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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 .

16-AUGUST-2004  WALEED SULAYMAN HASAN 52 YEARS EXTRUDED DISC L2-3, L4-5 AND L5-S1 WITH SEGMENTAL STENOSIS L4-5.

 

Anamnesis

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The patient a Qatari citizen came to the clinic 05-August-2004 complaining of LBP with bilateral sciatica, more the right for more than 2 years. Exacerbation last year and drop right foot for more than 4 months. MRI lumbar spine done 14-August-2004 showing huge extruded disc L2-3, extruded disc L5-S1 with left downward migration with elements of LCS L4-5. He is diabetic for 8 years under treatment and insulin dependent.

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On examination, the patient in agonizing pain, limping with exaggerated scoliotic stance with drop right foot, weak dorsiflexion left foot 3/5 and planterflexion right foot. SLRS was 70 degrees with pain both sides with pain. The right KJ is absent.

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Through 2 separate incisions, discectomy L2-3 with left sided cleaning. Laminectomy L5 with decompression L4-5 with foraminotomy left S1 root and discectomy L4-5 with removal of the extruded disc and foraminotomy right L5 root. The patient was put in Reverse Trendelenburg position with Valsalva maneuver and hyperventilation. No CSF leak. The epidural fat was transferred to the left axilla area. A fat was harvested from the subcutaneous layer with pedicle and transferred and covered the exposed parts of the root to minimize postoperative scarring. Routine closure of the wound. Smooth postoperative recovery. The right drop foot still the same but the power of the other muscles normalized.

FOLLOW UP

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The patient came to the clinic 26-August-2004 with fever after the third day of surgery, clean wound and improved all muscles lower limbs except for the drop right foot with no sensory deficit. SLRS was 80 degrees with pain both sides.

 

Comments

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

 

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 .


 

 

 

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