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Microsurgical Discectomy

Microsurgical Discectomy also known as Spinal microdiskectomy is a procedure to remove disk fragments from a herniated disk, usually in the lower back (lumbar Microsurgical Discectomyarea). In lumbar spine surgery a surgical cut about 2 to 5 inches long is made. Microdiskectomy is less invasive procedure and is done with very small surgical incisions of 1 to 1 ½ inches.

Spinal microdiskectomy is done to relieve nerve pain and pressure. It may be performed in patients with the following conditions:

  • Cauda equina syndrome
  • Herniated lumbar disk
  • Leg pain or weakness (sciatica) caused by a herniated disk
  • Conservative management like Traction, anti-inflammatory medications, physical therapy, and exercise is often done before surgery is considered.
BRIEF ABOUT THE PROCEDURE

Procedure

This procedure is done in a hospital under local anesthesia (awake but pain-free) or general anesthesia (asleep and pain-free). A high-power microscope is used during the surgery to clearly view the affected disk(s) and nerves, and guides the doctor during surgery.

The surgeon makes a small incision on a suitable location on your back. The muscles and other tissues are moved away from the spine. After identifying and moving the nerve root, the injured disk tissue and fragments are removed. The muscles are placed back into the normal position, and the wound is closed with stitches or staples.

SOME ASSOCIATED RISKS

Risks include:

  • Dural tears (tears to the tissue called the dura mater, which covers the spinal cord and spinal nerves)
  • Nerve root damage
  • Reherniation of the same disk

Because of the small surgical cut, the doctor may miss some disk fragments. This could result in persistent pain.

Most patients have pain relief and improved function after surgery, and numbness and tingling gets better.

TIPS ON RECOVERY

You will be encouraged to get up and walk around as soon as your anesthesia wears off. Most patients are released the day of surgery.

Most patients typically are able to go back to normal activities shortly after surgery. However, you should avoid sitting for prolonged periods or lifting heavy objects. When lifting anything, be sure to lift with your knees instead of bending over. This is necessary to avoid further injury

One would be able to return to work within 2 to 4 weeks for a desk job but if physically demanding, you may be adviced rest for up to 3 months.

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HOSPITALS FOR MICROSURGICAL DISCECTOMY
DESTINATIONS FOR MICROSURGICAL DISCECTOMY

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