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Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

30-AUGUST-2004  ALIA SALEH HUSSEIN 42 YEARS RECURRENT DISC L4-5 LEFT SIDE.

 

Anamnesis

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The patient came to the clinic 29-August-2004 complaining of LBP with bilateral sciatica more the left since she was operated 4 years ago without improvement. MRI done the 24-August-2004 showed huge recurrent extruded disc L4-5 with left foraminal occlusion.

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On examination: The patient is limping with exaggerated scoliotic stance. SLRS was 85 degrees in the right  and 45 degrees in the left with pain. There is weak dorsi and planterflexion left foot 3/5 with hypalgesia left L5 and S1 territories.

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Foraminotomy with neurolysis left L5 roots with removal of the huge extrusion lateral to the axilla from the left side. After that, the root became lax and left sided intradiscal cleaning L4-5 disc space was done. The patient was put in Reverse Trendelenburg position with Valsalva maneuver and hyperventilation. No CSF leak. A fat in pedicle was transferred from the subcutaneous layer and covered the exposed parts of the dura and roots to minimize postoperative scarring. Routine closure of the wound. Smooth postoperative recovery. The power of the left foot became normal. She was sent to the ward.

FOLLOW UP

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The patient came to the clinic 09-Septmber-2004 with clean wound and SLRS 90 degrees both sides without pain and neurologically free.

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The patient came 11-March-2006 complaining of LBP with left sciatica for 3 months and MRI done 01-February-2006 showing small fragment at the left foramen of L4-5 and she was advised for conservative treatment.

 

Comments

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The estimated postoperative re-recurrence is still ranking around 7%, because the disc space is still relatively not shallow.

 

Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.


Inomed Riechert-Mundinger System, with three point fixation is the most accurate system in the market. The microdrive and its sensor gives feed back about the localization.


Inomed MER system

Leica HM500

Leica HM500
The World's first and the only Head mounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and documentation.

TRUMPF TruSystem 7500

After long years TRUMPF TruSystem 7500 is running with in the neurosuite at Shmaisani hospital starting from 23-March-2014

LooksCam II in the run.
LooksCam II Xenosys in the run  starting from  14-March-2021 with SheerVision TTL x4 magnification.


Notice: Not all operative activities can be recorded due to lack of time.
Notice: Head injuries and very urgent surgeries are also escaped from the plan .


 

 

 

WELCOME TO AL-SHMAISANI HOSPITAL

 


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