Coblation – nucleotomy-discectomy, cervical episode

The team of the Lower Silesian Center for Minimally Invasive Spine Neurosurgery KCM Clinic in Jelenia Góra specializes in minimally invasive and endoscopic surgical treatment of cervical, lumbar and thoracic spine diseases.

Nucleoplasty using the coblation method is one of the repair procedures belonging to the minimally invasive spine surgery. The procedure involves the percutaneous removal of a part of the intervertebral disc, which is part of the disc. Incorrect movement of the intervertebral disc causes pain in the cervical spine. Appropriate specialist diagnosis allows you to qualify for the coblation Nucleoplasty procedure.

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    Nucleoplasty by the coblation method – disk repair procedure is a procedure in which the so-called pulmonary disc is used to decompress the disk (remove part of the nucleus pulposus). gas plasma. It is produced during the procedure by a special device and transferred to the inside of the disk by an electrode with a very precise design. The electrode is inserted through the needle into the disc through the posterolateral (in cases of lumbar discopathy) and anterior (in cases of cervical discopathy) access under the control of a fluoroscopic monitor. The temperature of the produced plasma is 40 degrees Celsius.

    It is one of the minimally invasive methods of repair procedures that can be used in cases of cervical discopathy. Reducing the mass of the nucleus pulposus, as well as lowering the pressure in the disk, is done by performing three oval vaporization. The pressure of the hernia is reduced, which prevents the fibrous ring from breaking and hernia from forming. The pressure on the nearby nerve root is reduced, which reduces or removes pain and significantly improves the patient’s quality of life after surgery.

    The procedure is performed by inserting a suitable needle-shaped guide into the disc, without cutting the skin. The procedure takes about 20-30 minutes under general anesthesia. The stay in the hospital lasts from 2 to 3 days.

    Please note that the patient must wear a soft Schantz collar for 3 days after the procedure.

    It should also be remembered that patients after the procedure cannot drive a car. The patient should provide an accompanying person who will help ensure a safe return home.

    Before surgery, it is necessary to have a consultation with a neurosurgeon performing the procedure – dr hab. Stanisław Kwiek. To qualify for the procedure, a current MRI or CT scan result is required – the result cannot be older than 6 months. The test results should be with you during the consultation on the CD – the test description alone is not sufficient.


    Magnetic resonance imaging or computed tomography is also available as a private service at OMEGA diagnostic imaging, which receives patients in the same building as KCM Clinic.

    The patient must undergo examinations in accordance with the recommendations of the neurosurgeon after medical consultation prior to the procedure. An anesthetic consultation is also necessary, performed on the day of admission to the hospital ward. You should be prepared for a two-day stay in the hospital ward at KCM Clinic. Before the procedure, the patient reports to the Registration with full documentation and the results of imaging and laboratory tests.

    It should also be remembered that patients after surgery cannot drive a car. The patient should provide an accompanying person who will help ensure a safe return home.

    Specialised physiotherapy and rehabilitation are very important after this type of neurosurgery. Correct physiotherapeutic management, both before and after our minimally invasive endoscopic procedures, is supervised by Dr. Krzysztof Suszyński – a specialist in physiotherapy.

    During the procedure, pressure of the disc herniation on the nearby nerve root is reduced, which reduces or removes pain and significantly improves patient comfort. It is a minimally invasive method with a relatively low percentage of possible complications and a high level of effectiveness.

    About the procedure

    Nucleoplasty by the coblation method – disk repair procedure is a procedure in which the so-called pulmonary disc is used to decompress the disk (remove part of the nucleus pulposus). gas plasma. It is produced during the procedure by a special device and transferred to the inside of the disk by an electrode with a very precise design. The electrode is inserted through the needle into the disc through the posterolateral (in cases of lumbar discopathy) and anterior (in cases of cervical discopathy) access under the control of a fluoroscopic monitor. The temperature of the produced plasma is 40 degrees Celsius.

    It is one of the minimally invasive methods of repair procedures that can be used in cases of cervical discopathy. Reducing the mass of the nucleus pulposus, as well as lowering the pressure in the disk, is done by performing three oval vaporization. The pressure of the hernia is reduced, which prevents the fibrous ring from breaking and hernia from forming. The pressure on the nearby nerve root is reduced, which reduces or removes pain and significantly improves the patient’s quality of life after surgery.

    The procedure is performed by inserting a suitable needle-shaped guide into the disc, without cutting the skin. The procedure takes about 20-30 minutes under general anesthesia. The stay in the hospital lasts from 2 to 3 days.

    Please note that the patient must wear a soft Schantz collar for 3 days after the procedure.

    It should also be remembered that patients after the procedure cannot drive a car. The patient should provide an accompanying person who will help ensure a safe return home.

    Preparation

    Before surgery, it is necessary to have a consultation with a neurosurgeon performing the procedure – dr hab. Stanisław Kwiek. To qualify for the procedure, a current MRI or CT scan result is required – the result cannot be older than 6 months. The test results should be with you during the consultation on the CD – the test description alone is not sufficient.


    Magnetic resonance imaging or computed tomography is also available as a private service at OMEGA diagnostic imaging, which receives patients in the same building as KCM Clinic.

    The patient must undergo examinations in accordance with the recommendations of the neurosurgeon after medical consultation prior to the procedure. An anesthetic consultation is also necessary, performed on the day of admission to the hospital ward. You should be prepared for a two-day stay in the hospital ward at KCM Clinic. Before the procedure, the patient reports to the Registration with full documentation and the results of imaging and laboratory tests.

    It should also be remembered that patients after surgery cannot drive a car. The patient should provide an accompanying person who will help ensure a safe return home.

    Convalescence

    Specialised physiotherapy and rehabilitation are very important after this type of neurosurgery. Correct physiotherapeutic management, both before and after our minimally invasive endoscopic procedures, is supervised by Dr. Krzysztof Suszyński – a specialist in physiotherapy.

    Precautions

    During the procedure, pressure of the disc herniation on the nearby nerve root is reduced, which reduces or removes pain and significantly improves patient comfort. It is a minimally invasive method with a relatively low percentage of possible complications and a high level of effectiveness.

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