TESSYS® – Transforaminal Endoscopic Surgical System
Bandscheibenvorfälle gelten als Volksleiden. Männer sind dabei doppelt so häufig betroffen wie Frauen. Die minimal-invasive Wirbelsäulenchirurgie hat sich zu einer verlässlichen Behandlungsalternative für eine Vielzahl von Wirbelsäulenerkrankungen entwickelt. Die TESSYS®-Methode ist eine endoskopische Operationstechnik, die hierfür den lateralen transforaminalen Zugangsweg verwendet. Der Eingriff wird allgemein als äußerst patientenschonend eingestuft.
Die TESSYS® Familie
Um das gesamte Spektrum an Indikationen, Anwendungsgebieten und Patienten abdecken zu können, bieten wir TESSYS® in verschiedenen Varianten an.
![TESSYS THX](https://www.joimax.com/wp-content/uploads/2024/02/TESSYS-THX-e1708005608720.jpg)
![TESSYS_Thx](https://www.joimax.com/wp-content/uploads/2023/07/TESSYS_Thx-300x53.png)
According to the Wooridul Group
Die besondere Form der Wirbel sowie der durch die Rippen und das Brustfell eingeschränkte Arbeitsraum stellen den Operatuer bei der Behandlung von thorakalen Stenosen und Bandscheibenvorfällen vor besondere Herausforderungen. Das TESSYS® Thx Instrumentenset ist für diese Herausforderungen geeignet; insbesondere für zentrale und paramediane Stenosen und Bandscheibenvorfälle. Der schmalere Endoskopschaft ermöglicht die Anwendung im beengten Raum und der größere Optikwinkel bietet eine hervorragende Sicht auf alle Strukturen im Operationsfeld. |
![TESSYS XT](https://www.joimax.com/wp-content/uploads/2024/02/TESSYS-XT.jpg)
![TESSYS_XT](https://www.joimax.com/wp-content/uploads/2023/07/TESSYS_XT-300x53.png)
Die XT-Variante unterscheidet sich vom Standardset vor allem durch die größere Arbeitslänge des Endoskops und der Arbeitshülsen aus. Die daraus resultierende größere Reichweite ermöglicht auch die Behandlung von stark adipösen Patienten.
Der TESSYS®– Eingriff
Die TESSYS®-Operationsmethode wird sowohl in Kliniken als auch in ambulanten Operationszentren eingesetzt. Bei dieser Methode entfernt der Chirurg einen Bandscheibenvorfall über den lateralen Zugangsweg durch das Foramen intervertebrale. Er nutzt dabei den natürlichen Korridor zwischen dem Processus articulares superior, der Endplatte des unteren Wirbelkörpers and den Nervenwurzeln (Kambin Dreieck).
Mit speziellen Instrumenten vergrößert der Operateur den transforaminalen Zugang stufenweise und schonend Millimeter für Millimeter, um Bandscheibengewebe direkt durch das Foramen unter ständiger endoskopischer Kontrolle entfernen zu können. TESSYS® kann flexibel zur Deherniation oder Dekompression der Lendenwirbelsäule (einschließlich L5/S1) eingesetzt werden.
![Layout 1 Layout 1](https://www.joimax.com/wp-content/uploads/2023/06/Kambin-Dreieck-650x400.jpg)
Der TESSYS® – Eingriff
Die TESSYS®-Operationsmethode wird sowohl in Kliniken als auch in ambulanten Operationszentren eingesetzt. Bei dieser Methode entfernt der Chirurg einen Bandscheibenvorfall über den lateralen Zugangsweg durch das Foramen intervertebrale. Er nutzt dabei den natürlichen Korridor zwischen dem Processus articulares superior, der Endplatte des unteren Wirbelkörpers and den Nervenwurzeln (Kambin Dreieck).
