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
ABDEL-MAHDY 37 YEARS HUGE RECURRENT DISC L5-S1 WITH
RIGHT FORAMINAL OCCLUSION.
The patient was operated by me
03-April-2012 for huge extruded disc L5-S1.
She was doing fine until she came to the clinic
31-March-2014 telling that she got flue last
month after then started to complain of LBP and
right sciatica. The last 2 days exacerbation of
the sciatica with numbness of the big toe right
On examination; the patient is limping with
exaggerated scoliotic stance. SLRS was 5 degrees
with pain right side with weak dorsiflexion right foot
The patient was sent for MRI lumbar spine with
contrast and dynamic studies of the lumbar spine
and done the same day. A huge recurrence of
L5-S1 was seen with right foraminal occlusion.
Using the old incision, the area was refreshed
and dissection was directed to the right upper
corner. There was massive fibrosis with
adhesions, more than usual, indicating that the
previously applied Guardix sol turned to be
ineffective and giving the opposite result.
Using the C-arm, the proper location of
dissection was identified and removal of the
extruded disc material was done lateral to the
axilla. Right side intradiscal cleaning of
L5-S1. Routine closure of the wound.
recovery. The power of the right foot became
The patient still has an estimated
postoperative recurrence rate below 7%, because
the disc space became more shallow, but not
Guardix sol is not effective, in the contrary,
it helps increase the severity of scar
formation. The best was to decrease the
fibrosis, is to preserve the anatomical
structures, such as the epidural fat and the
ligamentum flavum, trying to reflect it during
surgery and turn it back after then.
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
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 .