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Microdiscectomy and Endoscopic Discectomy in Mukundapur

Microdiscectomy Endoscopic Discectomy

Microdiscectomy and Endoscopic Discectomy in Mukundapur

If you or your loved one is suffering from spinal stenosis or impacted discs, your physician may suggest Spine Surgery. It may appear to be a major medical procedure requiring a very long recovery period. However, because of advances in technology, Endoscopic Discectomy procedures only require one appointment. Surgeons employ this invasive surgical technique to remove debris from herniated discs. Your lower back, thoracic spine, and cervical spine may all hurt as a result of the herniated discs.

One of the least invasive surgical methods for treating disc herniation is Endoscopic Discectomy. The bones or muscles are not removed by the surgeon during the ED treatment. Rather, they use a tool called a tubular retractor to view your spine. To prevent injury to your bones and muscles, the surgeons make tiny incisions to place the tube. Surgeons examine your spine using a small camera. They also avoid making deep cuts. This surgical process only takes the surgeon about thirty minutes to do. The surgeon may release you within two to three hours of the procedure.

Another minimally invasive surgical procedure used to treat herniated discs is Microdiscectomy. In this procedure, the removal of disc material is done by making a small incision in the back, avoiding disruption to the surrounding tissues.

Both of these procedures offer significant benefits. The surgeon will decide whether to go for a Microdiscectomy or Endoscopic Discectomy, depending on your condition and needs. They are particularly effective for patients with localised herniated disc issues who have not responded to conservative treatments such as physical therapy or medication. Manipal Hospitals, Mukundapur, has a team of experienced surgeons efficient in providing high-precision results by using advanced spine surgical techniques.

FAQ's

In order to cure the following conditions, your doctor may advise you to have the ED operation done:

  • Disc rupture
  • Disc herniation
  • Bulge in the disc
  • Herniated cervical disc
  • Radiculopathy (pinched nerve in the spine)
  • Cervical disc tears
  • Cervical disc neuritis 
  • Low back arthritis
  • Sciatica
  • Inadequate long-term comfort with more conservative therapies, such as injections for pain management

  • Less damage to soft tissues and muscles compared with open surgery

  • Fast recovery period

  • Minimal discomfort or pain after surgery

  • Immediate relief from leg pain

  • Fewer risks and complications than open-spine surgery

  • Minimal scar tissue and a small incision

  • High therapeutic success rate and long-term effectiveness

  • Little to no blood loss

  • Treatment management via visual endoscopy

  • No loss of movement

ED is not advised for people suffering from the following conditions:

  • Fracture
  • Infection
  • Tumour
  • Total instability

A Microdiscectomy procedure uses a small incision and a microscope to remove herniated disc material under general anaesthesia. While an Endoscopic Discectomy uses an even smaller incision and an endoscope, often under sedation and local anaesthesia, for less invasive removal. Though both procedures are minimally invasive, Endoscopic Discectomy generally results in quicker recovery and less postoperative pain compared to Microdiscectomy.

  • A patient should fast for seven hours before surgery, with the exception of water. They should limit their water intake to a sip during the last hour prior to the surgery.

  • Preoperative showering lowers the risk of infection. It's a smart idea as well because it can be some time before the person gets another chance to take a shower.

  • Prior to the procedure, medical staff will request that patients take off their jewellery, cosmetics, and clothes. An open-backed gown will be given to you by the hospital.

The doctor will lead you to the operating room for the ED surgery and give you sedatives. The surgeon views your spine by inserting a little tube while you are unconscious. Your muscles are shielded from tearing or cutting by the tube. The herniated disc, bulging disc, or bulging disc under visualisation through the tube can then be easily located by the surgeon.

Using a grasper, the surgeon extracts a fragment of the herniated disc under the supervision of X-rays and direct visualisation. Your surgeon can use a laser to correct the tiny annular tears or disc bulging.

The surgery is done under general anaesthesia. The surgeon makes a small incision in the middle of the back and uses an X-ray to determine the proper level. On the afflicted side of the spine, muscles retract. The nerve that is being affected by the disc herniation will be exposed by removing a tiny portion of bone and ligament. The disc material that was compressing the nerve will be removed once it has been retracted to the side. Dissolvable sutures are then used to seal the incision and stop any further bleeding.

Within 24 hours after the surgery, the patient can return home due to the invasive nature of the procedure. The patient needs to adhere to particular post-recovery protocols after they reach home.

  • Activity Restriction: High-impact activities, repetitive tasks, and lifting heavy objects should be avoided for at least 21 days. 

  • Walking: Walking can increase blood flow, reduce pneumonia risks, and prevent blood clotting. 

  • Back Brace: A back brace may be recommended by the surgeon, but not all patients should follow the advice.

  • Proper nutrition, including vitamins and proteins, is crucial for tissue and wound healing. 

  • Pain medication should be taken as directed and when needed, with over-the-counter medicines like Tylenol and ibuprofen sometimes used.

Compared to typical operations, the problems with the ED procedure are less severe. Rarely, after surgery, the patient may have ongoing discomfort and injury to their nerve roots. If you feel discomfort, you should see your doctor right away so that the risk can be managed. The following are potential side effects that you could experience following the procedure:

  • Nerve damage: There is a small chance that the surgery can cause blood or nerve damage.

  • Most surgical procedures involve some bleeding, but if the bleeding persists, there is a risk. Bleeding under this technique is usually not as serious.

  • Recurring symptoms: Following surgery, a small percentage of patients have recurring symptoms. However, the likelihood is low.

  • Infection: Prior to the procedure, you are prescribed antibiotics by an orthopaedist. Antibiotics are also given both during and after the procedure to reduce the risk of infection.

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