DR MAKIESE ORPHEE, MD, MSC, HAS accredited
Over the past fifteen years, most surgical specialities have developed less invasive techniques (navigation, endoscopy, robotic surgery, etc.). Spinal surgery has benefited from these innovations through the application of microscopic surgery (or microsurgery), video-assisted, endoscopic and navigated surgery. Open surgery techniques continue to be used without compromising the effectiveness of neurological release or mechanical stabilisation, resulting in less osteomuscular damage. The scar is smaller and the deep structures are less exposed. The mechanical concept is based on atraumatic muscle dilatation using dedicated retractors.
Minimally invasive surgery: muscle dilatation
Percutaneous osteosynthesisVertebral stabilisation by pedicle face and filling can be performed using the same percutaneous principle.
Minimally invasive retractor for spinal surgery
OsteosynthesisINDICATIONS: remain the same as for open surgery, but the consequences of retraction and dislocation are significantly reduced, thus reducing operative bleeding, postoperative pain, the length of hospital stay and a quicker return to activity.
In collaboration with Radiology, infiltrations of the entire spine are carried out under SCANNER before proposing surgery, depending on the indications.
Lumbar Peridural Infiltration
Peridural and Foraminal Infiltration
Lumbar Foraminal Infiltration
Posterior Lumbar Articular InfiltrationIn collaboration with the Anaesthesia Department, lumbar spine operations can be carried out under locoregional anaesthesia, epidural, with an anaesthetist specialising in pain management. This practice avoids the consequences of general anaesthesia, is better tolerated in general and in particular in elderly patients than GA, and postoperative analgesia is prolonged. Patients stand up 4 hours after the end of the operation.
Minimally invasive and epidural procedures possible:
The same principle applies to the brain, with an example of brain biopsy using Neuronavigation (GPS):
3D biopsy, needle positioned on the scalp
Needle in place on the target and start
Axial view of the skull base (BC)
P-view of the anterior and middle layer
Passage path
Endoscopy in the Operating Theatre
Nasal phase on
Intraoperative Saddle PhaseCollaborations
Department of Neurosurgery in Columbus, USA for the development of minimally invasive surgery
HEP neurosurgery department for cranial surgery, surgical site accredited by ARS and HAS
Contact details
40 rue de Floréal - 93170 Bagnolet
Tel: 00 33 1 48 97 73 55
Fax : 00 33 1 48 97 73 48
Email: omakiese@cliniquefloreal.com
Fluent English for foreign patients
Quick hospitalisation quote (24 hours or less for medical and surgical emergencies)
To make an appointment online, it's quick and easy
click on the link below and let us guide you.
From Porte des Lilas: Continue along rue de Paris then bd de la Liberté, turn right onto avenue du Maréchal Juin, at the 1st set of traffic lights turn left onto rue de Noisy le Sec, continue along rue Floréal.
From Porte de Bagnolet: Follow signs for "Bagnolet centre", take avenue Gambetta and follow signs for "Les Lilas", continue along rue de Pantin - towards Romainville - D20, turn right at the first set of traffic lights into rue de Noisy le Sec, continue along rue Floréal.
Metro station Gallieni (line 3) then bus 318, get off at the Jeanne Hornet stop
Metro station Mairie des Lilas (line 11), then bus 105, get off at Liberté (10 min walk from Mairie des Lilas metro station)
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Tél : 01 48 97 72 00
40 rue Floréal
93170 Bagnolet
