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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 .

08-AUGUST-2004  HUDA ABDEL-RAHMAN JALAFNEH 40 YEARS HUGE EXTRUDED DISC L5-S1 WITH LEFT DOWNWARD MIGRATION.

 

Anamnesis

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The patient came to the clinic 04-August-2004 with agonizing LBP with left sciatica for 3 weeks, down to S1 root territory. MRI lumbar spine done 02-August-2004 showing huge extruded disc L5-S1 with left downward migration. She had LBP for 5 years with intermittent course.

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On examination, the patient in agonizing pain, limping with exaggerated scoliotic stance with drop left foot and weak dorsiflexion right foot 3/5 and planterflexion both feet with hypalgesia left L5 and S1 territories. SLRS was 20 degrees with pain left side and 45 degrees right side with pain.

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Foraminotomy right S1 root was achieved. Right sided intradiscal cleaning L5-S1 was performed. The patient was put in Reverse Trendelenburg position with Valsalva maneuver and hyperventilation. No CSF leak. The epidural fat was transferred to the left axilla area. A fat was harvested from the subcutaneous layer with pedicle and transferred and covered the exposed parts of the root to minimize postoperative scarring. The ligamentum flavum returned back in place. Routine closure of the wound. Smooth postoperative recovery. The power of the right foot normalized.

FOLLOW UP

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The patient came to the clinic 18-August-2004 with clean wound and no motor, nor sensory deficit.

 

Comments

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There is still an estimated postoperative recurrence around 7%, because the disc space is still not completely collapsed.

 

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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