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Multigen RF lesion generator .
06-APRIL-2002 KHETAM SULAYMAN MARAR 56
YEARS RECURRENT DISC L5-S1 LEFT FORAMINAL.
Comments
There is still an estimated postoperative
re-recurrence around 7%, because the disc space still not
shallow.
Anamnesis
The patient was operated by me 27-March-2000 for
PLD L5-S1 for left sciatica. Then she came to the clinic
04-April-2002 complaining of left sciatica for 3
days and MRI lumbar spine performed showing
recurrence of L5-S1 with left foraminal
occlusion.
On examination: The patient in agonizing pain,
limping with scoliotic stance. SLRS was 40
degrees with pain left side. There is weak dorsi
and planterflexion left foot 4/5 with hypalgesia
left L5 and S1 territories.
Neurolysis of the left S1
root and the extruded disc was removed lateral
to the axilla. Left sided intradiscal cleaning
of L5-S1 disc space. After that, the root became
relax. The patient was put in Reverse
Trendelenburg position with Valsalva maneuver
and hyperventilation. No CSF leak. Routine closure of the
wound.
Smooth postoperative recovery.
The power of the left foot improved.
She was sent to the ward.
Follow Up
The patient came to the clinic 14-April-2002
with clean wound , SLRS 80 degrees with pain and
no motor deficit and numbness dorsum of the left
foot.
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
The World's first and the only Head mounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
documentation.
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
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 .