Disc prolapse (sciatica)
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Transcript of Disc prolapse (sciatica)
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Ambulatory Spine Surgery for Disc prolapse (Sciatica)
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Ambulatory Spine Surgery
Service Centers
Visakhapatnam - Chalam Orthopaedic spine Center.
Hyderabad, Bangalore, Chennai, Jaipur, Kanpur, Mumbai, Delhi – Nova Medical Center.
Dubai – NMC Specialty Hospital
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Ambulatory Spine Surgery
Include those surgical procedures more complex than office-based procedures but less complex than major procedures requiring less than 24 hours admission for post anesthetic and patient monitoring.
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Ambulatory Spine Surgery
progress in diagnosis with MRI
more people requirement against pain
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Ambulatory Spine Surgery• progress with anaesthesiology
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Ambulatory Spine Surgery
progress with surgical tools: Endoscopic tools
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Ambulatory Spine Surgery
progress with surgical tools: • flow integrated fluid pump system
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Ambulatory Spine Surgery
progress with surgical tools: • Radiofrequency Cautery
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Ambulatory Spine Surgery
progress with surgical tools: • Holmium-Yag Laser
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Ambulatory Spine Surgery procedures
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Ambulatory Spine Surgery
Slipped disc
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Various types of lumbar disc herniation
Far lateral type
Para central type
Inferior Migration
Central type Foraminal type
Superior Migration
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Different Surgical Options For Treatment of Slipped Disc
• Laminectomy : A traditional treatment procedure
• Microdisectomy: This is referred to as Gold standard
• PELD: Latest advancement
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Laminectomy
• Large Incision• Muscle Stripping• Blood Loss• Bone Removal
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Microdisectomy
• Incision 20 to 30mm• Muscle Stripping• Blood loss 20-40ml• Bone Removal-
Laminotomy
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PELD(Percutaneous Endoscopic Lumbar Disectomy)
• Incision 6mm• No Muscle stripping• Blood Loss 2 to 5ml • No Bone Removal
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PELD-anatomical consideration
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Under Local Anesthesia
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Incision Under Local Anesthesia
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Viewing Under Local Anesthesia
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Endoscopic view blue-stained herniated disk
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blue-stained herniated disk with grasping forceps
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Immediately after Surgery
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Extended use of PELD
PELD is also suitable for
• elderly patients,
• patients with cardiovascular problems,
• patients who are afraid of surgery and general anesthesia.
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Advantages of PELD
• Immediate pain-relieve in 95 % of the cases • Eliminating the possibility of resection of bone and
ligament • Performing selective Disectomy• No need for general anesthesia • Outpatient treatment • Faster rehabilitation• Earlier return to work or sports• Higher patient satisfaction
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MOVE A HEAD WITH TECHNOLOGY
Avicenna’s (980–1037 AD)
principal method of treating spinal disorders
Modern Operative Room
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Thank You
Ambulatory Spine Surgery24 hours Stay
No more. Maybe less.