Simple working sheath for lumbar and lumbosacral spine: technical note,BMJ Innovations

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Simple working sheath for lumbar and lumbosacral spine: technical note
BMJ Innovations ( IF 1.4 ) Pub Date : 2021-04-01 , DOI: 10.1136/bmjinnov-2020-000558
Deepak Kumar Jha , Jaskaran Singh Gosal , Jigish Ruparelia , Nitin Kumar , Tarunesh Sharma , Pradeep Kumar Bhatia , Pushpinder Khera

### Summary box #### What are the new findings? #### How might it impact on healthcare in the future? Endoscope-assisted lumbar and lumbosacral surgeries through the posterior approach have become common over the last two decades or more, especially in the removal of prolapsed discs and canal stenosis.1–4 Most of these systems have their own telescopes, and the commonly available 4 mm by 18 cm 0° rigid telescope and instruments used for conventional surgeries can rarely be used with these systems.1–4 Many centres in a developing country like India cannot procure these systems due to financial constraints.5–7 The authors share their experience of using a simple working sheath, which is compatible with a 4 mm by 18 cm 0° rigid telescope and with instruments used for conventional spinal surgeries, for microscopic or endoscopic lumbar and lumbosacral discectomies through the posterior approach. The working sheath was designed and made by the senior author (DKJ) using surgical grade stainless steel tubes of 15–17 cm in length (figure 1). The …

更新日期：2021-04-20

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