The 2nd EuroPainClinics’ cadaver workshop took a detailed look at intervention treatment techniques
24. 3. 2017
On 4 and 5 March the premises of the Institute of Anatomy in Bratislava, Slovakia welcomed the participants of the international workshop, who jointly discussed the technical aspects and the most effective approaches in the treatment of pain in the lumbar and cervical spine. The training workshop was attended by almost forty guests, while the joint scientific work brought together more than twenty medical specialists from the Czech and Slovak Republic, Italy, Turkey and Ecuador.
The two-day programme offered high-quality educational content in the form of lectures and intensive practical training. The series of lectures covered such topics as discogenic pain, radiofrequency denervation of the lumbar and cervical facet joints, lumbar discography, Disc FX methods, endoscopic discectomy, epiduroscopy or neurostimulation. The workshop participants subsequently checked the knowledge gained in practical training that took place in four working groups. The demanding programme was accompanied by an active professional discussion. The main instructors and lecturers were Dr Sherdil Nath (Sweden), Dr Anthony Hammond (United Kingdom), Dr Stefan Hellinger (Germany), MUDr. Róbert Rapčan, FIPP (Slovak Republic) and MUDr. Juraj Mláka (Slovak Republic).
The second cadaver workshop had extraordinary feedback and confirmed its status as a prestigious educational event at the international level. MUDr. Róbert Rapčan, FIPP, Medical Director of EuroPainClinics, said, “We highly rate the overall course of this year’s cadaver workshop and its professional level. We prepared a very well organised structure, both in the theoretical and the practical part. Thanks to the professional leadership of the top-class lecturers, all the knowledge we planned to pass on was passed on. Tying in to this we are also preparing a new educational concept that links the cadaver part of the workshop with live footage of specific cases from the operating room.”
Here are a few of the participants’ reactions to the workshop. MUDr. František Jurčaga, head physician of the Neurological Department of Saint Michael’s Hospital in Bratislava, said, “I’m very glad I attended this workshop, which was led by major international lecturers as well as our own. I appreciate the high level of the theoretical and the practical parts, where we could try out the skills we’d learnt.” Foreign guests also expressed their satisfaction with the workshop. Ricardo Lambertini, business manager of the partner company AMS Group from Italy, who accompanied guests to the workshop from Italy, Turkey and Ecuador, appreciated the intense and rich programme that met his expectations to learn more about the products and watch the techniques directly in practice as performed by some of the most important experts in Europe. Helen Bleazard, the company’s medical distributor, appreciated the workshop’s high level of organisation and the good-quality teaching content. Mudr. Juraj Mláka, one of the main instructors, added, “Even for me as an instructor, the workshop was extremely useful because, as always when I teach, I had the chance to learn something new as well. In this aspect, for instance, I appreciated the demonstration of the procedure for putting radiofrequency needles in the cervical spine area by Dr Sherdil Nath.”
Interest in the interventional treatment of pain has a growing tendency and EuroPainClinics ®, by means of its training activities, continues to transfer theoretical knowledge and clinical experience to doctors both at home and abroad.
We would like to thank all the participants for their participation and the workshop’s partners, Medtronic, AMS Group and eliquence. Thank you to our main partner, doc. MUDr. Eliška Kubíková, PhD., head of the Institute of Anatomy LF UK in Bratislava, for the excellent cooperation and the possibility to organise the workshop in the Institute’s premises. Lenka Kovaličová, Matúš Gmitter and Ing. Ján Varhol from the EuroPainClinics® organisational team deserve a big thanks for the perfect organisation and smooth running of the entire, highly demanding project.
The practical part of the workshop consisted of intensive training in specific procedures on the cadaver models in four working groups.
The professional part was opened by Dr Sherdil Nath, who, in his lectures “Spinal Pain” and “Facet Joint Pain”, dealt with the topic of radiofrequency denervation of lumbar and cervical facet joints. Dr Nath, with his characteristic enthusiasm, shared his many years of experience and gave invaluable practical advice for the diagnosis and subsequent radiofrequency denervation of facet joints. He not only dealt with the actual placement of the needles, but also the precise setting of the X-ray equipment and maximising the safety of the treatment for the patient.
Dr Anthony Hammond talked about the complex issue of discogenic pain. He expounded on the origin of internal disc disruption, the emergence of disk inflammation, its pathology and other inflammatory mediators. He also dealt with display methods and the discography method as a key examination. Dr Hammond demonstrated discography techniques, including practical tips and tricks when difficult anatomical proportions are involved.
Progressive news in the techniques for the Disc FX method were introduced by Dr Stefan Hellinger, who went on to talk about the associated medical factors, such as inflammatory indicators, vascular and tissue factors or the discoepidural complex and he also mentioned, for example, the definition of the diagnosis and the types of surgical treatment for disc herniation in terms of historical development. Dr. Hellinger covered the Disc-FX technique and its potential in combination with an endoscopic camera when removing a foraminal disc herniation.
MUDr. Róbert Rapčan, FIPP, outlined the theme of the neuromodulation treatment Spinal Cord Stimulation (SCS) consisting of stimulating the spinal cord as a method of treating severe chronic pain. In the second lecture, “Endoscopic Discectomy of the Lumbar Spine”, he comprehensively explained this advanced method as a safe and effective technique to remove disc herniation. MUDr. Rapčan demonstrated the precise techniques of operational procedures during endoscopic operations.
MUDr. Juraj Mláka familiarised the participants with the epiduroscopy method. He emphasised the benefits of epiduroscopy as a diagnostic method. He described in detail the emergence of epidural adhesion and mentioned the most common cause of adhesion as a result of an operation on the spine and the subsequent emergence of failed back surgery syndrome (FBSS), he then went on to present the operating instruments and manner of mechanically removing the adhesions.