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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Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

29-APRIL-2014  GHALEB AHMAD SHALASH  44 YEARS  HUGE RECURRENT DISC L4-5 WITH LEFT FORAMINAL OCCLUSION.

 

Anamnesis

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The patient was operated by me 07-September-2011 for huge extruded disc L4-5 with left foraminal occlusion. The patient then came to the clinic 27-March-2013 complaining of right sciatica. MRI lumbar performed 26-March-2013 showing small disc fragment at the right side of L4-5 and was treated conservatively. The patient then came 20-April-2014 complaining of LBP with left sciatica for 7 weeks. MRI lumbar spine done 29-March-2014 showing huge recurrence of L4-5 with left foraminal occlusion.

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On examination; the patient is limping with no scoliosis. SLRS was 40 degrees left side with pain. There is drop left foot. MRI with contrast and dynamic studies confirmed the previous data.

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The old incision was refreshed. Slight drilling of the left upper corner of the previous laminectomy site. Neurolysis of the left L5 root. The extruded disc was severely compressing the root and massive adhesions were noted. The disc material was pushed inside the disc space piece by piece to minimize the surgical trauma to the L5 root. Complete removal of the extrusion was achieved and the nerve was hanging free at the end of surgery.

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Smooth postoperative recovery. The power of the left foot slightly improved.

 

 

Comments  

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The patient has a zero estimated postoperative recurrence, because the disc space was very shallow and empty.

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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