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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
01-OCTOBER-2015 MAJED SALEM AL-KHATEEB 61 YEARS
EXTRUDED DISC L4-5 WITH RIGHT FORAMINAL OCCLUSION.
Anamnesis
The patient came to the clinic 22-August-2010
complaining of LBP and right
sciatica for 5 days down to the right L5
territory with numbness . On examination at that
time, he was limping with exaggerated scoliotic
stance with weak dorsiflexion right foot 4/5. MRI lumbar spine done
26-August-2010 showed bulge L3-4, L4-5 and L5-S1
and the patient improved with pain-killers. The
patient then came several times and the last
visit was 28-September-2015 telling that he got
exacerbation of his LBP with right sciatica the
last 5 days. MRI lumbar spine performed
27-September-2015 showing recent extruded disc
L4-5 with right foraminal occlusion. He was
limping with exaggerated scoliotic stance with
SLRS 80 degrees with pain in the right with weak
dorsiflexion right foot -3/5.
Right L5 root foraminotomy
with removal of the extrusion, which was
penetrating the posterior longitudinal ligament
compressing the root, lateral to the
root which was shifted medially. Right sided
intradiscal cleaning L4-5 disc space.
Subaxillary inspection for extrusion remnants.
The root is lax and free. Using MultiGen a
pulsed mode RF with 42 degrees Celsius, 240 sec,
2 Hz and 20 millisecond pulse width the right L5
root was manipulated using 2 curved catheters
above and below the axilla. Routine closure of the
wound.
Smooth postoperative recovery. The power of
the right foot became normal. No sciatica. The patient was
sent to the ward.
MultiGen
Comments
The patient still has an estimated
postoperative recurrence around 7%.
This is the 9th case during which PRF was
used. It seems that the sciatica disappearing better in
comparison with patients not exposed to such manipulation.
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
its sensor gives feed back about the localization.
Inomed MER system
Leica HM500
The World's first and the only Headmounted 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
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 .