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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator
02-APRIL-2015 FUAD FAROOQ ASLAN 53
YEARS HUGE RECURRENT EXTRUSION L4-5 WITH LEFT UPWARD MIGRATION AND
The patient was operated by me
11-March-2015 for huge extrusion L4-5 with
left downward migration. The patient then came
21-March-2015 with improvement and sent home.
The patient then came 25-March-2015 telling that
after shower got a generalized rash with severe
LBP and fever without sciatica. After
interrogation about the medication, it seems
that he was receiving Augmentin 625 mg once a
day after surgery. All medications were stopped
and Zinnat 500 1x2 started and sent for lab
investigations. WBC was 11.8, ESR 57 mm/h and
CRP 18 mg/L. The patient then came 31-March-2015
with LBP without sciatica with no rash. SLRS was
40 degrees with pain in the left. There is weak
dorsiflexion left foot 4/5. The patient was sent
for MRI and Lab investigations, which were
done 31-March-2015 showing discitis with huge
recurrence with left upward migration.
The old incision refreshed. There is no pus in
the field. Foraminotomy left L4 root. The
swollen friable extruded disc was removed until
the axilla of the left L4 root was seen. Further
cleaning of the intradiscal swollen disc
material. Subaxillary inspection of the left L5
Routine closure of the wound.
Smooth postoperative recovery. The power of left
foot became normal.
The patient still has an estimated
postoperative recurrence around 7%.
MRI after surgery most of the time is
misleading. There was no pus in the field and the recurrence
was full of swollen disc fragments.
It is better to explore the area instead
of loosing a protracted period of time guessing what
actually is going inside.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
Inomed MER system
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 .