Endocare system on BESS, BMK
Adequate Positioning of Inlets
Dilators (5x200mm, 7x170mm)
Due to the lumbar curve and a patient’ posture in prone position, the inlet
markings on the skin could be different from those of the real entry at the
level of the deeper interlamina space.
Double check of the inlets under the C-arm after inserting smaller and
serial Dilators, is needed. Remember the position and angle of the dilators
to the target. After dilating the skin incisions and intermuscular space by
Muscle detacher, somewhat more thicker-diametered, an endoscope can
be easily inserted with correct angle to the exact target level.
Function : It helps positioning the inlets on the skin under C-arm and
lets the angle that an endoscope should be proceeded known exactly.
Caution : Gently insert it. Forceful inserting can drive it over the
ligametum flavum.
Inlet confirmation
Incise the two inlets on the skin and fascia about 1cm.
Small one (5mm) is inserted first and the other bigger one
(7mm) is followed overlying the first one. Small one moves
out to the other inlet. Under C-arm, check the exact level.
C-arm
Remember the insertion angle of
the dilators that you should insert
an endoscope and an instruments
with the same angle.