Minimally invasive techniques are being developed in order to reduce the disadvantages of open surgery and microdiscectomy methods used in lumbar disc herniation surgeries. One of the methods by which the mentioned problems are minimized is Completely Closed Lumbar Herniated Surgery (Percutaneous Endoscopic Discectomy). In fact, this technique, which dates back 30 years, has come into widespread use in the last 10 years, and today, many patients are operated on with this technique in some centers in countries such as Korea, Germany and America.
Full Closed Lumbar Disc Herniation Surgery Local Or It Can Be Performed With General Anesthesia
Fully closed lumbar disc herniation surgery is performed through a 0.5 cm incision on the skin. The procedure can be performed with local or general anesthesia. The technological infrastructure in surgery must be very good, because since the procedure is performed in a closed manner, radiological and endoscopic imaging systems must be of high quality. After the skin incision, the disc is reached with a needle under radiological imaging; The disc is then stained with a radio-opaque substance and another dye that will later identify the problematic disc during endoscopic removal. Thanks to this technique, only the herniated part of the disc is recognized and removed. The tube and camera on which the procedure will be performed are advanced through the anatomical spaces in the spine and the herniated area is reached without damaging any tissue. The surgical procedure is performed through the channel in the endoscope and under camera control. Patients leave the operating room pain-free, walk the same day, and are usually discharged in the evening. Except for heavy work, the return to work time is 3 - 5 days. This technique, which can be applied to 60-70% of all herniated disc patients, has no difficulty in applying it to overweight patients, which is a concern in open surgery.
Fast Recovery After Surgery Enables Early Return to Daily Life
The aim of all surgical procedures is to protect healthy tissue while treating damaged tissue. Since the damaged tissue is accessed by using anatomical cavities in fully closed herniated disc surgery, the surrounding healthy tissues are not damaged. The ability to remove the hernia with minimal damage; minimizing work loss; The importance of this technique is that the patient's pain decreases rapidly after surgery and he can quickly start his daily life.
As a result, fully closed herniated disc surgery is considered to be an option in which technically healthy tissues are not cut and therefore the expectations after the operation are much better.
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