Endoscopic Dural Repair

MRI Showing Meningocele                                Post Operative X-Ray
         (Dural Repair)
50 years old police officer from Bahadurgarh (Haryana) had a spine surgery 5 years back for slipped disc. He was doing alright after the surgery but in April 2016 he developed a similar pain again. He was not able to go to washroom due to Sciatica Pain. His left leg was feeling numb and whenever he turned in bed he had shooting pain upto toes.
MRI showed a slipped disc at L4-5 level and Meningocele at the same level (Dural Tear due to previous surgery). Due to first surgery there was some damage to the dural layer (protective layer around spinal cord) which caused Herniation of CSF Fluid into surrounding muscles.
The challenges in this surgery were :
1.       Removal of disc without further damaging the dura.
2.       Control of CSF loss during surgery.
3.       Dural Repair.
4.       To perform all this Endoscopically.
Endoscopic dural repair is a very rare &n tedious surgery because the field of vision is repeatedly Obscured by persistent CSF & you cannot put stitches in dural through this limited approach. So Dr. Ashwani Maichand & Team prepared a muscle plug from patient’s body and pushed it through the dural tear in such a way that it acted as a Valve.
Patient was asked to be on bed for next 3 days, on 4th day when patient was mobilized he had no pain, there was no CSF leak and there was no need for any walker / stick for support. 
Upcoming Events
  • Coming up with a mega campaign "Lets Fight Arthritis" on the occasion of World Arthritis Day, at A4 Block, Gauri Shankar Mandir, Paschim Vihar, New Delhi. The campaign will be on 9th October 2016(Sunday). 

  • Health Awareness Campaign on 28th August at Gurudwara Singh Sabha E Block Karampura, Delhi.

  • Coming up with a mega campaign on Spine & Back Pain on 5th June 2016 at Gurudwara New Ranjeet Nagar (near Satyam Ciema), Patel nagar, Delhi in association with Sukhmani Charitable Trust, Delhi.

  • Coming up with an awareness campaign on Arthritis Management & Control on 22nd May 2016 at Guru Ram Dass Charitable Medical Centre - Gurudwara Sri Guru Singh Sabha, Moti Nagar, Delhi.  

  • Mega campaign on Arthritis Management on "Mother's Day" 8th May 2016 at West Patel Nagar, Delhi - 110008

  • Mega campaign on Arthritis Management in association with "Varishth Nagrik Kesari Club" - Punjab Kesari Delhi on 6th April 2016 (Wednesday)

  • Dr. Ashwani Maichand Participated in Shoulder Conclave 2016 at JWT Marriott, Pune

  • Dr. Ashwani Maichand was the Table instructor for young doctors at Cadaver Joint Replacement Training on 21st February 2016 at All India Institute of Medical Sciences (AIIMS)

  • Arthritis Awareness campaign on 28th february 2016 from 10 am to 1 pm at Minomax Knee & Shoulder Clinics (8/29, West Patel nagar, Delhi, India)

  • Participating as a speaker on "Dificult cases of Hip & Knee Replacement" in 2nd Masters Course in Arthroplasty at Meril Academy, VAPI, Gujarat from 4th to 6th February 2016






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Contact Us
Dr Ashwani Maichand
M.S., M.Ch. (Ortho)
Fellowship Joint Replacement
Specialist : Knee & Shoulder
Dr. Rahul Kakran
M.s., M.Ch (Ortho)
Specialist : Minimal Invasive Spine Surgery (MISS)
Dr. Rajni Koundal
Consultant Physiotherapy
For Appointment : 9999074745
( Mr. Sunny ) 
For Upcoming Events : 9999071715
( Mr. Sarabjeet Singh)
Address : 
MinOmaX Knee & Shoulder Clinics
8/29, West Patel Nagar,opp. D.A.V. Sr. Secondary School (near Metro Pillar no. 198, Delhi-110008)
Timings : Daily 5:00 PM to 7:00 PM  ( Except Sunday).
Please Take Prior Appointment to avoid inconvinience.