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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 .

09-SEPTEMBER-2004  NOOR MUHAMED AWWAD 45 YEARS HUGE EXTRUDED DISC L4-5 WITH BILATERAL DROP FEET.

 

Anamnesis

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The patient a Yemeni citizen came to the clinic 08-September-2004 complaining of LBP for 2 years with right sciatica for 9 months, then left foot pain last month. MRI lumbar spine done 30-June-2004 showing huge extruded disc L4-5.

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On examination: The patient is limping with exaggerated scoliotic stance. SLRS was 80 degrees both sides with pain. There is almost drop both feet with weak planterflexion both feet 3/5.

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Foraminotomy both L5 roots with removal of the huge extrusion from under the right axilla, then from both sides lateral to the axilla. After that, the roots became lax and bilateral intradiscal cleaning L4-5 disc space was done. The patient was put in Reverse Trendelenburg position with Valsalva maneuver and hyperventilation. No CSF leak. A fat in pedicle was transferred from the subcutaneous layer and covered the exposed parts of the dura and roots to minimize postoperative scarring. Routine closure of the wound. Smooth postoperative recovery. The power of the feet dramatically improved. She was sent to the ward.

FOLLOW UP

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The patient came to the clinic 19-Septmber-2004 with clean wound and SLRS 80 degrees both sides with no pain and normal power and sensation.

 

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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