 So, myself Dr. Amit Tharpaji, I am a consultant neurosurgeon and head of the department at Manipal Hospital, Bhan Air Kune and I specialize in cerebrovascular and epilepsy surgery. So, today we are going to have a small glimpse at our center of excellence for neurosciences and I am going to navigate you to our Neurosurgical Operation Theater and also introduce you to the state of the art technology which we have and the advanced gadgets, microscopes and how we utilize this advanced technology for performing complex neurosurgical procedures. So, this is our state of the art modular neurosurgical operation theater and we have this state of the art operating table, the shadowless lights, this is a head clamp which we use for fixation of the patient's head and this is a neuro chair which is a hydraulic chair for ergonomic reasons. We always sit on the chair and operate because we have to operate for longer hours and it is easy on our hands and it gives a greater stability when we operate sitting in a chair. Last one year we have done many complex neurosurgical procedures in this operation theater. And as you know neurosurgery is a complex branch and to avoid major problems in the postoperative period we need to preserve the brain, we need to preserve the blood supply to the brain and remove only the tumor tissue. So, how do we achieve that? So, we need magnification for this and that is why we use a microscope. So, let us see how this microscopes we have got a Zeiss Tivato model and this is a very high end microscope which gives us magnification, a good amount of light which is brighter. We can record the operative videos also and it also gives an assistant view so that another competent person can help me during the surgery. So, this is the microscope and we can move it in all direction, this is the eyepiece and this is how the screen looks and this is one of our operated videos and this high magnification we can operate at which is like 10 X or 12 X zoom and we can even put sutures on the blood vessels. So, this is a very important tool in neurosurgery and which helps us to do good exhesion or good micro neurosurgery without creating problems or blood related issues in the brain and that is why the patients will recover faster and smoother. So, for further accuracy whenever we want to localize any tumor or a small lesion inside the brain we need to navigate it and that is why we have this metronic steel station SA8, very advanced navigation machine which helps us to register the patient's head inside the machine and we can actually navigate various points on the skull as respect to the MRI. So, this is the patient's MRI which is being fed into this machine we can see. This is a three dimensional view of the patient's brain, the tumor and the various important tracks which go around the tumor. So, this machine will help me in actually localizing the tumor in actually localizing the vital structures around the tumor and that will help me excise the tumor with greater accuracy, sub millimeter accuracy without damaging the normal and vital structures of the brain. So, this is a very crucial navigation machine which is advanced one and we have various features like tactography, spine navigation, biopsy modules everything can be done and I think this is a standard of care nowadays for performing state of the art neurosurgery. For SA8 and maximal resection of the tumors we need to remove the tumor without causing damage to the surrounding brain and for that we need something called as QSA. QSA is Kavitron ultrasonic aspirator machine and the probe of QSA actually softens the tumor from inside and sucks it at the same time. So, it we do not have to pull the tumor from the brain structure. So, if I try to pull it or just suck it it will cause traction on the vital brain structures as well as blood vessels. So, if we have QSA we can Kavitron the tumor from within and then slowly we can dissect that tumor from the surrounding brain. So, very important measure for glioma or the CP angle tumors and it is a must in armamentarium for excellence of neurosurgery. Apart from this we also have a high end bipolar machine which is used for coagulating the smaller blood vessels without spreading the current to the surrounding structures. So, that they are not damaged and we can be very precise in stopping the bleeding and we also have a state of the art drill system. So, drill system is basically making a hole inside the skull then removing a part of the skull that is the craniocoma and also drilling the smaller bones or other non-critical parts of the skull base with a very fine diamond drill. So, all these gadgets are very crucial in performing a safe and complicated neurosurgical procedures. So, Manipal Hospital Bhaner Pune has set up a center of excellence for neurosurgical procedures and we have a state of the art operation theater and as I showed there is microscope, QSA, drill, navigation, interoperative monitoring and we have been doing very complex and major neurosurgical procedures here with relatively good outcomes like awake craniotomy, resections of glioma under neuro monitoring, epilepsy surgeries, CMCA bypasses, CP angle tumors, endoscopic skull base procedures, endoscopic excision of pituitary adiomers and many more. So, because of the advanced technologies we have been able to reduce the patient state as at the same time we are able to preserve their neurological function because of the high end technology and advances. Setting center of excellence at this Manipal Hospital Bhaner Pune for neurosciences is dependent on performance of a team and a good teamwork and we have Dr. Shreya Shah who is my colleague neurosurgeon, we have neurologist Dr. Shruti, we have good intensive care, we have ICU intensives then we have a good anesthesia team who are expert in performing awake craniotomy and complex neurosurgical procedures. Apart from that we have strong backup of all the clinical specialties and super specialties and good OTT.