Endoscopic Third Ventriculostomy

Steps Involved in IVF:

Procedure Description:

Endoscopic Third Ventriculostomy (ETV) is a surgical procedure primarily aimed at treating a condition called hydrocephalus. Hydrocephalus is characterized by an excessive accumulation of cerebrospinal fluid (CSF) in the brain, leading to increased intracranial pressure. This can cause a wide range of symptoms including headaches, vomiting, blurred vision, and cognitive problems.

ETV works by creating an opening in the third ventricle's floor, enabling the trapped CSF to flow into the subarachnoid space, from where it gets absorbed naturally. This bypasses the obstruction causing the fluid buildup, offering an alternative route for fluid drainage. Unlike shunt procedures, which also treat hydrocephalus, ETV does not implant any foreign material into the body. Hence, it can be a preferred method for suitable candidates.

The need for this procedure usually arises when non-surgical treatments fail or are not suitable for the patient. It is a particularly recommended option for obstructive (non-communicating) hydrocephalus, which is caused by a blockage in the brain's ventricular system. Other types of hydrocephalus might not benefit as much from ETV.

Procedure Duration:

The duration of the ETV procedure itself typically lasts between 1 to 2 hours. However, the exact time can vary depending on the individual's anatomy and the complexity of the case. After the surgery, patients are usually observed in a recovery room for a few hours before being shifted to a standard hospital room.

Recovery time post-surgery is relatively short compared to other invasive brain surgeries. Many patients can leave the hospital within 24 to 72 hours after the operation. However, it is crucial for medical tourists to understand that even after discharge, they should not rush back to their home country. A stay of at least 7 to 10 days is advised in the destination country to ensure there are no post-operative complications and for a follow-up consultation.

Full recovery and a return to regular activities might take 2 to 4 weeks. During this period, patients might be advised to avoid strenuous activities and follow certain precautions to ensure optimal healing.


  • Cost: Traveling abroad for ETV often offers significant cost savings, even when factoring in travel and accommodation expenses.
  • Expertise: Certain destinations are renowned for their neurosurgical expertise and have surgeons with vast experience in ETV.
  • Technology: Leading hospitals in popular medical tourism destinations often boast cutting-edge equipment and facilities.
  • Personalized Care: Some destinations provide highly personalized patient care, ensuring comfort and effective communication.

Potential Destinations:

  • India: Especially cities like Delhi and Mumbai, known for their advanced neurosurgical centers.
  • Thailand: Bangkok and Phuket have hospitals that are recognized for their neurosurgical capabilities.
  • Singapore: Renowned for its state-of-the-art medical facilities and expertise.
  • Turkey: Istanbul and Ankara stand out for their medical proficiency in neurosurgery.

Risks & Considerations:

  • Travel Concerns: Jet lag, travel fatigue, and the stress of being in a new country can affect recovery.
  • Cultural Differences: Understand the cultural norms and practices of the destination country.
  • Post-operative Care: Ensure access to post-operative care, even after returning to the home country.

How to choose the right doctor and hospital:

  • Certifications: Ensure the surgeon and hospital hold valid and internationally recognized certifications.
  • Reviews and Testimonials: Research past patient reviews and testimonials.
  • Language: Ensure that the medical staff speaks a language you are comfortable with.
  • Aftercare Services: Hospitals should offer comprehensive post-operative care and support.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.


Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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