Dr Ishu Bishnoi Neurosurgeon, Maharaja Agrasen Medical College

10/05/2024

Complete tumor excision (Simpson grade 0)

Meningioma grade 1

28/04/2024

Recently did
“Awake EDH evacuation surgery”
Patient recovered without any deficit and discharged next day.
First awake EDH evacuation was done in 2017.
Advantage - No need of general anesthesia or post surgery intubation.

12/12/2023

Head injury with complete bulge of eyeball.
Patient, 24y/Male, was driving bike, when he met with accident and hit his face on electricity pole. He was not wearing helmet.
When he was brought in emergency, his eyeball was completely out of eye socket (orbit) and face was depressed on same side.
We did reposition of eye ball, fracture elevation and reconstruction of forehead. With team efforts, the eye was saved and eye movement was preserved. On follow up, his cornea developed opacity, which is being under treatment.
Team - Dr Ishu Bishnoi, Dr Bansi, Dr Aprna Singhal, Dr Sunny, Dr Nishant, Dr Aman, Prof Vibha

02/12/2023

Hello everyone,

Kindly attend my webinar presentation on "Aneurysm clipping - beginner's guide", scheduled on 3rd December 2023 (tomorrow) at 3.30pm (Indian standard time). Those who want to start aneurysm clipping, they can learn from my experience. This presentation is especially for those young aneurysm enthusiastic neurosurgeons, who want to do, but don't know how to begin.

10/10/2023

प्लेक्सिफ़ॉर्म न्यूरोफाइब्रोमा एक दुर्लभ स्पाइनल ट्यूमर है। यह पेड़ की जड़ों की तरह ही रीढ़ से आसपास की संरचनाओं तक बढ़ता है। हमारे मामले में, यह किडनी के नीचे और आंतों के पीछे जा रहा था। इस प्रकार के ट्यूमर को हटाना इसकी जड़ जैसी आक्रामक प्रवृत्ति के कारण खतरनाक होता है। हमने शल्य चिकित्सा द्वारा इसका सफलतापूर्वक इलाज किया और अपने कॉलेज में इतिहास रच दिया।
यदि आप किसी ऐसे व्यक्ति को जानते हैं जो स्पाइनल ट्यूमर या प्लेक्सिफ़ॉर्म न्यूरोफाइब्रोमा से पीड़ित है, तो हमसे संपर्क करें
pleksiform nyoorophaibroma ek durlabh spainal tyoomar hai. yah ped kee jadon kee tarah hee reedh se aasapaas kee sanrachanaon tak badhata hai. hamaare maamale mein, yah kidanee ke neeche aur aanton ke peechhe ja raha tha. is prakaar ke tyoomar ko hataana isakee jad jaisee aakraamak pravrtti ke kaaran khataranaak hota hai. hamane shaly chikitsa dvaara isaka saphalataapoorvak ilaaj kiya aur apane kolej mein itihaas rach diya.
yadi aap kisee aise vyakti ko jaanate hain jo spainal tyoomar ya pleksiform nyoorophaibroma se peedit hai, to hamase sampark karen

08/10/2023

Carpal Tunnel Syndrome or Median nerve entrapment surgery
- Flexor retinaculum release surgery explained in simple steps

फ्लेक्सर रेटिनकुलम और हड्डियों से बनी सुरंग में मीडियन तंत्रिका के फंसने के कारण हाथ सुन्न हो सकते हैं। इससे हाथों की पकड़ कमज़ोर हो सकती है, हाथ सुन्न हो सकते हैं और पेरेस्टेसिया हो सकता है, खासकर काम के दौरान और ठंड के दौरान। इस बीमारी का इलाज छोटी प्रक्रिया - फ्लेक्सर रेटिनकुलम रिलीज़ द्वारा आसानी से किया जा सकता है। यह स्थानीय एनेस्थीसिया में किया जाता है और इसमें लगभग 5-10 मिनट लगते हैं।

17/11/2022

Sharing follow up results of few cases of brachial plexus injury, which were repaired by me.

Few lessons learnt
1) Oberlin1 and 2 give result. Even a not so good nerve anatomosis can result into recovery. So if you dont have better option for patient, you must learn it

2) Erb palsy cases are best candidates for repair. Having few (median and ulnar nerve) good viable nerves for anastomsis is must for result.

