AIM: Scars in the epidural space play an important role in the chronic @entity158 syndrome of @entity1 with previous surgical treatment. The results of surgical resection are frequently unsatisfactory. Discrepancies to imaging diagnostics are conspicuous. These are known from experience with endoscopic operations. Minimal adhesions may promote @entity158 . Epiduroscopy is available for visualization of the epidural space. The objective of this study was to examine its possibilities in @entity1 with previous surgical treatment. METHOD: 31 @entity1 with chronic @entity158 syndrome who had previously received surgical treatment were operated epiduroscopically. Mechanical instruments and the holmium:YAG laser were used for epidural adhesion. RESULTS: All @entity1 showed adhesions. 24 @entity1 also presented with adhesions on the contralateral side. There were marked discrepancies between imaging and intraoperative findings. The use of mechanical instruments was limited. The use of laser fibers resulted in greater possibilities. Back @entity158 could be better influenced than @entity158 . The procedure was limited by still-existing technical problems. CONCLUSION: Epiduroscopy offers a novel view of this compartment. Minimal adhesions which are not visible in imaging ean promote @entity158 . They can be partially diagnosed and treated by epiduroscopy. There are still marked limitations to epiduroscopy due to technical problems. These must be minimized.

[Epiduroscopic diagnosis and treatment of epidural adhesions in chronic back pain syndrome of XXXX with previous surgical treatment: first results of 31 interventions].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain', 'leg pain', 'lumbar pain']
@entity1 :: (9606,Species) :: ['patients']
