Nowadays, lumbar disc herniation has become a high incidence, and for many patients, it can be alleviated by regular conservative treatment.
But also have a part of the person to protrude heavier, especially free type lumbar intervertebral disc is protruded, often bad through conservative treatment effect, need operation to treat at this time.
In the past, people are very afraid of surgery, from the psychological think that surgery is "major surgery".
However, with the development of intervertebral foraminal technology, lumbar disc surgery has become increasingly minimally invasive, patients with lumbar disc herniation do not have to worry about a major surgery.
Pain in the lower back and legs can be easily relieved by making a small 7mm hole in the body surface, inserting a 6.5mm diameter channel into the surface of the herniated disc and removing the herniated disc by grasping the forceps.
Intervertebral foramina was pioneered in 1999 by professor Anthony yeung of the United States (young's technique) and developed in 2002 by professor Thomas hoog land of the German spinal surgery society. As early as in 2008, he shengsheng, director of the second department of orthopedics (spine) of shenzhen hospital of traditional Chinese medicine, took the lead in the treatment of lumbar intervertebral foramen for lumbar intervertebral protrusion and lumbar spinal stenosis. In 2010, he was the first to adopt endoscopic technique in the treatment of high lumbar disc herniation, which was first reported in the Chinese journal of bone injury.
After a long period of clinical practice, any director of the success for the treatment of lumbar intervertebral foramen mirror, the side of the lower lumbar spine, the central type lumbar intervertebral disc protrusion and central type lumbar intervertebral disc protrusion of lumbar intervertebral, high pass lumbar intervertebral disc protrusion, hernia lumbar intervertebral disc protrusion, recurrent lumbar intervertebral disc protrusion, adolescent lumbar intervertebral disc protrusion, multiple segmental lumbar intervertebral disc protrusion percutaneous endoscopic precision decompression in the treatment of degenerative lumbar spine stenosis disease, before and after the successful completion of the intervertebral foramen surgery more than 5000 units, has accumulated rich experience in operation.
Especially for extreme type prolapse of lumbar, lumbar disc prolapse with hole mirror surgical treatment difficulty is very big, the risk is extremely high, many doctors to stay at a respectful distance from sb, some doctors choose to open surgery directly screw rod fixation treatment, any director in the success of the intervertebral foramen in the treatment, on the basis of free type lumbar disc is successfully carried out in recent years, extreme free type lumbar intervertebral foramen mirror treatment high emergence, achieved good effect.
Recently, group 1 of spine, department 2 of shenzhen hospital of traditional Chinese medicine applied spinal endoscopy through interlamellar approach to treat extremely severe prolapsed lumbar lumbar disc herniation, and achieved good surgical results.
Uncle liu recovered through minimally invasive surgery
Let's see his recovery story
Uncle liu, 69 years old, was treated in shenzhen hospital of traditional Chinese medicine for severe back pain and radiating pain in the right lower limb for 2 years.
Since he was diagnosed with lumbar disc herniation two years ago, he has been suffering from pain in his lower back and legs repeatedly due to the fear of surgical treatment.
A week ago, because back pain, right leg pain is unbearable, they came to shenzhen hospital of traditional Chinese medicine to find any sublimation director seeking minimally invasive surgery.
Because uncle liu's lumbar disc herniation is a very severe prolapse type of lumbar disc herniation, minimally invasive intervertebral forceps surgery is very difficult to treat, and the risk is unusual.
After careful consideration and discussion, the minimally invasive spinal team led by director he sublimation finally decided to boldly attempt to extract the 4-5 extremely severe prolapsed lumbar nucleus pulposus tissue under spinal endoscopy through the interlaminal approach.
