Endoscopic microdiscectomy( operation of disc herniation) - Causes, symptoms and treatment. MF.
Herniated disc - a prolapse of the pulpous nucleus of the intervertebral disc through a rupture of the fibrous ring.
This pathology is a manifestation of the degenerative-dystrophic process in the spine. For the treatment and especially surgical treatment, the location of the hernia and the presence of compression of the nervous structures are important.
Endoscopic microdiscectomy is a minimally invasive neurosurgical operation aimed at eliminating the compression of the nerve root and / or the spinal cord. For such an operation, a microscope and microsurgical instruments are used.
The decision on necessity of carrying out of such operation is accepted by the doctor - the neurosurgeon after inspection at the neurologist, carrying out of roentgenological inspection, computer and magnetic resonance tomography. Restrictions to this operation - on the size of the hernia, the presence of stenosis of the canal. ..
The indication for the operation is a long-lasting non-stopable pain syndrome in the presence of a disc herniation, with signs of nerve root compression and the presence of clinical symptoms of compression - radicular syndrome, radiculo-ischemia.
The operation is performed under local or general anesthesia( individually).The incision or puncture of a miniature size is no more than 0.5 mm. An endoscope is inserted under X-ray control and instruments are inserted through its port for decompression of the nerve root, it is moved aside and the hernia is removed. Visualization control of the operating field is displayed on the monitor.
The operation is less traumatic, bone structures are not removed, ligamentous structures and nerve root are not damaged, there is no blood loss, the risk of postoperative complications is reduced, and the rehabilitation period is shortened. The intervertebral disc with endoscopic microdiscectomy is not removed, only its hernial protrusion is removed. Therefore, recurrences of disc herniation are possible.
To strengthen the disc, stimulate the growth of cartilaginous cells, the operation ends with laser treatment.
The duration of the operation at the lumbar level is 45 minutes - 60 minutes. Maximum stay in the hospital up to 3 days. You can get up in an hour. Independently walk the next day. It is recommended to wear a corset and rehabilitate a neurologist.
The doctor neurologist Kobzeva S.V.