Percutaneous endoscopic transforaminal outside-in outside (TOIO) technique for foraminal and extraforaminal lumbar disc herniations - operative technique.

08:00 EDT 9th July 2019 | BioPortfolio

Summary of "Percutaneous endoscopic transforaminal outside-in outside (TOIO) technique for foraminal and extraforaminal lumbar disc herniations - operative technique."

Different transforaminal endoscopic approaches have been developed for the surgical treatment of lumbar disc herniations: Kambin (intradiscal), Yeung (intraforaminal intra-discal), Ruetten (extreme lateral), TESSYS approach (intraforaminal extradiscal approach) and modifications. The operative technique, for the treatment of foraminal and extraforaminal lumbar disc herniations through these surgical approaches, has not been well described in literature. Moreover, each of these surgical approaches has limitations to remove migrated intra/extraforaminal disc herniation. We describe step by step the operative technique of a modified percutaneous endoscopic transforaminal approach, that we have named "percutaneous endoscopic intra and extraforaminal extradiscal approach (Transforaminal Outside-In Outside - TOIO - approach)", for the treatment of foraminal and extraforaminal lumbar disc herniations.


Journal Details

This article was published in the following journal.

Name: World neurosurgery
ISSN: 1878-8769


DeepDyve research library

PubMed Articles [6113 Associated PubMed Articles listed on BioPortfolio]

Percutaneous Endoscopic Lumbar Discectomy for Axillar Herniation at L5-S1 via the Transforaminal Approach Versus the Interlaminar Approach: A Prospective Clinical Trial.

To evaluate the results of percutaneous endoscopic transforaminal discectomy (PETD) in comparison with percutaneous endoscopic interlaminar discectomy (PEID) for axillar herniation at L5-S1.

Transforaminal Percutaneous Endoscopic Lumbar Decompression by Using Rigid Bendable Burr for Lumbar Lateral Recess Stenosis: Technique and Clinical Outcome.

Open laminectomy has been regarded as the standard surgical procedure for lumbar lateral recess stenosis during the last decades. Although percutaneous endoscopic lumbar decompression has led to succe...

Efficacy and Safety of the Rotational Technique for Endoscopic Trans-foraminal Excision of Colloid Cysts of the Third Ventricle.

The main criticism of endoscopic excision of colloid cysts of the third ventricle is the decreased ability to completely resect the cyst wall, thus increasing the risk of recurrence. The extent of res...

Posterolateral Endoscopic Lumbar Decompression Rotate-to-Retract Technique for Foraminal Disc Herniation: A Technical Report.

Foraminal disc herniations present the unique surgical challenge for exiting nerve root retraction and decompression. The aim of current study is to describe an innovative maneuver and evaluate its us...

Incidence, Management, and Cost of Complications After Transforaminal Endoscopic Decompression Surgery for Lumbar Foraminal and Lateral Recess Stenosis: A Value Proposition for Outpatient Ambulatory Surgery.

The objective of this study is to analyze incidence, estimate cost savings, and evaluate best management practices of complications resulting from outpatient transforaminal endoscopic decompression su...

Clinical Trials [4775 Associated Clinical Trials listed on BioPortfolio]

US-MR Image Fusion-guided Percutaneous Transforaminal Endoscopic Discectomy for the Treatment of Lumbar Disc Herniation

The purpose of this study is to evaluate the feasibility and efficacy of US-MR image fusion-guided percutaneous transforaminal endoscopic discectomy for the treatment of lumbar disc hernia...

Particulate vs. Nonparticulate Epidural Steroid Injections for Lumbar Foraminal Stenosis

Chronic lumbosacral radiculopathy secondary to lumbar spinal stenosis affects a large number of individuals, and there is a general lack of consensus in the medical community in terms of e...

PTED Versus Radiofrequency Ablation for Lumbar Disc Herniation

Lumbar disc herniation (LDH) is a common and frequently-occurring disease giving rise to low back pain and (or) leg pain. There are about 1.5 million people with LDH-related pain, accounti...

The Effect of Additional Transforaminal Epidural Blocks in Percutaneous Epidural Neuroplasty

Percutaneous epidural neuroplasty (PEN) is an effective interventional treatment for radicular pain. But in some cases with wire catheter like Racz catheter, contrast runoffs were not show...

The Effects of Use of Mirror Image on Radiation Exposure During Fluoroscopically Guided Transforaminal Epidural Injection

Lumbar Transforaminal Epidural Injection is helpful for the treatment of lumbosacral radicular pain. Tunnel view technique is the basis of X-ray assisted intervention. In this technique, ...

Medical and Biotech [MESH] Definitions

Percutaneous excision of a herniated or displaced intervertebral disk by posterolateral approach, always remaining outside the spinal canal. Percutaneous nucleotomy was first described by Hijikata in Japan in 1975. In 1985 Onik introduced automated percutaneous nucleotomy which consists in percutaneous aspiration of the nucleus pulposus. It is carried out under local anesthesia, thus reducing the surgical insult and requiring brief hospitalization, often performed on an outpatient basis. It appears to be a well-tolerated alternative to surgical diskectomy and chymopapain nucleolysis.

A family of percutaneous techniques that are used to manage CORONARY OCCLUSION, including standard balloon angioplasty (PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY), the placement of intracoronary STENTS, and atheroablative technologies (e.g., ATHERECTOMY; ENDARTERECTOMY; THROMBECTOMY; PERCUTANEOUS TRANSLUMINAL LASER ANGIOPLASTY). PTCA was the dominant form of PCI, before the widespread use of stenting.

Surgical removal of large KIDNEY CALCULI by means of a percutaneous nephroscope which is passed into the KIDNEY PELVIS through a track created in the patient's back.

Fiberoptic endoscopy designed for duodenal observation and cannulation of VATER'S AMPULLA, in order to visualize the pancreatic and biliary duct system by retrograde injection of contrast media. Endoscopic (Vater) papillotomy (SPHINCTEROTOMY, ENDOSCOPIC) may be performed during this procedure.

Excision, in part or whole, of an intervertebral disk. The most common indication is disk displacement or herniation. In addition to standard surgical removal, it can be performed by percutaneous diskectomy (DISKECTOMY, PERCUTANEOUS) or by laparoscopic diskectomy, the former being the more common.

Quick Search

DeepDyve research library

Relevant Topic

Surgical treatments
Surgery is a technology consisting of a physical intervention on tissues. All forms of surgery are considered invasive procedures; so-called "noninvasive surgery" usually refers to an excision that does not penetrate the structure being exci...

Searches Linking to this Article