Dr. Sarang Gotecha offers comprehensive neurosurgery services in Pune including brain tumor surgery, minimally invasive spine surgery, neuroendoscopic surgery, cerebrovascular surgery, skull base surgery, traumatic brain injury management, spinal trauma fixation and transnasal endoscopic surgery - available at Manipal Hospital, Baner and satellite clinics in Wakad and Thergaon.
Most services pages are dry lists. Open with the observation that 60–70% of patients who come for a second opinion in Pune's private neurosurgery centres have received either under-treatment or over-treatment elsewhere. Then position the breadth of Dr. Gotecha's services as meaning patients don't have to go to multiple specialists - one surgeon with the full subspecialty range can assess and treat the complete picture.
When you or a family member receives a neurological diagnosis, the first instinct is often to look for 'the best neurologist' or 'a brain specialist in Pune.' But the reality is more nuanced. Some conditions require a neurologist (who manages without surgery). Others need a neurosurgeon. And within neurosurgery, subspecialty training matters enormously - the techniques used for a pituitary tumor are entirely different from those used for a lumbar disc herniation or a ruptured aneurysm.
Dr. Sarang Gotecha, MCh Neurosurgery, practices at Manipal Hospital, Baner, Pune. His training spans multiple neurosurgical subspecialties, meaning that a patient can be evaluated comprehensively and treated within a single coordinated surgical practice rather than being passed between multiple specialists.
Below is a structured overview of the services offered, what each involves and who it is for.
Brain tumors - whether primary (arising in the brain) or secondary (spread from another organ) - require precise surgical planning. Dr. Gotecha uses a neuronavigation system and operating microscope for tumor resections, allowing maximum safe removal while preserving surrounding functional brain tissue. This service covers gliomas, meningiomas, metastatic deposits and rare tumor types.
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Conditions affecting the blood vessels of the brain - aneurysms, arteriovenous malformations (AVMs), cavernomas - can be life-threatening if untreated. Surgical management of these conditions requires a surgeon experienced in microsurgical clipping, AVM resection and intraoperative angiography. Dr. Gotecha's training at the National Neuroscience Institute, Singapore, included significant exposure to cerebrovascular cases.
Tumors at the base of the skull - including acoustic neuromas, petroclival meningiomas, chordomas and glomus tumors - are among the most technically demanding cases in neurosurgery because of their proximity to critical cranial nerves and vascular structures. Dr. Gotecha approaches these with the full suite of skull base instrumentation available at Manipal Hospital, Baner.
Posterior laminectomy, discectomy, anterior cervical discectomy and fusion (ACDF) and spinal fusion for instability - these conventional approaches remain the standard of care for many spinal conditions. Dr. Gotecha performs these with microsurgical precision, using the operating microscope for magnification and illumination.
Trained in Seoul, South Korea, Dr. Gotecha brings MISS techniques to his Pune practice. Percutaneous pedicle screw fixation , tubular retractor-based discectomy and endoscopic spine surgery allow many patients to go home within 24–48 hours of a procedure that previously required 5–7 days of hospitalisation. Patients with lumbar disc prolapse, foraminal stenosis, or single-level instability are often good candidates.
Road accidents and falls cause a significant proportion of spinal injuries seen in Pune. Emergency spinal fixation - to stabilise fractures and protect the spinal cord from further damage - requires both surgical speed and precision. Dr. Gotecha manages acute spinal trauma cases at Manipal Hospital, Baner, which has an equipped emergency neurosurgical facility.
Neuroendoscopy uses a thin, camera-equipped instrument to access the brain through small burr holes. It is used to manage hydrocephalus (via endoscopic third ventriculostomy), intraventricular tumors, arachnoid cysts and colloid cysts. Patients avoid the larger incisions associated with open craniotomy and typically recover faster.
Pituitary tumors - the most common type of brain tumor in many series - can now be removed without any incision on the skull or scalp. The transnasal endoscopic approach accesses the pituitary gland through the nostrils, removing the tumor while leaving no visible scar. Dr. Gotecha is trained in this technique and has performed it for both functioning and non-functioning pituitary adenomas.
Head injuries from road accidents, falls and workplace incidents account for a large proportion of emergency neurosurgical admissions in Pune. Management ranges from close observation and ICP monitoring to emergency craniotomy for evacuating blood clots (epidural or subdural haematomas). Dr. Gotecha manages TBI cases at Manipal Hospital's emergency unit.
In India, it is common for general neurosurgeons to handle all types of cases. This works for most straightforward presentations. But for complex cases - a skull base tumor pressing on multiple cranial nerves, a ruptured brain aneurysm, or a multi-level spinal deformity - subspecialty training directly affects outcomes.
The reason Dr. Gotecha sought fellowships in both minimally invasive spine surgery (Korea) and general advanced neurosurgery (Singapore) is that he wanted to offer Pune patients the same breadth of options that patients in Seoul or Singapore have access to. Not every patient needs every option. But every patient deserves a surgeon who knows all of them.
Advanced surgical management of benign and malignant brain tumors using microsurgical and minimally invasive techniques for safe and precise removal.
Minimally invasive approach using an endoscope to treat conditions like hydrocephalus, brain cysts, and certain tumors with faster recovery and minimal scars.
Comprehensive treatment for spine conditions such as slipped disc, spinal fractures, and degenerative spine disorders through both open and minimally invasive techniques.
Modern surgical method using small incisions and advanced tools to treat spine problems, reducing pain, blood loss, and hospital stay.
Expert care for conditions like brain aneurysms and AVMs (arteriovenous malformations) using precise microsurgical techniques.
Specialized procedures to treat complex tumors and abnormalities at the base of the skull with advanced microsurgical and endoscopic techniques.
Comprehensive evaluation and surgical management for patients with head injuries, bleeding, or fractures to prevent long-term damage.
Expert surgical care for spinal injuries and fractures to restore stability, relieve pain, and improve mobility.
Scar-free surgery performed through the nose to access deep-seated brain tumors and pituitary lesions, minimizing complications and recovery time.
