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.
 
 

 
NO. 제 목작성자작성일조회
470 scapuloplasty PNUH2015-06-02804
469 superior hypogastric plexus neurolysis PNUH2015-06-01823
468 ilium osteoplasty PNUH2015-04-22893
467 subdural and dorsal root block PNUH2015-03-30801
466 GH PNUH2015-02-12683
465 RFA Lt T3,4,5 PNUH2014-09-29642
464 Transdiscal Hypogastric Plexus Neurolysis PNUH2014-09-29657
463 Dorsal Root Ganglion Block PNUH2014-09-29678
462 TM Joint Block PNUH2013-10-25846
461 PELD monitored by epiduroscope 3 pain2013-08-02803
460 PELD monitored by epiduroscope 2 pain2013-08-02764
459 PELD monitored by epiduroscope 1 pain2013-08-02970
458 osteolytic compression fractures pnuh2013-07-25679
457 Scapula Osteoplasty PNUH2013-07-05686
456 costoplasty PNUH2013-07-05773
 
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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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