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User experience

Dr. Xavier Collard

CHU Ambroise paré – spine surgery. Mons, Belgium

« Patients who undergo for spine revision surgery with epidural fibrosis in which CADISS is used intraoperatively present better intraoperative and perioperative parameters. The surgical difficulty and the incidence of dural tears and intraoperative bleeding from epidural veins are significantly reduced. »

Benefits

HOW to use CADISS® in spine surgery

WHEN to use CADISS® in spine surgery

Resources

Benefits

Gentle detachment of scar tissue or removal of implanted devices without iatrogenic lesion to critical structures (e.g Dura Mater)

Better intraoperative and perioperative parameters thanks to the preservation of the surrounding healthy structures

Easier identification of cleavage planes

Tested and approved

Dr. Triantafyllos Bourass

Neurosurgery, spine department, CH Wallonie Picarde

A minimally invasive revision spine case can lead to many challenges including an increased risk of a dural tear, which is more difficult to repair than in the case of a conventional approach.

We have recently introduced the use of the CADISS system in a few cases of recurrent herniated discs. The first impression is the significant help it brings that makes it possible to catch up the additional waiting time for soaking by accelerating the time of the dissection of fibrosis.

Dr. Xavier Collard

CHU Ambroise Paré, Spine Surgery. Mons, Belgium

« Patients who undergo for spine revision surgery with epidural fibrosis in which CADISS® is used intraoperatively present better intraoperative and perioperative parameters. The surgical difficulty and the incidence of dural tears and intraoperative bleeding from epidural veins are significantly reduced. »

Dr. Michel Triffaux

Neurosurgeon, head of department, internship supervisor. (Centre Hospitalier de Wallonie PicardeCHR Citadelle). Tournai, Belgium

« At first I was septic but after using the CADISS it really helps in spinal revision surgery which is always a challenge for the surgeon. »

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How to use the CADISS® System in spine surgery?

Reconstitute & assemble the CADISS® system in the operation room

Remote kit CADISS® RECONSTITUTION
manual kit CADISS® RECONSTITUTION

Repeat steps until the pathological tissue is completely removed.

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Withdraw as much as possible fibrotic tissue with classical instruments to reach as close as possible the dura (e.g. 2mm)
When arriving close to the structure to be preserved e.g., the dura mater, instill the solution through the irrigated instruments on the fibrosis to be detached from the healthy structure and/or implanted material
Ensure a minimum 5-minute optimal contact between the solution and the fibrosis (no suction, no flow) to weaken the adherence
Dissect with the non-aggressive CADISS instruments
Rinse after 10 minutes

When to use CADISS® for spine surgery?

  • Separation of epidural and periradicular fibrosis from critical surrounding structures
Dura Mater
Bone wall
Implanted material
Nerves & vessels
  • Removal of spinal cysts (e.g., spinal facet joint cysts)

Resources

Revision spine surgery case with CADISS® - Dr. Collard, 2020

Dr. Xavier Collard. Head of Orthopaedic department. Internship supervisor & Master of Medicine Education – ULB – CHU Ambroisé Paré, Belgium

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Spine revision case with CADISS® - Dr. triffaux, 2021

Dr. Michel Triffaux. Neurosurgeon, head of department. Centre Hospitalier de Wallonie Picarde. Tournai. Belgium

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