Arizona Institute For Cryosurgery
Surgeon Information PDF Print E-mail

Dr Deo Rampertab, DPM

Dr. Rampertab is a Doctor of Podiatric Medicine. He received his Bachelor of Science degree in Biochemistry from the State University of New York at Stony Brook prior to receiving his Doctor of Podiatric Medicine degree from the Dr. William M. Scholl College of Podiatric Medicine. Dr. Rampertab received his residency training in Medicine and Surgery at the Carl T. Hayden VA Medical Center in Phoenix, AZ. He has been in private practice for over 15 years. Considered a new surgical modality, Cryosurgery has been FDA approved for the treatment of various foot conditions since 2003. It is routinely performed by only 50 or so Podiatric Surgeons worldwide. Dr. Rampertab has been performing Cryosurgery since 2004. He is the leading Nerve CryoSurgeon in the Western United States and one of three nationwide that use the UltraCryo technique. He has performed over 4000 cryo procedures. This places him as the top nerve cryosurgeon in the world. His success rate remains extremely high with over 97% of his patients relating complete resolution of pain after the procedure. Of the remaining patients, most received some benefit from having the procedure. A very small number of patients continued to have significant pain and went on to more extensive surgical procedures.

Although he did not invent the procedure, Dr. Rampertab is considered the foremost expert after perfecting and modifying the UltraCryo technique. He lectures extensively on the theory and protocol of Cryoanalgesia and its benefits. He is the leading surgical trainer for the procedure having taught many of the physicians that are now trained to perform Cryosurgery without ultrasound guidance.  Dr. Rampertab is a consultant at local Medical Schools and Residency programs and actively teaches students and resident doctors.  He is exposing these young Doctors of Podiatric Medicine to this minimally invasive and technically difficult procedure early in their careers in an effort to increase the availability of the procedure in the future.

Dr. Rampertab has perfected the UltraCryo technique. It is a technique used for precisely locating the nerve branches to be affected. With the UltraCryo technique, the Cryoprobe can be placed directly on the nerve branch causing the pain. Using the UltraCryo technique also allows the Cryosurgeon to visualize the iceball created on the nerve branch. At azcryo, Dr. Rampertab performs 100% of his cryo procedures using the UltraCryo technique. There is no guesswork involved regarding whether the Cryoprobe was placed directly on the nerve branch or not.

Azcryo receives patient referrals from other Podiatric Surgeons when all their treatments have failed. At azcryo, we have performed UltraCryo on hundreds of patients from outside of Arizona.

 

 
UltraCryo PDF Print E-mail

UltraCryo is Ultrasound-guided Cryoanalgesia. The UltraCryo-trained surgeon uses an Ultra-high resolution magnifying Ultrasound to guide the Cryoprobe into place on the various nerve sites. In the hands of an experienced Cryosurgeon, the Ultra-high resolution Ultrasound allows for extremely accurate Cryoprobe placement leading to extremely high success rates after the Cryoanalgesia procedure. For all indications that UltraCryo is used, the success rate is as high as 98% in the hands of the most experienced Cryosurgeons. Of the more than 150 Cryosurgeons in the country, only a very small handful use Ultra-high resolution Ultrasound guidance of the Cryoprobe.

Using UltraCryo allows the Cryosurgeon to actually see the nerve structure as well as the vascular (blood vessel) structures nearby. The Ultrasound is used in Pulsed Doppler mode allowing for visualization of even the smallest vessels. This allows for proper precise positioning of the Cryoprobe on just the nerve trunk. Using UltraCryo allows us to visualize the iceball as it is formed. We can use the Ultrasound's high resolution to measure the size of the iceball. This allows us to accurately predict and control the size of the area of nerve we are performing the prolonged conduction block on. We can also measure the location of the nerve in relation to the nearby vessels and bony structures.

Ultrasound images taken during the UltraCryo procedure can be saved and may be used in the rare event that the procedure needs to be repeated. Those images from the previous procedure allow us to look back at the structures that may have contributed to recurrence of the pain or in rare instances, procedure failure. The use of the UltraCryo allows us to see the involvement of scar tissue and bony prominences in the entrapment of the nerve.

 
Congratulations, Dr. Rampertab! PDF Print E-mail

Congratulations are in order. Dr. Deo Rampertab has been selected by the Consumers' Research Council of America to be listed in their "Guide to America's Top Podiatrists." The selection process is based on a point value system that awards points for Education, Years in Private Practice, Board Certifications and Affiliations with Professional Associations.

The link to the Consumers' Research Council of America is

www.consumersresearchcncl.org

 
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