Herniated Disc Discectomy

Tuesday, August 17th, 2010 at 9:31 pm

herniated disc discectomy

Micro Discectomy Spine Surgery In India At Affordable Cost

Micro Discectomy Spine Surgery

Microdiscectomy, also called Microlumbar Discectomy (MLD), is performed for patients with a painful lumbar herniated disc. Microdiscectomy is a very common, if not the most common, surgery performed by spine surgeons. The operation consists of removing a portion of the intervertebral disc, the herniated or protruding portion that is compressing the traversing spinal nerve root. Years ago, most spine surgeons would remove a herniated disc using a rather large surgical incision and surgical exposure without the use of a microscope or telescopic glasses, which would often involve a long hospital stay and prolonged recovery period. Today, many surgeons use a microscopic surgical approach with a small, minimally-invasive, poke-hole incision to remove the disc herniation, allowing for a more rapid recovery.

Surgical Technique

The surgery is performed utilizing general anesthesia. A breathing tube (endotracheal tube) is placed and the patient breathes using a ventilator during the surgery. Preoperative intravenous antibiotics are given. Patients are positioned in the prone (lying on the stomach) position, generally using a special operating table with special padding and supports. The surgical region (low back area) is cleansed with a special cleaning solution. Sterile drapes are placed, and the surgical team wears sterile surgical attire such as gowns and gloves to maintain a bacteria-free environment.

Post-Operative Care

Most patients are able to go home the same day or early the next day after surgery. Before patients go home, physical therapists and occupational therapists work with patients and instruct them on proper techniques of getting in and out of bed and walking independently. Patients are instructed to avoid bending at the waist, lifting (more than five pounds), and twisting in the early postoperative period (first 2-4 weeks) to avoid a strain injury or recurrent disc injury. Patients should try to avoid sitting in the same position for more than 45-60 minutes in the first few weeks after surgery. After sitting for 45-60 minutes, patients should get up and stretch or walk for a little bit, then sit down again if desired.

Results and Outcome Studies

The results of microdiscectomy surgery in the treatment of a painful, herniated disc are generally excellent. Numerous research studies in medical journals demonstrate greater than 90-96% good or excellent results from microdiscectomy surgery. Most patients are noted to have a rapid improvement of their pain and return to normal function.

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