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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 .

04-MARCH-2004  MUHAMED TAHER ABU-EED 66 YEARS HUGE EXTRUDED DISC L3-4.

 

Anamnesis

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The patient came to the clinic 28-February-2004 complaining of intermittent claudication for 8 months  with inability to walk more than 70 meters with numbness both feet, more the left. Diabetic for 30 years in medication. CABAG done 1993 with arterial hypertension in treatment.

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On examination: the patient is limping with exaggerated scoliotic stance. SLRS was 80 degrees both sides without pain. There is almost drop left foot weak dorsi and planterflexion both feet 3/5 with diabetic neuropathy above the ankle level.

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The patient was sent for investigations and MRI lumbar spine performed 01-March-2004 showed huge extruded disc L3-4.

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Decompressive laminectomy L3-4 with bilateral foraminotomy L4 roots with bilateral removal of the extrusion lateral to the axilla. After that, the roots became lax and bilateral intradiscal cleaning L3-4 disc space was done. The patient was put in Reverse Trendelenburg position with Valsalva maneuver and hyperventilation. No CSF leak. A free fat was harvested from the subcutaneous layer and covered the exposed parts of the root, to minimize postoperative scarring. Routine closure of the wound. Smooth postoperative recovery. The power of the right foot normalized, but the left improved to 4/5.

FOLLOW UP

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The patient came to the clinic 14-March-2004 with clean wound and SLRS 80 degrees both sides without pain and normal power right foot and weak dorsiflexion left foot 4/5 and hypalgesia the same.

 

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 .


 

 

 

WELCOME TO AL-SHMAISANI HOSPITAL

 


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