Mit speziellen Instrumenten vergrößert der Operateur den transforaminalen Zugang stufenweise und schonend Millimeter für Millimeter, um Bandscheibengewebe direkt durch das Foramen unter ständiger endoskopischer Kontrolle entfernen zu können. TESSYS® kann flexibel zur Deherniation oder Dekompression der Lendenwirbelsäule (einschließlich L5/S1) eingesetzt werden.
![Layout 1 Layout 1](https://www.joimax.com/wp-content/uploads/2023/06/Kambin-Dreieck-650x400.jpg)
Um eine Reizung der Nerven im Foramen zu vermeiden, wird der kaudale Teil des Foramen intervertebrale mit speziellen Fräsern millimeterweise erweitert. Dies gilt insbesondere dann, wenn das Foramen aufgrund der Lokalisation der Pathologie oder des Alters des Patienten eng ist. In diesem Fall muss Knochenmaterial entfernt werden.
Die Patienten befinden sich während des Eingriffs in stabiler Seiten- oder Bauchlage und bleiben während der Operation in der Regel ansprechbar. So können sie sofort auf eventuelle Nervenkontakte reagieren. Neben der Analgosedierung ist auch eine Allgemeinanästhesie (Vollnarkose) möglich.
Der Eingriff ist für die Betroffenen weitaus angenehmer und schonender als herkömmliche Methoden – meist können sie bereits wenige Stunden danach wieder aufstehen.
Um eine Reizung der Nerven im Foramen zu vermeiden, wird der kaudale Teil des Foramen intervertebrale mit speziellen Fräsern millimeterweise erweitert. Dies gilt insbesondere dann, wenn das Foramen aufgrund der Lokalisation der Pathologie oder des Alters des Patienten eng ist. In diesem Fall muss Knochenmaterial entfernt werden.
Die Patienten befinden sich während des Eingriffs in stabiler Seiten- oder Bauchlage und bleiben während der Operation in der Regel ansprechbar. So können sie sofort auf eventuelle Nervenkontakte reagieren. Neben der Analgosedierung ist auch eine Allgemeinanästhesie (Vollnarkose) möglich.
Der Eingriff ist für die Betroffenen weitaus angenehmer und schonender als herkömmliche Methoden – meist können sie bereits wenige Stunden danach wieder aufstehen.
Ausgewählte Indikationen
- Bandscheibenvorfälle
- Spinale Stenosen
- Degenerative Erkrankungen des Ligamentum flavum
- Cauda-Equina-Syndrom
- Dorsale Facettengelenkszysten
![TESSYS-Zugang-lateral](https://www.joimax.com/wp-content/uploads/2024/05/TESSYS-Zugang-lateral-1024x789.jpg)
Ausgewählte Indikationen
- Bandscheibenvorfälle
- Spinale Stenosen
- Degenerative Erkrankungen
des Ligamentum flavum - Cauda-Equina-Syndrom
- Dorsale Facettengelenkszysten
![TESSYS-Zugang-lateral](https://www.joimax.com/wp-content/uploads/2024/05/TESSYS-Zugang-lateral-1024x789.jpg)
Innovative Lösungen – Einzigartige Vorteile
- Kleinerer operativer Zugang nötig
- Geringeres Risiko an Trauma und Narbenbildung /
bessere Kosmetik nach chirurgischen Eingriffen - Geringerer Blutverlust
- Weniger Schmerzen, Verbesserung der Beweglichkeit und Lebensqualität
- Schnellere Genesungszeit / verkürzter Krankenhausaufenthalt
![DSC_0170](https://www.joimax.com/wp-content/uploads/2023/08/DSC_0170-scaled-e1708006879965-1024x855.jpg)
Innovative Lösungen – Einzigartige Vorteile
- Kleinerer operativer Zugang nötig
- Geringeres Risiko an Trauma
und Narbenbildung / bessere Kosmetik
nach chirurgischen Eingriffen - Geringerer Blutverlust
- Weniger Schmerzen, Verbesserung der
Beweglichkeit und Lebensqualität - Schnellere Genesungszeit /
verkürzter Krankenhausaufenthalt
![DSC_0170](https://www.joimax.com/wp-content/uploads/2023/08/DSC_0170-scaled-e1708006879965-1024x855.jpg)
- Kleinerer operativer Zugang nötig
- Geringeres Risiko an Trauma
und Narbenbildung / bessere Kosmetik nach chirurgischen Eingriffen - Geringerer Blutverlust
- Weniger Schmerzen, Verbesserung der
Beweglichkeit und Lebensqualität - Schnellere Genesungszeit /
verkürzter Krankenhausaufenthalt
![DSC_0170](https://www.joimax.com/wp-content/uploads/2023/08/DSC_0170-scaled-e1708006879965-300x250.jpg)
Die TESSYS® Bildgalerie
Haftungsausschluss
Bestimmte Produkte sind möglicherweise nicht in allen Ländern zum Verkauf zugelassen.
