Intrathecal Baclofen Pump Surgery in India

The cost of Intrathecal Baclofen Pump surgery package in India is USD 16,000 – USD 17,000.

For patients with chronic pain and cancer pain, the development of intrathecal medication delivery devices has been hailed as one of the most significant advances in pain management during the past three decades.

Smaller dosages of analgesics can produce improved analgesia when medicines are delivered into the intrathecal area.

Patients who are unable to tolerate traditional opioid medication have the option of receiving pain relief and improved quality of life through intrathecal analgesia. Options for an intrathecal system include implanting the entire system or attaching an intrathecal percutaneous catheter to an external pump.

The decision is based on a number of variables, including the patient’s comfort level, life expectancy, expense, and accessibility of medical knowledge. Both kinds of pumps may be periodically replenished using a sanitary method.

Baclofen

Baclofen is a muscle relaxant that is frequently used orally to treat cerebral palsy in adults and spasticity in children. Additionally, it can be given through an intrathecal pump. This is a hockey puck-sized implant that constantly releases medication into the spinal fluid after being placed in the patient’s abdomen.

People with cerebral palsy and other motor abnormalities can take the medicine baclofen (marketed under the name Lioresal) to calm their spastic muscles.

Baclofen can be given intravenously (in the form of a pill), transdermally (with a topical cream), or directly into the spinal fluid (intrathecal baclofen). The latter two methods are the most often used.

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Baclofen Pump Surgery

The implantation of a baclofen pump is a surgical method used to treat moderately severe to excessive spasticity that is resistant to oral treatment. The pump administers baclofen to the intrathecal area in the spinal cord.

By continually delivering modest dosages of baclofen to the spinal cord, it increases therapeutic advantages while producing fewer and milder adverse effects than oral medicine.

Objective

The purpose of the baclofen pump operation is to minimize the amount of spasticity and stiffness brought on by neurological conditions such as cerebral palsy, multiple sclerosis, spinal cord injuries, and multiple sclerosis. Less than one-tenth of the oral dosage of baclofen is utilized in the pump.

Surgery Assessment

Following a detailed discussion and physical examination, a test injection is administered to see whether the baclofen pump implantation is suitable.

Baclofen is injected into the spinal fluid by a spinal tap in a little quantity a few hours later, the medication’s effects are assessed. Although these impacts are very temporary, they offer incredibly helpful information that supports decision-making.

Surgery vs Other Options

Due to the drugs’ near proximity to the spinal cord during implant surgery, it is often far more effective in treating spasticity symptoms.
The medication is continuously given during the procedure, day and night, which offers more consistent symptom alleviation.
When high doses of baclofen are needed to treat severe spasticity, implanting a pump often has fewer side effects than taking it orally.
With the capacity to give various doses of baclofen at various times of the day, the baclofen pump implantation process is incredibly flexible and allows for more accurate baclofen dosage.
The baclofen pump is reversible in comparison to other surgical treatments since it may be turned off or discontinued when necessary.

Intrathecal Baclofen surgery is ideal for the flowing conditions:

Chronic pain following one or more back or neck operations that don’t relieve chronic low back pain, leg pain (from sciatica or lumbar radiculopathy), or arm discomfort (cervical radiculopathy).
Reflex sympathetic dystrophy is a neurological condition that worsens with time and causes sufferers to experience persistent, throbbing pain.
a scorching pain brought on by damage to a peripheral nerve.
Arachnoiditis is a painful inflammation and scarring of the spinal nerves’ meninges (protective layers).
The chronic pancreas is characterized by persistent stomach discomfort brought on by pancreatic duct inflammation or obstruction.
A neural system condition called cerebral palsy makes it difficult to control how the body moves.
Multiple sclerosis is a condition that affects the brain and spinal cord and is brought on by damage to the myelin sheath that surrounds nerve cells.
Stroke: damage to the brain from lack of oxygen; due to an interruption of the blood supply.
Post-traumatic spasticity
Brain injury
Spinal cord injury

