The Neurosurgery Operating Theatre - Take a look inside!

[@Brainbook]

What do you guys think of the microscope's Terminator-style dance moves?

[@catrins2036]

More impressive than mine! :-P

[@arturmd1]

Hi Alex, tell me please how can I contact you?

[@andrewveitch8515]

I'm a scrub RN at Stanford University hospital in California . We use the Zeiss Kinevo for our Crani's and the Pentero exclusively for spine. We have 6-7 dedicated Neuro theatre's each day.

[@FollowPhotiniByDesign]

This takes me back to my 10 hour brain surgery at Wessex Neurological Center in Southampton to remove a 13cm brain tumour. I have got huge respect for the wonderful skills and dedication you peeps put into your work. A big thank you to you all from the bottom of my heart...

[@AElias409]

13cm? Isn't that half the size of your head?

[@Hectorstaysgold]

im glad you are here.

[@FollowPhotiniByDesign]

@@AElias409 13cm by 7cm, it was a big one, but I am fully recovered, well almost lol

[@poo19me]

The quality and production of these videos are fantastic, worthy of a channel of thousands of subs! Would love some slightly longer videos 8/10 mins? Also, would be interested in videos going over surgical instruments, common pathologies and operations and detailed looks at certain anatomy? An interview or Q&A with an anaesthetist would be awesome too!

[@Brainbook]

Ah that's really kind of you. What kinds of questions would you like to ask an anaesthetist? I'm also toying with videos that are shorter currently. I'll look at how much people are watching. Some stuff will have to be longer but I just don't want to make really long boring videos haha!

[@poo19me]

Of course totally understandable! Ahh I could think of loads, but to name a few 1 Pros/Cons of the job 2 Most interesting / Difficult cases 3 What the training pathway is like 4 Why anaesthetics 5 Some sort of overview (maybe with fancy graphics!) of what a typical anaesthetisation involves with drugs and functions etc?

[@Brainbook]

@@poo19me sounds cool. With regards to instruments were going to do an episode just on the drill together with a how to!

[@kevinparker825]

We need more surgeons of all kinds! If you're young and reading this, become a surgeon.

[@Sheree_Bee]

Having my brain anurysm clipping surgery on Friday and probably in this theatre.

[@Brainbook]

Looking forward to meeting you!

[@elloellelol]

Are you okay now?

[@odd_shoes]

@@elloellelol Classic/common question from people who have no idea about brain health and how for a lot of people 'being okay now' will never happen.

[@gaurishankeryadav9491]

I will love this machines because my dream is to be a nerusurgeon

[@kouyou.]

Sameeeee

[@rainbowios98]

Get studying

[@geethasajeevan6338]

Same

[@libonmohed8148]

woooow really it's so amazing to perfom neuralsurgery on that Operation room welldone welldone

[@blackbirdxx4613]

This is a fantastic channel we were never allowed to see this

[@tomassello3976]

Love your channel, I'm a neurosurgeon too

[@richmahogany1]

Ah a Carl Zeiss 900 I picked one up on the side of the road just last week. Looks great in my living room!

[@danadilley9260]

I have always been so intreged about all the technology that is used during neurosurgery. It's amazing!

[@oguzhanozturk446]

spectacular explanation, i feel really apprciated it

[@Brainbook]

Thank you!

[@vishnurajr4099]

Wow...what an excellent explanation

[@jeannirau3840]

Alex this is amazing especially as I'm on the waiting list for spinal surgery x

[@Brainbook]

Jeannie it's so good to hear that you found this useful, especially as these videos are made for people just like yourself! Good luck with surgery and I might even see you there!

[@MKOGBOSS]

This is great!! I use some of these videos in my class room. could you cover Intraoperative Neuromonitoring how you use it during spine and brain surgery. what info is important to you, what you don't want to hear from neuromonitoring, how you use it during different neurosurgical procedures ......

[@UmerAbbas8]

OMG this is so beautiful !! and a great video! absolutely amazing! You got a Subscriber from Pakistan. Big Love!

[@Brainbook]

Ah thank you Umer!

[@adamnordinrogers]

You guys priceless important to worldwide

[@ibrahimansari5583]

This look so cool ! 🤩

[@DianaJimenezMUA]

can you make more videos on common neuro surgeries like: ACDF's PCDF's, Diskectomy, Tumor resection, Laminectomy please!

[@Brainbook]

Yes we will! They take a little time to sort logistically but they are on the way!

[@b03057]

Pentero ! Damn so cool 👍

[@solomun2011]

This is great basic introduction could please expand bit more on positioning equipment, drugs and fluid or compartment used during surgery please thanks and bring more ODP 👍

[@crhiztian]

Do you 3D print the angiograms?

[@Brainbook]

Haha well-spotted. This model was a meningioma that we had printed. We do have a trial coming up with a company called axial3D and we will be 3D printing a lot of different neurosurgical problems! The models will all be patient-specific.

