What makes us unique
The neurosurgeons at Macquarie Neurosurgery operate using the most advanced technology and tools in the country. They also have access to certain pieces of equipment that many other hospitals don’t have, including:
Australia’s first Gamma Knife
Macquarie Neurosurgery utilise the first Gamma Knife machine in Australia, which is located at Macquarie University Hospital. Gamma Knife is considered the best radiation technique to treat AVMs (arteriovenous malformations) when surgery is not indicated. The stereotactic radiosurgery of the Gamma Knife has revolutionised the management of brain tumours and many other brain conditions that may have previously required invasive surgery
Ultramodern operative equipment
The operating theatres at Macquarie Neurosurgery are equipped with advanced neuro-navigation equipment – including operating microscopes with the ability to perform fluorescence-guided tumour surgery.
First intraoperative CT scanner in Australia
Our advanced intraoperative CT scanner allows surgeons to scan patients during their operations and then immediately verify the results of the procedure. The high-resolution visualisation system also gives the surgical team a high level of accuracy during surgery.
ICG is used to acquire an angiogram of the choroid and is used by our neurosurgeons either diagnostically to assess a patient for neovascular AMD and to exclude other macular conditions that can mimic the features of neovascular AMD.
ICG angiography is also used intraoperatively to allow surgeons to assess the progress of surgery and then make ‘real-time’ decisions rather than having to re-operate after results have been obtained.
Minimally invasive endoscopy
Our surgeons perform several types of tumour surgery through the smallest possible surgical corridor, without compromising tumour resection or safety. Neurosurgeons often operate collaboratively with ENT and other surgeons for more complex procedures and to give patients the best possible outcomes.
Macquarie Neurosurgery has introduced the 3D Karl Storz exoscope into Australia. The microscope is the first of its kind in the world. In many ways similar to the 3D endoscope, the 3D exoscope is placed outside of the patient and offers outstanding image resolution. The exoscope is used to perform retrosigmoid facial nerve microvascular decompression.
Macquarie neurosurgeons have introduced the BrainPath® non-disruptive cranial access technology, the relatively new device allowing access to tumours deep within the brain without causing damage to surrounding tissue. A real-time intraoperative 3D MRI navigation system means that surgeons can see exactly where they are operating. BrainPath® is used to remove lesions, with the device has approved for early clot removal in cases of intra-cerebral haemorrhage.
OUR APPROACH: PERSONALISED AND MULTIDISCIPLINARY
When it comes to making decisions about your surgery, your team of neurosurgeons and health professionals will consider your individual case and with you to determine the best course of action for your unique circumstances.
This includes assessing your scans and X-rays in great detail, and identifying the pros and cons of treating your condition with a surgical procedure or intervention. (Not every aneurism needs to be treated, for example).
The surgeons at Macquarie Neurosurgery have an excellent reputation for this. They know how serious and anxiety-provoking neurosurgery can be for you – and they understand that putting your life and brain function in the hands of somebody you have only recently met is daunting. They will dedicate as much time as possible to addressing your concerns.
You’ll be cared for by health professionals who have specific experience in your type of tumour, and by surgeons with surgical expertise in the type of surgery you require. Your team will be working together to ensure all necessary steps, tests and appointments are organised as quickly and efficiently as possible to make your journey seamless and easy.
Multidisciplinary team approach
If your condition does need an intervention, your surgical team will collaborate with other relevant medical specialists and allied health professionals to determine the best course of action for you. This includes radiologists, radiation oncologists, medical oncologists, pathologists, psychologists and other allied health professionals involved in your care.
Regardless of which specialist or doctor your referral comes from, you will be treated by a highly skilled, multidisciplinary team of tumour specialists and health professionals.
Our team will review your case at a multi-disciplinary team meeting where face-to-face discussion allows the team to understand your case in great details. For example, at these meetings, surgeons can ask detailed questions about your scans from your radiologist or about possible clinical trials from your medical oncologist. This type of discussion means all options are explored thoroughly with all experts in the same room.
Research now shows that this type of multidisciplinary collaborative approach gives patients the best possible treatment and outcomes.
POST-OPERATIVE CARE AND MANAGEMENT
After your surgical procedure, your multidisciplinary group of medical professionals will continue to monitor your recovery carefully. You’ll be provided with ongoing care, supported by a dedicated team of specialists – including physiotherapy and rehabilitation services if required.
Either your surgeon or our highly experienced spine fellows will attend to you daily during your stay on the ward. Your team may also involve other specialists and health professionals during your follow-up care, after your surgical procedure, to ensure whatever is best for you.
When your spinal or brain tumour surgery has been completed, your team of specialists will work together to make decisions about the most favourable follow-up treatment for long-term management for you. Macquarie Neurosurgery specialists have access to the most modern oncology techniques, delivered by a highly skilled team of medical and radiation oncology specialists. We also run a series of weekly clinics at which you might be assessed over the long term.
CONTINUAL LEARNING IN AN ACADEMIC ENVIRONMENT
Neurosurgeons at Macquarie Neurosurgery follow an approach that involves clinical care, research and training. This means that they have an academic approach to medicine, conducting and incorporating the latest research into their practice, teaching future surgeons and providing advanced training in advanced procedures for already-qualified neurosurgeons.
Macquarie Neurosurgery’s alliance with Macquarie University and with Macquarie University Hospital allows for this approach and the team – many of whom have multiple fellowships in different areas of neurosurgery – is highly respected nationally and internationally.
Additionally, trained surgeons from overseas regularly come to work with the practice’s medical specialists because of the surgery’s internationally renowned reputation. There are currently two overseas trained fellows who are working full time in the department.