Procedure

Baclofen is injected into the thecal sac of the spinal canal during a pre-operative test (with a tiny Lumbar Puncture needle), and the patient is monitored by the functional neurosurgery team for several hours to gauge how well the medication reduces stiffness and rigidity.
A permanent pump to transport the medication may be implanted in the patient if a favorable outcome is shown. After the patient has had a general anaesthetic, a tiny pouch is made and used to introduce the pump chamber into the anterior abdominal wall.
The spinal fluid gap is then punctured with a needle, and a tiny catheter is advanced until it reaches the appropriate spinal cord level with the aid of an X-ray. The catheter is then properly linked to the pump chamber after being tunneled beneath the skin to the anterior abdominal wall.
The pump is filled with baclofen and set up by a computer to continually deliver a precise amount that the neurosurgeon determines. If sutures or surgical staples are used to seal the wound, the baclofen pump procedure is complete.
If non-absorbable sutures or staples are used, they must be removed once the wound has healed. Typically, the baclofen pump operation takes 1-2 hours.

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Recovery

Patients stay in the hospital for 3 days following the baclofen pump implantation procedure.
The ability of each patient to resume normal activities depends mostly on both his or her age and preoperative health.
One should be permitted to return home once the vital signs have stabilized and baseline functionality has been reached.
Depending on the size, concentration, and dose of the pump, a new supply will need to be added every few months. With a syringe and needle, refills are performed and take around fifteen minutes.
Based on the adverse effects seen at that time, the dosage of baclofen is changed.
On OPD follow-ups, the Neurosurgeon gradually increases the baclofen dosage every day until a dose that is well tolerated has been established over a month.

Success Rate

In patients who responded well to the preoperative intrathecal baclofen test, the success rate of baclofen pump implantation treatment is quite high. The daily dosage required for baclofen is around 500 mcg as opposed to the oral dose of 20 to 40 mg.

Benefits of Baclofen Pump Implants

Lessens the need for oral medications.
Aids in minimizing the side effects of oral medications.
A four to seven-day trial is conducted to evaluate the therapy’s efficacy.
There is no requirement for hospitalization to carry out the procedure.
The procedure is reversible, and the implant may be removed whenever necessary.
No surgical incision is required.
There is no need to take a long break from exercising.
There are no significant side effects.

Cost of Intrathecal Pain Pump, Catheter, and Surgery

Patients with chronic pain are frequently brought to hospitals for pain treatment to determine the cause of their increasing suffering. The price of every single study, therapy, hospital stay, and pharmaceutical trial is frequently steep.
Intrathecal pain medication therapy is expensive during the initial phase of treatment.
There are two types of intrathecal pain pumps known as programmable pumps and non-programmable pumps.
Programmable pumps are more expensive than non-programmable ones.
The price also includes a kit and an intrathecal catheter. The pre-sterilized package includes the needle and all other tools required to implant the catheter into the cerebrospinal fluid.
Baclofen pump implantation Procedure cost in India may vary from individual to individual as per the condition and severity.

The risk factor

The risk of infection near the device and the chance of device failure are complications more unique to Intrathecal Baclofen Pump Surgery.

Intrathecal Baclofen Pump Surgery has also been associated with baclofen withdrawal (caused by a sudden halt in the pump’s supply of baclofen) and baclofen overdose (often due to human error). As long as they are identified and treated promptly, serious consequences are uncommon and often treatable.
Intrathecal Baclofen Pump Surgery is so powerful that it can exacerbate weakness even in the absence of problems.

The drug will be released gradually over time via the pump. Depending on the individual’s changing needs, it may be configured to deliver various dosages of medication at various intervals throughout the day.

The pump keeps a record of the prescription in its memory, which your doctor and the programmer may simply examine.

A needle is inserted through your skin and into the fill port on top of the reservoir by the doctor or nurse to replenish the pump when the reservoir is empty.

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Verified By Dr. Surbhi Suden

Dr. Surbhi Suden is one of the founders of Lyfboat and a doctor with a renowned name in the Medical tourism industry. She has been working with international patients since 2008 and is a deeply committed professional with a long term vision of transforming the current healthcare scenarios.

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