ROBIO®

ROBIO® CASES

CANCER CARE PAIN CARE

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Facet Joint Injection

A patient with pseudo radicular pain posted for facet joint steroid injection. (Pain Management)

Challenge : Posterior approach needs precise orbital angle to reach facet joints.

Procedure : Both facet joints targeted with targeting device precisely. Mixture of anaesthetic and steroid injected to relieve pain.

Target Depth : 54mm

Target Size : 2mm


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Selective Nerve Root Block (SNRB)

A patient with sciatica, posted for Selective Nerve Root Block at sacral level (Pain Management)

Challenge : Targeting perineural space needs precise orbital angle and depth.

Procedure : Nerve root targeted precisely with targeting device, through a space between sacrum and iliac bone. Contrast enhancement confirms the target. Mixture of anaesthetic and steroid to relieve pain.

Target Depth : 68mm

Target Size : 10mm


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Nerve Root Block Notes

Nerve Root Block at the level of S1, planned for pain management

Challenge : Targeting nerve root need precise orbital angle and accurate depth, overshoot may injure nerve.

Procedure : S1 level nerve root targeted precisely with targeting device without traumatizing nerve. Mixture of anaethetic and steriod injected to relieve pain.

Target Depth : 75mm

Accuracy : 2mm


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Epidural Injection, L5-S1 Level

A patient with back pain posted for epidural steroid injection (Pain Management)

Challenge : Precise orbital angle needed to reach nerve root.

Procedure : L5-S1 level epidural space targeted precisely with targeting device without traumatizing nerve root. Mixture of anaesthetic and steroid injected to relieve pain.

Target Depth : 78mm

Orbital Angle : 13.8°


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Bilateral Celiac Plexus Alcohol Ablation

A patient with pancreatic tumor posted for Pain Management procedure

Challenge : Targeting celiac plexus, needs precise angle and depth: overshoot of the needle may hit vital organs.

Procedure : Celiac plexus targeted with precision without involving critical abdominal structures. Phenol injected to relieve pain.

Target Depth : 95mm(R), 96mm(L)

Orbital Angle : 15.26°(R), 11.42°(L)


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Trans Aortic Celiac Plexus Block

A patient with Cholangiocarcinoma posted for Pain Management procedure

Challenge : To reach the deep seated celiac plexus is difficult by manual approach.

Procedure : Targeting device assisted to reach the target up to the aortic wall and needle advanced by “loss of resistance technique” to reach the plexus.

Target Depth : 51mm

Orbital Angle : 7.97°