Online ISSN: 2515-8260

Keywords : open discectomy

Endoscopic micro-discectomy v/s open discectomy in lumbar disc prolapse: which is better?

Dr. Rameez A Musa, Dr. Mansi J Patel, Dr. Manthan Kankotiya, Dr. Dharmesh M Jalandhara, Dr. Monil S Solanki, Dr. Neel M Bhavsar

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 1532-1546

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.

A prospective study of outcome of surgical management of patients presenting with lumbar disc herniation by open discectomy

Dr.Manoj Kumar Ramachandraiah,Dr.Ravi Kumar Naganur

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 2411-2414

Lumbar intervertebral disc herniation is one of the main causes of low back ache and sciatica,
which might incapacitate a person. There are many techniques available for treating lumbar
disc herniation. But conventional standard open discectomy is still the most acceptable
method today. Numerous retrospective and some prospective reviews of open disc surgeries
are available. These studies have reported excellent results in 46 to 97% of the patients.30
Cases of lumbar disc herniation which have been treated by open discectomy, satisfying
inclusion and exclusion criterias, admitted in Hospital were studied. Preoperative and
postoperative scores were taken and the rate of improvement in terms of percentage was
calculated using Japanese Orthopaedic Association Low Backache score.In our study we
achieved 90% good results, 6.67% fair results, poor outcome of 3.33%, and the results were
comparable to other studies.There are many techniques for treatment of lumbar disc
herniation but conventional standard open discectomy is still the most acceptable method for
the Indian scenario