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Laser spine surgery

New methods of spinal surgery performed under local anesthesia, thus patients pošteduju risks of anesthesia, and recovery is much shorter and enables you to return to normal life, but for two weeks



One could say there is not an adult man who at least sometimes does not hurt ice. Confirm to the worlds information according to which 80 percent of people tortured right sick of ice so it is this kind of pain one of the most common causes of illness. However, with the occasional struggles somehow to cope, but when the "brakes" and the pain does not stop and and put us to bed is often the output of the operation disposed of by most as "water does not come up to my neck." "Knife," no one likes because it means anesthesia, a large incision, postoperative recovery, and then physical therapy and spa ... In the best case yet for the three months end to annoying, but it can never be sure whether the pain came to an end once and for all. However, advances in medicine over the past half a year in Croatia for the patients did a herniated disc surgery much easier, less painful and more efficient. A new mini-invasive surgery on the spine of the prior six months working at the clinic for a neurosurgeon KB Sisters of Mercy, we spoke with the neurosurgeon and president of the Croatian neurosurgical society prof. Dr. Rotim K, also a director of the hospital. Dr. Rotim points out that new technology has helped patients to pain in his back disappeared immediately after surgery, and that at least two weeks to return to their daily work. All three procedures are done at Clinic neurosurgeon KB Sisters of Mercy, and to the rear laser decompression, percutaneous discectomy, and operations with the help of tubular retract. The rear laser disk decompression (SLDD) or surgery which is a larger number of patients with herniated discs, neinvanzivan way, under local anesthesia, special procedures and laser device reduces the volume of the disk and thus reduce pressure on the cartilage, nerve, or more of them which immediately reduces pain, says Dr. Rotim. Laser to probe into the intervertebral disc space and applying laser energy achieves decompression. Everything is controlled by X-ray, and doctors must wear safety goggles. Without physical therapy The advantage of this operation to be performed under local anesthesia, thus reducing the risk of general anesthesia, which always exists for the operation. The operation normally lasts between 30 and 45 minutes. It is interesting that in fact the entire operation because there is no bloodless incision with a scalpel but with the help of special needles punctuated the center of the cartilage between two vertebrae. "No, it should be noted that this type of surgery is not for all cases of disc herniation, but for most it is still. In six months we have made about 80 laser surgery and the success of our project is higher than the world average of 80 percent, "says Dr. Rotim. He explains that after this type of surgery the patient can go home but the same or next day after surgery because he did not need hospitalization as a classic after spinal surgery. No physical therapy or spa. Expected return to work from two to four weeks and at full capacity. The patient is fully mobile after surgery and no pain. The difference between the patient operiranog new method and the one operiranog the classic way is that the latter will certainly not return to work at full capacity for at least three months. "The second operation, which is a percutaneous endoscopic laser discectomy, a special procedure, which has nothing to do with the percutaneous discectomy treatment of the spine that worked twenty years ago and that was actually a difficult operation," says Dr. Rotim. He explains that it is a completely new technology to help you in a special way without operative incision punctuated skin with a needle. Specifically, the needle a few millimeters thick and three inches in length is introduced in the amount of diseased disc. After that the needle is referred to wider and wider troakari which have extended the arm until it comes to the spine. That is directly on the disc hernia and remove only that portion of the cartilage directly pressing on the nerve by which the patient immediately eliminates pain. The surgery area is controlled by the camera, while the work is monitored on a monitor. All this is done in the so-called. spinal block, which means that the patient does not introduce a general anesthetic but is blocked only the lower part of the body, similar to that in women for caesarean section. Indeed, it avoids the large incision and blood loss, and patients second day after surgery also can go home. The reason why the two types of surgery the patient can go home is that, unlike classical operations, when fully remove the cartilage between two vertebrae, this removes only the part that presses on a nerve or has "crashed" into the spinal canal. This means that most of cartilage remains between the two vertebrae and still has a function for which i was there. Namely, the shock absorber cartilage between two vertebrae. Neozlijedeni muscles Candidates for this type of surgery are all those for whom the piece of cartilage "crashed" into the spinal canal and presses on a nerve (disc extrusion). Otherwise, it is the highest level of disc herniation. "Endoscope lets go to the spine and remove only what he went back," says Dr. Rotim. Stresses that these types of laser surgery began working in Vinogradskoj only half a year ago, and already it has been carried out about eighty, and very successfully. The third kind of mini-invasive surgery for the spine with the help of. tubular retract, and is used for patients whose treatment can not be done with the help of the above-mentioned two laser surgery. The operation is performed by introducing the so-called. retractor, or rather spreaders width of a pencil, and so passes through the muscles are not killing them until you come to the spine. When it comes to the place of surgery retractor to spread and thus provides space for the operation of the disk. "Surgical incision is required for this method of surgery herniated disc is very small, but thanks to the spreaders through it is possible to remove part of the cartilage. After the surgery retractor to pull away, a miščin not return to its original condition complete neozlijedene. With classic surgery is necessary to cut the muscle to reach the spine, and how they subsequently never completely recover, to the patient becomes a problem, "points out the advantages of new methods of Dr. Rotim. Obviously, the new disc herniation surgery significantly reduced the treatment, and health spending. Patients no longer have the long-term therapy, surgery is less traumatic, and success, as it tells the instance KB Sisters of Charity, it is very unlikely.




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