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Results for “LAMINECTOMY”

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PubMed1983

[A rare complication of disk surgery: ureteral fistula. Apropos of a case following counter-lateral laminectomy].

The authors report a new case (to be added to the 10 already published in the literature) of damage to the ureter during surgical treatment of a herniated disc. Instruments seeking the hernia perforate the prevertebral ligament and damage the ureter. The diagnosis should have been made rapidly in the light of a difficult postoperative course, the discovery of a pre and laterovertebral effusion by echography and the presence of haematuria and pyuria. In fact the diagnosis was made late, by urography, in the presence of a mass in the flank. Attempted treatment by insertion of a uretic catheter failed and the situation was finally resolved by a second end-to-end ureterorrhaphy after mobilisation of the kidney. The possibility of damage to the ureter during surgery for a disc hernia and the therapeutic possibilities with preservation of the kidney when the diagnosis is made sufficiently early should be familiar to all: neurosurgeon, orthopaedic surgeon and urologist.

Adult↗
PubMedDate not supplied

Chemonucleolysis vs laminectomy.

Three hundred and nine patients having herniated nucleus pulposus syndrome were treated by chemonucleolysis with chymopapain. We analyzed the results of that treatment in the first 100 patients who had been followed up for two years. No significant allergic reactions, deaths, spinal cord injury or paralysis occurred. One patient had pulmonary embolus and another had a disk space infection. Diskitis did not occur. Of the 100 patients receiving chymopapain, 71% of the results were rated good to excellent; of those in a comparably followed-up group of 100 patients who underwent surgery, 63% of the results were rated good to excellent. The end result was achieved more quickly after chemonucleolysis and with less physiologic stress on the patient. The beneficial result was considered to be long lasting, and in our opinion, the quality of the end result was superior after chemonucleolysis.

Adult↗