Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
17-APRIL-2004 MAYSEM SHAMS-EDDEEN SHABSOUGH 46
YEARS EXTRUDED DISC L4-5 LEFT SIDE.
Anamnesis
The patient came to the
clinic 28-March-2004 complaining of LBP for 9
years with exacerbation of LBP with
left sciatica for 2 months with positive cough
sign. She is hypertensive for 7 years.
On examination, the patient in agonizing pain,
limping with exaggerated scoliotic stance with
weak dorsiflexion both feet, more the left. SLRS was
70 degrees both sides with
pain.
The patient was sent for
investigations and MRI lumbar spine performed
04-April-2004 showing huge extrusion of L4-5
wide based more to the left side.
Foraminotomy left L5
roots was achieved. Left sided intradiscal cleaning L4-5 was
performed.
The patient was put in Reverse Trendelenburg
position with Valsalva maneuver and
hyperventilation. No CSF leak. A free fat was
harvested from the
subcutaneous layer and covered the exposed parts
of the dura and roots to minimize postoperative
scarring. Routine closure
of the wound.
Smooth postoperative recovery. The power of both
feet normalized.
FOLLOW UP
The patient
came to the clinic 27-April-2004 with clean wound
and no motor, nor sensory deficit.
Comments
There is still an
estimated postoperative recurrence around 7%,
because the disc space is still not completely
collapsed.
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 Head mounted 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
LooksCam II Xenosys in the run starting from 14-March-2021 with
SheerVision TTL x4 magnification.
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 .
