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Case Rep Surg Invasive Proced 2017 | Volume 1 Issue 3
allied
academies
International Surgery and Ortho Conference
October 25-26, 2017 | Toronto, Canada
J
oseph Barr Professor of Harvard University in 1967, in a
critical speech in San Diego said, “We must find another
technique than laminectomy to avoid post-operative iatrogenic
complications. The research for that goal has been continued
since all over the world. The recent literature confirms that
the sino-vertebral nerve, a tiny branch of a sensory, radicular
nerve, after exiting inter-vertebral forename, in lumbar spine,
turn back and re-enter into the spinal canal, innervates only one
third of the posterior part of the disc and posterior longitudinal
ligament. To observe this anatomical fact, we think the pain
from herniated disc could be successfully treated by abolition
of small part of disc without disturbing the stability of spine. The
senior author has designed, a new technique called Universal
Endoscopic Discectomy (UED), accordingly, just a small part
of posterior part of disc under local anesthesia is removed
or with the laser evaporate; like one surgery for treatment
of all herniated discs, at any level and any ages as outpatient
procedure. After complete evaluation of the patient, a dynamic
disco gram is taken to pinpoint the site of problem. Then
under fluoroscopic control and local anesthetist, 10 ml normal
Salinas with epinephrine from poster-lateral was injected into
the foremen (in lumbar spine and between carotid sheet and
trachea-esophageal, in cervical spine). In this way, we created a
column of water for safe passage of the guide wire dilating tubs,
microscopeandperpetuityforcepsandlaserbeam.Weremoved
protruded disc manually by pituitary forceps in younger and
evaporated with Holmium laser in elderly. Since 1984 -2014,
we have operated 1050 patients, ages range from 13-96 years.
1 to 20 years of follow up revealed that 92% were good or
excellent, 2% poor, 5% fair, 3% lost in follow up complication,
permanent nuro-vascular injury nail. Infection one drop foot in
one temporary para paresis in 23, others nail. It is time that, we
consider minimal invasive surgery as treatment for herniated
disc under local anesthesia as outpatient procedure (acute or
chronic).
Speaker Biography
S M Rezaian is the Medical Director of the California Orthopedic Medical Clinic, Inc. He
has completed his Orthopedic Surgery Residency training in London, England, under
world-renowned orthopedic authorities. He has been a Member of the Royal College
of Physicians and the Royal College of Surgeons in London, England, since 1969. He is
an Active Member and Fellow of the British Orthopedic Surgeons. He is a Fellow of
the International Society of Orthopedics and Traumatology (United States Section), a
Diplomat and Fellow in Orthopedic and Spine Surgery of the International College of
Surgeons (United States Section), and many other societies. He is licensed to practice
in the State of California, Iran, and England, UK, where he completed his training and
residency in Orthopedic Surgery. He is Board Certified by the American Academy of
Neurological and Orthopedic Surgeons, 1984, Board Certified in Spine Surgery by the
American Board of Spine Surgery, 1987. His clinical specialties include: orthopedic
and spine surgery, management of back pain and back injury, treatment of failed back
surgery and correcting complex musculoskeletal inquiries. He is a Former University
Professor of Orthopedic Surgery with over 20 years’ experience in the practice of
orthopedic medicine and surgery. He has over 100 published papers in the scientific
literature, and he has made over 200 presentations of scientific papers at both the
national and international level. He is an active member of more than 20 scientific
societies, which includes the North American Spine Society, California Orthopaedic
Association, Los Angeles Medical Association, California Medical Society, American
Medical Association, American Back Society, and fellow of the International Society
of Traumatic and Orthopedic Surgery. He has been Chairman of over 20 national and
international scientific meetings. He is an Associate Professor of Orthopedic Surgery at
the Western University of Health Sciences.
e:
rezaian@sbcglobal.netSeyed M Rezaian
California Orthopaedic Medical Clinic, USA
A new technique of discectomy based on pathophysiology of disc