Neuro & Brain
Lumbar Microdiscectomy Treatment
Discectomy word generally means "removing or separating out the disc". A discectomy can be done anywhere with the spine from the neck or cervical to the low back or lumbar. The surgeon identifies the destroyed disc from the back aur position of the spine in the muscles and bone. The surgeon uses the disc by separating the specific portion of the lamina.
What is lumbar microdiscectomy?
Discectomy word generally means "removing or separating out the disc". A discectomy can be done anywhere with the spine from the neck or cervical to the low back or lumbar. The surgeon identifies the destroyed disc from the back aur position of the spine in the muscles and bone. The surgeon uses the disc by separating the specific portion of the lamina. Particularly, the lamina is particular bone which forms the backside of the specific spinal canal and forms a roof on the spinal cord. Generally, spinal nerve is re fetched to one side. Relying on your specific case, one disc of single-level is separated or other disc of multi-level can be removed.
A good range of surgical tools and strategies can be used in order to process are discectomy. A widely open strategy involves a large skin incision and specific muscle retraction in order that the surgeon can permanently view that area. A small invasive technique for a micro endoscopic discectomy uses a tiny skin incision. A range of rapidly wider and larger tubes, known as dilators, are involved to tunnel through the muscles. Particular instruments help the surgeon view and operate in a limited space . A small invasive incision results into less disruption of the back side of the muscles and can also minimise the recovery time. The surgeon will suggest the strategy which is most accurate for your particular case.
What does the procedure involve?
Open discectomy is generally done by giving a anesthesia which makes patient unconscious and is generally takes a one-day hospital stay. It is proceeded while the patient is lying face towards downside direction in a kneeling kind of position. In the procedure, the surgeon will make an accurately one-inch precise incision in the skin over the troubled area of the spine. Muscle tissue is separated from the bone or what we called lamina above and below the affected disc and retractors have the muscle and skin away from the surgical location so the surgeon has a precise and visible view of the vertebrae and the disc. In certain cases bone and ligaments need to be separated for the surgeon to be able to view and then have access to the disc and do bot destroys the nerve tissue. This surgical procedure is called as laminectomy or laminotomy relying on what portion of bone need to be separated.
Once the surgeon can clearly view the lamina of the vertebrae, disc and other nearby structures, the surgeon will separate the part of the disc that is coming outc from the disc wall and any other such disc parts that can be removed from the disc. This is mostly performed under clear magnification. Any material is involved to replace the disc tissue that is separated . The precise incision is then intact with stiches and the patient is then transferred to recovery room.
After surgery, you will feel a specific amount of pain at the location of the incision, and the occurring pain may not be totally relaxed immediately after the surgery. Your surgery can suggest pain medication to relax you tin the entire immediate postoperative period. You will be guided on intense breathing strategies and motivates to cough to remove any fluid storage in the lungs which can occur due to the regular anesthesia. It is suggested that, with proper guidance, you start walking as soon as you are completely cured from the anesthesia. This will support your recovery process.
After the completion of surgery, when you are discharged from the hospital, a physical therapist will make a visit ti you in order to help you feel relaxable performing activities like as climbing the stairs, sitting and getting out of bed without problem. A physical therapy is recommended by therapist in order to make your condition proper after getting discharged from the hospital post surgery.
At your home, you may have some small restrictions such as not sitting for good periods of time, lifting heavy objects like more than five pounds, or even bending or stretching for the initial four weeks post the surgery. Also, you should not attempt to drive an automobile until you have been instructed to do so by your physician.
Walking is generally the first physical activity you can perform. Walking will allow you to maintain movement of your spine as well as eradicate the complication of scar tissue discovering at the operative site.
What are the Benefits of Lumbar Microdiscectomy?
The success rate of lumbar microdiscectomy spine surgeries are quite high, it shows positive results for 84% of people who underwent the surgical process. A study denotes that people who had surgery for lumbar herniated disc have high advantage of graph in symptoms then who didn't went for the surgery. Patients are generally able to come back to good and regular level of activity after the completion of this surgery and even medical literature also confirms its benefits. After the microdiscectomy spine surgery, an exercise routine including stretching, strengthening and set of aerobic exercises are suggested to prevent recurrences of pain in back or disc herniation.
What are the Risks involved in lumbar microdiscectomy?
- Deep vein thrombosis (DVT) can occur which is a critical condition occurred when blood clots are formed in the leg veins. If the clots gets broken and reaches to the lungs, lungs can collapse and in severe conditions death can also occur. Although , there are various methods to cure or prevent Deep Vein Thrombosis. Medicinal Drugs like aspirin, Heparin, or Coumadin are also used.
- Lung problems. Can also occur after lumbar microdiscectomy. Lungs need to be working with their full capacity after surgery in order to provide tissues with enough oxygen to recover. If the lungs have collapsed areas, mucus and bacteria gets collected and can lead to disease like pneumonia.
- Nerve damage is also one of the complications included in after effects of lumbar microdiscectomy surgery. Any operation on the spine include the risk of destroying the nerves or spinal cord. Damage can cause numbness or can even lead to paralysis.
- Some disc herniations can also permanently destroy a nerve, leaving it unresponsive to decompressive surgery.
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