Endoscopic Management of Lumbar Disc Prolapse

Background: Endoscopic management of lumbar disc herniation as a minimally invasive procedure become more popular around the world. Although accepted surgical outcomes of the endoscopic approach to manage lumbar disc herniation [LDH], this procedure still to be relatively challenging and needs a hig...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Mahmoud Mahmoud, Adel Almelesy, Mostafa Alsayed Mohamed
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	lumbar disc herniation spine endoscopic systems interlaminar approaches easy go destandue systems Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/98b8e80fdcbe48668e32e3a4086f6e33
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:98b8e80fdcbe48668e32e3a4086f6e33
record_format	dspace
spelling	oai:doaj.org-article:98b8e80fdcbe48668e32e3a4086f6e332021-12-02T19:02:51ZEndoscopic Management of Lumbar Disc Prolapse2636-41742682-378010.21608/ijma.2021.49297.1206https://doaj.org/article/98b8e80fdcbe48668e32e3a4086f6e332021-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_183894_1a2522b02482e3afcdcf7642fb7a39e9.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Endoscopic management of lumbar disc herniation as a minimally invasive procedure become more popular around the world. Although accepted surgical outcomes of the endoscopic approach to manage lumbar disc herniation [LDH], this procedure still to be relatively challenging and needs a high learning curve, so operative failures and complications may occur. The Aim of The Work: To assess using the endoscope in the management of lumbar disc prolapse by interlaminar approach using Easy Go and Destandau systems. Patients and Methods: This is study included twenty patients, who had lumbar disc herniation, and operated by using Easy Go and Destandau's endoscopic systems after the failure of conservative treatment. They were included between March 2016 and April 2020. They followed up for at least three months postoperatively. All were selected from the Neurosurgery Department, Al-Azhar University Hospitals, Egypt. Results: Low back pain was the main complaint reported by all patients. The radicular side was mainly the left side [70.0%] and L4/L5 was the most common affected level [65.0%]; the disc protrusion was mainly paracentral [80.0%]. There was a significant pain reduction after surgery when compared to before surgery. The outcome was excellent for 55.0%, good for 25%, fair for 15% and poor for 5%. Complications were in the form of unintended durotomy among 10.0%, nerve injury among 10.0% and infection among 5.0%. Conclusion: Endoscopic lumbar discectomy through interlaminar approach by Destandau's and Easy Go systems become a golden procedure to manage lumbar disc prolapse at any level especially L5-S1 as a minimally invasive technique with some accepted complications that can easily be managed compared to classic traditional open techniques.Mahmoud MahmoudAdel AlmelesyMostafa Alsayed MohamedAl-Azhar University, Faculty of Medicine (Damietta)articlelumbar disc herniationspine endoscopic systemsinterlaminar approacheseasy godestandue systemsMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 3, Pp 1689-1693 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	lumbar disc herniation spine endoscopic systems interlaminar approaches easy go destandue systems Medicine (General) R5-920
spellingShingle	lumbar disc herniation spine endoscopic systems interlaminar approaches easy go destandue systems Medicine (General) R5-920 Mahmoud Mahmoud Adel Almelesy Mostafa Alsayed Mohamed Endoscopic Management of Lumbar Disc Prolapse
description	Background: Endoscopic management of lumbar disc herniation as a minimally invasive procedure become more popular around the world. Although accepted surgical outcomes of the endoscopic approach to manage lumbar disc herniation [LDH], this procedure still to be relatively challenging and needs a high learning curve, so operative failures and complications may occur. The Aim of The Work: To assess using the endoscope in the management of lumbar disc prolapse by interlaminar approach using Easy Go and Destandau systems. Patients and Methods: This is study included twenty patients, who had lumbar disc herniation, and operated by using Easy Go and Destandau's endoscopic systems after the failure of conservative treatment. They were included between March 2016 and April 2020. They followed up for at least three months postoperatively. All were selected from the Neurosurgery Department, Al-Azhar University Hospitals, Egypt. Results: Low back pain was the main complaint reported by all patients. The radicular side was mainly the left side [70.0%] and L4/L5 was the most common affected level [65.0%]; the disc protrusion was mainly paracentral [80.0%]. There was a significant pain reduction after surgery when compared to before surgery. The outcome was excellent for 55.0%, good for 25%, fair for 15% and poor for 5%. Complications were in the form of unintended durotomy among 10.0%, nerve injury among 10.0% and infection among 5.0%. Conclusion: Endoscopic lumbar discectomy through interlaminar approach by Destandau's and Easy Go systems become a golden procedure to manage lumbar disc prolapse at any level especially L5-S1 as a minimally invasive technique with some accepted complications that can easily be managed compared to classic traditional open techniques.
format	article
author	Mahmoud Mahmoud Adel Almelesy Mostafa Alsayed Mohamed
author_facet	Mahmoud Mahmoud Adel Almelesy Mostafa Alsayed Mohamed
author_sort	Mahmoud Mahmoud
title	Endoscopic Management of Lumbar Disc Prolapse
title_short	Endoscopic Management of Lumbar Disc Prolapse
title_full	Endoscopic Management of Lumbar Disc Prolapse
title_fullStr	Endoscopic Management of Lumbar Disc Prolapse
title_full_unstemmed	Endoscopic Management of Lumbar Disc Prolapse
title_sort	endoscopic management of lumbar disc prolapse
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/98b8e80fdcbe48668e32e3a4086f6e33
work_keys_str_mv	AT mahmoudmahmoud endoscopicmanagementoflumbardiscprolapse AT adelalmelesy endoscopicmanagementoflumbardiscprolapse AT mostafaalsayedmohamed endoscopicmanagementoflumbardiscprolapse
_version_	1718377223414611968

Endoscopic Management of Lumbar Disc Prolapse

Ejemplares similares