The inception of Neurosurgery services in JIPMER was in July 2006 when Dr. Roopesh Kumar and Dr. Gopalakrishnan joined as assistant professors. The neurosurgery team initially functioned under the administrative control of the Department of General Surgery until 2008, when it was accorded the status of a full-fledged department. Dr. Hari and Dr. Shankar Ganesh subsequently joined as senior residents. Dr. Shankar Ganesh was appointed an assistant professor in 2009 and in 2010 Dr. Venkatesh joined as an assistant professor, bringing the faculty strength up to 4. Dr. Shakar Ganesh resigned and was relieved of his responsibilities in 2012. Dr. Ramesh joined the department as assistant professor in 2013. Dr. Sathia Prabhu joined the department in September 2013. Dr. Roopesh Kumar resigned and was relieved in January 2015. The department currently functions as a single unit. The Out-patient schedule is as follows -
Monday - Dr. A S Ramesh and Dr. Sathia Prabhu
Thursday - Dr. Gopalakrishnan MS and Dr. Venkatesh S Madhugiri
At the outset, beds were provided in the Cardiology and CTVS wards and post-operative patients were taken care of in the CTVS ICU (Ward 47). Operating time was allotted in OT 7 & 8 in the main hospital building. Currently, the department functions in the 2nd floor of the Superspecialty Block and has 18 general ward beds, 2 special ward beds and 6 ICU beds. Patients requiring emergency neurosurgical care or observation are admitted in the EMS block. There is a dedicated Neurosurgery OT in the SSB OT complex. Besides this, a neuro-trauma ICU functions in the EMS department, to provide care for acutely ill patients with traumatic brain and spine injuries.
The activities of the department can be divided into 3 broad areas -
1. Patient care services - The focus has been on active sub-specialization so as to provide high-quality care for all neurosurgical problems.
Neurotrauma - The department has a major presence in the Emergency Services department with junior and senior residents being posted round the clock so as to provide effective care for patients with traumatic brain and spine injuries. Besides neuro-trauma and neuro-critical care, other sub-specialty services available are:
Vascular neurosurgery - operative treatment of brain aneurysms, arteriovenous malformations, cavernous malformations, stroke, cerebral venous/sinus thrombosis, Moya Moya disease, carotid occlusion, etc
Neuro-oncology - surgical management of all benign and malignant brain tumors including adjuvant therapy
Skull base surgery - for craniofacial lesions as well as lesions involving the base of the skull including the craniovertebral junction
Pediatric neurosurgery - for spinal dysraphism states, hydrocephalus, pediatric brain tumors, etc
Epilepsy surgery - for medically intractable epilepsy
Functional neurosurgery - surgical management of spasticity and pain including trigeminal neuralgia
Peripheral nerve surgery
Spine surgery - surgical and non-surgical management of diseases of the entire spine, from the craniovertebral junction to the sacral spine. Anterior, posterior, posterolateral and global fusion surgeries are routinely performed
Minimal access neurosurgery - including endoscopic as well as non-endoscopic minimal access techniques
2. Teaching: The MCh Neurosurgery residency course commenced in the year 2010. Currently, the intake is 2 candidates per year for the post-MS (general surgery) 3-year MCh course. Besides this, training in microneurosurgical techniques is provided each year to neurosurgery residents from other institutes who are posted in the department. Training in the management of traumatic brain injury and spinal injuries, as well as exposure to elective neurosurgical procedures, is part of the neurosurgery training imparted to General Surgery and ENT residents, both intra-mural and from other institutes. The department conducts didactic teaching sessions for MBBS students as well as BSc nursing students in the form of lectures and modular teaching. Besides this, training is also imparted to students of the Emergency Medicine Technology and Operation Theatre Technology courses.
3. Research - All faculty members are actively involved in clinical research projects.