{"id":133,"date":"2026-02-28T00:15:05","date_gmt":"2026-02-27T21:15:05","guid":{"rendered":"http:\/\/localhost\/endoskopi\/?post_type=product&p=133"},"modified":"2026-04-03T01:02:48","modified_gmt":"2026-04-02T22:02:48","slug":"vertebris-stenosis","status":"publish","type":"product","link":"https:\/\/hasansayar.com\/endoskopi\/urunler\/vertebris-stenosis\/","title":{"rendered":"Vertebris Stenosis"},"content":{"rendered":"\n
\n
\n
\"\"<\/figure>\n<\/div>\n\n\n\n
\n

\u00d6nc\u00fc omurga cerrahlar\u0131yla birlikte \u00e7al\u0131\u015fan Richard Wolf, lomber spinal kanal stenozunun tam endoskopik dekompresyonuna y\u00f6nelik standart bir yakla\u015f\u0131m geli\u015ftiren ilk \u015firkettir. Direk stenoz seti, omurga endoskopisinde yenilik ve ilerlemede ger\u00e7ek bir d\u00f6n\u00fcm noktas\u0131n\u0131 temsil eder.
Bu ameliyatta gerekli olan daha kapsaml\u0131 kemik ve ba\u011f rezeksiyonu i\u00e7in, \u00e7al\u0131\u015fma k\u0131l\u0131f\u0131n\u0131n di\u011fer setlere nispeten \u00e7ap\u0131 daha geni\u015f, daha g\u00fc\u00e7l\u00fc enst\u00fcrmanlar gereklidir. VERTEBRIS Stenosis Alet Seti, evrensel motor sistemi ve \u00e7e\u015fitli sert ve eklemli frezeler ile tamamlanmaktad\u0131r.<\/p>\n<\/div>\n<\/div>\n\n\n\n

<\/div>\n\n\n\n

Interlaminar Teknik<\/strong><\/p>\n\n\n\n

\n
\n
\"\"<\/figure>\n<\/div>\n\n\n\n
\n

\u0130nterlaminar cerrahide spinal kanala eri\u015fim posterior interlaminar pencere yoluyla yap\u0131l\u0131r. Dilat\u00f6r, X-ray kontrol\u00fc alt\u0131nda direkt olarak \u001aavum ligamentine do\u011fru konumland\u0131r\u0131l\u0131r. \u00c7al\u0131\u015fma k\u0131l\u0131f\u0131 dilat\u00f6r\u00fcn \u00fczerine yerle\u015ftirildikten sonra y\u00fcksek \u00e7\u00f6z\u00fcn\u00fcrl\u00fckl\u00fc diskoskop arac\u0131l\u0131\u011f\u0131yla s\u00fcrekli irrigasyon alt\u0131nda operasyon ger\u00e7ekle\u015ftirilir. Eri\u015fim sistemi bile\u015fenlerinin ve ara\u00e7lar\u0131n i\u015flevselli\u011fi tam olarak koordine edilmi\u015ftir. Hatta minimum travmatizasyonla ligamentum flavum ve sinir k\u00f6k\u00fcnden ge\u00e7i\u015fe izin verir.
\u00d6zel manuel aletler ve \u00e7e\u015fitli y\u00fcksek h\u0131zl\u0131 frezeler sayesinde, omurga stenozlar\u0131n\u0131n kemik k\u0131s\u0131mlar\u0131 tam endoskopik bir g\u00f6r\u00fcn\u00fcm alt\u0131nda rezeke edilebilir.<\/p>\n<\/div>\n<\/div>\n\n\n\n

