TRANSFORAMINAL PERCUTANEOUS ENDOSCOPIC DISCECTOMY FOR LUMBAR DISC HERNIATION AND NERVE ROOT DECOMPRESSION FIRST TIME IN MONGOLIA
- VernacularTitle: МОНГОЛД АНХ УДАА БҮСЭЛХИЙ НУГАЛМЫН МӨГӨӨРСӨН ЖИЙРГЭВЧИЙН ИВЭРХИЙГ ДУРАНГИЙН МЭС ЗАСЛЫН АРГААР АВАН МЭДРЭЛИЙН ЁЗООР ДАРАГДАЛЫГ ЧӨЛӨӨЛСӨН НЬ
- Author:
Temuujin M
1
;
Saruul E
;
Nurbyek B
;
Mishigdorj L
;
Bulgan CH
;
Sergelen O
Author Information
1. Grandmed Hospital
- Publication Type:Journal Article
- Keywords:
Lumbar discectomy;
transforaminal endoscopic lumbar discectomy
- From:Journal of Surgery
2016;20(2):92-95
- CountryMongolia
- Language:Mongolian
-
Abstract:
Introduction: Various modalities oftechniques from standard discectomy,microdiscectomy, percutaneous discectomy,and transforaminal endoscopic discectomyhave been in use for lumbar intervertebraldisc prolapse1. The access to spine is keptto a minimum without stripping paraspinalmuscles minimizing muscle damage bytransforaminal endoscopic approach2.Currently in the population of the Mongoliabeen increased of the spinal nerve rootcompression, which are resulting in lumbardisc pathological changes. In other developedcountries has been successfully introducingthe spine endoscopic surgery use for thatpathological changes. In regard to our countryhad not yet implemented for until now asthese high technological surgeries3. Spinesurgery department team of the GrandMedhospital had successfully introduced that thespine endoscopic surgery.Materials and Methods: We performedtransforaminal endoscopic lumbardiscectomy surgeries on patients age of 24,38, 78 on July/23/2016 All patients withsingle nerve root compression due to Lumbardisc herniations, including sequestrated ormigrated and selected central disc at L4-5. All patients had preoperative MRI andpostoperative MRI to check the adequacy ofdecompression. All patients were operatedby 18-mm ports of the S-Gun endoscopicequipments. Procedure had done under localanesthesia. Postoperatively, all patients weremobilized as soon as the pain subsided anddischarged within 24-48 h post-surgery.Patients were followed up at 2, 6 weeks.Results: The mean follow up was 2-6weeks. The average surgical time was 70min (range 25-210 min). Average blood losswas 20-30 ml. Postoperative MRI showedcomplete decompression. All of patients hadgood-to-excellent results and straight raisingleg test (Lasegue) were 90/90 respectively.All patient is preoperatively visual analogyscale was 8±1 and then became to 1±1.Conclusion: Microendoscopic discectomyis minimally invasive procedure fordiscectomy with results of this procedure areacceptable safe and effective. However, forthis technique has required to do accuracyand experienced surgeon.
