Structural features and advantages
Dimensions
The 2MM diameter makes the nucleus pulposus forceps have excellent passability in cervical UBE surgery. The anatomical structure of the cervical spine is relatively delicate and the surgical channel is relatively narrow. This ultra-fine design can smoothly pass through the working channel and enter the cervical intervertebral disc and other parts for operation. The length of 180MM provides sufficient extension range for surgical operation, allowing doctors to perform surgery at a suitable operating distance to avoid the difficulty of reaching the lesion site due to the short instrument.
Triangular head design
The triangular head is the key feature of the nucleus pulposus forceps. This shape has unique advantages in cervical spine surgery. First, the triangular head can locate and grasp the nucleus pulposus tissue more accurately. In a small space such as the cervical intervertebral disc space, the triangular head can adapt to the shape of the intervertebral disc and easily reach the position of the protruding nucleus pulposus. Secondly, the triangular head can reduce damage to surrounding tissues. Compared with other head shapes, it can better avoid important structures such as nerves and blood vessels during insertion and operation, because its sharp corners can be inserted along the tissue gap, reducing the risk of compression and damage to surrounding tissues.
Application scenarios in cervical UBE surgery
Cervical disc nucleus pulposus removal
This is the main application scenario in UBE surgery for cervical disc herniation. After the protruding nucleus pulposus is located through the endoscope, the nucleus pulposus forceps can enter the cervical disc space through the working channel. The triangular head can accurately contact and grab the protruding nucleus pulposus by virtue of its shape advantage. For example, in common cervical disc herniation sites such as C3-C4, C4-C5, it can effectively remove the nucleus pulposus tissue that compresses the nerves, reduce the compression of the cervical nerve roots or spinal cord, and thus relieve the patient's upper limb pain, numbness, weakness and other nerve compression symptoms.
Clean up free nucleus pulposus fragments and tissues
In cases of cervical disc degeneration, trauma, etc., the nucleus pulposus may be broken and free in the spinal canal. This ultra-fine anti-adhesion nucleus pulposus forceps can be used to clean up these free fragments. The triangular head design helps to accurately locate and grab fragments in the complex environment of the cervical spinal canal, keep the spinal canal clean, and avoid further compression or damage to the nerves and spinal cord by fragments.
Assisted tissue exploration and separation
During the operation, the triangular head of the nucleus pulposus forceps can also be used to assist in tissue exploration and separation. The doctor can use the shape characteristics of the triangular head to determine the exact location of the nucleus pulposus by gently touching and moving the tissue, especially in some complex anatomical structures or when the location of the nucleus pulposus is unclear. For example, it can play a good auxiliary role in determining whether the nucleus pulposus is hidden behind other tissues or in determining the boundaries of the nucleus pulposus.
Operation precautions and skills
Operation precautions
Since cervical spine UBE surgery is performed under endoscopic visualization, it is necessary to ensure that the endoscopic field of view is clear before the operation, so that the relationship between the nucleus pulposus forceps and the surrounding tissues can be accurately observed. During the insertion and operation process, special attention should be paid to avoid damaging important tissues such as nerves and blood vessels. The nerves and blood vessels in the cervical spine area are very dense, and the slightest carelessness may lead to serious consequences. In addition, it is necessary to control the opening and closing force of the nucleus pulposus forceps to prevent excessive force from causing tissue tearing or damage to the nucleus pulposus forceps.
Operation skills
Insertion skills: According to the anatomical path observed by the endoscope and the structural characteristics of the cervical spine at the surgical site, the nucleus pulposus forceps are inserted at an appropriate angle and direction. Taking advantage of the characteristics of the triangular head, slowly insert along the natural anatomical gap or the established working channel to avoid damaging the surrounding tissues by forced insertion.
Grasping skills: When grasping the nucleus pulposus tissue, first gently bring the nucleus pulposus forceps close to the target nucleus pulposus, then slowly close the forceps, and use the shape of the triangular head to firmly grasp the nucleus pulposus. According to the size and texture of the nucleus pulposus, appropriately adjust the grasping force to ensure that the nucleus pulposus can be grasped stably, and then slowly remove it. During the whole process, the position and operation of the nucleus pulposus forceps should be continuously adjusted in combination with real-time observation of the endoscope to achieve the best surgical effect.