<\/div>\n\n\n\n

VERTEBRIS Stenosis<\/strong><\/p>\n\n\n\n

\n
\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n<\/div>\n\n\n\n
\n
    \n
  • Tam endoskopik interlaminar yakla\u015f\u0131ml\u0131 stenoz cerrahisi i\u00e7in daha k\u0131sa \u00e7al\u0131\u015fma uzunlu\u011funa ve art\u0131r\u0131lm\u0131\u015f irigasyon oran\u0131na sahip y\u00fcksek \u00e7\u00f6z\u00fcn\u00fcrl\u00fckl\u00fc 4K endoskoplar.<\/li>\n\n\n\n
  • Daha ergonomik \u00e7al\u0131\u015fma i\u00e7in endoskop ile \u00e7al\u0131\u015fma k\u0131l\u0131f\u0131 aras\u0131ndaki mesafeyi kontrol eden endoskop adapt\u00f6r\u00fc.<\/li>\n\n\n\n
  • Minimal invazif eri\u015fim ve etkili operasyon i\u00e7in geni\u015f \u00e7al\u0131\u015fma k\u0131l\u0131f\u0131n\u0131n(5.6 mm) d\u0131\u015f \u00e7apa (10.5 mm ) oran\u0131 optimize edilmi\u015ftir.<\/li>\n\n\n\n
  • \u0130rrigasyon s\u0131v\u0131s\u0131n\u0131n y\u00fcksek bas\u0131n\u00e7lar\u0131 nedeniyle sinir s\u0131k\u0131\u015fmas\u0131n\u0131 \u00f6nleyen, giri\u015f ve \u00e7\u0131k\u0131\u015f ak\u0131\u015f\u0131n\u0131n yeniden boyutland\u0131r\u0131lmas\u0131yla optimize edilmi\u015f s\u0131v\u0131 y\u00f6netimi.<\/li>\n\n\n\n
  • Sinir yap\u0131lar\u0131n\u0131 korumak i\u00e7in atravmatik distal tasar\u0131ma sahip \u00c7al\u0131\u015fma k\u0131l\u0131f\u0131.<\/li>\n\n\n\n
  • A\u015f\u0131r\u0131 y\u00fck korumal\u0131 ve tabakalar aras\u0131 yakla\u015f\u0131m i\u00e7in daha k\u0131sa \u00e7al\u0131\u015fma uzunlu\u011funa sahip stabil kavrama forsepsleri ve punchlar\u0131.<\/li>\n\n\n\n
  • H\u0131zl\u0131 ve hassas manuel kemik \u00e7\u0131karma i\u015flemi i\u00e7in geni\u015f \u00e7apl\u0131 (5,5 mm) kemik punchlar\u0131 ve Kerrison punchlar\u0131.<\/li>\n\n\n\n
  • Lamina ve fasetin mekanik kemik rezeksiyonu i\u00e7in \u00e7e\u015fitli geni\u015f \u00e7apl\u0131 yeniden kullan\u0131labilir ve tek kullan\u0131ml\u0131k frezlere sahip endoskopik y\u00fcksek h\u0131zl\u0131 drill sistemi.<\/li>\n\n\n\n
  • 4 MHz radyofrekans koag\u00fclasyonu ve ablasyonu i\u00e7in TipControl cihazlar\u0131 ve b\u00fcy\u00fck \u00f6l\u00e7ekli doku koag\u00fclasyonu ve ablasyonu i\u00e7in i\u00e7i bo\u015f u\u00e7lu RF problar\u0131.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n
    <\/div>\n\n\n\n

    Tek Tarafta Ipsilateral Dekompresyon<\/strong><\/p>\n\n\n\n

    \n
    \n
    \"\"<\/figure>\n<\/div>\n\n\n\n
    \n

    Giri\u015f sa\u011fland\u0131ktan sonra kemik yap\u0131lar\u0131 a\u00e7\u0131\u011fa \u00e7\u0131kar. Dekompresyona inen fasetin kaudal ucundan ba\u015flamak faydal\u0131 olabilir. Patolojiye ba\u011fl\u0131 olarak medial inen faset, kranyal ve kaudal lamina ve ligamentum flavumun baz\u0131 k\u0131s\u0131mlar\u0131n\u0131n rezeksiyonuyla dekompresyon ba\u015flat\u0131l\u0131r. Dekompresyonun kapsam\u0131 genel olarak kranyal olarak en az\u0131ndan \u00e7\u0131kan fasetin ucuna kadar ve kaudal olarak pedik\u00fcl\u00fcn yar\u0131s\u0131na kadar devam eder. \u00c7\u0131kan fasetin ve ligamentum flavumun medial k\u0131s\u0131mlar\u0131 daha sonra n\u00f6ral yap\u0131lar\u0131n kranyal, kaudal ve lateral olarak yeterli dekompresyonu a\u00e7\u0131k\u00e7a g\u00f6r\u00fcl\u00fcnceye kadar rezeke edilir. Santral stenoz durumunda ligamentum flavumun genellikle medialden orta hatta rezeke edilmesi gerekir. Son olarak ventral epidural bo\u015fluktaki \u00e7\u0131k\u0131nt\u0131l\u0131 annulus par\u00e7alar\u0131n\u0131n ve osteofitlerin \u00e7\u0131kar\u0131lmas\u0131 gerekebilir.<\/p>\n<\/div>\n<\/div>\n\n\n\n

