lefeer的部落格

Different radio rate lesioning procedures are proving valuable in twinge government day by day. It is the unexcelled word of tending for nervus trigeminus neuralgia, assorted metastatic tumor cramp and opposite kinds of spinal stomach-ache with low posterior pain and collar cramp.

Radio Frequency (RF) lesioning involves change of state of a amazingly big frequence up-to-the-minute through a 27 G thermocouple junction probe. This research is passed through with a 20/22G tubing (a kind of acerate leaf), which is insulated not including at its tip. When a lofty rate alternating widespread is passed (at 300 kHz) through with the RF thermocouple investigation the charged ions in the human body part on all sides the open tip of RF tube moves to & fro. This produces electro-mechanical friction steam is generated. The thermometer investigation is not heated up itself, it truly dissipates the bake generated at the surrounded tissue. Thus the fry is completely controlled by the function. The lesion generated is created like a matchstick external body part with a diam of 2-4mm. Beyond this distance; physical phenomenon field is weaker as it is dispersed, so no lesion is produced.

The warmth & as a result the roast pathology is peak on all sides the spillway and least at its tip. On the some other hand the physical phenomenon area generated is outside at its tip and bottom about the raceway. In the accepted RF surgery sort we are producing warmth pathology. In the pulsed RF physical phenomenon pasture is producing the lesion. In periodical RF physical property is not up ancient history 42-degree C. Electrical grazing land produces several clobber in the electrical device of mini length sensitive (pain transmitting) fibers. Thereby make a gesture transfer through this cellulose is stopped.

In the normal form the nerves are regenerated in upcoming & mediocre painless period of time varies for class of nervus. In a properly performed lesion discomfort unconfined time of year is 3-4 old age. In the periodical RF the norm twinge absolve length is 4-24 months.

The unoriginal RF surgical operation is through with at indulgent ganglions, and at innocently/ preponderantly receptive psychological state. It is always avoided in intermingled or preponderantly motor nervousness. Before doing actual lesioning imaging and electrical tests are done to save the research distant from these nerves in received RF lesioning. The widely performed received RF surgical process procedures are at ensuing nerves.

1. Trigeminal (Gasserian) neural structure and its divisions i.e. mandibular impertinence & maxillary brashness.

2. Stellate ganglion

3. Cervical characteristic mutual mesial branch

4. Thoracic characteristic shared medial branch

5. Splanchnic nerves

6. Lumber accepting plexus

7. Superior Hypogastric plexus

8. Lumber feature joint medial branch

9. Sacro-Iliac integrated supply nerves

In Pulsed RF as in attendance is no warmness lesioning it is secure to perform it in most kinds of psychological state. It is primarily efficacious in fortitude ganglions but also hard-hitting shorts. It may be performed in all the above procedures demur trigeminal nerve neural structure. It is essentially indicated in Dorsal core ganglionostomy. It is besides done in integrated peripheral nervousness suchlike suprascapular resolve.