Transforaminal Full Endoscopic Lumbar Surgery Under The Local Anesthesia

This book presents the latest devices and techniques in transforaminal full-endoscopic lumbar discectomy (TELD). This minimally invasive procedure can be used to treat various spinal conditions, such as herniated nucleus pulposus, discogenic pain, foraminal stenosis, lateral recess stenosis, and infection. The book offers an overview of TELD, and discusses discectomy, thermal annulplasty (TA) and other trending topics. It also explores the history and anatomy of transforaminal full-endoscopic lumbar surgery, complications, TELD techniques, and TELD and TA for athletes. As such the book provides a much-needed foundation for the further development of this increasingly widespread procedure. Transforaminal Full-Endoscopic Lumbar Surgery Under the Local Anesthesia is a valuable resource for orthopedic surgeons, clinical residents and medical students, alike.

Endoscopic spine surgery is the essence of the minimally invasive surgery technique. It’s a gradually developing field of spine surgery. Nevertheless, many doctors still have difficulties in acquiring an endoscope by themselves. This is especially true for transforaminal approach endoscopy. The editors of the book are pioneers in endoscopy and have had many interesting experiences related to transforaminal endoscopy. Since each patient has a different anatomy and disc shape, there are numerous practical techniques suitable for it, but few are specifically able to describe it. The main purpose of this book is to provide the essence of endoscopy to date, based on actual video images and practical techniques of transforaminal endoscopy accumulated over decades.

Percutaneous lumbar discectomy is a new surgical method for treating lumbar disc diseases. The goal of the procedure is decompression of the spinal nerve root by percutaneous removal of the nucleus pulposus under local anesthesia. Probably 20 % of all patients requiring lumbar disc surgery can be successfully treated by this method. During the past two years, percutaneous discectomy has spread rapidly, and it is now performed in most clinical departments engaged in spinal surgery. The first International Symposium on Percutaneous Lumbar Discectomy, held in Berlin in August 1988, covered all current procedures known as "percutaneous discectomy" and the entire range of percutaneous techniques, both clinical and experimental. Its publication is important because of the recency of this new surgical procedure, the outstanding experience of the speakers - including the Japanese, American, and European "pioneers" of the technique - and last but not least the gaps in the knowledge of physicians concerning this topic. This procedure opens up new perspectives in the surgical treatment of degenerative diseases of the lumbar spine.

Covers the latest developments in minimally invasive techniques now used in spinal surgery. Applied anatomy, indications, and outcomes are all addressed by an international team of experienced contributors.

This book is devoted to the full endoscopic transforaminal approach, which is the beginning and basis of all spinal endoscopic interventions and was prepared digitally in Epub-3 format. It is planned to appeal to neurosurgeons and orthopedic surgeons who are new to or currently practicing endoscopic surgery. We gave wide coverage to endoscopic anatomy of the intervertebral foramen, the basis of a successful transforaminal intervention. All anatomical studies in the literature were reviewed and the anatomical structures that make up the intervertebral foramen were presented to the reader with endoscopic surgery videos. We hope that these videos will, to some extent, fill the lack of visual material in the field of endoscopic surgical anatomy. Preoperative planning is discussed under a separate chapter. Preoperative planning for different cases is clarified in detail and supported by rich radiology galleries. The basic stages of surgical intervention (spinal needle placement, discography, guiding rod and cannula placement) are presented to the reader with anatomical models combined with surgical videos. Lumbar disc herniations are discussed in separate groups as non-migrated, migrated and extraforaminal herniations. To that end, the videos of 22 surgeries performed on 19 patients were included in the book as the case studies. In these case studies, pre-operative and post-operative radiological examinations of patients are presented to the reader in the galleries. Operative videos were specially edited and enriched with operative X-Ray images to provide anatomical orientation of the reader. Another feature of the book is its format. The frequently used hard copy format prevents the authors from using sufficient visual material. Using excessive visual material especially in textbooks where radiological studies are predominant, breaks the connection between images and text and puts the reader in a challenging reading process. Current digital book formats, on the other hand, oblige the reader to constantly access the video over the internet and then return to the text. All visual material in Epub-3 format used in our book is embedded in the book. Thus, the reader can access any material in the text without an internet connection and without being distracted from the text and can watch the visual material on a full screen if desired. The Epub-3 format also makes it easier for the reader to navigate and search within the book. In addition, when the reader downloads the book, they have the opportunity to read it offline on their phone, tablet, or laptop whenever they desire. Detailed info and example videos: www.endotextbook.com www.endodiscectomy.com Key features: 56 Galleries 72 Videos (Anatomy, preoperative planning, needle/cannula placement, surgical technique) 22 operative videos from 19 cases 3-D Drawings Model videos combined with surgery EPUB-3 Format Single format for both android and IOS Contents: CHAPTER 1. HISTORY CHAPTER 2. NOMENCLATURE and DEFINITION CHAPTER 3. ENDOSCOPIC ANATOMY CHAPTER 4. PREOPERATIVE PLANNING CHAPTER 5. SURGICAL APPROACH CHAPTER 6. NON MIGRATED HERNIATIONS CHAPTER 7. FORAMINAL AND EXTRAFORAMINAL HERNİATIONS CHAPTER 8. MIGRATED HERNIATIONS CHAPTER 9. COMPLICATIONS REFERENCES

