Transcript universal endoscopic discectomy 2010

UNIVERSAL ENDOSCOPIC DISCECTOMY
UNIVERSAL ENDOSCOPIC DISCECTOMY
In 1934, Joseph S. Barr , a professor
from Harvard University, discovered
the herniated discs as the main cause of
low back pain and sciatica.
He designed the technique of open
Discectomy surgery (Laminectomy) for
treatment of herniated disc has since been
increasingly utilized.
UNIVERSAL ENDOSCOPIC DISCECTOMY
However, in 1967 Doctor Joseph S. Barr in a
critical speech in San Diego has said, “We
must find another technique to remove discs
material with a fewer iatrogenic complications”
(mentioned that we got to find another
technique to remove disc material with
fewer IATROGENIC complications.”
(FAILED BACK SURGERY).
UNIVERSAL ENDOSCOPIC DISCECTOMY
UNIVERSAL ENDOSCOPIC DISCECTOMY
UNIVERSAL ENDOSCOPIC DISCECTOMY
UNIVERSAL ENDOSCOPIC DISCECTOMY
UNIVERSAL ENDOSCOPIC DISCECTOMY
PATIENT’S PAIN DRAWN
BEFORE SURGERY
PATIENT’S PAIN DRAWN
AFTER SURGERY
UNIVERSAL ENDOSCOPIC DISCECTOMY
Good 30%
380 Cases
Poor 2%
25 cases
Fair 3%
38 cases
Unknown 5%
63 cases
Excellent 60%
760 cases
Good means return to the same job
But occasionally had pain and needs
NSAI drugs.
UNIVERSAL ENDOSCOPIC DISCECTOMY
SCORE
AND RESULTS
60 % EXCELLENT - MEANS RETURN TO THE SAME JOB, NO NEED FOR
MEDICATIONS.
30 % GOOD -
MEANS RETURN TO THE SAME JOB, BUT OCCASIONALLY HAD
PAIN AND NEED MEDICATIONS.
3 % FAIR -
MEANS PATIENTS MAY CHANGED JOBS AND NEED
FURTHER MEDICATION.
2 % POOR -
MEANS PATIENT COULD NOT GO TO THE SAME JOB AND
NEEDS FURTHER SURGERY.
5 % UNKNOWN – MEANS – LOST IN A FOLLOW UP OR PATIENT HAVE MOVED
SOMEWHERE ELSE OR DECEASED.
UNIVERSAL ENDOSCOPIC DISCECTOMY
UNIVERSAL ENDOSCOPIC DISCECTOMY