TRUMPH TruSyatem 7500

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 .

01-MARCH-2014  HUDA ABDEL-KAREEM MUSTAFA  24 YEARS  HUGE EXTRUDED DISC L5-S1 WITH RIGHT DOWNWARD MIGRATION.

 

Anamnesis

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The patient came to the clinic 17-February-2014 complaining of LBP for 20 months and right sciatica for 6 months with progression of pain and numbness all toes right foot the last 3 months .

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On examination; the patient now is not limping with scoliotic stance. SLRS was 20 degrees with pain in the right and 70 degrees in the left with pain shooting to the right leg. The right AJ was absent. There is weak dorsi and planterflexion right foot 3/5. Hypalgesia right S1 root territory.

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MRI of the lumbar spine done the same day showing huge extruded disc L5-S1 with right foraminal occlusion and downward migration.

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Using C-arm, the L5-S1 level was identified. A 3 cm incision done according to the pointer. The patient is fat. Skeletonization of the area. Another check with C-arm showed the level of L4-5. Dissection carried out inferior. Right hemilaminectomy with foraminotomy right S1 root. The extruded disc was removed in several pieces lateral to the axilla. Right sided cleaning of L5-S1 disc space. There was a tiny CSF leak from the very transparent dural wall of the S1 root. It was coagulated and Valsalva maneuver was negative. A piece of muscle was transferred to the suspected area with routine closure of the wound.

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Smooth postoperative recovery. The power of the right foot became normal. The agonizing radicular pain disappeared.

 

 

Comments  

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The patient  still has an estimated postoperative recurrence 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.


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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