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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 .

31-OCTOBER-2002  NAEEMEH MUHAMED AL-SUNWAR  52 YEARS  EXTRUDED DISC L4-5 RIGHT SIDE.

 
 

Anamnesis

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The patient came to the clinic 28-October-2002 complaining of LBP with left sciatica for 30 years with exacerbation last 15 years. The last month exacerbation of LBP with right sciatica down to right L5 territory with inability to walk more than 10 meters. Irritable colon.

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On examination: The patient is limping, has LBP with exaggerated scoliotic stance. There is almost drop right foot and planterflexion right foot 4/5, hypalgesia right S1 territory and SLRS was 30 degrees with pain right side. The left AJ is absent.

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The patient was sent for investigation and MRI lumbar spine showing huge extruded disc L4-5 more to the right.

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Right L5 foraminotomy with removal of the extrusion lateral to the axilla and drilling of the osteophytes with right sided intradiscal cleaning of L4-5 disc space. The patient was put in Reverse Trendelenburg position with Valsalva maneuver and hyperventilation. No CSF leak. Routine closure of the wound.  Routine closure of the wound.

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Smooth postoperative recovery. The power of the right foot normalized. She was sent to the ward.

Follow Up

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The patient came to the clinic 11-November-2002 with clean wound and normal power and sensation right foot. SLRS became 80 degrees without pain in the right.

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The patient then came several times with left sciatica and the last one 09-August-2020. MRI lumbar spine performed 05-August-2020 ruled out recurrence. MRI pelvis showed edema around the left gluteal muscle tendon. She was given medications and sent for investigations, but disappeared.

Comments  

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The estimated postoperative recurrence is around 7% because the disc space is still 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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