Percutaneous Discectomy by Dr Ashok Jadon

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discectomy procedure for prolapsed disc (contained) at L4-L5 level

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  • please provide me the contact details and success rate of this therapy and the cost of procedure... i am having l5 s1 disc prolaplse with acute sciatica pain in right leg for last 6 months. my contact details are 9586100081 atul.gupta@idbi.co.in
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  • Chemonucleolysis was first truely minimally invasive technique to treat lumbar disc herniation by utilizing intradiscal injections of chymopapain. Because of complications associated with the procedure, such as transverse myelitis and anaphylactic shock, physicians began looking for alternatives.
  • Parviz Kambin began inserting instrumentation into the disc during open procedures. This type of instrumentation for disc access served as a predicate to current instrumentation. Kambin published his results for percutaneous discectomy in 1986, with 85% success in more than 50 patients
  • First published series on percutaneous discectomy came from a Japanese surgeon
  • Percutaneous Discectomy by Dr Ashok Jadon

    1. 1. Percutaneous Discectomy Dr Ashok Jadon, MD DNB MNAMS Aesculap Fellowship IPM Senior Consultant Anaesthesia Tata Motors Hospital
    2. 2. Discogenic Backache
    3. 3. Contained Vs Non-contained
    4. 4. Lyman Smith - 1963 <ul><li>Introduced Chemonucleolysis </li></ul>
    5. 5. Kambin - 1973 <ul><li>Performed nucleotomy by inserting Craig cannula instrumentation into the disc during an open procedure. </li></ul>
    6. 6. Hijikata - 1975 <ul><li>Hijikata, SA. A method of percutaneous nuclear extraction. Journal of Toden Hospital 5:39, 1975. </li></ul><ul><li>Published results with percutaneous discectomy using a 7mm cannula </li></ul><ul><li>75% Satisfactory Outcome Reported </li></ul>
    7. 7. A Case of severe backache <ul><li>43yrs male severe backache with radiation to left lower limb </li></ul><ul><li>MRI: large disc at L4/L5 level </li></ul><ul><li>Conservative treatment for 3months-failed </li></ul><ul><li>Sever pain unable to move in bed no relief with parenteral analgesics, depressed- 10 days </li></ul><ul><li>Not willing for operation </li></ul>
    8. 9. Percutaneous Discectomy
    9. 28. Contained Non-Contained (Indicated) (Not Indicated)
    10. 29. Percutaneous Discectomy <ul><li>Safe </li></ul><ul><li>Effective treatment for properly selected patients </li></ul><ul><li>Easy to use </li></ul><ul><li>We can remove sufficient amount of nucleus and quantify what we remove </li></ul>
    11. 30. <ul><li>Thank you </li></ul>

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