MAKING
WORKING SPACE
Imagine the working space !
You have already the maps in your mind. Just pick it out!
Ground Plans
The first step in BESS is to
make working space.
The one of the hardest procedure
for the recruit of the BESS is to
“bring a facet joint in front of your
eyes”. Everyone who tried BESS for
the first time spent one or two hours
to secure working space. You can
touch and feel the top of the facet
with a certain instrument like a
freer. But it is hard to see and
differentiate the facet from the
surrounding back muscle. When the
saline was infused into the deep
space, the back muscle was going to
be swollen and the facet came to be
covered down with heavy muscle.
Whether or not you can get the
working space in your direct visual
field around the facet is important
to proceed with the procedure.
8
InU’rMind
1. Don’t be worry!
Everybody failed at first.
2. If you rush down without
working space, heavily
swollen muscle and
bleedings from all sides
try to defeat you down.
3. The first Base Camp.
a.
b.
c.
Detachment of back
muscle at the basement.
Shavering-off the ragged
muscle hiding your eyes.
Bleeding control from
the soft tissue
4. The second Base Camp.
a.
Securing of working
space in the mid-line for
crossing-over to contralateral approach.