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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 .

23-DECEMBER-2004  NOFA ABED MUSA  46 YEARS  EXTRUDED DISC L3-4 RIGHT DOWN MIGRATED.

 
 

Anamnesis

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The patient came to the clinic 19-December-2020 complaining of LBP with left sciatica for 3 weeks with left sciatica down to all toes left foot. MRI lumbar spine performed 05-December-2020 showing extruded disc L4-5 with left upward migration.

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On examination: The patient is in agonizing pain, limping with exaggerated scoliotic stance. There is weak dorsiflexion left foot -4/5, planterflexion same foot 4/5. SLRS was 10 degrees with pain left side. There is hypalgesia left L5, S1 territories.

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The patient was sent for investigations and WBC in urine was 450 and no bacteria was found. The patient was advised to start Zinnat 500 mg twice daily before the surgery.

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Extended left L5 foraminotomy with removal of the left far upward migrating extrusion and left sided intradiscal cleaning of L4-5.  Using MultiGen, bipolar motor stimulation of the left L5 root was achieved with 1.1 Volts. A bipolar pulsed mode RF with 42 Celsius, 240 sec, 2 Hz and 20 msec duration to the left L5 root  was achieved using 2 bended catheters 10 mm exposed length. Further bipolar motor stimulation of the left L5 root was achieved with 1.1 Volt. The patient was put in Reverse Trendelenburg position with Valsalva maneuver and hyperventilation. No CSF leak. Routine closure of the wound.

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Smooth postoperative recovery. The power of the left foot improved. She was sent to the ward.

 

Comments  

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There is still an estimated postoperative disc recurrence around 7%, since the disc space is not completely 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 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 .

 

 

 

 

 

 

 

 

 

WELCOME TO AL-SHMAISANI HOSPITAL

 


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