Khachatryan W
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Intraoperative rectal manometry in lipomyelomeningocele surgery презентация
Содержание
- 1. Intraoperative rectal manometry in lipomyelomeningocele surgery
- 2. Total resection has a better long-term outcome
- 3. TcMEP, SSEP, BCR
- 4. Rectal manometry (n=7) innervation of the bladder and bowel is the same
- 5. BIPOLAR COAGULATION CUSA
- 6. The most
- 7. 2 month-old boy (feet paresis) EMG (L5,
- 8. Conclusions: Paresis of the detrusor after
Total resection has a better long-term outcome for asymptomatic lipomas (Pang D et al, 2009) Lipomyelomeningocele surgery
Слайд 1Intraoperative rectal manometry in lipomyelomeningocele surgery (initial results)
Sysoev K, Alexandrov M,
Слайд 2Total resection has a better long-term outcome for asymptomatic lipomas
(Pang
D et al, 2009)
Lipomyelomeningocele surgery
Слайд 3
TcMEP, SSEP, BCR
often unobtainable in infants
Sacral roots stimulation mapping
does not protect detrusor function
how to avoid bladder dysfunction?
Слайд 6
The most pronounced pressure changes were observed during the manipulations along
the spinal cord-lipoma fusion line
Слайд 72 month-old boy (feet paresis)
EMG (L5, S1)
before surgery:
F-waves Blocks:
S-70,6%, D-77,8%
20 days after surgery:
F-waves Blocks: S-14,3%, D-7,7%
14 months after surgery:
F-waves Blocks: S-0%, D-0%
20 days after surgery:
F-waves Blocks: S-14,3%, D-7,7%
14 months after surgery:
F-waves Blocks: S-0%, D-0%
Слайд 8Conclusions:
Paresis of the detrusor after lipomyelomeningocele surgery may due to damage
of sacral parasympathetic centers;
The total lipoma removal may be more dangerous;
Rectal manometry may be a way to protect detrusor function.
The total lipoma removal may be more dangerous;
Rectal manometry may be a way to protect detrusor function.
