Page 21 - Bauerfeind life magazine

life
magazine 2013/1
21
MEDICAL
years ago,” the physician explains. In one of
the buildings, which used to be the quaran­
tine station, the ‘Rugkliniek Veenhuizen’, also
known as ‘Spineclinic Iprenburg’, set up home
three years ago. Today, in a place previously
used to prevent infection, intervertebral disk
surgery is performed.
TESSYS uses a natural keyhole
Patients who are plagued by pain after an
inter­vertebral disk prolapse undergo a special
method of surgery with Dr. Iprenburg. “In
Holland, we call it PTED (Percutaneous Trans­
foraminal Endoscopic Discectomy),” explains
the physician, “Internationally it is known as
TESSYS (Transforaminal Endoscopic Surgi­
cal System).” This refers to an endoscopic
procedure for removing the intervertebral
disk prolapse with minimal surgical inter­
vention. The special feature of TESSYS is that
the surgeon can reach through the inter­
vertebral foramen, a “natural keyhole,” with
his smallest instruments to the location of
the prolapse, where he can remove the press­
ing tissue and free the trapped nerve. The
patient lies on their side, the incision is only
a few millimeters long, and there are few side
effects as a result. Patients who come into
the Rugkliniek stooping usually leave it a
few hours later walking upright.
I have my life back!”
When you see the relief on the patient’s
face it warms your heart.” Dr. Iprenburg puts
on a video that shows himself and a patient
immediately after surgery. Uncertain, but
with astonishment in her eyes, the patient
walks two or three steps. She stops in her
tracks. Then she cries. “I have my life back”,
she says, her voice breaking. Speechless. It
is understandable, when faced with these
kinds of images, that even the experienced
physician concluded: “This is the best thing
I’ve ever done.” Yet TESSYS has nothing to
do with miracle cures à la Lourdes, as the
physician made it sound. The procedure is
internationally established and validated.
In studies it has been described as “signi­
fi­cantly superior” in comparison with the
standard method (e.g. with the patient in a
prone position). Apparently, around 10,000
inter­vertebral disk operations have been
Dr. Menno Iprenburg please visit
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carried out to date across the world using
the TESSYS method. Of those, and there is
evidence to prove it, 1,700 had taken place
in Veenhuizen alone as of the start of 2013.
Surgery is only carried out in the Rugkliniek
when the pain has not reduced six to eight
weeks after the intervertebral disk prolapse.
Dr. Iprenburg learnt the double keyhole
procedure in Germany and practiced it as an
orthopedist in Assen, before founding his
own private clinic in Veenhuizen. “Although
the procedure is more expensive than the
standard method, it is cheaper from a macro­
economic perspective, because patients can
start work again sooner,” said the physician.
Orthoses as a security and a reminder
Without exception, all patients receive the
LumboLoc Forte stabilizing orthosis after
surgery to optimize the spinal column statics
and relieve the lumbar spine. Dr. Iprenburg
had already had positive experiences of us­
ing this treatment during his time in Assen.
We always have six orthoses here in the
clinic, and we order more once a week.” Usu­
ally, the patient’s back muscles are still so
weak and tense from the long period of pain
before surgery that immediate support after
surgery is a great help. Since the recovering
patients can stand up and take their first
few steps straight away, the LumboLoc Forte
has a stabilizing effect from the beginning.
This creates confidence. “People like it,”
says the orthopedist. It provides security
for those who are nervous, and the orthosis
reminds overconfident patients to hold back
with certain movements. It should be worn
during the first night after surgery and in
the daytime for the following fourteen days.
During the third to fourth week, the orthosis
can be taken off. However, it should still be
used when driving afterward, to enforce a
straight posture when sitting. The pressure
that the regenerating intervertebral disks
must withstand while sitting can gener­
ally be very high. The physician continues
by saying that a study by the University of
Amsterdam shows that compression of the
lower spinal column can prevent relapses.
I can see an additional important function
of the LumboLoc Forte in this regard,” he
adds. “Relapses are often caused by physio­
therapy being carried out too soon and too
intensively. The surgical wound between the
vertebral disks needs six to eight weeks to
heal,” stresses the physician. Then life can
start afresh.
Security and comfort: LumboLoc Forte.
In studies it has been described
as ‘significantly superior’ in
comparison with the standard
method.”
(
Dr. Menno Iprenburg)
Reference: Kai Uwe Lewandrowski, Sang-Ho Lee, Menno
Iprenburg: Endoscopic Spinal Surgery, JP Medical Publishers,
February 2013.