Instrumentencontainer Wirbelsäulenendoskopie, groß

Finished Product

AR-S1000-C1

Human

Spine

Product

Procedure

This is a powerful approach option for treating all types of thoracic disc herniations while significantly minimizing collateral damage, blood loss, postoperative pain, and spinal cord manipulation.1-4 This is the only approach that offers an unobstructed view of the ventral thoracic canal without extensive bony resection and without requiring entry into the thoracic cavity.&nbsp;
References
1. Bae J. Chachan S. Shin SH, Lee SH. Transforaminal endoscopic thoracic discectomy with foraminoplasty for the treatment of thoracic disc herniation. J Spine Surg. 2020:6(2):397-404. doi:10.21037/iss.2019.11.19
2. Komp M. Ruetten S. Full-endoscopic anterior excision of thoracic disc herniations, including giant and calcified discs with spinal cord compression: surgical technique and outcomes. Eur Spine J. 2023.32(8):2685-2693. doi:10.1007/00586-023-07807-0
3. Konakondia S, Sofoluke N, Barber SM, Rimini SA, Siotkin JR. Outpatient endoscopic resection of large calcified thoracic disc herniation with caudal displacement. Neurosurg Focus Video. 2022:6(1):V/18. doi:10.3171/2021.10.FOCVID2112
4. Telfeian AE, Wagner R. Transforaminal endoscopic thoracic discectomy, surgical technique. J Spine Surg. 2023:9(2):166-175. doi:10.21037/ss-22-109

Endoscopic Thoracic Transforaminal Discectomy

Child (D)

The traditional open approach for treating far lateral disc herniations at L5-S1 is challenging. Alternatively, the transforaminal endoscopic approach lands directly at the far lateral zone and requires little or no facet resection to achieve decompression.

Endoscopic Far Lateral Transforaminal Lumbar Discectomy 

El enfoque endoscópico de las discectomías interlaminares proporciona un acceso mínimamente invasivo a las hernias posteriores de la columna lumbar inferior a las que puede resultar difícil acceder mediante un abordaje transforaminal. Además, la discectomía interlaminar produce menos alteraciones tisulares y musculares, tiempos de recuperación más breves y un retorno y un retorno mas rápido a las actividades que los procedimientos de reparación abierta tradicionales.1-4 Los instrumentos endoscópicos WishBone™ ofrecen una sensación táctil y una ergonomía mejoradas que facilitan el uso invertido y retrógrado con cualquier manos.
Referencias
1. Matsumoto M, Hasegawa T, Ito M, et al. Incidence of complications associated with spinal endoscopic&nbsp;surgery: nationwide survey in 2007 by the Committee on Spinal Endoscopic Surgical Skill Qualification of&nbsp;Japanese&nbsp;Orthopaedic&nbsp;Association.&nbsp;Orthop&nbsp;Sci. 2010;15(1):92-96. doi:10.1007/s00776-009-1428-6​
2. Ahn Y, Oh HK, Kim H, Lee SH, Lee HN. Percutaneous endoscopic lumbar foraminotomy: an advanced&nbsp;surgical technique and clinical outcomes. Neurosurgery. 2014;75(2):124-133.&nbsp;doi:10.1227/NEU.0000000000000361
3.&nbsp;Polikandriotis JA, Hudak EM, Perry MW. Minimally invasive surgery through endoscopic laminotomy and&nbsp;foraminotomy for the treatment of lumbar spinal stenosis. J Orthop. 2013;10(1):13-16.&nbsp;doi:10.1016/j.jor.2013.01.006
4. Ruetten&nbsp;S,&nbsp;Komp&nbsp;M, Merk H, Godolias G. Use of newly developed instruments and endoscopes: Full-endoscopic resection of lumbar disc herniations via the interlaminar and lateral transforaminal approach. J&nbsp;Neurosurg Spine 2007;6(6):521-530. doi:10.3171/spi.2007.6.6.2.​

Discectomía endoscópica interlaminar

Un abordaje transforaminal o paraespinal permite acceder a hernias-laterales lejanas. El uso de un endoscopio específico para columna minimiza el daño a los tejidos blandos, lo que da como resultado menor dolor posoperatorio. 1,2 Además, estudios demostraron que aproximadamente el 85 % de los pacientes sometidos a discectomía lumbar endoscópica retornaron a la actividad deportiva en tan solo 6 a 8 semanas.3,4
Referencias
1. Sairyo&nbsp;K, Matsuura T,&nbsp;Higashino&nbsp;K, et al. Percutaneous endoscopic lumbar&nbsp;discectomy for athletes. J Spine. 2013;S5(006):1-4. doi:10.4172/2165-7939.S5-006&nbsp;​
2. Sivakanthan&nbsp;S, Williams JR,&nbsp;Feroze&nbsp;AH, et al. Endoscopic spine surgery in&nbsp;athletes: case series and review of literature. World&nbsp;Neurosurg. 2021;145:702-707. doi:10.1016/j.wneu.2020.08.211
3. Polikandriotis&nbsp;JA, Hudak EM, Perry MW. Minimally invasive surgery through&nbsp;endoscopic laminotomy and foraminotomy for the treatment of lumbar spinal&nbsp;stenosis. J&nbsp;Orthop. 2013;10(1):13-16. doi:10.1016/j.jor.2013.01.006
4. Ruetten&nbsp;S,&nbsp;Komp&nbsp;M, Merk H,&nbsp;Godolias&nbsp;G. Use of newly developed instruments&nbsp;and endoscopes: Full-endoscopic resection of lumbar disc herniations via the&nbsp;interlaminar and lateral transforaminal approach. J&nbsp;Neurosurg&nbsp;Spine.&nbsp;2007;6(6):521-530. doi:10.3171/spi.2007.6.6.2

Spine Endoscopic Case, large

AR-S1000-C1

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