This book is a superbly illustrated guide to the latest endoscopic approaches employed in surgery to the lumbar spine. In the past, spinal endoscopic surgeries have been performed mainly in the treatment of lumbar disc herniation, but indications have now expanded owing to breakthroughs in surgical methods and instruments. Furthermore, in addition to the traditional percutaneous transforaminal approach, various other approaches are now feasible, including the posterior, paraspinal, transpedicular, and contralateral. This book describes and illustrates the full array of approaches in indications including lumbar central stenosis, lumbar foraminal stenosis, and lumbar disc herniation. Detailed guidance is also provided on endoscopic lumbar interbody fusion, covering the oblique, uniportal, and biportal approaches. Supplementary surgical videos further facilitate understanding and execution of the described procedures. Written by expert spinal endoscopy surgeons with extensive practical experience and a record of academic achievement, the book will be an ideal aid for spine surgeons at all levels of experience.

This book describes and illustrates state-of-the-art techniques in laser spine surgery. Laser technology has revolutionized surgeries in many specialties to perform minimally invasive and cutting-edge procedures. Recent advances in spinal surgery have led to the increasingly widespread use of minimally invasive techniques based on endoscopy and microscopy. Nevertheless, the application of laser in the context of spinal surgery remains less well known, and the aim of this book is to present practical usage of laser in spine surgery to our readers. A wide variety of minimally invasive approaches to spine surgery using CO2, Ho: YAG, and Nd: YAG lasers are presented in detail, with a discussion of equipment and specific recommendations on laser settings. Care has been taken to ensure that the content is faithful to the fundamental principles of spine surgery and evidence-based medicine. The book will be an essential resource for all who use or are intending to use lasers in spine surgery.

Endoscopic spine surgery essentials from expert spine surgeons Atlas of Full-Endoscopic Spine Surgery by internationally renowned spine surgeons Christoph Hofstetter, Sebastian Ruetten, Yue Zhou, and Michael Wang provides concise, step-by-step guidance on the latest full endoscopic spine procedures. The book is targeted at practicing spine surgeons, fellows, and residents currently not trained in endoscopic spine surgery who have the desire to learn and incorporate these techniques into clinical practice. It is also an excellent curriculum resource for cadaveric training courses taught at the national and international level. The book lays a solid foundation with opening chapters on anesthesia, OR setup and endoscopic tools, applied anatomy, basic endoscopic surgical tasks, and preoperative diagnostics. Additional sections include step-by-step descriptions of the full spectrum of cervical, thoracic, and lumbar endoscopic approaches. The last section provides invaluable pearls on overcoming challenges, avoiding pitfalls, and optimizing postoperative care. Key Features Transforaminal endoscopic lumbar and thoracic discectomy approaches Trans-SAP endoscopic approach for foraminal and lateral recess decompression Interlaminar endoscopic lumbar discectomy Cervical/thoracic and lumbar unilateral laminotomy for bilateral decompression Special topics including endoscopic management of challenging cases, endoscopic revision surgery, and management of complications. Neurosurgery residents, fellows, young practicing neurosurgeons, and all healthcare practitioners involved in the care of endoscopic spine surgery patients will gain invaluable insights from this book.