Microvascular decompression (MVD) is a surgical procedure used to treat trigeminal neuralgia (TN). This procedure is used to treat chronic facial pain caused by compression of the TN nerve fibers, usually by blood vessels.

Microvascular decompression involves microsurgical access to the base of the TN where it exits the brain and removal of the blood vessel that is compressing the nerve. Once the vessel is removed, the nerve is dilated and the pain is reduced.

The essence of the method

MVD is usually performed under a microscope to examine the anatomy and structure of the TN and its surroundings in detail. This method requires the experience and skills of microsurgeons and may be associated with the risk of damage to neural structures, blood vessels, or nodes located in the area.

MVD can be an effective treatment for TN neuralgia and can provide long-term pain relief . However, there are some complications that can occur after this procedure, such as facial numbness or muscle incoordination. The results of the Janette procedure may vary from person to person, so the decision to have it should be discussed with your neurosurgeon .

One of the causes of trigeminal neuralgia is compression of the nerve by pulsating cerebral vessels in the posterior cranial fossa near the exit of the nerve from the brainstem. In these cases, the Janette operation (microvascular decompression of the trigeminal nerve) is performed.

Operation

The operation is performed under general anesthesia using an operating microscope and special microinstruments.

Through a small opening in the skull, the trigeminal nerve trunk and the brain vessels that compress the nerve are released. After that, a special Teflon gasket is placed on the nerve, which eliminates the neurovascular conflict.

This eliminates the cause of neuralgia. The operation is highly effective, the pain goes away immediately. There are practically no complications. The duration of the operation is up to 60 minutes.

Стаття написана: 22.01.2026

Стаття перевірена медичним спеціалістом: 23.01.2026

Автор статті: Леонтьєв Олексій

If you need treatment from a neurosurgeon in Ternopil, you should follow these steps:

  1. Contact your family doctor or specialist who can recommend a neurosurgeon in Ternopil.
  2. Contact the nearest medical facility to receive a referral for a consultation with a neurosurgeon in Ternopil.
  3. Make an appointment for a consultation with your chosen neurosurgeon in Ternopil. You can do this through the contact center of the medical institution, using the online appointment form on the hospital website, or directly contact the reception.
  4. Prepare all necessary medical documentation, including test results, X-rays, and other tests. This will help the doctor better understand your condition and prescribe the necessary treatment.
  5. During your consultation, your neurosurgeon will review your medical records, perform additional tests, and prescribe treatment based on your diagnosis. They will also give you advice on how to care for yourself during your treatment.

In Ternopil, there are several options where you can get help:

1. Ternopil Regional Clinical Hospital:

  • It has a neurosurgery department where qualified specialists can diagnose and treat developmental abnormalities of the nervous system.
  • The head of the neurosurgery department is Oleksiy Oleksandrovych Leontiev, an experienced neurosurgeon who has successfully performed many operations to treat developmental anomalies.
  • Contact information:

2. Private medical institutions:

  • There are also several private medical institutions in Ternopil that offer services for the diagnosis and treatment of developmental anomalies.
  • It is recommended to read reviews about these institutions and compare their prices before making a final choice.

Importantly:

  • Before contacting any medical facility, it is recommended to consult with your family doctor.
  • You must have all necessary medical documents with you, such as an outpatient card, test results, and examinations.
Microvascular decompression (Janett procedure) 1 Тернопіль

The article was checked by a neurosurgeon of the highest category: LEONTIEV OLEKSII.

It is of general informational nature and does not replace specialist advice. For recommendations on diagnosis and treatment, a doctor’s consultation is required.

Advantages

When you consult a neurosurgeon, you can expect:

  • Skill in performing complex surgical operations on the brain and spinal cord, as well as on the nerves.

  • Caring for our patients, ensuring they have the most comfortable course of treatment.

  • Knowledge of the latest technologies and treatment methods, which are constantly being improved.

  • Neurosurgery gives a chance for a new life!

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Так, лікар-нейрохірург може допомогти з Microvascular decompression (Janett procedure). Однак оптимальне лікування залежить від розміру, типу та місцезнаходження проблеми, а також від загального стану пацієнта.
Вартість Microvascular decompression (Janett procedure) будуть оголошені після первинної консультації та аналізів.
З питання Microvascular decompression (Janett procedure) у Тернополі можна звернутися за адресою проспект Степана Бандери, 96 до відділення нейрохірургії до лікаря Леонтьєва Олексія.

Часті питання, які можуть виникнути у пацієнтів перед візитом до нейрохірурга, можуть включати:

  • Які симптоми повинні змусити мене звернутися до нейрохірурга?
  • Які діагностичні процедури виконуються перед хірургічним втручанням?
  • Які можливі ризики та ускладнення пов’язані з операцією?
  • Якою буде тривалість відновлювального періоду після операції?
  • Які можливості для лікування є, крім хірургічного втручання?
  • Які дієтичні та режимні рекомендації слід дотримуватись після операції?
  • Як можна зменшити ризик повторного виникнення патології після операції?
  • Які показники ефективності хірургічного лікування та які шанси на повне одужання?

Звісно, ​​конкретні питання залежатимуть від хвороби чи стану пацієнта. Нейрохірург обговорить з пацієнтом усі деталі операції, діагностики та післяопераційного догляду та відповість на будь-які додаткові питання пацієнта.