• info@example.com
  • +8 12 3456897

News Details

Lumbar Hernias (Laser, Endoscopic, Microscopic, Percutaneous)

WHAT IS OPEN DISCECTOMY AND MICRODISCECTOMY?

Discectomy is the most common surgery used for herniated discs. is the treatment. Intervertebral discs, bones of the spine located between the vertebrae and connecting the vertebrae They are tightly adhered substances. ‘Annulus fibrosus’ of the disc The outer surface, called the so-called When it becomes weak, ruptures occur. inner part of the disc soft, flexible and called ‘nucleus pulposus’ There is deterioration in the named part and it moves out of place. and protrudes out of the tears in the outer layer. disk Slipping, sagging and bulging are called herniation. In the medical literature, disc herniation is called disc herniation. is named. The posterior outer surface border of the inner disc material If it exceeds it, it can put pressure on very sensitive nerve tissue. A bulging disc can compress or damage a nerve root. and as a result, pain reflected in one or both legs, depending on the nerve root or nerve roots it affects may cause loss of strength and drowsiness. discectomy, herniated disc parts and damaged parts removal, thus relieving pressure on the nerve root and It is done to relieve pain.
Disc surgery, small lesions in the skin at the top of the spine incision, removal of some ligament and bone materials and involves eliminating disk fragments.
Open discectomy has been performed for the last 60 years. physicians advanced diagnostic facilitating methods ‘magnetic resonance imaging (MRI) and computed tomography This surgery can be improved by making better surgical plans with (CT). developed the approach.
Microdiscectomy involves a smaller skin incision (1.5-2 cm). makes. Very little muscle tissue is stripped, less bone is removed.
Microdiscectomy microscope and microsurgical instruments Since it is performed using is quite low. After surgery, the patient goes to work faster rotary.

WHO NEEDS DISCECTOMY?

All patients with disc herniation are candidates for open discectomy. It is not. In most people, rest, physical therapy, use of analgesics, anti-inflammatory drugs, and epidural injections Pain relief may be observed with conservative treatments such as: However, sometimes pain does not respond to such treatments and Surgical interventions may be required.b
Waist or leg pain does not respond to conservative treatments and if it persists for 4-6 weeks or longer, physicians diagnostic tests to identify the source of pain; imaging methods such as plain radiograph, MRI or CT They may want to. On if the diagnosis of disc herniation is confirmed Discectomy or microdiscectomy may be recommended.
Some disc herniations can be removed endoscopically, through a smaller incision, under local anesthesia using special tools. But open discectomy or microdiscectomy, disc protrusion becomes evident or A lot of pain and weakness as a result of a ruptured disc Surgical treatment of disc herniation as it may cause It is still considered the “gold standard” for Open discectomy allows the surgeon to examine the surgical area in the best way possible. It allows you to see and explore.

HOW ARE OPEN DISCECTOMY AND MICRODISCECTOMY PERFORMED?

Open discectomy is usually performed under general anesthesia (patient It is performed under the unconscious (asleep) state and typically requires a one-day hospital stay. Patient lying face down or crouching with elbows on knees It is performed while in position. Application, spine opened in the skin over the affected area, approximately It is performed through a 2-4 cm incision. Muscle tissue affected The disc is stripped from the bones above and below the disc, the retractor removes muscle and skin from the surgical site and thus The surgeon can see the spine and disc more easily. Some gaining a better perspective on situations bones and ligaments can be eliminated so that bulged, distorted without damaging the nerve root access to the disk is achieved. This process involves removing the bone laminectomy or laminotomy depending on the amount It is called. The surgeon examines the vertebra, disc and other can see surrounding structures this way. These transactions followed by disc fragments protruding from the disc wall and Disk fragments that can be removed from the disk are eliminated.
Microdiscectomy: This procedure is often performed under magnification. Surgery is performed with a microscope. A smaller incision is made, the muscle The tissue is less stripped and better visibility is achieved.
No substance replaces the removed disc tissue. not used. The incision is then closed with stitches and The patient is taken to the recovery room.

WHAT HAPPENS AFTER SURGERY?

Pain in the incision area after surgery You may feel pain right after surgery It may not disappear completely. your doctor surgery Pain management to ease your post-operative period can edit. Deep breathing techniques You will learn and the problems that may occur due to general anesthesia. coughing to remove secretions from your lungs will be requested. Walking as soon as you recover from anesthesia start (usually after 6 hours) and help you recover. It is recommended that you have a companion to help you.
Before leaving the hospital, climbing stairs, sitting and activities such as getting out of bed or driving What should you pay attention to to make you feel comfortable during You are told what to do. When you are discharged from the hospital, Your doctor may recommend physical therapy appropriate to your condition. can adjust.
For a long time in the first 4 weeks after surgery not sitting, not lifting objects weighing more than 5 kilograms, some restrictions, such as not bending or stretching excessively can be brought. Also, until your doctor gives permission You should not try to drive.

WHAT ACTIVITIES CAN I DO AFTER SURGERY?

Walking is the first physical activity you will try. Walk, It will reduce the risk of tissue wounds in the surgical area It will also allow the spine to maintain its mobility. bike in a few weeks You may also be allowed to use it and swim. Smooth physical therapy can maximize your recovery.
Those who work in a profession that does not require physical effort 2-4 They can return to work in a week or less. Control heavy lifting or strong vibrating machinery Those who are engaged in professions related to being able to return You have to wait 6-8 weeks after surgery for They can stay. Physical therapy may play a role in your recovery.

ARE COMPLICATIONS POSSIBLE?

Possible complications resulting from open discectomy complications bleeding, infection, cerebrospinal fluid leakage in the arteries and veins near the spine injury to the vessels, at or surrounding the nerve root occurring in the protective layer (dura mater) Includes damage.
Also recurrence after surgery on the same disc disc herniation may occur. Recurrent disc herniation, open It is a condition seen in 96% of 5-10 patients after discectomy. situation.
All surgical methods carry the risk of complications and all Talk to your surgeon about the risks before surgery. should be talked about. Excessive bleeding, rash, surgery leakage from the area, fever, weakness, legs drowsiness or problems with urination are certain warning signs signs. If you experience any worrying symptoms Mention this to your doctor.

ARE COMPLICATIONS POSSIBLE?

Medical studies suggest open discectomy treatment showed success in 9680-90 cases. This rate is slightly higher in microdiscectomy. According to studies, radicular pain (that radiates to the legs) open discectomy due to low back pain) They benefit more from those who do.
To increase effectiveness, open discectomy is recommended for persistent, severe experiencing hip and leg pain or weakness It is suitable for humans. This is your back or leg pain. If not, open discectomy is recommended for you. may not be an acceptable method, so conservative well with treatments or less invasive therapies you can be.
If you have back or leg pain, use any method. Before the application, talk to your doctor about your pain. discuss all possible treatment possibilities You should evaluate.
CONTACT
Releted Tags