Poster électronique

Herniectomie percutanée sous guidage scanner : 7 ans d’expérience
N. Amoretti (1), P. Browaeys (2), Y. Thouvenin (1), L. Coco (1), Y. Nouri (1), N. Theumann (2), T. Benzaken (1), A. Iannessi (1), O. Hauger (3) - (1) Nice - France, (2) Lausanne - Suisse, (3) Bordeaux - France
Congrès 2011
Résumé
Objectifs
Relater notre expérience des herniectomies sous guidage scanner des conflits disco-radiculaires résistants au traitement médical et aux infiltrations radio-guidées. Decrire les techniques, indications, contre-indications et limites de ces procédures.
Matériels et méthodes
De janvier 2004 à janvier 2011, plus de 1000 herniectomies ont été réalisées dans notre institution. L’intervention se déroule en salle de scanner interventionnel avec arceau de scopie. Ce guidage permet de positionner le matériel d’extraction exactement dans la hernie discale.
Résultats
Les herniectomies sont réalisées lorsque l’indication chirurgicale classique est posée. Le principe de l’intervention est similaire à la chirurgie standard et consiste en une extraction du matériel nucléaire hernié sous-ligamentaire, mais sous anesthésie locale et percutanée. Notre expérience confirme que cette procédure est une alternative mini-invasive très efficace dans les positions latérales et foraminales en raison de leur accès direct facile au scanner. Les résultats statistiques détaillés seront exposés.
Conclusion
La herniectomie sous guidage scanner est une intervention très efficace dans les conflits disco-radiculaires en particulier foraminaux. Elle est devenu en moins de 7 ans dans notre institution, l’intervention de première intention dans le traitement de la hernie foraminale résistante aux therapeutiques médicales.
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2017-08-31 23.13 :
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2017-06-05 18.23 :
Ouaknine

Bonsoir, A Tours ou Angers est-ce pratiqué? Merci de me répondre. Mme Ouaknine

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