percutaneous discectomy by dr ashok jadon

© 2003 By Default!

A Free sample background from www.awesomebackgrounds.com

Slide 1

Percutaneous DiscectomyPercutaneous Discectomy

Dr Ashok Jadon, Dr Ashok Jadon, MD DNB MNAMSMD DNB MNAMS

Aesculap Fellowship IPM Aesculap Fellowship IPM Senior Consultant AnaesthesiaSenior Consultant Anaesthesia

Tata Motors HospitalTata Motors Hospital

© 2003 By Default!


Slide 2

Discogenic BackacheDiscogenic Backache

© 2003 By Default!


Slide 3

Contained Vs Non-containedContained Vs Non-contained

© 2003 By Default!


Slide 4

Lyman Smith - 1963Lyman Smith - 1963

Introduced ChemonucleolysisIntroduced Chemonucleolysis

© 2003 By Default!


Slide 5

Kambin - 1973Kambin - 1973

Performed Performed nucleotomy by nucleotomy by inserting Craig inserting Craig cannula cannula instrumentation into instrumentation into the disc during an the disc during an open procedure.open procedure.

© 2003 By Default!


Slide 6

Hijikata - 1975Hijikata - 1975

Hijikata, SA. A method of percutaneous Hijikata, SA. A method of percutaneous nuclear extraction. Journal of Toden Hospital nuclear extraction. Journal of Toden Hospital 5:39, 1975. 5:39, 1975.

Published results with percutaneous Published results with percutaneous discectomy using a 7mm cannuladiscectomy using a 7mm cannula

75% Satisfactory Outcome Reported75% Satisfactory Outcome Reported

© 2003 By Default!


Slide 7

A Case of severe backacheA Case of severe backache

43yrs male severe backache with 43yrs male severe backache with radiation to left lower limbradiation to left lower limb

MRI: large disc at L4/L5 levelMRI: large disc at L4/L5 level Conservative treatment for 3months-Conservative treatment for 3months-

failedfailed Sever pain unable to move in bed no Sever pain unable to move in bed no

relief with parenteral analgesics, relief with parenteral analgesics, depressed- 10 daysdepressed- 10 days

Not willing for operationNot willing for operation

© 2003 By Default!


Slide 8

© 2003 By Default!


Slide 9


© 2003 By Default!


Slide 10

© 2003 By Default!


Slide 11

© 2003 By Default!


Slide 12

© 2003 By Default!


Slide 13

© 2003 By Default!


Slide 14

© 2003 By Default!


Slide 15

© 2003 By Default!


Slide 16

© 2003 By Default!


Slide 17

© 2003 By Default!


Slide 18

© 2003 By Default!


Slide 19

© 2003 By Default!


Slide 20

© 2003 By Default!


Slide 28

Contained Non-ContainedContained Non-Contained(Indicated) (Not Indicated)(Indicated) (Not Indicated)

© 2003 By Default!


Slide 29


SafeSafe Effective treatment for properly Effective treatment for properly

selected patientsselected patients Easy to useEasy to use We can remove sufficient amount of We can remove sufficient amount of

nucleus and quantify what we removenucleus and quantify what we remove

percutaneous discectomy by dr ashok jadon

Education

case of severe backache

discogenic backache

yrs male severe backache

vs noncontained

large disc

journal of toden hospital

lower limb mri

selected patients easy