Date post: | 01-Jun-2015 |
Category: |
Health & Medicine |
Upload: | local-konnect |
View: | 667 times |
Download: | 1 times |
Endoscopic Spinal Surgery (DESTANDAU TECHNIQUE)
Presents A NEW TECHNIQUE
…
Contact on [email protected]
2
ENDOSPINE – The Mobile Operating Tube
Treatment of Lumbar intervertebral disc prolapse
Central Disc Herniation
Foraminal/Extraforaminal Disc Herniation
Lumbar Canal Stenosis
Introduction
3
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
4
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
5
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
6
Technique: ENDOSPINE
Endospine consist of◦ The operating tube
◦ Nerve root retractor
◦ Integrated channel for the telescope
◦ Other two additional channels Suction Tube Operating Instrument
7
8
Surgical Technique
Patient Positioning◦Under general or spinal anaesthesia◦Knee-chest position
9
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
10
11
The approach is from the side where the symptoms predominate
Central Disc Herniation
12
Skin incision – 5 mm from the mid line about 2.5 cm in length
Surgical Technique
13
Hemostasis by biploar coagulation Aponeurosis dissected with scissors Cotton swabs attached to thread slid upwards
and downwards
Surgical Technique
14
Surgical Technique Introducing the operating tube with blunt obturator
15
Surgical Technique ENDOSPINE operating tube sitting on the lamina
16
Surgical Technique Interlaminar window can be directly assessed
17
18
19
20
21
22
Excellent exposure of isthmus possible
Nerve root retractor serve for retracting the muscle
Foraminal /Extraforaminal Disc Herniation
23
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
24
Patient Mobilised
Muscle Relaxant
Physiotherapy
Impermeable Dressing
Post-operative Care
Results
26
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: [email protected]
28
Thank You