Successful Spine surgery at We Care India partner hospital allows Henry Stolz to live a normal life despite a microendoscopic Decompression. We Care india helped Henry find best super specialised surgeon for his procedure.
The Microendoscopic discectomy (MED) is a minimally invasive surgical technique used to remove a herniated nucleus pulposus (disc). A disc ruptures when there is a tear in the outer lining (annulus) of the disc.
When a tear in the annulus occurs, a fragment of disc material may protrude and pinch surrounding nerves. When a nerve is compressed it can cause symptoms such as extremity pain, numbness, weakness, electrical sensations, and bowel and bladder incontinence. If symptoms are not relieved with conservative treatments, a patient may be a candidate for surgical removal of the herniated disc fragment.
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Overview and Indications
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.
Microdiscectomy may be performed under a local anesthetic combined with intravenous sedation, which means you would be awake during the surgery. A general anesthetic may also be used. A small incision (about two inches) is made between the bones of the vertebrae on the back. The surgeon will then move the back muscles to the side. A flexible tube containing surgical implements and a high powered telescope is used to perform surgery and guide the doctor as herniated disc tissue and fragments are removed.
Why is it done?
Microdiscectomy surgery is performed to relieve leg pain or weakness (sciatica) and nerve pain and pressure resulting from herniation of the intervertebral discs which have placed pressure on surrounding nerves or have herniated into the spinal canal.
Risks & complications
Complications are infrequent and usually minor. However, as with any surgery, there are risks, including the possibility of:
Nerve root damage leading to a sensation of numbness, tingling or weakness in the legs
Tears to the protective coating around the nerves and spinal chord
Re-herniation of the same disc
Pain that persists or worsens after surgery
Reaction to the anesthesia
Risks can be reduced by following the surgeon's instructions before and after surgery.
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When a tear in the annulus occurs, a fragment of disc material may protrude and pinch surrounding nerves. When a nerve is compressed it can cause symptoms such as extremity pain, numbness, weakness, electrical sensations, and bowel and bladder incontinence. If symptoms are not relieved with conservative treatments, a patient may be a candidate for surgical removal of the herniated disc fragment.
