MaxMoreSpine - BESS Biportal System

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Biportal Endoscopic System

Description

Biportal Endoscopic Spine System, BESS, comes out to be one of new trends of treatment of degenerative spine disorders. Literally it has a deeper origin from bilaterally (bilateral approach, one(left) side for scoping and the other(right side) for working) biportal arthroscopic approach by Dr. Schubert and Hoogland1), 2005. Several years later, it was released again with new shape using an arthroscopic system with a shaver technique using unilaterally (same sided approach, proximal one for scoping and distal one for working) biportal endoscopic surgery by Dr. Soliman, 2015. Recently this technique has been rapidly developed with its unique hybrid concept of microscopic approach and endoscopic techniques with arthroscopic facilities. It recently came to broaden its surgical indications from discectomy via decompression to endoscopy-assisted fusion. Dr. Choi is leading the ongoing development of this system in close cooperation with MaxMoreSpine.

It is standing on a natural proceeding way of development of ultimate MISS (minimally invasive spine surgery) with minimally invasiveness and preserving innocent structures to successfully eliminate pathology in surgically microscopic environment in helps of outstanding development of optic engineering. Consequently, it can give an alternative option to decompression-only rather than wider decompression and fusion to senile patients with medical commodities. And many patients could escape from another bigger revision surgery due to adjacent segment disease(ASD) with higher incidence, 9~30% within 5 years.

Indications for BESS

• Lumbar disc herination(LDH) and Cervical disc herniation (CDH)
• Revision surgery for recurrent LDH
• Lumbar Spinal Stenosis
• Degenerative Spondylolisthesis (grade I and II)
• Lumbar Foraminal Stenosis
• Adult Isthmic Spondylolisthesis (spondylytic spondylolisthesis)
• Adjacent segment disease(ASD) after fusion surgery
• Savage operation at the same level on fusion surgery

Advantages for BESS compared to open surgery

• BESS is simple and safe and mostly no need of bloodtransfusion, which means less tissue destructive and vital-stable surgery. So it can spread very fast in local private hospital with less amount of equipment. Its effectiveness and safety allows it to displace microscopic surgery for common degenerative spine disorders except tumor resection, high thoracic surgery and deformity correction.

content starter kit

Article code	Product description	Qty
1001-ABR 5	Bone Curette 3.0mm, Bishop	1
1001-ABR 6	Bone Curette 5.0mm, Maximus	1
1001-ABR 7	Bone Curette 6.0mm, Wang	1
1001-ABR 8	Reverse Curette, 3.0mm	1
1001-ABR 9	Boomerang Curette, 3.0mm	1
1001-AI 005	Indian Knife	1
1001-CH 01	Straight Chisel, 5.0mm	1
1001-CH 02	Pedicle Chisel, 4.0mm	1
1001-CH 03	Hockey Chisel Right , 5.0mm	1
1001-CH 04	Hockey Chisel Left, 5.0mm	1
1001-DC 014	Muscle Dilator	1
1001-DC 016	Target Serial Dilators	1
1001-EP 002/H	Rotational Punch Handle	1
1001-EP 004	Foraminal Punch, 2.0mm	1
1001-EP 005	Foraminal Punch, 3.0mm	1
1001-EP 006	Rotational Punch shaft 2.0mm	1
1001-EP 007	Rotational Punch shaft 3.0mm	1
1001-FE 001	Freer Elevator	1
1001-RF 001-D	Detachable Micro Punch, 2.0mm, straight	1
1001-RF 002	Micro Punch, 2.0mm, curved up	1
1001-NRR 02	Root Retractor	1
1001-ES 17	UV Retractor, 40mm, 50 mm, 60 mm	1
1001-IS 014	BESS Tray with lid	1

BESS BIPORTAL ENDOSCOPIC SYSTEM

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maxmorespine sytems?

Other endoscopic systems are challenged by difficulties in handling, inability to access and treat all pathology, ease of use, and versatility. The maxmorespine® system permits a safe, precise and efficient access to and removal of all herniations, particularly L5-S1.

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