Percutaneous Decompression/Curopsy

Percutaneous Decompression/Curopsy

Minimally Invasive Surgeries

What is Curopsy?

• Curopsy is a procedure involving biopsy with curative intent.
• It is a fairly fast and smaller procedure.

Where is Curopsy Indicated?

• Primary Benign Bone Tumours such as Aneurysmal Bone Cyst and Simple Bone Cyst.

How is Percutaneous Decompression/Curopsy Performed?

• Day care basis
• Under local anesthesia and/or general anesthesia
• Small Scar (Similar to Core Needle Biopsy)
• First step Is to biopsy the area under image guidance and confirm the diagnosis (bloody aspiration in case of Primary ABC)
• Next step is when a curette is used to scrape the wall of cavity under image guidance (making sure not to breach the wall) and aspirating its contents.
• The sample is sent for further histopathological correlation.
• The above step may be repeated depending on the crypts/septate and size of lesion.
• Adequate digital compression is given and followed by application of compression bandage.

What precautions to be taken post Curopsy?

• Avoid strenuous activities.
• In case of lower limb, a degree of protection from bearing full weight may be advised.

How long does it take for results in Curopsy?

• It takes an average of 3 -6 months for discernible results on Curopsy.

Can Curopsy Fail?

• Yes, the chance of Curopsy not being effective is between 10-18%.
• In such, cases the lesion is treated with either sclerosant injection or extended curettage as feasible.