Epiduroscopy :Atlas of Procedures

Publication subTitle :Atlas of Procedures

Author: Kim Daniel H.;Abdi Salahadin;Schütze Günter  

Publisher: Thieme‎

Publication year: 2017

E-ISBN: 9781626232679

P-ISBN(Paperback): 9781626232662

Subject: R6 Surgery;R614 Anesthesiology;R62 The orthopedic surgery (surgery) to repair

Keyword: 外科学,整形外科学(修复外科学),麻醉学

Language: ENG

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Description

Due to advances in spinal endoscopy, practitioners are now able to offer efficacious alternatives to open surgery to patients with low back pain, radiculopathy, and related disorders affecting the epidural space. Epiduroscopy enables surgeons to access, diagnose, and treat discogenic pain and spinal pathologies using minimally invasive techniques via direct visualization and focused intervention. Typically performed as a one-day outpatient procedure under local anesthesia, epiduroscopy provides a viable option to many patients suffering from low back pain.

Starting with the history of this procedure, the authors guide the reader systematically through relevant clinical indications, radiological anatomy, the pathophysiology of spinal pain, diagnostic modalities, and the use of specialized tools. Subsequent chapters detail specific conditions and approaches, histopathologic/microbiological findings, and patient assessment and outcomes.

Key Features

  • Clinical pearls gleaned from years of hands-on experience, including preventing and managing complications.
  • Online access to 46 step-by-step surgical videos and animations provides in-depth understanding of techniques.
  • Nearly 600 high quality images, including procedural photos and medical illustrations delineate approaches.
  • The use of epiduroscopy-assisted mechanical adhesiolysis, laser procedures, radiofrequency, analgesic and pharmacological therapy, ozone therapy

Chapter

2 Applied and Radiological Anatomy of the Epidural Space for Spinal Endoscopy

3 Pathophysiology of Spinal Pain and Pain Pathways

4 Anatomic Origin of Spinal Pain and Clinical Presentations

5 Diagnostic Studies and Radiographic Imaging Modalities for Spine-Related Pain

6 Epiduroscopy Equipment

7 Epiduroscopic Surgical Tools

8 Clinical Indications and Considerations for Epiduroscopy

9 Sacral Hiatus Epiduroscopic Approach

10 Transforaminal and Interlaminar Approaches in Epiduroscopy

11 Epiduroscopic Images of Spinal Anatomy

12 Evaluation of Epidural Pathology and Epiduroscopic Images

13 Diagnostic and Functional Epiduroscopic Procedures

14 Epiduroscopic, Histopathologic, and Microbiological Findings

15 Anesthetic Management for Epiduroscopy

16 Step-by-Step Epiduroscopic Techniques

17 Spinal Epiduroscopic Mechanical Adhesiolysis

18 Spinal Epiduroscopic Laser Therapy

19 Epiduroscopic Procedure Using the 1,414-nm Nd:YAG Laser (Lutronic Laser)

20 Spinal Epiduroscopic Radiofrequency Therapy

21 Transforaminal Epiduroscopic Laser Annuloplasty for Diskogenic Pain

22 Spinal/Epidural Analgesic and Pharmacologic Therapy

23 Epiduroscopy-Assisted Spinal Cord Stimulator Electrode Implantation

24 Epiduroscopic Ozone Therapy

25 Patient Assessment for Epiduroscopy

26 Epiduroscopy: Complications and Complication Avoidance

27 Clinical Outcomes of Epiduroscopy

Appendix: Intraoperative Endoscopic Images of Pathologic Anatomy of the Neuraxial Region

Index

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