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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 .

28-FEBRUARY-2007 MUHAMED AHMAD BASALEEM 35 YEARS SECOND RECURRENCE OF L5-S1 DISC RIGHT SIDED.

 

Anamnesis

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The patient was transferred from the airport arriving from YAR directly to Shmaisani hospital with agonizing right sciatica. The patient was operated for recurrence of huge disc L5-S1 27-October-2006 by me. The condition started 7 days ago, during lifting heavy object with rotational element.

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MRI performed 4 days ago showing small extrusion of L5-S1 compressing the right S1 root causing the agonizing sciatica, but with no neurological deficit.

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Considering that, he came from far with agonizing sciatica, it was decided to reoperate him. If he was a Jordanian citizen, then it was better to wait for 1-2 months to see if his extrusion shrinking, but due to socio-economic reasons, he was sent to the operating room.

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The old incision was refreshed and the right upper corner of the lamina was widened for 2 mm and the scar was removed, so as to expose the right S1 root. During this, the extrusion came out, before reaching the disc space. It was removed. The right S1 root was explored further down and inspection for more remnants revealed another small fresh pieces, which were removed.  The disc space was so narrow, that only a tiny microswedish was able to be introduced to the disc space. A small sized pituitaries were unable to introduced to the disc space. The right S1 root hanging free. Routine closure of the wound.

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Immediate disappearance of the right sciatica after surgery.
 

Comments  

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In the previous second operation, the expectation for recurrence was minimal. But it happened 5 months later.

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During the second surgery the annulus was acceptable and the intradiscal space was not violated.
If the disc space permit further cleaning of the intradiscal material, it is better retrospectively to perform cleaning, because even if the disc space is narrow, there could be pieces or fragments ready to slip later.
It is still a dilemma , what exactly better for the patient to perform. Remove the extrusion without violating the disc space, or perform meticulous cleaning of the intradiscal space.
There are cases with 5-8 time of recurrence and this phenomenon needs solution.
 

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

Leica HM500
The World's first and the only Head mounted 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

LooksCam II in the run.
LooksCam II in the run  starting from  14-March-2020

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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