You will be asked to fast for 8-12 hours before your surgery. Because of this, ask your doctor if you should take your regular medicines with a sip of water before your surgery.
General anesthesia is used for most craniotomies. General anesthesia will block any pain and keep you asleep during the surgery. It is given through an IV (needle) in your hand or arm.
If you have an awake craniotomy, you will be given general anesthesia. You will be awake for part of the surgery.
If you have stereotaxy surgery, you may be given local anesthesia. This blocks just the area where surgery will happen.
Description of Procedure
Once you are asleep and no longer feeling any pain, a breathing tube will be placed. Your head will be shaved and your skin washed with an antiseptic. The surgeon will cut into part of your scalp. Next, part of your skull will be removed and your brain covering will be opened. Depending on the reason for your surgery, several things may happen: a tumor may be removed, a part of your brain tissue may be taken (biopsy), a tube may be placed, or repairs to your brain or its vessels may be done. The brain opening will then be sewn back into place and your skull replaced. Staples or stitches will be used to close the cut. A drain may be inserted to remove blood and fluid for the first few days after surgery. A dressing will be wrapped around your head.
Immediately After Procedure
After your surgery, you will be taken to the recovery room for observation. If all is well, your breathing tube will likely be removed. Your mental status and vital signs (temperature, heart rate, blood pressure, and respirations) will be checked often. After being in the recovery room, you may spend some time in the intensive care unit (ICU) or step-down unit, before being moved to a hospital room. This will depend on the reason for your surgery.
How Long Will It Take?
Several hours (depending on the type and reason for surgery)
How Much Will It Hurt?
During surgery, you will feel no pain. After surgery, you will be given pain medicine to manage any pain.
Average Hospital Stay
3-7 days (Your doctor may keep you longer if complications arise.)
At the Hospital
To reduce the risk of brain pressure build-up:
You may receive steroids and other medicines to keep your body fluid level low.
The head of your bed will be raised.
Fluids given to you may be limited.
You may be given medicines to prevent vomiting.
Do not strain or hold your breath unless your healthcare staff says it is okay.
Your mental status will be checked often.
You may receive medicine to prevent seizures.
You may receive antibiotics to prevent infection.
Your dressing will be removed 24-48 hours after surgery and be replaced with lighter dressing.
You may have a drain inserted after surgery. In most cases, it will be removed in the hospital.
You may be asked to get out of bed and walk around to prevent complications like blood clots or pneumonia.
When you return home, do the following to help ensure a smooth recovery:
Get some help from family and/or friends as you recover.
Keep your cut clean and dry. Check it for redness, swelling, drainage, or separation of the edges.
Do physical therapy, occupational therapy, and/or speech therapy if ordered by your doctor. Therapists may come to your home, or you may see them in their office.
Get enough rest and eat a healthy diet to help your body recover.
If you feel depressed, talk to a therapist, psychologist, or other counselor.
Be sure to follow your doctor's instructions.
Call Your Doctor
After you leave the hospital, contact your doctor if any of the following occurs:
Any changes in physical ability (balance, strength, or movement)
Any changes in mental status (level of consciousness, memory, thinking, or responsiveness)
Redness, swelling, increasing pain, a lot of bleeding, or any discharge from the cut
Headache that does not go away
Changes in vision (like double, blurred, or vision loss)
Guide to the care of the patient with craniotomy post-brain tumor resection. American Association of Neurological Nurses website. Available at: http://www.aann.org/pubs/cpg/craniotomy.pdf. Accessed September 15, 2009.
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a