home news u. S. viagra canada online Sport tv&showbiz femail health science money rightminds coffee break travel columnists health home health directory health boards diets mydish recipe finder login find a job m&s wine our papers feedback monday, oct 08 2012 9pm  9°c 12am 9°c 5-day forecast the wide-awake brain operation: woman gives vital input while having tumour removed and gives a thumbs-up by nikki murfitt published: 21:06 gmt, 31 march 2012 | updated: 21:06 gmt, 31 march 2012 comments (37) share victoria best smiles and gives a thumbs-up sign. buy viagra canada It’s a simple gesture yet, in the circumstances, absolutely extraordinary because as she does so, consultant neurosurgeon paul grundy is removing a 4cm tumour from her brain. viagra generic patent expires Moments later, the 43-year-old mother of two from bordon, hampshire, chats enthusiastically about her granddaughter connie, aged two, with a theatre nurse standing nearby – seemingly without a care. Mr grundy has pioneered the widespread use of awake surgery for brain tumours in britain because he believes patient input is vital. Positive sign: victoria gives surgeon paul grundy, centre, vital feedback during the operation of the 32 neuroscience centres in britain, only four carry out awake brain surgery and only on up to ten cases annually. generic viagra Mr grundy’s team at southampton general hospital, however, performs more than 40 a year. Awake surgery is being used increasingly for knee and hip-replacement  operations, as well as in plastic surgery, because the recovery time is so short. Patients do not have to shake off the effects of heavy sedation and most can go home the same day. viagra prices walmart pharmacy In the case of brain surgery, there are other benefits too. Such operations are extraordinarily complex – doctors liken the procedure to ‘removing a spider from jelly’. watermelon the natural viagra Often the body of the tumour can be removed but a stray leg might be left behind. viagra coupon Success is a balancing act. Although the aim is to remove as much of the tumour as possible, cutting away too much could cause irreversible brain damage. If a patient is kept awake during the procedure, the surgeon can monitor their responses with a simple series of questions and directions. Which is where the thumbs-up comes in. viagra cost Mr grundy explains: ‘the fact that a patient can tell me how they feel as i work allows me to see how much of the tumour i can get to and remove before triggering any potential long-term damage, such as paralysis. Ultimately, it means i can safely remove more of the tumour than if they were asleep. ’ victoria invited me to wat.


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