Endoscopic Third Ventriculostomy

The procedure is performed under general anaesthesia. Since the surgery is done via an endoscope, it is minimally invasive when compared to the traditional shunt procedures. The neurosurgeon makes a small incision at the fontanel spot. The surgeon then inserts a flexible endoscope for visualizing the brain and the fluid build-up. The surgery uses tine instruments via the scope and opens up the bottom of the third ventricle with the camera as the guide. The surgeon also uses a low amount of current on the choroid plexus to produce less CSF and prevent further build-up. The surgeon finally closes the incision site.

The patient usually recovers in the hospital for 3-4 days and is monitored continuously to prevent complications. The incision site is cared for with extra caution and the bandages are usually removed after two days. The patient might experience mild discomfort and headaches while recovering. It is also advised that the patient doesn’t use any hair products for the first week after surgery to ensure the incision site doesn’t get infected. The patient can resume their normal activities in two or three weeks. However, if the patient is a child, he/she will need regular checkup to monitor and prevent future build-up.