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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 .

25-MAY-2004  SAMEER YOUSEF AL-NATOOR 45 YEARS HUGE EXTRUDED DISC L5-S1 LEFT DOWNWARD MIGRATION.

 

Anamnesis

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The patient came to the clinic 22-May-2004 complaining of LBP since 1995 with exacerbation of LBP with left sciatica for 3 months. MRI lumbar spine done 17-May-2004 showing huge extruded disc L5-S1 with left downward migration.

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On examination, the patient in agonizing pain, limping with exaggerated scoliotic stance with weak dorsiflexion left foot 4/5. SLRS was 70 degrees left side with pain.

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Foraminotomy left S1 root was achieved. Left sided intradiscal cleaning L5-S1 was performed. 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 dura and roots to minimize postoperative scarring. Routine closure of the wound. Smooth postoperative recovery. The power of the left foot normalized.

FOLLOW UP

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The patient came to the clinic 04-June-2004 with clean wound and no motor, nor sensory deficit.

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The patient then came several times and MRI lumbar done 24-July-2006 showing tiny fragment left side and was advised to have conservative treatment. He was neurologically free.

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The patient then came 26-March-2011 telling that after lifting heavy object last week got left sciatica, with weak left dorsiflexion left foot 3/5. He was sent for investigations and MRI done the next day showing small extruded disc L4-5 left side and he was advised to keep in conservative treatment.

 

Comments

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

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Not all de novo disci require surgery.

 

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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