Broken Racz catheter during application (Case report)

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dc.contributor.authorKaraman, Haktan
dc.contributor.authorAkay, Hatice Ozturkmen
dc.contributor.authorTurhanoglu, Selim
dc.date.accessioned2024-04-24T17:33:18Z
dc.date.available2024-04-24T17:33:18Z
dc.date.issued2006
dc.departmentDicle Üniversitesien_US
dc.description.abstractThe most important complication of lumber disc hernia operations is Failed Back Surgery Syndrome (FBSS), which goes with fibrotic adhesions at the surgical site. The primary treatment applied to the cases that develop FBSS is the placement of Racz catheter under floroscopy and application of epidural neuroplasty which is a three-day procedure. However, this intervention, from which patients benefit a great deal, has some important complications during and after the application. One of these complications is that some pieces of Racz catheter may be broken out and retain at some levels of epidural space and subcutaneous tissue during placement and removal. General approach is to remove the retaining piece surgically. However, there is a less common view that, instead of removing the retaining piece, the patient should be followed up strictly and regularly in terms of neurologic complications. In our case, we decided to perform epidural neuroplasty to the patient diagnosed as FBSS. However, during the placement of the catheter, it was trapped in the left side of L-5-S-1 foramen by accident due to dense fibrotic tissues, and the subcutaneus part retained in the epidural space. Monthly follow-ups for 12 month were proposed to the patient, while surgery was not recommended. At the end of this period, no sign of infection was observed and neurologic and radiologic findings of the patient did not worsen. It is also interesting that a remarkable recovery was observed in the patient's clinical situation.en_US
dc.identifier.endpage36en_US
dc.identifier.issn1300-0012
dc.identifier.issue1en_US
dc.identifier.pmid16783666
dc.identifier.scopus2-s2.0-33750612765
dc.identifier.scopusqualityQ3
dc.identifier.startpage33en_US
dc.identifier.urihttps://hdl.handle.net/11468/20602
dc.identifier.volume18en_US
dc.identifier.wosWOS:000421056700004
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isotren_US
dc.publisherKare Publen_US
dc.relation.ispartofAgri-The Journal of The Turkish Society of Algology
dc.relation.publicationcategoryDiğeren_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEpidural Neuroplastyen_US
dc.subjectLow-Back Painen_US
dc.subjectComplicationsen_US
dc.titleBroken Racz catheter during application (Case report)en_US
dc.titleBroken Racz catheter during application (Case report)
dc.typeEditorialen_US

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