Local Konnect Presents a new technique on Endoscopic Spinal Surgery - Destandu Technique with small incision, minimal post-operative pain and reduced rate of infection.

1. Presents
Contact on mail@localkonnect.com

2.  ENDOSPINE – The Mobile Operating Tube
 Treatment of
 Lumbar intervertebral disc prolapse
 Central Disc Herniation
 Foraminal/Extraforaminal Disc Herniation
 Lumbar Canal Stenosis
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3.  This technique is followed since 2009
 Total No. of Patients = 46
◦ Male (29), Female (17)
 Single Level Disc
◦ Total = 43
 Two Level Disc
◦ Total = 03
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4.  Mobile System – Illuminate & Explore hidden
recesses
 Perfect Quality of Vision
 Magnification of anatomical structures
◦ Eye is practically inside the spine
 Special Design
◦ To see the ends of the surgical instruments
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5.  Aesthetic outcome – small incision
 Minimal muscular and bony trauma
 Minimal Post-operative Pain
 Rapid resumption of physical activities
 Reduced rate of infections
 Special advantages for obese patients
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6.  Endospine consist of
◦ The operating tube
◦ Nerve root retractor
◦ Integrated channel for the
telescope
◦ Other two additional
channels
 Suction Tube
 Operating Instrument
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8.  Patient Positioning
◦ Under general or spinal anaesthesia
◦ Knee-chest position
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9.  Marking the entry point
◦ Use of Special localization device with two arms
◦ A reference line throughout the operation
◦ Point of incision marked on the skin
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11.  The approach is from the side where the
symptoms predominate
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12.  Skin incision – 5 mm from the mid line
about 2.5 cm in length
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13.  Hemostasis by biploar coagulation
 Aponeurosis dissected with scissors
 Cotton swabs attached to thread slid upwards
and downwards
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14.  Introducing the operating tube with blunt obturator
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15.  ENDOSPINE operating tube sitting on the lamina
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16.  Interlaminar window can be directly assessed
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22.  Excellent exposure of isthmus possible
 Nerve root retractor serve for retracting the
muscle
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23.  Same approach applied
◦ Performed on the right/left side where symptoms predominate
 Ligamentum flavum resection after cutting undersurface
of lamina
 Decompression assessed on both sides
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24.  Patient Mobilised
 Muscle Relaxant
 Physiotherapy
 Impermeable Dressing
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26.  Same as conventional surgery
 Dural Leak
◦ Surgicel Packing
◦ Muscle Patch
 Spondylodiscitis
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27. Delhi:
B-68, C.C. Colony, Near Rana Pratap Bagh, Delhi-07
Contact No.: 011- 27110162, 8595382660
Mumbai:
F-4, ShantiNiketan, C.H.S. Kondivita, Andheri (E),
Mumbai-52
Mobile No.: 9769749699
Patna:
Chandralaya, A.G. Colony, Sheikhpura, Patna-14
Mobile No.: 9835646927
Gurgaon (Contact Point):
558, Sector-5, Gurgaon-122001
Mobile No.: 9268247193
Website: www.localkonnect.com
email: mail@localkonnect.com

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