Discogel Frequently asked questions / FAQ

Discogel Frequently asked questions / FAQ

 What is the intervention
Intervention consists of an injection of jellified ethanol (alcohol) in the salient part of the
intervertebral disc which forms hernia. According to the level of the affected rachis injection is
made by postero-lateral way in the case of a thoracic or lumbar hernias and by a antero-lateral
way in case of cervical hernias
The gel keeps the alcohol which does not migrate of the disc and the same alcohol causes
drainage of hernia
This drainage is performed by water migration from the bag of hernia towards the internal and
central part of the disc, and so releases the pressure on the spinal cord or the nervous root
Having raised medullar / radicular compression main pain disappears very fast. During the weeks
following the treatment, feelings of discomfort may persist. These disappear generally in 6
consecutive weeks after DISCOGEL ® injection
So that the afflicted zone is more completely treated, anti-inflammatory drugs/corticoids can be
injected at the level of intervertebral junctions in regard to the treated disc. Recovery is quicker
for most of patient

What kind of anesthesia is practiced on this type of procedure
It is about a light sedation so that the patient remains quiet and is not worried. A local anesthesia
is also managed to avoid pain. The patient is tranquilized but remains conscious. Intervention
does not call intubations or a general anesthesia and avoids so, potential complications linked to
this type of anesthesia

How long must I stay in the hospital
Most often, it is about an ambulatory intervention: once arrived at the hospital; a light
intervention is performed and the same day it is possible to go back home

DISCOGEL ® : Mechanism of action

  What is the mechanism of action

* Step of hernia decompression

* Mechanism of action
** Principally linked to the hydrophilic properties of the agent which make the gel soluble
and who generates the migration of the water from the periphery of the disc (including
hernia) towards his center
** The not soluble gel in the presence of water, precipitates and settles in the micro
infractions of the disc to create so a flexible soft prosthesis

Note
* At the time of injection, the radio opaque gel will find its way in the fissures of the disc to
reach hernia / even if it is far from the point of injection of the disc
* In the presence of water, the gel fills up hernia and fissures & quot; high lighted & quot ; by radio-opaque
compound included in the gel
* The drainage of hernia contributes to fall the pressure of this one and on decreasing the
stimulation of surroundings nerves (slipped disc decompression) then to speed up its
necrosis and its disappearance
* The disc becomes "waterproof" and the possible pro-inflammatory molecules remain
sequestrated in the disc / and participate to break inflammatory process: therefore to
diminish pain
* Herniated disc formation

* During the injection of DISCOGEL

 

After the procedure

 When can I expect recovery after DISCOGEL® intervention
A symptomatic improvement may occur between within 3 up to 6 weeks after the injection
of DISCOGEL ® . While in comparison with the conventional surgery well accomplished, three
months are necessary

What are results with DISCOGEL
Accordingly to the publication: «Journal of Spinal Disorders and techniques » Oct.  ۲۰۰۷ on
and a percutaneous treatment of lumbar intervertebral hernias, the rate of results is
considered very good or good for 91.4 % (group A: 202/221 patients).  On patients with
complicated hernias which were treated by DISCOGEL ® (having a narrow channel, a
foraminal hernia, a very painful hernia) belonging to the group B an automated percutaneous
discectomy was additionally practiced. Patients of group C : DISCOGEL ® was associated to
a treatment by radio frequency. The hit rate in these two last considered groups as very good
or good was respectively from 84 % and to 82 percent

What is the failure rate with DISCOGEL® who required subsequently a
conventional surgery
According to the publication only 0.7 % (2/276 patients) requested a posterior surgery

Does the treatment with DISCOGEL® forbid after an intervention by conventional
surgical treatment
One of the advantages of DISCOGEL® is the conservation of anatomic bone and ligament
structure of the rachis. So the option in a conventional surgery always remains opened

What detachment is there on the treatment with DISCOGEL®, which is the
Repetition rate
Over 5 years of monitoring, there were not repetitions

Does the treatment induce an intervertebral disc collapse
This technique does not affect the height of the intervertebral space and the impact on the
anatomy of the spine is conserved

For what is the tungsten of use in DISCOGEL
The tungsten is a radio opaque element (opaque to X-rays) used to show “in live” the gel
under fluoroscopy to control the injection of jellified alcohol
Ulterior radiological studies allow determining the site of the intervertebral disc injected and
treated by DISCOGEL

How long is it possible to take back physical activities
The reintegration for physical activity (everything depends on type of exercise and
individuals, but it is of almost of 3 up to 6 weeks / by comparison with 3 months for a
satisfactory classical surgery without consequence

After intervention on a cervical disc, is it necessary to carry a surgical collar
No, because it is necessary to re-develop muscles as much as possible the postural cervical
muscles and to induce the resumption of muscular energy in the treated zone by watching
not to force during the period of recovery

As the region of the spine has tendency to generate sticking after a surgical
operation, what procreates painful consequences. Does DISCOGEL® minimize this
kind of risk
Yes, absolutely, because this intervention respects the integrity of the spine. Postural
muscles around vertebras and are not injured. This minimizes risks of inducing collagen
formation and sticking nervous endings of imprisonment which can radiate locally during
movements

For more information please visit our website
http://smarthealthsolutions.ca

Click for full pdf file: FAQ (1) Discogel

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