[@nareshchavan4314]

After ten years I will be their

[@ionicguy4919]

If you get tired in your feet after long hours of operating, do you always have the option to re-position the bench lower and sit down to complete a procedure? Perhaps some surgeons prefer sitting?

[@Brainbook]

The majority of us will stand all the time no matter how long the procedure. There are a lot of operation that aren't really possible sitting down. Some brain tumour surgeons will have a large chair that is sterile. I see this a lot more in North American centres bit some of our surgeons use it too. Even then the first assistant will still be standing.

[@ionicguy4919]

@@Brainbook Where I've been we just had small roll chairs, not sure the English words, but like computer chairs with no back support. They seemed to be usable for any cranial surgery but I can see how it's a problem with back surgery. I'm smitten by neurosurgery and with all of my research and CV oriented towards neurosurgery I'm hoping for residency when I finish school soon but I have a problem in which my feet just tire abnormally quick so sort of a handicap for standing still for long periods. I'm hoping I can somehow switch between sitting and standing as much as possible. I know it's a silly choice of residency with such a handicap but I'm completely in love with neurosurgery and I just really want to make it work.

[@channghiem5012]

in what direction do you see stroke therapy treatments coming in the future? as a stroke survivor myself I'd like to hear..

[@Brainbook]

From a neurosurgery point of view I think it will be robotic aspiration of clots and minimally invasive clot evacuation...

[@kanefinders]

Why do you have a separate induction room, in the us we just do induction in the O.R

[@rajenderkumar-ig8si]

Wonderful room.Neurosurgery is known as a premier department of any medical organization..

[@bivarani1286]

Sir you are awesome

[@elloellelol]

Do you have to have specific conditions inside the OR when you have the brain exposed to keep it healthy?

[@JaydenTheG]

Oh how I miss that room.

[@cristhianlisboa7196]

I second that... 3rd year med school grad here, last time I stepped a foot on a surgical block was months ago, in march, prior to the pandemic. Hope it won't be long until I get to join nightshifts and shadow residents

[@BloodHeresy]

I love that you involved ODPS!!

[@kostassioz2502]

Brainbook where have you studied neurosurgery (at which university)?

[@Brainbook]

Hi Kostas, neurosurgery training takes place within certain hospitals. I'm training in hospitals across North London. My medical training was at St George's and King's College.

[@kostassioz2502]

@@Brainbook I am a Greek student from a poor family and studying medicine in King's college is something I always wanted. I am 17 years old and I am thinking of applying to King's college. Do you think I am gonna make it? By the way I would 'kill' to be a neurosurgeon at such a luxurious hospital. By the way all this passion for neurosurgery came when my father died out of cancer. Hope one day we will be operating together. Don't forget me.

[@sbakst]

kostas sioz Good luck! I wish you the best :)

[@danielmaldonado104]

So much respect for you!!!

[@deepakmaheshwari2434]

hi , i am a new subscriber on your channel.pls make a video on how advance will science be in coming 10 years .which of the disease will be curable in upcoming time.

[@Tomahawk1999]

brainbook do u ever feel scared of screwing up midway?? like freezing and not knowing what to do. mad respect for u guys.

[@trishlett40]

@Brainbook - I had a large tumour removed in 97, another surgery Jan 2019 believed to be a CPP in the 4th ventricle in the region of the obex. Surgery was aborted, I was told the fiducials didn't align with the computer system, they were close but didn't want to risk it. I know there was an issue with StealthStation i7 & S7's software, the information states this was only for the needle depth gauge, do you know that if that could also give inaccurate readings when attempting to remove a 2 cm tumour?

[@AnkushSingh-hn5rm]

Good work 👍

[@thatgirlnoonelikes5536]

I wanna work there

[@exol8600]

That Girl No One Likes I like u

[@lucaselias1925]

What is the price / value of the Zeiss OPMI Pentero 900 microscope? Hugs from Brazil! Lucas, Medicine student.

[@Brainbook]

I'm not really sure! When hospitals buy them they get deals to include several years of servicing etc..

[@nu.wa.n]

I was curious so I searched a bit. seems to be about 5000 pounds. not as bad as I thought. but servicing etc will cost more i guess.

[@NaveenNaveen-un7el]

Cost please

[@andreiconstantinescu9090]

nice...

[@srtbarbie3031]

A very basic comment but I am currently 18 and just finished high school. I’ll be majoring in Neuroscience to hopefully be in your shoes one day. Any raw advice or tips? Anything is much appreciated. Thank you for your excellent work and service.

[@roroabdi4071]

It is my dream

[@mafizization]

Hope I can see more your video

[@horaceoh3363]

Does brain surgery or spine surgery requires c arm

[@Brainbook]

Spine surgery does, yes.

