Finished Product

AR-S3350-6330-181

Human

Spine

Product

Procedure

Dural tears are a common concern during traditional open or mini-open spine surgery, with studies showing as high as a 10% occurrence rate during lumbar stenosis procedures.1-4 This page provides information and solutions for the management of incidental durotomies during endoscopic procedures.
References
1. Nielsen TH, Rasmussen MM, Thygesen MM. Incidence and risk factors for incidental durotomy in spine surgery for lumbar stenosis and herniated disc. Acta Neurochir (Wien). 2022;164(7):1883-1888.
2. Greil ME, Bergquist J, Kashlan ON, Kwon WK, Durfy S, Hofstetter CP. Incidence and management of dural tears in full-endoscopic unilateral laminotomies for bilateral lumbar decompression.&nbsp;Eur Spine J. 2023;32(8):2889-2895. doi:10.1007/s00586-023-07749-7
3. Lewandrowski KU, Hellinger S, De Carvalho PST, et al. Dural tears during lumbar spinal endoscopy: surgeon skill, training, incidence, risk factors, and managment.&nbsp;Int J Spine Surg. 2021;15(2):280-294. doi:10.14444/8038
4. Trathitephun W, Asawasaksakul A, Jaruwanneechai K, et al. Intraoperative management of iatrogenic durotomy in endoscopic spine surgery: a systematic review.&nbsp;Neurospine. 2024;21(3):756-766. doi:10.14245/ns.2448346.173

Dural Repair

Child (D)

Este es un abordaje eficaz para tratar todo tipo de hernias discales torácicas, minimizando significativamente los daños colaterales, la pérdida de sangre, el dolor posoperatorio y la manipulación de la médula espinal.1-4 Este es el único abordaje que ofrece una vista sin obstrucciones del canal torácico ventral sin una resección ósea extensa ni necesidad de acceder a la cavidad torácica.
Referencias
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

Spine Endoscope, 6.3 mm × 181 mm, 30°

AR-S3350-6330-181

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