Artikel
The Storz-Endospine by Destandau, a mobile endoscopic system for lumbar disc herniation and stenosis: preliminary results of the first 25 cases
Das Storz-Endospine nach Destandau, ein mobiles Endoskopiesystem zur Behandlung des lumbalen Bandscheibenvorfalls und der lumbalen Stenose: erste Ergebnisse in 25 Fällen
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Veröffentlicht: | 8. Mai 2006 |
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Gliederung
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Objective: Recently several endoscopic systems for operative treatment in lumbar disc herniation were developed. Most of them are a matter of rigid systems, but in general endoscopic procedures contribute to a smaller skin incision and a smaller iatrogenic soft-tissue injury in the deeper structures. We report about our experiences with this mobile endoscopic system providing a dynamic, simple and comfortable procedure.
Methods: Until now 25 patients with lumbar disc herniations were operated on. The system consists of an oval operation tubus and an inset with integrated 0° optics, 8mm utility canal, irrigation canal and nerv root retractor. Length of skin incision, operation time and complications were registered.
Results: All 25 patients had a good or excellent outcome without any new neurological deficits. All patients were mobilized on day of surgery or day 1. The mean length of skin incision was 1.5 cm, the operation time could be reduced from 124 minutes at the beginning of the endoscopic procedures to 55 minutes. There was no postoperative bleeding, but one dural leakage, which required a change to the open microsurgical procedure.
Conclusions: The Endospine system by Destandau provides a very simple and flexible procedure with a minimum of iatrogenic soft tissue injury. Thus rapid mobilisation with good or excellent outcome is possible. Only a few system compatible tools are needed.