Munir Elias 20-12-2013

Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity. For reference to the academic and theoretical part, you are welcome to visit  neurosurgery.tv

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Stem Cell Therapy Site
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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 .

03-JULY-2014  MUHAMED SHAALAN AL-SARRAWI  18 YEARS  HUGE EXTRUDED DISC L5-S1 WITH LEFT FORAMINAL OCCLUSION.

 

Anamnesis

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The patient came to the clinic 19-April-2014 complaining of LBP with left sciatica for 18 months with exacerbation the last 3 months with numbness of the left foot. MRI lumbar spine done 04-April-2014 showing huge extruded disc L5-S1

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On examination; the patient was limping with exaggerated scoliotic stance. Positive cough sign, SLRS was 20 degrees with pain. Weak dorsiflexion left foot -3/5.

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The L5-S1 ligamentum flavum was dissected from the left side and reflected to the right and anatomically preserved. Foraminotomy left S1 root. The extruded disc was removed lateral to the axilla and left sided intradiscal cleaning of L5-S1 disc space. The ligamentum flavum was returned back to cover the exposed dura.

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Smooth postoperative recovery. The power of the left foot became normal.

Follow up

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The patient showed strange reaction of the wound and Cefazolin was stopped and the patient could discharged the next day.

 

 

 

Comments  

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The estimated postoperative recurrence is still around 7% because the disc space height is still not shallow.

Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.

Leica HM500

Leica HM500
The World's first and the only Headmounted 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


Back Up!

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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