Preoperative magnetic resonance imaging (mri) revealed a very severe downward dissociation of the lumbar 4/5 disc
During the operation, free nucleus pulposus tissue was successfully extracted through the interlamellar approach
Mass of free nucleus pulposus tissue
Preoperative (left) and postoperative (right) comparison showed that the free nucleus pulposus tissue was removed clean
Postoperative right lower limb pain disappeared, straight leg elevation can be immediately elevated
In recent years,Department 2, shenzhen hospital of traditional Chinese medicine (spine)Under the leadership of director he, the operation quantity of intervertebral foramen has been increasing continuously for several years.
In order to further improve the surgical technology and exchange experience, director he has been to Germany, the United States, Malaysia and other major cities in China since 2016 to exchange and learn about the intervertebral foramen technology, which has won wide appreciation from colleagues at home and abroad.
Invited to the Atlantic spine center of the United States for exchange and study
Invited to Malaysia for exchange study
Currently, the minimally invasive technique of lumbar intervertebral foramen represents a new concept of minimally invasive spinal surgery, which can perform disc herniation, intervertebral foramen formation and fiber ring repair at all levels from the cervical vertebra to the l5 s 1, he said. The satisfactory effect of the operation can reach 95%.
Because of its many advantages, the international field of minimally invasive spine surgery has been recognized as the leading role of intervertebral foramen in this field. In the future, with the continuous development of new instruments, advanced imaging equipment and sophisticated robot system, intervertebral foramen is expected to promote a new revolution of minimally invasive spinal surgery.
Xinglin jun reminds everyone again
Seek immediate medical attention for minor ailments
Choose a reasonable treatment according to your doctor's advice
Small ailments become big problems
Director, chief physician, professor and doctoral supervisor of the second department of orthopedics (spine) of shenzhen hospital of traditional Chinese medicine. Europe and the United States, visiting scholar of minimally invasive spine, spine minimally invasive expert committee of the standing committee of China association of Chinese medicine, orthopedics branch committee member of China association of Chinese medicine, combined Chinese and western medicine society of China orthopedics branch of intervertebral disc degeneration and restoration expert committee, deputy director of the committee, the Chinese society of traditional Chinese and western medicine combined with the orthopaedic endoscopic minimally invasive spine group of the standing committee, the Chinese society of traditional Chinese and western medicine combined with spinal medicine professional committee, China international exchange association for the advancement of health care spinal endoscope, rehabilitation medicine association of guangdong province spinal pain and endoscopic technology professional committee, deputy director of the committee, Combine traditional Chinese and western medicine in guangdong province institute of orthopaedics minimally invasive professional committee of the standing committee, guangdong combine traditional Chinese and western medicine academy spinal medicine professional committee of the standing committee, spine surgery branch of guangdong medical association members, traditional Chinese medicine doctor association orthopedic surgeon branch committee of guangdong province, shenzhen to learn the professional committee member, deputy chairman, osteoporosis of shenzhen federation of Chinese medicine professional committee vice chairman, medical tube center spine quality control center of shenzhen, shenzhen orthopaedic society of spinal committee member, the shenzhen minimally invasive spine group deputy team leader.
He led the project of "clinical research on the treatment of thoracic and lumbar vertebra compression fracture by over-extension traction and elastic compression", which won the second prize of science and technology progress of Chinese association of traditional Chinese medicine (201002-35 lc-39-r-oi), and won the title of "guo chunyuan type good doctor" in China, "excellent doctor of traditional Chinese medicine of shenzhen", and "top ten medical workers" of shenzhen hospital of traditional Chinese medicine.
He is skilled in the treatment of difficult diseases in orthopedics and traumatology, spinal cord and related diseases, osteoporosis. She is good at spinal surgery, minimally invasive surgery for lumbar disc herniation and spinal stenosis by percutaneous foraminal foraminal (peld), minimally invasive treatment for cervical and lumbar degenerative diseases by med, surgical treatment for spinal and spinal nerve injury, correction of spinal deformity, minimally invasive treatment for osteoporotic vertebral fracture, etc. He has published 2 sci papers (spine1) and more than 40 professional papers.
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