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Percutaneous DiscectomyPercutaneous Discectomy
Dr Ashok Jadon, Dr Ashok Jadon, MD DNB MNAMSMD DNB MNAMS
Aesculap Fellowship IPM Aesculap Fellowship IPM Senior Consultant AnaesthesiaSenior Consultant Anaesthesia
Tata Motors HospitalTata Motors Hospital
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Discogenic BackacheDiscogenic Backache
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Contained Vs Non-containedContained Vs Non-contained
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Lyman Smith - 1963Lyman Smith - 1963
Introduced ChemonucleolysisIntroduced Chemonucleolysis
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Kambin - 1973Kambin - 1973
Performed Performed nucleotomy by nucleotomy by inserting Craig inserting Craig cannula cannula instrumentation into instrumentation into the disc during an the disc during an open procedure.open procedure.
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Hijikata - 1975Hijikata - 1975
Hijikata, SA. A method of percutaneous Hijikata, SA. A method of percutaneous nuclear extraction. Journal of Toden Hospital nuclear extraction. Journal of Toden Hospital 5:39, 1975. 5:39, 1975.
Published results with percutaneous Published results with percutaneous discectomy using a 7mm cannuladiscectomy using a 7mm cannula
75% Satisfactory Outcome Reported75% Satisfactory Outcome Reported
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A Case of severe backacheA Case of severe backache
43yrs male severe backache with 43yrs male severe backache with radiation to left lower limbradiation to left lower limb
MRI: large disc at L4/L5 levelMRI: large disc at L4/L5 level Conservative treatment for 3months-Conservative treatment for 3months-
failedfailed Sever pain unable to move in bed no Sever pain unable to move in bed no
relief with parenteral analgesics, relief with parenteral analgesics, depressed- 10 daysdepressed- 10 days
Not willing for operationNot willing for operation
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Percutaneous DiscectomyPercutaneous Discectomy
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Contained Non-ContainedContained Non-Contained(Indicated) (Not Indicated)(Indicated) (Not Indicated)
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Percutaneous DiscectomyPercutaneous Discectomy
SafeSafe Effective treatment for properly Effective treatment for properly
selected patientsselected patients Easy to useEasy to use We can remove sufficient amount of We can remove sufficient amount of
nucleus and quantify what we removenucleus and quantify what we remove
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Thank youThank you