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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 .

22-SEPTEMBER-2004  KHADER ABDEL-RAHMAN AYESH 51 YEARS EXTRUDED DISC L4-5 WITH LEFT DOWNWARD MIGRATION AND BULGE L5-S1.

 

Anamnesis

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The patient came to the clinic 19-September-2004 complaining of severe LBP with left sciatica for 3 weeks. He is hypertensive for 7 months in treatment.

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

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The patient was sent for investigations and MRI lumbar spine performed the next day showing extruded disc L4-5 with left downward migration and bulge L5-S1.

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Laminectomy L5. Foraminotomy left L5 and S1 roots with removal of the extrusion partially subaxillary under the axilla of L5 and mostly 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. Inspection of L5-S1 space, was uneventful. 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. He was sent to the ward.

FOLLOW UP

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The patient came to the clinic 17-October-2004 with clean wound and SLRS 80 degrees left side without pain and normal power and sensation.

 

Comments

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The estimated postoperative 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 .


 

 

 

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