Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity. For reference to the academic and theoretical part, you are welcome to visit
The patient was seen at the operating room first time, complaining
of severe left sciatica with almost drop left foot and weak
planterflexion left foot and hypalgesia left L5 and S1 territories
for 9 days sudden onset. The patient had complains of numbness of
the left foot for 7 months and he is a known hypertensive patient.
MRI performed 2 days ago showing severe LCS L4-5 and extruded disc
L4-5 more to the left. The patient underwent decompressive partial
laminectomy L4 and 5 and bilateral L4-5 flavotomy with foraminotomy.
The disc extrusion was removed from the left side, after what the
root regained relax position. Inspection of the axilla, held
suspicion about the presence of a separate piece under the axilla,
which was removed in several pieces from under the axilla.