgeons using spine instrumentation systems.
As a neurosurgeon Dr. sunil kutty deals with these myriad diseases and disorders daily and he strives to give his patients the best possible evidence based treatment.
My team addresses every aspect of Neurosciences with emphasis on timely, contemporary and affordable treatment.
Meet the challenges of Neurological Diseases in the country by providing access to care and ensuring quality of life to all.
Dr. Sunil Kutty
is a Brain and Spine Surgeon practising in Mumbai and Navi Mumbai. He started his medical training in 1994 and did his undergraduate medical education from BYL Nair hospital(TNMC), Mumbai. He completed his masters in general surgery from KEM hospital , Mumbai. He did his Neurosurgical Training from Seth Vadilal Sarabhai hospital at Ahmedabad. He then completed his World Federation of Neurosurgery supported Fellowship in MicroNeurosurgery & Endoscopic neurosurgery from Japan. He is keenly interested in surgical management of Brain Tumors, cerebrovascular pathology and spinal disorders with both Microscopic & Minimally invasive endoscopic approaches. He is a Consultant Neurosurgeon with Fortis group of Hospitals, Sushrusha Hospital, Sahyadri Hospital etc.
Minimal access Neurosugery
Is minimally invasive brain surgery more risky than traditional surgery?
Minimally invasive brain surgery is not more or less risky than traditional surgery when performed with the purpose of making the patient’s life easier and secure. As long as the goal of the procedures not compromised, it will always offer something extra than as open surgery, such as a better quality of life through faster recovery and less scarring.
In some cases, minimally invasive neurosurgery brings as entirely new facet of treatment to the force, for example, in the treatment of hydrocephalus. Hydrocephalus is a condition frequently encountered in clinical practice, in which there is an abnormal amount of cerebrospinal fluid (CSF) accumulation in the cranium. Traditionally, the treatment of hydrocephalus has been through correcting the overproduction of CSF or diverting the build-up away from the head by surgically placing tubes called shunts inside the brain ventricles and draining it into body cavities. Though effective, shunts are occasionally associated with serious complications, including infection, over-drainage or malfunction. Now using video guidance and no hardware, a surgeon can insert an endoscope through a small hole in the skull into the third ventricle of the brain. There a perforation is made in a membrane to restore normal flow of CSF. Though not all hydrocephalus patients are eligible for approach, approximately 70-80 percent of properly selected patients are successfully treated this way.
What challenges do you face as a surgeon in using the minimally invasive approach?
Although the technology and techniques vary between microscopic neurosurgery and endoscopic neurosurgery, the primary difference is to move away from 3-D (endoscopic) visuals to 2-D (endoscopic) visuals. This requires some time to adjust to. The surgeon requires a re-orientation from the endoscopic point of view. The instruments are also different and that takes a while to master. I believe a good approach would be to look at the endoscope as simply a visualization tool. Then things quickly start falling into place; the surgeon sees it differently but the neurosurgical principle stays the same.
The other challenge is to create as infrastructure fir it in terms of the instruments and equipment required, especially in the Indian context. So far, these techniques have been restricted to only a few centres.
Finally, it takes some convincing by the surgeon to the patient who would rather go with the tried-and tested approach. That can sometimes be a deterrent.
Is minimally invasive neurosurgery accepted and performed in India?
Minimally invasive neurosurgery is a young field of 20-odd years old the world over. In India, its advent started perhaps 10 years ago and neurosurgeons here have whole-heartedly embraced this new technology and are exploring the numerous possibilities it throws up. We perform endoscopic third ventriculostomy (like in the case of hydrocephalus), endoscopic removal of pituitary tumours, endoscopic treatment of intra-ventricular tumours etc. In fact, almost all the techniques that are being practiced elsewhere are being replicated or reinvented here.
Our hospital was among the first in India to remove a tumour endoscopic ally from the skull base through the nasal route. Only pituitary tumours have previously been removed through this approach. Endoscopic neurosurgery continues to evolve with technical contributions from neurosurgeons around the world.
Please feel free to contact me if you would like to discuss anything before committing to an appointment. I understand the need to check out potential practitioners from personal experience.
Dr. Sunil Kutty
M.S., M.Ch. (Neurosurgery)
306, Raikar Bhavan, Sector 17,
Vashi, Navi Mumbai– 400703, India.
Phone No.91 – 022 – 27891351
Mobile No.91 - 09769136706
Email ID : firstname.lastname@example.org
Other contact info
Fortis Hospital - Mulund, Vashi, Kalyan
Kohinorr Hospital - Vidyavihar
Shruti Hospital - Chembur
MGM Hospital - Navi Mumbai
Shahyadri Hospital - Kalyan