HydroCision or equivalent

[iflycozy]

Mark: thx for the post but how can I ( a regular patient ) find out about all thumbs doc? Who is the best in the endoscopic field, or at least the best close to KY? I have no way of knowing bur I'll travel if I have to. I built: N9825W First Flight.

[Keano16]

The thing is - hydrodiscectomy, PLDD, nucleoplasty, IDET, etc. are all "blind" procedures.

The "bone drilling" approaches sound aggressive and invasive, but the truth is that there is really few drilling there. Sometimes, it makes sense to drill and go inside the disc with the endoscope.

Not sure who is near KY, but try SpineUniverse specialist search tool. Concentrate on specialist's CV's. Look where they were educated and with who.

Leaders in MISS field in USA are J. Chiu (California Spine Institute) and Anthony Yeung (Desert Institute for Spine Care). There are definitely some more good MISS surgeons, Mark can note some of them.

I also give my vote to anesthesiologist, dr. Atif Malik at Advanced Pain Management. He has completed few MISS fellowships, especially with Thomas Hoogland...and he has great results with endoscopic surgeries. Look Advanced Pain Management Services ? Home

[Job13]

RIP Freedom of Speech

[Keano16]

hmmm...

To be honest, I am really not sure why you quote me about IDET and Yeung by this occasion.

I have just mentioned IDET as a fluroscopically guided "blind" procedure, and thats it. I have not recommended it to anyone. Dr. Yeung and many other surgeons tried IDET as a serious alternative to fusion and ADR, but only in theory. In practice, situation was different, results were not good any MOST of surgeons abandoned IDET as an alternative for internal disc disruption.

7mm endoscope (you call it cannula in IDET procedure, but you are wrong) is not used during IDET. IDET is blind procedure that does not utilize endocope. It utilizes needle, and trough that needle coil is inserted.

Endoscope is used during endoscopic spine surgeries, and it creates a hole in annulus like you say, but in the end, when you look at all the facts why this hole is created - it all makes sense. However, all this procedures have contraindications, complications and failures. That is normal...

In theory all methods are great, including micro-discectomy. Its simple, they cut you, take out the herniated part of your disc, they close you, and thats it!!! However, like my friend neurosurgeon often says, in spinal medicine, two plus two is not always four.

[Job13]

RIP Freedom of Speech

[mmglobal]

To my knowledge, Yeung has not done IDET for years.

Another endoscopic pioneer, Stanton Schiffer up in Pleasanton still does IDET and gets good results with them. His patients are braced when upright for 3 months post-op. I asked him what kind of success he would get following the protocol without the IDET procedure. Many people would have success with this.

Job13 was just responding to Yeung's name posted with her personal experience. That is what we are here to share and benefit from. I'm happy to have the brisk discussion.... we don't all have to agree on anything.

All the best,

Mark

[Keano16]

Originally Posted by Job13

The quote is simply to point out what I am referring to. You are too sensitive I just said that what I felt during the procedure was scary at the least and I, personally, dont recommend IDET. I didnt say you recommended anything.
Best regards!

Ok, no problems. I think most of us are aware of pretty bad success rate with IDET. Regards

[iflycozy]

Thx. for all of your posts. Back to original, who are the better known MISS doctors in or near Ky? I've tracked down about 8 or 9 in MA, CA, TX, AZ, MD, but none in Ky, Oh, In. etc. Thx. Matt