3) Postoperative rehabilitation is next most important step. Keep patient's phone number and motivate him/her to come/for physiotherapy/TENS/high protein diet/both active and passive physiotherapy.

4) It takes around 3-4 months (in postoperative period) to get some visible results. So dont get stressed.

5) Recovery may take 18-30 months.

6) Your efforts (surgery) can regenerate nerves. However, muscles are taken care by patient and physiotehrapist. Even good surgery may not result in good outcome if surgery is delayed/muscle is replaced by fat or patient is lost in follow up.

7) Dont worry if you dont have nerve monitor. You can use monopolar cautery at lowest level (cut mode) to confirm viable nerve.

8) If planning this surgery, read important points of anesthesia. Long term muscle relaxant must be avoided as they can impair nerve monitoring.

9) Overall, brachial plexus surgery is a safe surgery, which needs minimum resources. It needs good anatomical knowledge, correct selection of patient and brave efforts.

Hope my experience will help those surgeons who are fascinated by peripheral nerve surgery, but not attempting due to poor results.

17/11/2022

Sharing follow up results of few cases of brachial plexus injury, which were repaired by me.

Few lessons learnt
1) Oberlin1 and 2 give result. Even a not so good nerve anatomosis can result into recovery. So if you dont have better option for patient, you must learn it

2) Erb palsy cases are best candidates for repair. Having few (median and ulnar nerve) good viable nerves for anastomsis is must for result.

3) Postoperative rehabilitation is next most important step. Keep patient's phone number and motivate him/her to come/for physiotherapy/TENS/high protein diet/both active and passive physiotherapy.

4) It takes around 3-4 months (in postoperative period) to get some visible results. So dont get stressed.

5) Recovery may take 18-30 months.

6) Your efforts (surgery) can regenerate nerves. However, muscles are taken care by patient and physiotehrapist. Even good surgery may not result in good outcome if surgery is delayed/muscle is replaced by fat or patient is lost in follow up.

7) Dont worry if you dont have nerve monitor. You can use monopolar cautery at lowest level (cut mode) to confirm viable nerve.

8) If planning this surgery, read important points of anesthesia. Long term muscle relaxant must be avoided as they can impair nerve monitoring.

9) Overall, brachial plexus surgery is a safe surgery, which needs minimum resources. It needs good anatomical knowledge, correct selection of patient and brave efforts.

Hope my experience will help those surgeons who are fascinated by peripheral nerve surgery, but not attempting due to poor results.

14/11/2022

Migraine ke baare me kuch kaam ki baate

13/11/2022

https://youtube.com/channel/UCOwYqaScLcvemRFg0TOAAcA
Kindly watch videos of patient testimonial about experience of surgery. It will help you in correlating your illness
https://youtube.com/channel/UCOwYqaScLcvemRFg0TOAAcA कृपया सर्जरी के अनुभव के बारे में रोगी प्रशंसापत्र के वीडियो देखें। यह आपकी बीमारी से संबंधित होने में आपकी मदद करेगा

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डॉ. ईशु बिश्नोई न्यूरो सर्जन.हेल्पलाइन नंबर 9466205427

26/10/2022

https://www.youtube.com/watch?v=XnjzeB5GOh8&t=171s

10/09/2022

35 years lady was admitted for progressively increasing swelling near vertex (top point of head). This selling was causing headache only. MRI brain was done which suggested mass lesion arising from skull bone and going till left parietal lobe. We suspected it a case of intradiploic meningioma. We planned complete excision with 1cm bony margin at least and cranioplasty. It was done with uneventfully. Postoperative biopsy suggested thyroid carcinoma metastasis.
Retrospective analysis was done, which revealed history of thyroid surgery. She was then evaluated for thyroid and underwent complete thyroidectomy. PET CT whole body revealed no other mets.

Team - Dr Nisha Gahlawat, Dr Bansi Lal, Dr Vinod
Anesthesia - Dr Vibha, Dr Sumitra, Dr Rahul, Dr Aman, Dr Ruchika
Staff - S/N Chanchal

Points to remember
1. Always tell your doctor about your past medical history. Doctor must take history properly and notice any scars.

2. Be prepared for unexpected and rare things.

3. In case of unexpected diagnosis, read about it and guide patient properly to get best prolonged results.