Cervical Racz Procedure скачать в хорошем качестве

Cervical Racz Procedure

PROCEDIMIENTO DE RACZ EN EL CUELLO. Esta paciente de 62 años CON UNA HERNIA CERVICAL, tenia dolor severo en el cuello con irradiación hacia los hombros, brazos y manos . el paciente describía el dolor con quemazón y adormecimiento de las manos. no podia dormir ni hacer sus labores diarias. Se le Realiza Procedimiento de Racz, con alivio del dolor de inmediato What is RACZ PROCEDURE OR Lysis of Adhesions? RACZ PROCEDURE or Lysis of adhesions is a procedure designed mainly to relieve pain resulting from back surgeries or irritation related pain caused by hernia discs. Surgery on the spine can occasionally result in scar tissue around spinal nerves. Approximately 10% to 25% of spinal surgery procedures give rise to these scars. The result is a fresh reoccurrence of pain from scar tissue growth in the epidural space of the vertebrae affected. Scar tissue can lead to compression, inflammation, or swelling in spinal nerves. It can also cause stenosis in the spine and pain in the “tailbone” (or sacroilial joint). Lysis of adhesions is performed to dissolve (i.e. lyse) the scar tissue (also known as adhesions). This has been shown to give relief from surgically-acquired pain in both the short and longer term. How is RACZ procedure Performed? Lysis of adhesions is also known as the Racz procedure. In the course of this procedure, a local anesthetic is injected into the affected area to numb it. Visualization methods, most often fluoroscopy or magnetic resonance imaging (MRI), locate the scar tissue and the area to be injected. Endoscopy, where a thin camera probe is inserted into the region to be treated, is also often incorporated in lysis of adhesions procedure’s and give additional accuracy and visualization. A catheter is guided to the precise location of the scar tissue and delivers a combination of compounds into the scar tissue to break up or dissolve it. The compounds injected are saline (the injection vehicle) and hyaluronidase, an enzyme that breaks up scar tissue at a molecular level. Omnipaque, which improves the visibility of the area under fluoroscopy, anesthetics to relieve the pain, and steroids to treat inflammation are also included in the injected formulation. The risks of lysis of adhesions are mainly related to the placement of the needles in the course of the procedure. The needles are directed at the dural space, a specific location within a bone of the spine (i.e. a vertebra). If this is somehow off-target, the drugs could be injected into other areas, such as the subarachnoid space. If this occurs, it could result in nerve damage. Other complications include temporary spinal blockade that may cause temporary movement problems or a decrease in sensation. A headache, known as a lumbar puncture headache, is more common following the lysis of adhesion procedure, but this again is temporary and usually doesn’t require treatment. Catheter shear, or damage to nerves, skin, or muscles occurring as the catheter supplying the medications is used is also possible.