Wissenschaftliche Fachliteratur
für TESSYS®
![© Unsplash/Glenn Carstens-Peters | TESSYS © Unsplash/Glenn Carstens-Peters | TESSYS](https://www.joimax.com/wp-content/uploads/2023/05/glenn-carstens-peters-npxXWgQ33ZQ-unsplash-scaled-300x200.jpg)
[1] Initial learning curve after switching to uniportal endoscopic discectomy for lumbar disc herniations
Olinger C, Coffman A, Campion C, Thompson K, Gardocki R; Eur Spine J 2023
[2] A comparative study of percutaneous endoscopic interlaminar discectomy and transforaminal discectomy for L5-S1 calcified lumbar disc herniation
Cheng Y-P, Cheng X-K, Wu H; BMC Musculoskeletal Disorders (2022) 23: 244
[3] Clinical efficacy of transforaminal endoscopic lumbar discectomy for lumbar degenerative diseases: A minimum 6-year follow-up
Tang J, Li Y, Wu C, Xie W, Li X, Gan X, Lu Q; Front Surg (2022) 9: 1004709
[4] Comparison of Interlaminar and Transforaminal Approaches for Treatment of L5/S1 Disc Herniation by Percutaneous Endoscopic Discectomy
Gao A, Yang H, Zhu L, Hu Z, Lu B, Jin Q, Wang Y, Gu X; Orthop Surg (2021) 13: 63–70
[5] Comparative Analysis of Transforaminal Endoscopic Thoracic Discectomy and Microscopic Discectomy for Symptomatic Thoracic Disc Herniation
Bae J, Kim J, Lee S-H, Kim J-S; Neurospine (2022) 19: 555–562
[6] Treatment of Refractory Multilevel Thoracic Spondylodiscitis Using Ultra-Minimally Invasive Endoscopic Approach for Debridement and Drainage: A Technical Note, Intraoperative Video and Literature Review
Barber SM, Sofoluke N, Reardon T, Telfeian A, Konakondla S; World Neurosurgery (2022)
[7] Full Endoscopic Surgery for Thoracic Pathology: Next Step after Mastering Lumbar and Cervical Endoscopic Spine Surgery?
Bae J, Lee S-H, Wagner R, Shen J, Telfeian AE; BioMed Research International (2022): e8345736
[8] Endoscopic Spine Surgery of the Cervicothoracic Spine: A Review of Current Applications
Shen J, Shaaya E, Bae J, Telfeian AE; Int J Spine Surg (2021) 15: S93–S103
[9] Full endoscopic surgery for thoracic pathology: an assessment of supportive evidence
Gibson R, Wagner R, Gibson A; EOR, volume 6, January 2021
[10] Fully Endoscopic 360° Decompression Surgery for Thoracic Spinal Stenosis: Technical Note and Report of 8 Cases
Shen J, Telfeian AE; Pain Physician (2020) 23: E659–E663
[11] Percutaneous Endoscopic Thoracic Decompression for Thoracic Spinal Stenosis Under Local Anesthesia
Cheng X-K, Chen B; World Neurosurgery (2020) 139: 488–494
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