Download - 내시경하 디스크 제거술
Transcript
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Percutaneous Endoscopic Lumbar Discectomy
( 경피적 내시경하 디스크 제거술 )
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Anatomy
•10-20
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Operation room
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Preoperative Planning
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Position
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Needle 삽입 위치
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PELD
10-20 도
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How to reach the fragment
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Removal of facet and foraminal ligament
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Transforaminal Approach
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Removed herniated mass
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Case 1. Large HIVD
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Case 1. Large HIVD
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Case 2. Up migrated HIVD
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Case 2. Up migrated HIVD
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Case 3. Down migrated HIVD
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Case 3. Down migrated HIVD
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Case 4. Foraminal HIVD
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Case 4. Foraminal HIVD
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Case 5. Foraminal Stenosis
Preop MR Postop MR
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수술 전후 SLR Check