Inomed Stockert Neuro N50. A versatile
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Multigen RF lesion generator .
03-SEPTEMBER-2002 WAJIHA ABDALLA SHAHWAN 36 YEARS
RECURRENT EXTRUDED DISC L4-5 LEFT SIDE.
Anamnesis
The patient was operated by me 24-January-1999
for PLD L3-4 and L4-5. Video recording at that
time was not available. She continued to
suffered episodically and MRI lumbar spine
performed 27-May-2002 showed no recurrence. The
patient then came to the clinic
25-August-2002
complaining of LBP with left sciatica for
several days.
On examination: The patient in agonizing pain,
limping with exaggerated scoliotic stance.
SLRS
80 degrees right side with pain and 45 degrees
with more pain in the left. There is drop left foot
and severe weak planterflexion same foot 2/5, with hypalgesia left
L5 and S1 territories.
She was sent for investigations and MRI lumbar
spine performed 31-August-2002 showing huge
recurrence at L4-5, more to the left.
Bilateral L5 foraminotomy with removal of the
extrusion lateral to the axilla. Left sided
intradiscal cleaning L4-5. After that right
sided intradiscal cleaning. The patient was put in
Reverse Trendelenburg position with Valsalva
maneuver and hyperventilation. No CSF leak.
Routine closure of the wound.
Smooth postoperative recovery.
The power of the left foot still the same.
She was sent to the ward.
Follow Up
The patient came to the clinic 14-September-2002
with clean wound and weak dorsi and
planterflexion left foot 3/5 with hypalgesia
left L4 root. SLRS was 45 degrees without pain
in the left.
The last time she came 06-October-2002 with
still weak dorsiflexion left foot with
hypalgesia left L5 territory with SLRS 70
degrees with pain left side. She was advised to
be treated by physiotherapy and medical
treatment.
Comments
There is still an estimated postoperative
recurrence around 7%.
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 .
