Explain this
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Based on what I can read from the image, here is a full explanation of this document:
What This Document Is
This is an OT Record (Operation Theatre Record) from Yashoda Hospitals - a formal surgical documentation form filled out during and after a spine operation.
Field-by-Field Breakdown
Diagnoses
| Field | Content |
|---|---|
| Pre-operative Diagnosis | (R) Lumbar Radiculopathy & (R) UL Radiculopathy |
| Post-operative Diagnosis | Same - (R) Lumbar Radiculopathy & (R) UL (Upper Limb) Radiculopathy |
What this means: The patient had radiculopathy - nerve root compression/irritation - on the right side, affecting both the lower back (lumbar) and upper limb (likely cervical spine). Pain, numbness, or weakness radiating down the arm/leg from a pinched spinal nerve.
Surgery & Team
| Field | Content |
|---|---|
| Surgery Name | (R) LS SNRB + (R) CG SNRB by Fluoroscopy |
| Surgeon | Dr. Amarnath Reddy (approximately) |
| Anesthesia type | LA (Local Anesthesia) - circled |
| Scrub Nurse | Ris Divya |
SNRB = Selective Nerve Root Block - a targeted spinal injection to block pain signals from a specific nerve root. This is a minimally invasive pain procedure, not open surgery.
- LS SNRB = Lumbo-Sacral Selective Nerve Root Block (lower back nerve)
- CG SNRB = Cervical/Cervicogenic Selective Nerve Root Block (neck nerve)
- By Fluoroscopy = performed under real-time X-ray imaging guidance
Operative Notes (Section 11 - Handwritten)
The notes read (transcribed):
"Pt is positioned prone, part painted & draped in sterile fashion. Neurtal attached. Under strict asepsis, (R) LS SNRB was done under neuroscope guidance and injected 20mg of Kenacort and 2cc of 0.1% Bupivacaine. Then under strict asepsis, (R) CG SNRB was done by Fluoroscopy. Procedure was uneventful. Neurtal monitor & station [vitals?] remaining uneventful."
Breaking this down step by step:
- Prone positioning - patient placed face-down on the operating table
- Painted & draped - skin cleaned with antiseptic, sterile sheets applied
- Neurtal attached - neurological monitoring device connected
- Strict asepsis - full sterile technique maintained
- R LS SNRB done under fluoroscope guidance - right lumbar nerve root injection guided by live X-ray
- Injected: 20mg Kenacort + 2cc 0.1% Bupivacaine
- Kenacort (triamcinolone) = corticosteroid to reduce nerve inflammation
- Bupivacaine 0.1% = local anesthetic for pain relief
- R CG SNRB also done by Fluoroscopy - right cervical/neck nerve root also injected
- Procedure uneventful - no complications, patient stable throughout
Summary in Plain Language
The patient had pinched nerves in both the lower back and neck on the right side, causing radiating pain. The surgeon performed two targeted nerve injections (one in the lumbar spine, one in the cervical/neck area) under X-ray guidance, using a steroid (Kenacort) and local anesthetic (Bupivacaine) to reduce inflammation and pain. The procedure was done under local anesthesia and went smoothly without complications.
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