European Journal of Molecular & Clinical Medicine

Objectives: To evaluate the results of micro-endoscopic discectomy and open discectomy in lumbar disc prolapse.
Methods: This study is a prospectively conducted study of 30 patients operated by a single surgeon with both modalities. The first modality is endoscopic discectomy using METRx system (Medtronic, Sofamor-Danek, Memphis, TN) using 22mm port and the second is open method of discectomy for lumbar disc herniation.
Results: The results were evaluated using ODI (Oswestry Disability Index) and VAS (visual analogue scale 0-10) for back pain and leg pain. Patients were followed up at an interval of 1 week, 2 week, 1 month, 6 months and 12 months post-operatively.
Conclusion: By limiting the tissue manipulation via small incisions and minimal muscle dissection, MED has reported to have better perioperative outcomes, including shorter hospital stay, less blood loss, less pain medicine requirement, decreased surgical site infection rate, quicker return to activities and Early discharge rate than open method. Although MED have some advantages over the open techniques in the perioperative factors, both the techniques are effective and provide similar pain relief and functional outcomes at the end of 2 years.

Lumbar disc herniation is the most common cause of lumbar radiculopathy. Most commonly seen in adult population 20-50 years of age, most common site of occurrence is L4-L5 and L5 and S1evels. Non-operative management of this condition may include physical therapy, anti-inflammatory medications, and epidural steroid injections. After the patient’s informed consent was obtained, 150 patients with lumbar disc prolapse were subjected to epidural steroid infiltration out of which 101 underwent IL procedure and 49 underwent TF epidural steroid injections under the fluoroscopic guidance according to surgeon’s preference. As per our study it was inferred that 83.3% patients had moderate OD score following surgery at the end of 6 months whereas 74.6% patients had mild OD score following only epidural steroid which was also found to be statistically significant.

Background:Obesity is an international health crisis. Low-level laser therapy (LLLT) is a novel, non-invasive procedure for lysing excess fat. This study was designed to evaluate the effect to LLLT on reducing the abdominal obesity in women with lumbar disc prolapse.
Material and methods:Forty women were distributed randomly into two equal groups, group A received an energy restricted diet regime (daily kilocalorie intake restricted to 1200 Kcal/day) and treated by Low Level LASER GaAlAs with wavelength of 680nm and Power 40mw for 20 minutes/ session, two sessions/ week for 8weeks. Group B received the same diet regime for 8 weeks but without application of LASER. Weight, pain score, body mass index, waist circumference and abdominal obesitywere measured at baseline then after 8 weeks.
Results:In both groups there was a significant reduction of weight and body mass indexpost-treatment with P>0.05. Regardingabdominal obesity, waist circumference and pain score percentageresults, there was statistically significant difference in favor ofgroup A when compared with group Bwith P<0.05.
Conclusion:A combined treatment of LLLT and diet may offer a safe and effective treatment modality for obese patients with lumbar disc prolapse.