Abstract
The balloon-assisted endoscopic retroperitoneal gasless (BERG) approach is executed with one spinal surgeon, one vascular/general surgeon, and one endoscopically trained technician (Fig. 32.1).
The patient is placed in the supine position. Following general anesthesia, the patient is draped and prepped in standard fashion and preoperative antibiotics are given. Fluoroscopy is used to find the landmarks of the appropriate lumbar level. The skin is marked identifying the level and angle of the pathologic disc interspace(s). These marks are drawn on the lateral aspect of the left abdomen, marking the angles of the disc spaces to be addressed (Fig. 32.2).
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Thalgott, J.S., Ameriks, J.A., Jordan, F.T., Giuffre, J.M. (2015). Balloon-Assisted Endoscopic Retroperitoneal Gasless (BERG) Approach to the Lumbar Spine. In: Watkins, III, R., Watkins, IV, R. (eds) Surgical Approaches to the Spine. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2465-3_32
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DOI: https://doi.org/10.1007/978-1-4939-2465-3_32
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