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