Key Hole Spine surgery has undergone a huge evolution! | Max Hospital
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Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
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Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

Key Hole Spine surgery has undergone a huge evolution!

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October 7, 2016 0 36 1 minute, 43 seconds read
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Is Spine Surgery is a failure?

FACT: No, spine surgery has a success rate of 92-95%. It is indicated for conditions like disc prolapse, spinal canal stenosis and spinal instability, when the symptoms and signs pertaining to above conditions match the MRI findings.

However, in the absence of neurological deficit like weakness in the limbs, loss of sensation, bowel/bladder disturbances, you should opt for a trial of adequate conservative management- the period of which is normally 3 months. Conservative therapy can be in the form of analgesics, physiotherapy and lifestyle changes. Despite that, if the pain persists or if there is progression of symptoms, then surgery is advised.

Indications for surgery include:

- Onset of a new neurological deficit.

- Bowel / Bladder problems

- Failure of adequate conservative trial

- Neurogenic intermittent claudication ( pain, tingling & numbness in legs while walking)

- Intractable back pain interfering with activities of daily living.

Advantages of Key Hole Surgery

  • Small Incision
  • Less pain
  • Same day mobilization
  • Prevents muscle damage
  • Short hospital stay

What is Key Hole Disc Removal Surgery?

This involves a unilateral approach, in which surgery is performed by doing a one-inch incision. The muscles are split and not cut by using a serial dilator system.  Minimal bone is drilled and disc is removed by using an operating microscope. Thereafter, the skin incision is closed with absorbable stitches, and the patient is ambulated within a day of surgery and discharged the next day.

Know more on Spine Fixation - Key Hole Approach

Certain spine diseases are present with spinal instability and may require bone removal as there is nerve root compression. The spine becomes unstable and needs to be stabilized with screws and rods to prevent instability.

Dr. Priyamvadha says, at Max Hospital, Dehradun, we perform spine fixation through 4-6 key holes, depending upon the number of screws to be placed. The procedure is performed under X-ray guidance and does not involve muscle cutting. Post-operative pain is minimal and the patient is mobilized the next day so that he can go home in a short period of time.

 

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