    <\/div>\n\n\n\n

    Over-the-top Tekni\u011finde Kontralateral Dekompresyon<\/strong><\/p>\n\n\n\n

    Santral stenoz ile birlikte iki tara\u001a\u0131 semptomlar ortaya \u00e7\u0131karsa, kar\u015f\u0131 tarafa alttan kesme tekni\u011fi kullan\u0131larak \u201cover-the-top\u201d eri\u015fim ile tek tara\u001a\u0131 bir yakla\u015f\u0131m ger\u00e7ekle\u015ftirilir. Bu ama\u00e7la spin\u00f6z prosesin ventral b\u00f6lgesindeki kemik, kontralateral tarafa omurili\u011fin duras\u0131na kadar dorsal olarak eri\u015filinceye kadar rezeke edilir. M\u00fcmk\u00fcnse, duray\u0131 korumak i\u00e7in ba\u015flang\u0131\u00e7ta ligamentum \u001aavum yerinde b\u0131rak\u0131l\u0131r ve yine laminotomi ve k\u0131smi fasetektomi ile kemik dekompresyonu ger\u00e7ekle\u015ftirilir. Ligamentum \u001aavum daha sonra tamamen rezeke edilir. Son olarak, kontralateral girintinin uzat\u0131lmas\u0131 gerekir. Dekompresyon, dura ve omurilik sinirlerindeki bas\u0131n\u00e7 a\u00e7\u0131k\u00e7a ortadan kalkt\u0131\u011f\u0131nda tamamlan\u0131r. <\/p>\n\n\n\n

    N\u00f6rolojik hasar riskini \u00f6nlemek i\u00e7in, \u00f6zellikle kranyal b\u00f6lgelerde sinir yap\u0131lar\u0131n\u0131 manip\u00fcle ederken \u00e7al\u0131\u015fma k\u0131l\u0131f\u0131, medial y\u00f6nde geni\u015f alana yayarak ve a\u015f\u0131r\u0131 g\u00fc\u00e7 uygulanarak kullan\u0131lmamal\u0131d\u0131r. Bunun yerine aral\u0131kl\u0131 m\u00fcdehalelerde bulunulmal\u0131d\u0131r. Yap\u0131lan \u00e7al\u0131\u015fmalar do\u011frultusunda, t\u00fcm yeni tekniklerde oldu\u011fu gibi, genellikle \u00f6\u011frenme e\u011frisi s\u0131ras\u0131nda ortaya \u00e7\u0131kan sorun riskinin artt\u0131\u011f\u0131n\u0131 g\u00f6zlemlenmektedir.<\/p>\n","protected":false},"excerpt":{"rendered":"

    \u00d6nc\u00fc omurga cerrahlar\u0131yla birlikte \u00e7al\u0131\u015fan Richard Wolf, lomber spinal kanal stenozunun tam endoskopik dekompresyonuna y\u00f6nelik standart bir yakla\u015f\u0131m geli\u015ftiren ilk…<\/p>\n","protected":false},"featured_media":134,"menu_order":0,"template":"","product_category":[],"class_list":["post-133","product","type-product","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/hasansayar.com\/endoskopi\/wp-json\/wp\/v2\/product\/133","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hasansayar.com\/endoskopi\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/hasansayar.com\/endoskopi\/wp-json\/wp\/v2\/types\/product"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hasansayar.com\/endoskopi\/wp-json\/wp\/v2\/media\/134"}],"wp:attachment":[{"href":"https:\/\/hasansayar.com\/endoskopi\/wp-json\/wp\/v2\/media?parent=133"}],"wp:term":[{"taxonomy":"product_category","embeddable":true,"href":"https:\/\/hasansayar.com\/endoskopi\/wp-json\/wp\/v2\/product_category?post=133"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}