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Why is a micro decompression Endoscopic Spinal Discectomy performed? |
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Definition
To decompress an injured spinal disc, and to remove bony spurs. |
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With the help of fluoroscopy, endoscopic instruments and the use of a laser. |
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Advantages of micro decompression endoscopic spinal Discectomy... |
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Small incision No traumatic muscle dissection No bone removal No bone fusion No manipulation of the nerves in the area Minimal x-ray exposure No hospitalization required No postop scarring in or around the nerves Patient can begin exercise program on the day of the procedure. Cost of the procedure is 40%less than an open procedure High success rate |
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muscle spasms: can be relieved with the use of muscle relaxants and analgesics. |
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Equipment/Instruments/Supplies |
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Definition
Small diameter tube for introduction of instruments Endoscopic imaging equipment Discotome Laser of Surgeon's choice |
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Preoperative diagnostic tests and procedures |
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CT, MRI, Myelogram revealing disk herniation. |
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Return to normal activity |
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Local anesthetic is injected |
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Skin incision is made with #15 blade |
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X-rays, fluoroscopy, and endoscopic imaging for guidance, a small tube is inserted through skin incision. |
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Surgeon removes disc material to decompress and relieve the pressure on the nerve root. |
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Fifth step of the procedure |
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Laser probe is used to shrink, tighten, and burn away other portions of the disc. |
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Sixth step of the procedure |
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Probe is used to suction out small pieces of disc material. |
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Last step of the procedure |
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Hollow tube is removed and a small bandage is applied over incision. |
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