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This minimally invasive procedure removes a small part of disc material and portion of bone to relieve the compression of nerve roots
The majority of herniated disc patients are candidates for a Microdiscectomy if they eventually show no improvement after trying medication and physical therapy. Although the condition is most common in those between the ages of 30 and 50, it can also affect people older than this. Children and young people are less likely to experience herniated discs and are more likely to recover without the need for surgery. Adults in their 80s or 90s may benefit from Microdiscectomy, but they should be advised that there is a higher risk of surgical or medical problems in this age group.
There are two methods to perform a Microdiscectomy:
Conventional Microdiscectomy: A surgical procedure that makes use of a magnifying tool, like a surgical loupe or microscope. Compared to an Open Discectomy procedure, this method requires fewer incisions and less soft tissue resection to examine the disc space.
Endoscopic discectomy: An endoscope is used during this minimally invasive procedure to access the disc with the least amount of tissue damage.
Two other classifications for endoscopic Microdiscectomy are:
Transforaminal Percutaneous Discectomy: A procedure where the disc is assessed from the side
Percutaneous Interlaminar Discectomy: A procedure where the disc is assessed from the back
When compared to Microdiscectomy, the endoscopic treatment may provide the following potential benefits:
Reduced retraction of muscles
Reduced extraction of bones
Under local anaesthesia, minimal nervous tissue manipulation may be carried out.
Reduced bleeding
Reduced duration of operation
These advantages might facilitate a faster recovery and an early return to regular activities.
Complications are minimal with Microdiscectomy, and the surgical procedure is safe. Like any surgery, there are some dangers, though. Among them are:
Injury to nerve roots
Recurring disc protrusion
Urinary/bowel incontinence (very uncommon)
Bleeding
Infection
Regardless of a person's past medical history, preventive measures are often simple and should be followed. It is crucial to reduce the likelihood of further disc herniation by exercising frequently, maintaining a healthy posture, and avoiding tension on the spine. One should make an effort to keep up the stomach and back muscles that support the spine. People should also abstain from smoking. This is because nicotine may weaken the disc tissue, which raises the possibility of a recurrence.
Following a Microdiscectomy, postoperative instructions usually consist of:
Activity restriction: For a few weeks, refrain from doing any strenuous lifting, bending, or twisting.
Incision care: Taking care of an incision involves keeping the surgical site dry and clean and adhering to any special wound care guidelines.
Pain management: Apply cold packs to relieve discomfort and take prescription drugs as advised.
Gradual return to activity: Start with light walking and work your way up to a higher level of activity.
Physical therapy: To strengthen and increase flexibility in your back, adhere to the recommended rehabilitation programme.
Follow-up appointments: See the surgeon for assessment and advice at the planned follow-up visits.
There is a 10–20% chance that every patient who undergoes a Microdiscectomy may experience another disc herniation on the same side and at the same level. Patients are quite concerned about this because it is relatively high.
Since the operation interferes with the spinal nerves, pain levels may rise right after the procedure; however, these should subside in the following days after surgery. Individuals who need a Microdiscectomy procedure frequently experience pain so intense before the procedure that they develop a tolerance to it.
The duration of the dressing should be discussed with your surgeon. After you've managed to remove it, you should check the incision daily for indications of poor healing or infection. A mirror can be used to examine a back incision. Although some early swelling is typical, this should gradually go down. If you observe any of the following complications, give your doctor a call:
The incision seems "angry" and is quite hot to the touch and red.
Elevated oedema
Increasing pain
As needed, your doctor will instruct you on how to clean the area and apply fresh bandages.
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