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ULTRA-MINIMALLY INVASIVE CARPAL TUNNEL RELEASE UNDER REAL-TIME ULTRASOUND VISUALIZED SURGERY

 

Ultrasound-assisted carpal tunnel release as it is depicted in the photographs  no longer required for the large incision seen by the small hole that leaves a common syringe needle for surgery (green arrow) In the ultrasound-assisted opening (green arrow) from the needle hole the surgeon with the Ultrasound imaging can now open the carpal tunnel through the needle hole with a special tool.
The patient's gain is quick treatment, the patient has no trauma, no need to make changes, no need to remove stitches can turn in 2 days in his job. The procedure lasts for a maximum of 20 minutes can be done in the clinic and the patient leaves the same day.
In the classical open surgical treatment, full preoperative control, normal open skin incision, anesthesiologist, fully equipped surgical room, surgical staff, consumables and so on, as well as additional costs such as travel, suture removal, waiting, New appointments and so on

 

For example, in the opening of the carpal tunnel the classic treatment is to cut the skin and to open the carpal tunnel.
And you see the final result of a 6 cm skin cut (black arrow)

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 ULTRA-MINIMALLY INVASIVE Percutaneous Release of the  Annular Digital Pulley for Trigger Digits UNDER REAL-TIME ULTRASOUND VISUALIZED SURGERY

Ultrasound application is not only limited to the above areas, but we can achieve neurolysis of nerves that have been squeezed.

     In the following case, the patient remained bedridden until he was operated for an intercholesteral fracture. Due to prolonged sprawl he paralyzed the peroneal nerve. The patient had a severe walking problem months after surgery. The nerve damage at the height of the fork head was found in the electrohythrome. The video seems to have detected the neurus with the help of a neurostimulator and after that we opened up, the incredible phenomenon is after 2 hours the mobility of his legs has returned.

Ultrasound-guided percutaneous lavage aspiration  for Rotator cuff calcific tendinosis


Rotator cuff calcific tendinosis, by definition, involves deposition of calcific material within one of the rotator cuff tendons .Ultrasound provides an excellent means of identifying and quantifying the amount of calcification present. The calcification appears as a hyperechoic focus within the tendon.The focus of calcium hydroxyapatite should be punctured using a single needle passage into the epicenter of the lesion. 
Although injection of anesthetic and corticosteroids into the glenohumeral joint or subacromial-subdeltoid bursa may provide some symptomatic relief, this does not address the underlying problem of calcium deposition within the rotator cuff. Surgery for this condition is difficult, often requiring significant tendon resection and subsequent repair, and is generally the therapy of last resort.
The technique of Ultrasound-guided percutaneous lavage aspiration of rotator cuff calcific tendinosis is demonstrated here in this video .
Lavage and Aspiration of Rotator Cuff Calcific Tendinosis is easily done without general anaesthesia  by Ultrasound-guided needle. 
 Ultrasound-guided percutaneous minimal surgery  provides an excellent means to remove Large focus of calcification of these lesion percutaneous  under lavage aspiration -barbotage-.