Post by masders on Feb 15, 2024 12:05:48 GMT
Discectomy is a surgical procedure that involves removing the damaged disc. This damage causes irritation and pressure on the surrounding nerves, which is the reason why patients feel pain, stiffness or weakness. Symptoms can appear in the lower back, or in the legs. Most of the people who feel these symptoms can get rid of them through conservative treatment - with drugs or physical therapy. If conservative treatment does not help, then surgical treatment is recommended - discectomy. According to Prof. Dr. Kirill Llozanço, neurosurgeon at the "Acibadem Sistina" clinical hospital, there are several techniques, but recently minimally invasive open surgery is applied here, with the use of a microscope in order to have a better visual picture. The advantage of this method is the fact that the operation is performed with a smaller incision, recovery after the operation is faster, and the patient can return home in a short time.
When is it done? This intervention is performed to Denmark Email List reduce the pressure that the disc causes on the nerves. The doctor can recommend this intervention to you even if: You have trouble standing or walking You do not feel improvement after conservative treatment If you have a problem with urination You have unbearable pain in your legs or lower back (middle). During the intervention Open discectomy is performed under general anesthesia. It is done with a 2-3 cm incision in the skin. Sometimes part of the bone tissue is removed, for a clearer visual picture of the disc, without damaging the nerve root. This is called a laminectomy or laminotomy. After the lamina of the vertebra, the disc and the surrounding area are clearly visualized, the part of the disc that has moved from the disc wall, as well as other parts that protrude out of the disc space, is removed or removed.
In this part of the operation, in our hospital we routinely use an operating microscope which provides more illumination and magnification or increased visibility in this area. In this way, a better protection of the nerve root is possible. During the last 6 months, the method of neurophysiological monitoring (following the function of the nerve root) was also introduced, so we have a double protection during the manipulation of the nerve root. After the intervention After waking up from anesthesia, we suggest the patient to start moving earlier, approximately 6 hours after the end of the procedure. Our physical therapy team starts dealing with the patient starting the next day, helping the patient to recover faster and explaining to him some measures that the patient should take while performing movements, climbing stairs, sitting, getting out of bed, or how to get out of the car. Of course, the patient should also perform some special exercises at home.
When is it done? This intervention is performed to Denmark Email List reduce the pressure that the disc causes on the nerves. The doctor can recommend this intervention to you even if: You have trouble standing or walking You do not feel improvement after conservative treatment If you have a problem with urination You have unbearable pain in your legs or lower back (middle). During the intervention Open discectomy is performed under general anesthesia. It is done with a 2-3 cm incision in the skin. Sometimes part of the bone tissue is removed, for a clearer visual picture of the disc, without damaging the nerve root. This is called a laminectomy or laminotomy. After the lamina of the vertebra, the disc and the surrounding area are clearly visualized, the part of the disc that has moved from the disc wall, as well as other parts that protrude out of the disc space, is removed or removed.
In this part of the operation, in our hospital we routinely use an operating microscope which provides more illumination and magnification or increased visibility in this area. In this way, a better protection of the nerve root is possible. During the last 6 months, the method of neurophysiological monitoring (following the function of the nerve root) was also introduced, so we have a double protection during the manipulation of the nerve root. After the intervention After waking up from anesthesia, we suggest the patient to start moving earlier, approximately 6 hours after the end of the procedure. Our physical therapy team starts dealing with the patient starting the next day, helping the patient to recover faster and explaining to him some measures that the patient should take while performing movements, climbing stairs, sitting, getting out of bed, or how to get out of the car. Of course, the patient should also perform some special exercises at home.