open access

Vol 48, No 4 (2016)
Review articles
Published online: 2016-09-02
Submitted: 2014-12-16
Accepted: 2015-07-10
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A comparison of non-endoscopic and endoscopic adhesiolysis of epidural fibrosis

Martina Bellini, Massimo Barbieri
DOI: 10.5603/AIT.a2016.0035
·
Anaesthesiol Intensive Ther 2016;48(4):266-271.

open access

Vol 48, No 4 (2016)
Review articles
Published online: 2016-09-02
Submitted: 2014-12-16
Accepted: 2015-07-10

Abstract

Low back and leg pain may be due to many causes, one of which is scarring in the epidural space. Epidural scarring may provoke this pain for many reasons: nerves may be trapped by scars, while veins in the epidural space press down upon the nerves and become enlarged, putting pressure on the nerves. Endoscopic and percutaneous epidural adhesiolysis allows one to eliminate the deleterious effects of scar formation, which can both physically prevent the direct application of drugs to nerve and provide relief in patients who have not responded to epidurals, physical therapy or medication. A search of the MEDLINE and Embase databases was conducted for the period between 1970 and 2014 using the search terms "adhesiolysis", "lysis of adhesions", "epiduroscopy", "epidural neuroplasty", "epidural adhesions", “radiofrequency lysis adhesion” and "epidural scar tissue" in order to identify articles relevant for this review. The purpose of this review is to describe the effectiveness and complications present in a comparison of non-endoscopic, endoscopic and pulsed radiofrequency endoscopic procedures in lysis of adhesions in epidural fibrosis.

Abstract

Low back and leg pain may be due to many causes, one of which is scarring in the epidural space. Epidural scarring may provoke this pain for many reasons: nerves may be trapped by scars, while veins in the epidural space press down upon the nerves and become enlarged, putting pressure on the nerves. Endoscopic and percutaneous epidural adhesiolysis allows one to eliminate the deleterious effects of scar formation, which can both physically prevent the direct application of drugs to nerve and provide relief in patients who have not responded to epidurals, physical therapy or medication. A search of the MEDLINE and Embase databases was conducted for the period between 1970 and 2014 using the search terms "adhesiolysis", "lysis of adhesions", "epiduroscopy", "epidural neuroplasty", "epidural adhesions", “radiofrequency lysis adhesion” and "epidural scar tissue" in order to identify articles relevant for this review. The purpose of this review is to describe the effectiveness and complications present in a comparison of non-endoscopic, endoscopic and pulsed radiofrequency endoscopic procedures in lysis of adhesions in epidural fibrosis.

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Keywords

Key words: adhesiolysis, pulsed radiofrequency, Racz, Raffaeli

About this article
Title

A comparison of non-endoscopic and endoscopic adhesiolysis of epidural fibrosis

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 48, No 4 (2016)

Pages

266-271

Published online

2016-09-02

DOI

10.5603/AIT.a2016.0035

Bibliographic record

Anaesthesiol Intensive Ther 2016;48(4):266-271.

Keywords

Key words: adhesiolysis
pulsed radiofrequency
Racz
Raffaeli

Authors

Martina Bellini
Massimo Barbieri

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