Endoscopic discectomy stands as a prevalent, minimally invasive alternative to traditional open surgery intended for lumbar discectomy. This procedure is often recommended for individuals grappling with leg and lower back pain stemming from a herniated disc. The decision between opting for open surgery or endoscopic discectomy hinges on several factors, including the patient’s overall health and the surgeon’s preference.
In the course of endoscopic discectomy, a trocar—a small tube—is introduced through the patient’s skin and directed towards the affected disc to address the herniated disc exerting pressure on the spinal nerves, consequently causing leg and lower back pain.
Through the use of an endoscope inserted through the trocar, the surgeon gains a magnified view of the surgical area displayed on a monitor. Equipped with a small camera and light, the endoscope offers clear visualization, enabling the surgeon to precisely remove damaged tissue. Fluoroscopic guidance is employed throughout the procedure to enhance visibility and aid in pinpointing the herniated disc, thereby improving surgical outcomes.
An advantageous aspect of this procedure is the shorter recovery time due to muscle retraction instead of cutting, which minimizes muscle damage and accelerates the healing process.
The patient is positioned face down on the operating table and administered a mild sedative to induce relaxation before the commencement of endoscopic discectomy. A small incision is meticulously made in the patient’s back above the affected disc.
Under fluoroscopy guidance, a thin wire is inserted through the incision towards the damaged section of the spine. Subsequently, a specialized tube is threaded through the same incision and precisely positioned over the wire.
Micro-surgical instruments and an endoscope are then placed within the tube for visual magnification. The surgeon employs these tools to eliminate the portion of the herniated disc compressing the nerves. Throughout the procedure, both fluoroscopy and the endoscope aid the surgeon in navigation and visualization.
Upon completing the necessary steps, the endoscope and tube are delicately withdrawn, and the incision is closed. This meticulous and minimally invasive approach ensures a swift recovery period.
Patients are typically discharged on the same day as the surgery. Many individuals experience notable relief from leg and back pain following the procedure, although it may take time for tingling and numbness to fully dissipate. To support proper healing, patients are advised against lifting, twisting, or bending for several weeks post-surgery.
Based in Metro-Atlanta, Comprehensive Medical Clinic is renowned for delivering compassionate care to all patients, prioritizing their well-being. Our distinctive approach to pain management integrates a range of minimally invasive techniques to achieve optimal results. To schedule an appointment, please contact us at 470-766-7246 today.
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