Discectomy

Discectomy in Begur

The surgical removal of a herniated or bulging intervertebral disc pressing on a nerve root or the spinal cord itself and causing pain and other symptoms is known as a discectomy. Decompression is the goal of surgery, which involves removing any bone or soft tissue compressing the spinal canal's contents. This alleviates herniated disc pain resistant to traditional, nonsurgical therapeutic approaches such as prescription drugs, physical therapy, and epidural injections.

Since the lumbar area is where the pain comes from, the most popular surgery for treating lumbar-related symptoms is a lumbar discectomy. The results of alternative minimally invasive discectomy procedures are contrasted with those of open microdiscectomy, which is still the most popular of the numerous presently available treatments.

Modern minimally invasive methods use tiny surgical incisions and equipment like lasers, endoscopes, and microscopes. The smaller incision used in these procedures results in less blood loss and tissue damage in the surrounding area. Since the choice to have a discectomy is a joint one between the patient and the surgeon, the patient should consult with the doctor if they have any questions regarding discectomy in Begur. An orthopaedic surgeon or a neurosurgeon performs the surgery.

Types of Discectomy

• Microdiscectomy

• Percutaneous Discectomy

• Endoscopic Discectomy

• Laser Discectomy

Discectomy Procedure

• General anaesthesia (GA), which renders the patient unconscious before surgery, or spinal anaesthesia, which numbs the lower body from the backdown, are two options. For this kind of procedure, local anaesthetic is not advised.

• After being given anaesthesia, the patient is placed in the prone position—lying on his front with the necessary padding.

• Before the operation starts, the patient's back is cleaned with sterile soap to establish a sterile area, which is then draped.

• Over the area where the herniated disc is located, a tiny incision is created. Using dilators and retractors, the afflicted portion of the spine is exposed by separating its muscles from its bones.

• The spinal nerves are seen via a small window created by removing the lamina, a little piece of bone from the vertebra, in the next stage (also known as a laminotomy or laminectomy).

• After being located, the ruptured disc is removed together with any additional disc pieces that may have come loose or are likely to do so.

• After that, the tissue layers are stitched, and the skin incision is stitched.

• A dressing is put over the incision at the completion of the procedure.

After the Discectomy

• After the procedure, the patient is sent to the recovery area, where their vital signs are kept under observation for a while.

• A solid diet will be offered until normal bowel function has returned, which typically takes two days after surgery.

• The patient will be urged to sit on a chair for around 20 minutes the following day. Sitting and walking should be kept to 20 minutes to minimise stress.

• To relieve the discomfort, prescription medicines should be given. After surgery, physical rehabilitation will start one to two days later. 

• The physiotherapist will demonstrate appropriate body mechanics and back-strengthening activities.

• Braces or a corset could be needed to provide the back with more support.

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