제 목   PELD monitored by epiduroscope 1
   작성자   pain
   첨부파일   ipm_file_9453.tif | ipm_file_9453_1.tif | ipm_file_9453_2.tif | ipm_file_9453_3.tif | ipm_file_9453_4.tif
Percutaneous endoscopic lumbar discectomy (PELD) via a posterolateral approach has become more effective at removing the central herniated nucleus pulposus (HNP), as a result of the introduction of adjustable articulating forceps. However, the forceps’ enlarged diameter prevents the instrument from being inserted inside of the endoscope, thus it requires performing only in the working channel under a lateral fluoroscope. This limitation has increased the risk of spinal cord injury. Therefore, we decided to place a flexible epiduroscope into the targeted anterior epidural space to reduce the risk of injury before performing discography with a mixture of contrast medium and indigo carmine. A blue-stained leakage from the HNP during discography could be observed through the epiduroscope, while the contrast medium leakage was seen on the lateral fluoroscopic view simultaneously. After removing the adequate volume of HNP, the compressed anterior epidural space widened. PELD, under the observation of epiduroscopy, was safe to perform an adequate amount of mechanical decompression of the affected neural structures without the possibility of spinal cord damage.
 
 

 
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470 scapuloplasty PNUH2015-06-02719
469 superior hypogastric plexus neurolysis PNUH2015-06-01739
468 ilium osteoplasty PNUH2015-04-22805
467 subdural and dorsal root block PNUH2015-03-30730
466 GH PNUH2015-02-12614
465 RFA Lt T3,4,5 PNUH2014-09-29568
464 Transdiscal Hypogastric Plexus Neurolysis PNUH2014-09-29590
463 Dorsal Root Ganglion Block PNUH2014-09-29605
462 TM Joint Block PNUH2013-10-25768
461 PELD monitored by epiduroscope 3 pain2013-08-02733
460 PELD monitored by epiduroscope 2 pain2013-08-02681
459 PELD monitored by epiduroscope 1 pain2013-08-02903
458 osteolytic compression fractures pnuh2013-07-25610
457 Scapula Osteoplasty PNUH2013-07-05614
456 costoplasty PNUH2013-07-05704
 
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Untitled Document
Kyunghoon Kim, M.D., Ph.D.
Professor, Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University Geumor 20, Mulgeumup, Yangsan 626-770, Korea
(Tel) 82-55-360-1422 / (Fax)+82-55-360-2149 / pain@pusan.ac.kr
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