Epiduroscopy - Causes, Symptoms and Treatment .MF .

August 12, 2017 17:52 | Neurosurgery

epiduroscopy - a three-dimensional color display of the anatomical structure of the structures of the epidural space.This is a minimally invasive test is performed using a tiny tube with a camera on the end, which does not cause any damage, and may examine the skin nerves, blood vessels, ligaments, fat tissue, intervertebral discs, nerve roots, dura, can detect scarring, inflammation, impairment, injury, tumor, the catheter can be set and enter the drug.

epiduroscopy Used as a diagnostic and therapeutic procedure.

Benefits epiduroscopy - secure access, epidural diagnosis, minimal anesthesia, the exact placement of catheters and electrodes, bypassing anatomical obstructions, removal of scar tissue, accelerating the implantation process, the digital documentation.

Indications epiduroscopy

Indications for diagnosis - back pain of unknown origin, post-operative pain.It is possible biopsy.When
epiduroscopy possible to remove scars and adhesions, placement catheter systems, the introduction of targeted

drugs, implantation of SCS (Spinal Cord Stimulation) - electrodes (neuromodulation).Electrical stimulation of the spinal cord is shown at the expressed painful syndrome with phantom pain, causalgia, and peripheral neuropathy, spinal arachnoiditis ... as a kind of "replacement" antinociceptive system.

SCS - a device - the source of pulses epiduralnoraspolozhennye electrodes and conductors.Targeted administration of drugs (narcotic analgesics, steroidal anti-inflammatory drugs) suppresses conducting pain impulses along nerve C-fibers.Catheterization provides long-term palliative therapy for tumor neurochemical processes.

Contraindications -

contraindications for local anesthesia (infectious skin lesion at the site of the incision), hemorrhagic diathesis, anticoagulant treatment, high cardio - vascular risk, obostrenieinterkurentnyhzabolevany (grippoznoesostoyanie, OPVI).

Preparing for epiduroscopy

Before the study (except blood count, blood sugar, blood group and a thorough clinical and functional examination - spondylography, computer and (or) magnetic - resonance imaging) is mandatory blood test - coagulation.If the patient is taking medications, "blood thinners" - you must inform your doctor.

Carrying epiduroscopy

A study in the operating room under sterile conditions by trained personnel.
local anesthesia with simultaneous intravenous administration of sedative drug.anesthesia and low dose examination can be performed in cases where general anesthesia is contraindicated (severe condition, old age, ...).

The position of the patient lying on his back made a small incision in the sacral holes injected into the epidural space of the endoscope.The patient may feel slight pressure.Under full control of the X-ray machine the endoscope is pushed to the test site.To improve visibility continuously injected water.

epiduroscopy has multiple channels - the main optics and water.Flexible epiduroscopy has an outer diameter of 2.8 mm, the angle of 120º and 170º up down working diameter of 1.2 mm.The monitor turns clear contrast image of what is happening in the spinal canal, you can take photos to document all the changes and the progress of the operation.Possible to use contrast agent.

epiduroscopy

spikes are removed by mechanical means - cold laser or forceps.

possible introduction of anti-inflammatory substances, hemostasis, tissue sampling for histological examination.

After epiduroscopy

After researching appointed rest, 2-3 hours, you can get up.The patient may experience pain at the incision of short duration, headache, weakness in the legs and overall.The risk of intervention is stipulated on the eve of the operation, taking into account the individual patient's condition.Result endoscopy patient gets on digital media - disk.

Hospital stay - 3 days.On the day of surgery and the next three days to prevent infection appointed antibiotics.Sutures are removed on day 7.

Within a few weeks it is necessary to limit physical activity.Other restrictions related to the detection of the disease and are discussed individually.

neurologist Kobzev SV