Endoscopic Spinal Surgery (DESTANDAU TECHNIQUE)

Presents A NEW TECHNIQUE

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Contact on mail@localkonnect.com

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ENDOSPINE – The Mobile Operating Tube

Treatment of Lumbar intervertebral disc prolapse

Central Disc Herniation

Foraminal/Extraforaminal Disc Herniation

Lumbar Canal Stenosis

Introduction

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This technique is followed since 2009

Total No. of Patients = 46◦ Male (29), Female (17)

Single Level Disc◦ Total = 43

Two Level Disc◦ Total = 03

Introduction

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Mobile System – Illuminate & Explore hidden recesses

Perfect Quality of Vision

Magnification of anatomical structures◦ Eye is practically inside the spine

Special Design◦ To see the ends of the surgical instruments

Advantages: ENDOSPINE

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Aesthetic outcome – small incision

Minimal muscular and bony trauma

Minimal Post-operative Pain

Rapid resumption of physical activities

Reduced rate of infections

Special advantages for obese patients

Patient Benefit - ENDOSPINE

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Technique: ENDOSPINE

Endospine consist of◦ The operating tube

◦ Nerve root retractor

◦ Integrated channel for the telescope

◦ Other two additional channels Suction Tube Operating Instrument

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Surgical Technique

Patient Positioning◦Under general or spinal anaesthesia◦Knee-chest position

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Marking the entry point◦ Use of Special localization device with two arms

◦ A reference line throughout the operation

◦ Point of incision marked on the skin

Surgical Technique

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The approach is from the side where the symptoms predominate

Central Disc Herniation

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Skin incision – 5 mm from the mid line about 2.5 cm in length

Surgical Technique

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Hemostasis by biploar coagulation Aponeurosis dissected with scissors Cotton swabs attached to thread slid upwards

and downwards

Surgical Technique

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Surgical Technique Introducing the operating tube with blunt obturator

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Surgical Technique ENDOSPINE operating tube sitting on the lamina

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Surgical Technique Interlaminar window can be directly assessed

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Excellent exposure of isthmus possible

Nerve root retractor serve for retracting the muscle

Foraminal /Extraforaminal Disc Herniation

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Lumbar Canal Stenosis Same approach applied

◦ Performed on the right/left side where symptoms predominate Ligamentum flavum resection after cutting

undersurface of lamina Decompression assessed on both sides

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Patient Mobilised

Muscle Relaxant

Physiotherapy

Impermeable Dressing

Post-operative Care

Results

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Same as conventional surgery

Dural Leak◦ Surgicel Packing◦ Muscle Patch

Spondylodiscitis

Complications

Our Contact Points in India:Delhi:

B-68, C.C. Colony, Near Rana Pratap Bagh, Delhi-07

Contact No.: 011- 27110162, 8595382660

Mumbai:

F-4, ShantiNiketan, C.H.S. Kondivita, Andheri (E), Mumbai-52Mobile No.: 9769749699

Patna:

Chandralaya, A.G. Colony, Sheikhpura, Patna-14Mobile No.: 9835646927

Gurgaon (Contact Point):

558, Sector-5, Gurgaon-122001Mobile No.: 9268247193

Website: www.localkonnect.com

email: mail@localkonnect.com

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Thank You