Ort: Bogotá, Colombia
Dear Colleagues,
The therapy of degenerative diseases of the spine carries with it medical and socio-economic problems. After conservative measures are exhausted and where there are exacerbated pain conditions or neurological deficites, a surgical procedure may become necessary. Despite good therapy results, consecutive damage may ensue due to traumatisation. It is therefore of particular importance to optimise these procedures on a continuous basis. The goal we should strive for is the minimization of surgically induced traumatisation and negative long-term consequences, taking into account the existing Quality standard.
Minimally invasive techniques can reduce tissue damage and its consequences. Endoscopic operations demonstrate advantages which have raised these procedures to the standard in various medical areas. On the lumbar spine, as a result of the development of the interlaminar and lateral transforaminal access, the spinal canal with its adjoining structures can be reached fullendoscopically. Technical problems have been solved by special rodlens endoscopes with a large intra-endoscopic working channel and appropriate instruments. Working under a continuous stream of liquid offers options which have proved their worth in arthroscopic surgery through long experience.
During the training course, we intend, in a reciprocal exchange with yourselves, to try to demonstrate the current and future options as well as problems, risks and complications of full-endoscopic operations in the area of the spine. In an environment of practical demonstration where you perform access routines on cadavers yourself, typical practical experience for your expected learning curve or future clinical application can be gathered. Under intensive tuition by instructors, each participant will perform the various access routines on a practical level and run through special working procedures. For this reason the number of participants is limited. Nevertheless, the training course cannot replace the acquisition of the necessary extensive knowledge.
Having regard to the considerable demand for national and international training courses we hope we have pinpointed your field of interest in the enclosed program and would be happy to welcome you as a participant at our training course and dinner.
Friday, November 11th
08:30 h: Registration
09:00 h: Welcome and Introduction
J. Ramírez, M. Komp
Lumbar spine:
09:15 h: The transforaminal full-endoscopic approach in disc herniations – Technique and indications of posterolateralto lateral access
J. Ramírez, J. Rugeles, N. Prada
09:45 h: Discussion
10:00 h: Break
10:30 h Live Demo
Full-endoscopic operation with lateral transforaminal access in a disc herniation
J. Ramírez, J. Rugeles, N. Prada
Cadaver Workshop - Part I:
11:15 h: Practical exercises for participants
Modul 1: Full-endoscopic transforaminal operation
Modul 2: Full-endoscopic extraforaminal operation
Moderation / Instructors: M. Komp, S. Ruetten, J. Ramírez, J. Rugeles, N. Prada, M. Donoso, D. Goethel
12:15 h: Lunch
13:00 h: Practical exercises for participants
Module 1: Full-endoscopic transforaminal operation
Module 2: Full-endoscopic extraforaminal operation
Moderation / Instructors: M. Komp, S. Ruetten, J. Ramírez, J. Rugeles, N. Prada, M. Donoso, D. Goethel
14:30 h: The interlaminar full-endoscopic approach in disc herniations – State of the art, possibilities and limitations
M. Komp, S. Ruetten
15:00 h: Practical exercises for participants
Module 1: Full-endoscopic interlaminar operation
Module 2: Full-endoscopic interlaminar operation
17:00 h: Closing
20:00 h: Common Dinner
Saturday, November 12th
09:00 h: Welcome and Introduction
J. Ramírez, M. Komp
Lumbar spine:
09:15 h: Full-endoscopic decompression in lateral and central stenosis - Application of the interlaminar and transforaminal approach
M. Komp, S. Ruetten
10:00 h: Discussion
10:15 h: Break
10:30 h: Live Demo
Full-endoscopic decompression in spinal stenosis
M. Komp, S. Ruetten
Cadaver Workshop - Part II:
11:15 h: Practical exercises for participants
Module 1: Full-endoscopic interlaminar operation
Module 2: Full-endoscopic operation of spinal canal stenosis
Moderation / Instructors: M. Komp, S. Ruetten, J. Ramírez, J. Rugeles, N. Prada, M. Donoso, D. Goethel
14:00 h: Closing
Martin Komp
Sebastian Ruetten