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Multigen RF lesion generator .
30-AUGUST-2007 NIDAL HASSUNEH YOUSEF 37 YEARS EXTRUDED DISC L4-5 WITH RIGHT
DOWNWARD MIGRATION.
Anamnesis
The patient came to the clinic 03-June-2007
complaining of LBP with left sciatica for three
days.
On examination: he was limping and had
exaggerated scoliotic stance with right sciatica
with SLRS was 30 degrees in the right with pain
with weak dorsiflexion all toes right foot -
2/5. He was advised for surgery, but
disappeared.
The patient came 28-August-2007 urging for
surgery. MRI performed 02-June-2007 showing huge
extruded disc L4-5 more to the right.
Right 1/3 L4-5 flavotomy with foraminotomy of
right L5 root was performed. The extruded disc
was pushing the right L5 root medially, for what
it was attacked and removed lateral to the
axilla. The migrated down piece was completely
separate, for what it was sought behind the root
and removed in two pieces. Meticulous cleaning
of the extrusion and the disc space from the
right side. Routine closure.
Smooth postoperative recovery and normalization
of the power of both feet.
Comments
The patient had a separate migrated
downward piece of disc material. Foraminotomy and
exploration of the root and around the root is mandatory
part of any disc surgery, so as not to miss a piece and to
find the patient complaining after surgery.
The epidural fat was preserved and reflected back to place
around the root to prevent postoperative fibrosis.
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
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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 in the run starting from 14-March-2020
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 .
