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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 .

12-JUNE-2003  NAJAT HANI YARVAS  40 YEARS  WIDE-BASED EXTRUDED DISC L4-5.

 

Comments  

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There is an estimated postoperative recurrence around 7%, because the disc space is not completely collapsed.

Anamnesis

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The patient came to the clinic 18-May-2003 complaining of LBP with bilateral sciatica for 4 weeks. CT-scan done 23-April-2003 showing bulge L3-4 and L4-5.

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On examination: the patient in agonizing pain, limping with exaggerated scoliotic stance. SLRS was 45 degrees right side with pain and 30 degrees left side with more pain. There is hypalgesia both L5 roots with weak dorsiflexion both feet 3/5.

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The patient was sent for investigation and MRI lumbar spine performed 24-May-2003 showing wide-based extruded disc L4-5 more to the right.

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Bilateral L4-5 hemiflavotomy with extended both L5 foraminotomy. The extruded disc of L4-5 was removed from the left and left sided intradiscal cleaning of L4-5 disc space was achieved until the root was hanging free. After then right sided removal of the extrusion and left sided cleaning L4-5. The patient was put in Reverse Trendelenburg position with Valsalva maneuver and hyperventilation. No CSF leak.  Routine closure of the wound

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Smooth postoperative recovery. She was sent to the ward.

Follow Up

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The patient came to the clinic 24-June-2003 with clean wound with sensori-motor normalization SLRS was 50 degrees both sides without pain.

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The patient then came several times and MRI lumbar spine performed 29-July-2003 ruled out recurrence of the disc.

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The last time she came 21-August-2005 after falling down 45 days ago with right sciatica. MRI lumbar spine performed 31-May-2005 was without recurrence and MRI cervical was normal.

 

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 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 .

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WELCOME TO AL-SHMAISANI HOSPITAL

 


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