Overview A biopsy is a procedure where a small part of pathological tissue is removed through a Minimally Invasive Technique for diagnosis and examination. This procedure is indicated in patients suspected of Spinal Infections, Tuberculosis,Spinal Tumours or when the diagnosis is in doubt. A few investigations are usually asked for before the procedure.
Fasting for a few hours in advised. It is done as a day care procedure. In the operating room, patient is turned prone (face down) on the operating table. Local anaesthetic and sedation is given. A small stab incision is taken. A needle is inserted and directed at the level of pathology under C-arm (Intra-operative X-ray) and tissue is taken.
A small dressing is done. The tissue take is sent for investigations. If medically stable patient may be discharged. It is a beneficial procedure which guides evidence based treatment. Sometimes, if the biopsy report is not conclusive, repeat biopsy/ open biopsy may be advised. In very rare circumstances, the nearby neurovascular structures may get injured during the procedure.
CT guided Biopsy: In some patients, surgeon may recommend a CT Guided biopsy. The procedure is essentially similar except that it is done under CT guidance rather than X-ray guidance. This is advised when the pathology is better seen on CT or is very close to important neuro vascular structures.
Disclaimer: The description of procedure is how usually a surgery is done. During the procedure, based on intra operative encounters which varies from patient to patient different steps may be performed.
Doctor clearly explained the problem and the options to treat it. We were very satisfied and relieved to be in good hands.
Truly a doctor in the true sense. Doesn’t beat about the bush. Knows his job well. Caring and friendly
I visited Dr.Sameer Ruparel for my mother’s back ailment and had a very satisfactory consult with the doctor. He explained us everything