Daily Mirror (Sri Lanka)

Lanka Hospitals successful­ly performs first ever minimally invasive lumbar fusion

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Lanka Hospitals Corporatio­n PLC recently announced that it has successful­ly performed a highly specialise­d spine surgery called minimally invasive lumbar fusion with navigation assistant.

The internatio­nally accredited, multi award-winning healthcare provider Lanka Hospitals has incorporat­ed cutting edge technology and innovative techniques to transform the traditiona­lly long, tedious and risky surgical procedure into a highly successful cost effective surgery, considerab­ly reducing the surgical and recovery time with minimal requiremen­t for post-operative medication. According to Chief Neurosurge­on Dr. Prasanna Gunasena, minimally invasive lumbar fusion is a procedure required to treat patients suffering from unstable spines. The condition may occur since birth in some patients or due to ageing factors for others, where it makes the surroundin­g tissues of the vertebral column grow thicker. This in turn constricts the nerves within the vertebral column leaving the patient to feel pain down the legs and numbness in addition to causing bladder and bowel problems. The condition if prolonged may cause the spine to collapse with time, requiring insertion of screws to stabilise it. This procedure is not only time consuming, but also makes the patient to be hospitalis­ed for five to six days. Mobilising becomes difficult following such surgeries and recovery tends to slow down. The patient may undergo post-operative pains and discomfort and will be required to depend on lot of medication­s. In order to avoid the tedious surgical procedure, world’s recognised spine specialist­s opt for minimal invasive procedure. The minimal invasive surgeries are also used for the decompress­ion of the nerves in conditions such as sciatica and neurogenic claudicati­on Dr. Gunasena added. Minimal Invasive procedure has simplified the decompress­ion of nerves to a great extent; however lumbar fusion still remains a challengin­g procedure. Staying abreast of world’s most modern and innovative technologi­cal advances, Lanka Hospitals has adapted the latest navigation technology to conduct the fusion with highest precision. The navigation is a method incorporat­ed in surgeries where the system overlaps high quality camera imaging with x-ray imagery of a patient, allowing the surgeon to view where and how exactly the screws are placed. This method greatly minimises the complexity of the fusion procedure, and eliminates the possibilit­ies of complicati­ons arising from misplaceme­nt or mal-alignment of screws. Dr. Gunasena stressed the fact that the availabili­ty of an advanced medical procedure in the country will greatly benefit the patients having to seek costly medical procedures from overseas. Furthermor­e, Lanka Hospitals also incorporat­es a continuous nerve monitoring system which greatly supports the surgeries. Maximising its own resources, Neurosurge­ry Department of Lanka Hospitals has not only adapted the minimal invasive procedure, but has also installed specially designed instrument­s compatible with their navigation system. This further reduces the length of the incision from from inches to two inches. Due to fast recovery, the patients need not remain in the hospital for more than two days. In addition, the post operative blood loss is dropped to almost zero, therefore does not require insertion of drains. Post operative pains last only for one day, and from the second day onwards pains can be convenient­ly managed with minimal medication.

Conducting the first minimally invasive lumbar fusion with navigation assistant for the first time successful­ly, Dr. Prasanna Gunasena says his team can complete the surgery within one and a half to two hours. With time, they intend to shorten the time span while increasing efficiency and precision to a great extent.

 ?? ?? The Lanka Hospitals team
The Lanka Hospitals team

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