gms | German Medical Science

57th Annual Meeting of the German Society of Neurosurgery
Joint Meeting with the Japanese Neurosurgical Society

German Society of Neurosurgery (DGNC)

11 - 14 May, Essen

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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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  • corresponding author C. Renner - Department of Neurosurgery, University of Leipzig
  • M. Dengl - Department of Neurosurgery, University of Leipzig
  • J. Meixensberger - Department of Neurosurgery, University of Leipzig

Deutsche Gesellschaft für Neurochirurgie. Japanische Gesellschaft für Neurochirurgie. 57. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie. Essen, 11.-14.05.2006. Düsseldorf, Köln: German Medical Science; 2006. DocSA.04.05

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dgnc2006/06dgnc108.shtml

Published: May 8, 2006

© 2006 Renner et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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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.