Minimally invasive treatment of multilevel spinal epidural abscess

2013 ◽  
Vol 18 (1) ◽  
pp. 32-35 ◽  
Author(s):  
Sam Safavi-Abbasi ◽  
Adrian J. Maurer ◽  
Craig H. Rabb
Keyword(s):  
Minimally Invasive ◽  
Epidural Abscess ◽  
Minimally Invasive Treatment ◽  
Spinal Epidural Abscess ◽  
Invasive Treatment ◽  
Tubular Retractor ◽  
Spinal Epidural

The use of minimally invasive tubular retractor microsurgery for treatment of multilevel spinal epidural abscess is described. This technique was used in 3 cases, and excellent results were achieved. The authors conclude that multilevel spinal epidural abscesses can be safely and effectively managed using microsurgery via a minimally invasive tubular retractor system.

Minimally invasive transpedicular approach for evacuation of epidural abscess and debridement of disc space in a patient with discitis in the thoracic spine

2013 ◽  
Vol 35 (v2supplement) ◽  
pp. Video6
Author(s):  
Lee A. Tan ◽  
Ippei Takagi ◽  
Harel Deutsch
Keyword(s):  
Minimally Invasive ◽  
Anterior Approach ◽  
Epidural Abscess ◽  
Symptomatic Improvement ◽  
Neurological Deficits ◽  
Spinal Epidural Abscess ◽  
Surgical Morbidity ◽  
Disc Space ◽  
Transpedicular Approach ◽  
Spinal Epidural

Spinal epidural abscess (SEA) often requires prompt surgical decompression to prevent potential devastating neurological deficits. Dorsally located SEA usually can be evacuated via simple laminectomies. Ventral SEA often requires an anterior approach such as thoracotomy to achieve adequate exposure and decompression. We report a case of ventral thoracic SEA associated with discitis and osteomyelitis that was successfully treated via minimally invasive transpedicular approach. The patient had immediate and dramatic symptomatic improvement and was ambulatory on post-operative Day 1. The minimally invasive transpedicular approach avoids the surgical morbidity associated with anterior approach and is effective surgical alternative to treat ventral SEA.The video can be found here: http://youtu.be/do-K1VWYhi4.

scholarly journals Catheter-based Minimally Invasive Evacuation of Extensive Spinal Epidural Abscess: A Technical Report

Cureus ◽  
2019 ◽  
Author(s):  
Daniel J Denis ◽  
Pierre-Olivier Champagne ◽  
Haydn Hoffman ◽  
Tianyi Niu ◽  
Daniel C Lu
Keyword(s):  
Minimally Invasive ◽  
Epidural Abscess ◽  
Spinal Epidural Abscess ◽  
Technical Report ◽  
Spinal Epidural

Extended Cervicolumbar Spinal Epidural Abscess Associated With Paraparesis Successfully Decompressed Using a Minimally Invasive Technique

Spine ◽  
2004 ◽  
Vol 29 (14) ◽  
pp. E300-E303 ◽  
Author(s):  
Vasilios Panagiotopoulos ◽  
Dimitrios Konstantinou ◽  
Ekaterini Solomou ◽  
Elias Panagiotopoulos ◽  
Markos Marangos ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Epidural Abscess ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Spinal Epidural Abscess ◽  
Spinal Epidural

scholarly journals EAU, AUA and NICE Guidelines on Surgical and Minimally Invasive Treatment of Benign Prostate Hyperplasia: A Critical Appraisal of the Guidelines Using the AGREE-II Tool

2021 ◽  
pp. 1-10
Author(s):  
Dmitry Enikeev ◽  
Vincent Misrai ◽  
Enrique Rijo ◽  
Roman Sukhanov ◽  
Denis Chinenov ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Treatment Options ◽  
Stakeholder Involvement ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Agree Ii ◽  
Prostate Hyperplasia ◽  
Assessment Score ◽  
Nice Guideline ◽  
Agree Ii Tool

<b><i>Objective:</i></b> To critically appraise the methodological rigour of the clinical practice guidelines (CPGs) vis-à-vis BPH surgery as used by specialist research associations in the US, Europe and UK, and to compare whether the guidelines cover all or only some of the available treatments. <b><i>Methods:</i></b> The current guidelines issued by the EUA, AUA and NICE associations have been analyzed by 4 appraisers using the AGREE-II instrument. We also compared the recommendations given in the guidelines for surgical and minimally invasive treatment to find out which of these CPGs include most of the available treatment options. <b><i>Results:</i></b> According to the AGREE II tool, the median scores of domains were: domain 1 scope and purpose 66.7%, domain 2 stakeholder involvement 50.0%, domain 3 rigor of development 65.1%, domain 4 clarity of presentation 80.6%, domain 5 applicability 33.3%, domain 6 editorial independence 72.9%. The overall assessment according to AGREE II is 83.3%. The NICE guideline scored highest on 5 out of 6 domains and the highest overall assessment score (91.6%). The EAU guideline scored lowest on 4 out of 6 domains and has the lowest overall assessment score (79.1%). <b><i>Conclusions:</i></b> The analyzed CPGs comprehensively highlight the minimally invasive and surgical treatment options for BPH. According to the AGREE II tool, the domains for clarity of presentation and editorial independence received the highest scores. The stakeholder involvement and applicability domains were ranked as the lowest. Improving the CPG in these domains may help to improve the clinical utility and applicability of CPGs.

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