Reperforming Minimally Invasive Microdiscectomy Approaches for Recurrent Lumbar Intervertebral Disc Prolapse

Background Data: Reperforming minimally invasive discectomy (MID) approaches are typically challenging and demanding for patients with recurrent lumbar disc herniation (rLDH). Purpose: The aim of this study to assess the safety and efficacy of reperforming Minimally invasive discectomy in recurrent...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autor principal:	Waeel Hamouda
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2018
Materias:	recurrent Lumbar disc minimally invasive microdiscectomy Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/4a6978420628480ba60b88fd5e8aa3eb
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:4a6978420628480ba60b88fd5e8aa3eb
record_format	dspace
spelling	oai:doaj.org-article:4a6978420628480ba60b88fd5e8aa3eb2021-12-02T00:24:58ZReperforming Minimally Invasive Microdiscectomy Approaches for Recurrent Lumbar Intervertebral Disc ProlapseDOI:10.21608/ESJ.2017.87132314-89502314-8969https://doaj.org/article/4a6978420628480ba60b88fd5e8aa3eb2018-01-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_8713.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Reperforming minimally invasive discectomy (MID) approaches are typically challenging and demanding for patients with recurrent lumbar disc herniation (rLDH). Purpose: The aim of this study to assess the safety and efficacy of reperforming Minimally invasive discectomy in recurrent lumbar disc herniation surgery. Study Design: Retrospective clinical case study. Patients and Methods: The author reviewed the medical records all patients re-operated after MID during the period from June 2010 to April 2016 via minimally invasive approaches for recurrent lumbar disc herniation. Age, gender, presenting symptoms, disc herniation level and side, type of MID approach used in first surgery, period between 1st and 2nd surgeries, redo surgery duration, intra or post-operative complications, visual analogue scale VAS for pain at 1, 30, and 90 days postoperatively were recorded. Results: We could track 18 patients (12 males, 6 females), with mean age 43.2±6.3 years. The most operated level was L4/5 in 12 patients. Disc herniation on the left side was presented in 11 patients. Mean duration between the two surgeries was 44±19 weeks. Main clinical presentations were recurrent leg pain in 16 patients and new onset of partial foot drop in 2 patients. Duration of redo surgery was 97±37 minutes. Intraoperative minor dural tears were reported in 2 with no serious sequels. VAS for leg pain improved from 7.3±1.2 preoperatively to 2.1±1.1, 1.4±0.5 and 1.2±0.4 at 1, 30 and 90 postoperative days respectively. Conclusion: MID approach for rLDH following initial MID surgery sounds feasible option with better perioperative and short-term outcome. Clinical outcome in the present study showed favourable outcome regarding operative time and incidence of dural tears with CSF leak comparing to open approaches. (2017ESJ151)Waeel HamoudaEgyptian Spine Associationarticlerecurrent Lumbar discminimally invasivemicrodiscectomyNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 25, Iss 1, Pp 29-35 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	recurrent Lumbar disc minimally invasive microdiscectomy Neurology. Diseases of the nervous system RC346-429
spellingShingle	recurrent Lumbar disc minimally invasive microdiscectomy Neurology. Diseases of the nervous system RC346-429 Waeel Hamouda Reperforming Minimally Invasive Microdiscectomy Approaches for Recurrent Lumbar Intervertebral Disc Prolapse
description	Background Data: Reperforming minimally invasive discectomy (MID) approaches are typically challenging and demanding for patients with recurrent lumbar disc herniation (rLDH). Purpose: The aim of this study to assess the safety and efficacy of reperforming Minimally invasive discectomy in recurrent lumbar disc herniation surgery. Study Design: Retrospective clinical case study. Patients and Methods: The author reviewed the medical records all patients re-operated after MID during the period from June 2010 to April 2016 via minimally invasive approaches for recurrent lumbar disc herniation. Age, gender, presenting symptoms, disc herniation level and side, type of MID approach used in first surgery, period between 1st and 2nd surgeries, redo surgery duration, intra or post-operative complications, visual analogue scale VAS for pain at 1, 30, and 90 days postoperatively were recorded. Results: We could track 18 patients (12 males, 6 females), with mean age 43.2±6.3 years. The most operated level was L4/5 in 12 patients. Disc herniation on the left side was presented in 11 patients. Mean duration between the two surgeries was 44±19 weeks. Main clinical presentations were recurrent leg pain in 16 patients and new onset of partial foot drop in 2 patients. Duration of redo surgery was 97±37 minutes. Intraoperative minor dural tears were reported in 2 with no serious sequels. VAS for leg pain improved from 7.3±1.2 preoperatively to 2.1±1.1, 1.4±0.5 and 1.2±0.4 at 1, 30 and 90 postoperative days respectively. Conclusion: MID approach for rLDH following initial MID surgery sounds feasible option with better perioperative and short-term outcome. Clinical outcome in the present study showed favourable outcome regarding operative time and incidence of dural tears with CSF leak comparing to open approaches. (2017ESJ151)
format	article
author	Waeel Hamouda
author_facet	Waeel Hamouda
author_sort	Waeel Hamouda
title	Reperforming Minimally Invasive Microdiscectomy Approaches for Recurrent Lumbar Intervertebral Disc Prolapse
title_short	Reperforming Minimally Invasive Microdiscectomy Approaches for Recurrent Lumbar Intervertebral Disc Prolapse
title_full	Reperforming Minimally Invasive Microdiscectomy Approaches for Recurrent Lumbar Intervertebral Disc Prolapse
title_fullStr	Reperforming Minimally Invasive Microdiscectomy Approaches for Recurrent Lumbar Intervertebral Disc Prolapse
title_full_unstemmed	Reperforming Minimally Invasive Microdiscectomy Approaches for Recurrent Lumbar Intervertebral Disc Prolapse
title_sort	reperforming minimally invasive microdiscectomy approaches for recurrent lumbar intervertebral disc prolapse
publisher	Egyptian Spine Association
publishDate	2018
url	https://doaj.org/article/4a6978420628480ba60b88fd5e8aa3eb
work_keys_str_mv	AT waeelhamouda reperformingminimallyinvasivemicrodiscectomyapproachesforrecurrentlumbarintervertebraldiscprolapse
_version_	1718403735277797376

Reperforming Minimally Invasive Microdiscectomy Approaches for Recurrent Lumbar Intervertebral Disc Prolapse

Ejemplares similares