[@musicalmousin2632]

Hind brain and the cerebrum operation we need..!!!🙋😅

[@harishsaini5553]

nice

[@atafatabbas1068]

Sir i have a spinal cord MRI se tumor so i need to se u. I need ur help pls

[@Dimitrios.Kefalas]

I cannot see any neuromonitoring equipment...

[@Brainbook]

Thanks Dimitrios. A separate department bring in our neuromonitoring equipment when it is required.

[@Dimitrios.Kefalas]

@@Brainbook Thank you for your reply. :)

[@hamzabhavnagri2206]

Which is more difficult feild neurosurgery or plastic surgery ????

[@paradasaidulu2840]

Amazing

[@Witch.Selena]

Steps to Becoming a Neurosurgeon Step 1: Earn a Bachelor's Degree Bachelor's Degree in Biomedical Science: 4 years Step 2: Attend Medical School Step 3: Pass the Medical Licensing Exam Usmle: 7 years Step 4: Complete Your Internship and Neurosurgical Residency Program 6-8 years. Step 5: Become State Licensed and Board Certified Step 6: Continue Education This is my final year in residency program. Lucky

[@armysarelejinds1859]

He is not lucky!, he has hardworked so he is here not by luck, you should also work hard and do it

[@madaraaradam7799]

2 years ago I had to have a craniocervical decompression for a particularly nasty case of CM type I malformation. Different country, different hospital, but I had my surgery in the in the OR 11. Maybe 11 is a common number for neuro OR's? :D I guess, Carl Zeiss are the best neurosurgical microscopes? The hospital I went to, also have Carl Zeiss in their neuro theatre. Those small wounds from the Mayfield clamp really bothered me for a few first days-you would think they are so minor that on the background of the rest of it you wouldn't even think of them, but hell, no, they're there. You can feel them just as you can feel your incision 😅😅😅

[@Brainbook]

Haha maybe it us. Did the ioeration work for you?

[@Brainbook]

Yes the pin sites can sometimes bleed a lot and cause people a lot of discomfort!

[@madaraaradam7799]

@@Brainbook You mean, the operation'? ;) At first my everyone thought it did, for 9 months post-op I was symptom free. Then my symptoms came back, sadly this time I started having seizures with headaches. I never had that before my surgery. My neurosurgeon was really puzzled, my neurologist as well. The surgery fixed the CSF blockage I had previously, that should have been it. Following the return of my symptoms I spent next to two months in the hospital, doctors managed to get my symptoms under control with medication. During my time in hospital I underwent, I believe, every diagnostic test there is, it's not really clear to anyone what's going on with me. So-I'm still working with my doctors. There are some interesting theories. Since the medication I'm on, allows me to live a relatively normal life, I don't mind not rushing things, but I'd be so much happier if the cause of my health problems was treatable not only managable.

[@jaajaa7140]

Too short but GOOD JOB

[@vijaychaudhary4093]

Can epilepsy be cured by neurosurgery..

[@alexp33]

Radiographers started crying seeing those gowns 🤢

[@djavoshamo9966]

♥️😊

[@gauravdubey574]

Sallary per months kitna hai

[@chazz30000]

I want to give a like but they are currently at 666 so I can't

[@Brainbook]

Hahaha good spot

[@chazz30000]

@@Brainbook But on a serious note, thank you for your channel. I'm a med student half-way through and at times I really feel a burnout and thoughts like "wtf am I doing this to myself?" and since I want to go into neurosurgery getting a peak behind the curtains is really motivating to me. So thank you for your channel.

[@Brainbook]

@@chazz30000 so glad that it's useful for you. Burnout is a real thing so look after yourself and pace yourself!

[@islamiccafe4266]

Hi

[@poojapandey613]

💖😍

[@MichaelOKeefe2009]

Are you VERY BRITISH or are you AUSSIE????

[@Brainbook]

British!

[@MichaelOKeefe2009]

@@Brainbook YES.

[@Fnn895]

😲😲😲😲😲😲😍😍😍😍😍👍👍👍😎

[@jafarinfourdu7559]

Sir heeeeeeeeelp me pleeeeeeeeeease.

[@dra.marielysbetancourt5042]

Me acabo de enamorar de ti

[@islamiccafe4266]

Dr എന്റ അനിയൻ ഓപറേഷൻ കയിഞ്ഞു 3മാസം coma സ്റ്റേജ് anu

[@shyamyadav6391]

Apana FIR Nhi pata h janta ko bevakuf bana rhe ho Sab ko pta h

[@ghostofchhattisgarh6293]

What do you mean and if you wanna say something do it in English because this guy don't know hindi stupid

[@vijaynadar5245]

i am 24 year old , my name is vidya iam a epilepsy peationt of last 12 years , Iam epilipsy peationt there fore no anyone can marry me , so how can my epilepsy treatment for operation send your adress please