Endoscopic spinal surgery
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Endoscopic Spinal Surgery (DESTANDAU TECHNIQUE) Present s A NEW TECHNIQUE … Contact on [email protected]
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Local Konnect Presents a new technique on Endoscopic Spinal Surgery - Destandu Technique with small incision, minimal post-operative pain and reduced rate of infection.
Transcript of Endoscopic spinal surgery
Endoscopic Spinal Surgery (DESTANDAU TECHNIQUE)
Presents A NEW TECHNIQUE
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Contact on [email protected]
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ENDOSPINE – The Mobile Operating Tube
Treatment of Lumbar intervertebral disc prolapse
Central Disc Herniation
Foraminal/Extraforaminal Disc Herniation
Lumbar Canal Stenosis
Introduction
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This technique is followed since 2009
Total No. of Patients = 46◦ Male (29), Female (17)
Single Level Disc◦ Total = 43
Two Level Disc◦ Total = 03
Introduction
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Mobile System – Illuminate & Explore hidden recesses
Perfect Quality of Vision
Magnification of anatomical structures◦ Eye is practically inside the spine
Special Design◦ To see the ends of the surgical instruments
Advantages: ENDOSPINE
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Aesthetic outcome – small incision
Minimal muscular and bony trauma
Minimal Post-operative Pain
Rapid resumption of physical activities
Reduced rate of infections
Special advantages for obese patients
Patient Benefit - ENDOSPINE
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Technique: ENDOSPINE
Endospine consist of◦ The operating tube
◦ Nerve root retractor
◦ Integrated channel for the telescope
◦ Other two additional channels Suction Tube Operating Instrument
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Surgical Technique
Patient Positioning◦Under general or spinal anaesthesia◦Knee-chest position
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Marking the entry point◦ Use of Special localization device with two arms
◦ A reference line throughout the operation
◦ Point of incision marked on the skin
Surgical Technique
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The approach is from the side where the symptoms predominate
Central Disc Herniation
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Skin incision – 5 mm from the mid line about 2.5 cm in length
Surgical Technique
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Hemostasis by biploar coagulation Aponeurosis dissected with scissors Cotton swabs attached to thread slid upwards
and downwards
Surgical Technique
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Surgical Technique Introducing the operating tube with blunt obturator
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Surgical Technique ENDOSPINE operating tube sitting on the lamina
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Surgical Technique Interlaminar window can be directly assessed
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Excellent exposure of isthmus possible
Nerve root retractor serve for retracting the muscle
Foraminal /Extraforaminal Disc Herniation
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Lumbar Canal Stenosis Same approach applied
◦ Performed on the right/left side where symptoms predominate Ligamentum flavum resection after cutting
undersurface of lamina Decompression assessed on both sides
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Patient Mobilised
Muscle Relaxant
Physiotherapy
Impermeable Dressing
Post-operative Care
Results
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Same as conventional surgery
Dural Leak◦ Surgicel Packing◦ Muscle Patch
Spondylodiscitis
Complications
Our Contact Points in India:Delhi:
B-68, C.C. Colony, Near Rana Pratap Bagh, Delhi-07
Contact No.: 011- 27110162, 8595382660
Mumbai:
F-4, ShantiNiketan, C.H.S. Kondivita, Andheri (E), Mumbai-52Mobile No.: 9769749699
Patna:
Chandralaya, A.G. Colony, Sheikhpura, Patna-14Mobile No.: 9835646927
Gurgaon (Contact Point):
558, Sector-5, Gurgaon-122001Mobile No.: 9268247193
Website: www.localkonnect.com
email: [email protected]
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Thank You
