{"id":331,"date":"2016-02-11T11:22:16","date_gmt":"2016-02-11T09:22:16","guid":{"rendered":"http:\/\/finntrebbien.net\/blog\/?page_id=331"},"modified":"2016-02-11T11:32:46","modified_gmt":"2016-02-11T09:32:46","slug":"operation","status":"publish","type":"page","link":"https:\/\/trebbien.eu\/blog\/patient-paa-hilleroed\/operation\/","title":{"rendered":"Operation"},"content":{"rendered":"<h5>Kirugens log<\/h5>\n<div>01-12-2015 Operationsgangen<\/div>\n<div><\/div>\n<div><em>Under diagnosen;<\/em><\/div>\n<div>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 DM43.1 spondylolistese og arkolyse L5\/S1<br \/>\n<em>G\u00f8res<\/em>;<\/div>\n<div>\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 KNAG76 + KNAG44 TLIF med global system 5,5 x 5 mm skruer\u00a0og 10 x 26 mm cage.<\/p>\n<\/div>\n<div><em>Patologi<\/em><br \/>\nVed operationen findes arkolyse p\u00e5 L5 samt en sv\u00e6rt klemt venstresidig L5-rod i overensstemmelse med symptomerne<\/div>\n<div><\/div>\n<div><em>Procedure<\/em><br \/>\nMidtlinieincision med bilateral muskul\u00e6r fril\u00e6gning. Identificerer den l\u00f8se arkolyse, og det viser sig, at der er en lamina caudalt herfor. Fjerner arkolysen og lamina. I h\u00f8jre side er der mange adh\u00e6rencer. Der kommer en dural\u00e6sion, der er ca. 7-8 mm lang, som sutureres uden problemer. Forts\u00e6tter dekompressionen bilateralt. P\u00e5 venstre side er roden fortykket og adh\u00e6rent. Der dekomprimeres, p\u00e5 h\u00f8jre side er forholdene normale. Det bl\u00f8der meget. Det viser sig, at det er lettest at s\u00e6tte cagen i p\u00e5 h\u00f8jre side, hvorfor vi v\u00e6lger dette. Der er godt dekomprimeret p\u00e5 begge sider. Ops\u00f8ger herefter pediklerne successivt. Venstre S1-rod driller lidt, og der m\u00e5 laves to huller, f\u00f8r det andet hul er korrekt. Skruerne g\u00e5r godt i sp\u00e6nd. Der er gennemlyst flere gange undervejs. L\u00e6ngdeg\u00e5ende barrer, topskrue og det hele eftersp\u00e6ndes. Cagen er fyldt med knoglesmuld og lagt i fra h\u00f8jre side efter grundig oprensning af discusrummet.<br \/>\nH\u00e6mostasen fors\u00f8rges. L\u00e6gger spongostan og fibrilar. Dr\u00e6n langs med columna.<br \/>\nLukker med\u00a0vicryl i fascie og subcutis samt nylon 3-0 fortl\u00f8bende i huden.<\/div>\n<div><\/div>\n<div><em>Plan<\/em><br \/>\nIngen restriktioner pga. dural\u00e6sionen. Dr\u00e6nfjernelse i morgen tidlig.\u00a0 M\u00e5 mobiliseres frit.<\/div>\n<div><\/div>\n<div><em>Efterbehandling\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/em> rp.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ambulant kontrol hos undertegnede om 6 uger.<br \/>\nDer skal tages\u00a0rp.\u00a0r\u00f8ntgen af columna lumbalis f\u00f8r udskrivelsen.<\/div>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kirugens log 01-12-2015 Operationsgangen Under diagnosen; \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 DM43.1 spondylolistese og arkolyse L5\/S1 G\u00f8res; \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 KNAG76 + KNAG44 TLIF med global system 5,5 x 5 mm skruer\u00a0og 10 x 26 mm cage. Patologi Ved operationen findes arkolyse p\u00e5 L5 samt en sv\u00e6rt klemt venstresidig L5-rod i overensstemmelse med symptomerne Procedure Midtlinieincision med bilateral muskul\u00e6r fril\u00e6gning. Identificerer &hellip; <a href=\"https:\/\/trebbien.eu\/blog\/patient-paa-hilleroed\/operation\/\" class=\"more-link\">L\u00e6s videre <span class=\"screen-reader-text\">Operation<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":69,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0,"jetpack_post_was_ever_published":false,"footnotes":""},"class_list":["post-331","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Operation - Finns blog<\/title>\n<meta name=\"description\" content=\"Kirugisk indgreb mod spondylolistese og arkolyse L5\/S1. 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