Guleke Operation

Guleke operation: history and application

The Guleke operation, also known as extradural radiotomy, was developed by the German surgeon N. Guleke in 1913 and has since become an important procedure for the treatment of neurological diseases. In this article we will look at the history of the creation of the Guleke operation and its application in modern medicine.

History of the creation of the Guleke operation

Nicholas Gouleke (1878-1958) was a German surgeon who specialized in the treatment of neurological diseases. In 1913, he first published a description of extradural radiotomy, a new procedure for treating pain associated with nerve damage. In this procedure, the surgeon cuts the patient's skin and muscle to gain access to the spinal cord. He then inserted a needle into the space between the spine and the arachnoid membrane of the spinal cord and removed the part of the nerve that was causing the pain.

Application of Guleke surgery in modern medicine

Since Guleke developed this procedure, extradural radiotomy has been used to treat a variety of neurological diseases. This may be beneficial for patients who suffer from chronic pain caused by nerve damage such as cancer, herniated discs, arthritis, spinal cord injuries and many others.

However, like any medical procedure, extradural radiotomy has its risks and side effects. Some of these may include headaches, infections, loss of sensation and movement, and changes in skin color and texture in the area where the procedure was performed. Therefore, before carrying out this procedure, the doctor must discuss all possible risks and side effects with the patient and decide on its advisability.

In conclusion, the Guleke operation, or extradural radiotomy, was developed over a hundred years ago and is still an important procedure for the treatment of neurological diseases. Although it has its risks and side effects, this procedure can help patients suffering from chronic pain and improve their quality of life.

Gulke surgery is a neurosurgical method of treating compression of the spinal cord by a tumor by removing the roots of the spinal nerves from the extradural space. Used to restore the functions of a diseased spine by increasing the diameter of the spinal canal. There is no preparation stage before implementation.

Latin name: gulekae (hemilexiae) The formation of the transverse compensatory column is located on the left in the prostrate on one side of the cervical segment of the first v-th, i.e., the thoracolumbar spine. In the presence of a complete transverse impulsive lesion of the spinal cord, it is impossible to accurately determine its level and nature. At this level there are 1 and 2 pairs of cervical spinal roots, 3 pairs at the level of the upper thoracic spinal cords, and 4 pairs of coccygeal roots at the level of the sacral roots. Damage to the upper thoracic and upper sacral spinocervical segments, according to Patent No. 1382617, is a right dorsoplexal injury to the spinocervical fiber, which takes the form of a horizontal corkscrew, and the lower thoracic and sacral spinocervical segments are damaged on the right side in the form of lumbar corpocrosis or sagittal commissure. Therefore, if the spinal cord is damaged above the 3rd vertebra, right-sided isocorporesis is restored through the cerebellar pathway (with drugs or surgery). If the damage continues below the 3rd vertebra and there is paresis on the left side