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Multigen RF lesion generator .
18-MAY-2002 AHMAD AYESH
SALAMEH 73 YEARS EXTRUDED DISC L5-S1 LEFT SIDE.
Anamnesis
The patient came to the clinic 16-May-2002
complaining of LBP and left sciatica
for 3 years with exacerbation last 4 months, down to the calf left leg with
numbness. MRI performed 14-May-2002 showing
extruded disc L5-S1 with left foraminal
occlusion.
On examination: The patient is in agonizing pain,
limping with exaggerated scoliotic stance
with right sciatica. SLRS was 45 degrees with
pain in the right. There is weak dorsi and
planterflexion left foot
-4/5 with hypalgesia left
L5 and S1 territories.
Decompressive laminectomy L5-S1 with left
extended S1 foraminotomy with removal of the
extrusion lateral to the axilla and bilateral
cleaning L5-S1 disc space. The patient was put in Reverse
Trendelenburg position with Valsalva maneuver
and hyperventilation. No CSF leak. Routine
closure of the wound.
Smooth postoperative recovery.
The power of the left foot improved.
He was sent to the ward.
Follow Up
The patient came to the clinic 29-May-2002
with clean wound and sciatica free and normal
power left foot. SLRS was 60 degrees in the
left without pain and there is still having
hypalgesia and numbness left S1 territory.
Comments
There is still an estimated postoperative
recurrence around 7%, because the disc space still not
shallow.
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
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Inomed MER system
Leica HM500
The World's first and the only Head mounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
documentation.
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
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 .
