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Open Brain Surgery With Chemotherapy For Malignant Glioma
WHAT YOU NEED TO KNOW:
Open brain surgery with chemotherapy for malignant glioma is surgery to remove a tumor from your brain.
WHILE YOU ARE HERE:
Before your surgery:
- Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.
- An IV is a small tube placed in your vein that is used to give you medicine or liquids.
- Anesthesia is medicine to make you comfortable during the surgery. Healthcare providers will work with you to decide which anesthesia is best for you.
- General anesthesia will keep you asleep and free from pain during surgery. Anesthesia may be given through your IV. You may instead breathe it in through a mask or a tube placed down your throat. The tube may cause you to have a sore throat when you wake up.
- Local anesthesia is a shot of medicine used to numb the area and dull the pain. You may still feel pressure or pushing during surgery.
During your surgery:
Your surgeon will place your head in a clamp to hold it in position. He will make an incision in your scalp and remove your glioma. Your surgeon will place wafer-like chemotherapy medicine in the area where your glioma was. He will close the incision with stitches or staples. A bandage may be placed over your incision.
After your surgery:
You will be taken to a room to rest until you are fully awake. You will be monitored closely for any problems. Do not get out of bed until your healthcare provider says it is okay. You will then be able to go home or be taken to your hospital room.
- A neurologic exam may show how well your brain works after your surgery. Healthcare providers will check your pupils, balance, and hand strength . They may also check your memory and how easily you wake up.
- You may need to wear pressure stockings or inflatable boots after surgery. The stockings are tight and put pressure on your legs. The boots have an air pump that tightens and loosens different areas of the boots. Both of these improve blood flow and help prevent clots.
- You may need to walk around the same day of surgery or the day after. Movement will help prevent blood clots. You may also be given exercises to do in bed. Do not get out of bed on your own until your healthcare provider says you can. Talk to healthcare providers before you get up the first time. They may need to help you stand up safely. When you are able to get up on your own, sit or lie down right away if you feel weak or dizzy. Then press the call light button to let healthcare providers know you need help.
- You will be able to eat and drink gradually after surgery. You will begin with ice chips or clear liquids such as water, broth, juice, and clear soft drinks. If your stomach does not become upset, you may then eat soft foods, such as ice cream and applesauce. Once you can eat soft foods easily, you may slowly begin to eat solid foods.
- You may have a heart monitor attached to your chest to record your heart's electrical activity.
- A Foley catheter is a tube put into your bladder to drain urine into a bag. Keep the bag below your waist. This will prevent urine from flowing back into your bladder and causing an infection or other problems. Also, keep the tube free of kinks so the urine will drain properly. Do not pull on the catheter. This can cause pain and bleeding, and may cause the catheter to come out.
- Pain medicine may be given. Do not wait until the pain is severe before you ask for more medicine.
- Antibiotics help prevent a bacterial infection.
- Antinausea medicine helps calm your stomach and prevents vomiting.
- Anticonvulsant medicine helps control seizures.
- Diuretics help decrease swelling in your brain.
You may bleed more than expected or get an infection. Your blood vessels, nerves, or organs may be damaged during surgery. You may have side effects from the chemo, such as fatigue, diarrhea, or headaches. Your tumor may not be completely removed. You may get a blood clot in your limb. This may become life-threatening.
CARE AGREEMENT:You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.