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  • Lumbar Microdiscectomy: Analysis of the Results Obtained by an Identical Operator Using a Single-technique in the Same Clinic and Comparison with Literature Data

    Final Number:
    514

    Authors:
    Ahmet Sengoz MD; Erol Tasdemiroglu

    Study Design:
    Clinical Trial

    Subject Category:

    Meeting: Congress of Neurological Surgeons 2015 Annual Meeting

    Introduction: Lumbar microdiscectomy (MD) remains currently as the most effective surgical treatment in surgical treatment of lumbar disc herniation. The studies on early and late-term outcomes of microdiscectomy method and comparatively outcomes of the other alternative surgeries (microendoscopic discectomy and open surgery) are currently ongoing.

    Methods: Lumbar microdiscectomy (MD) remains currently as the most effective surgical treatment in surgical treatment of lumbar disc herniation. The studies on early and late-term outcomes of microdiscectomy method and comparatively outcomes of the other alternative surgeries (microendoscopic discectomy and open surgery) are currently ongoing.

    Results: Totally 788 segments of 746 cases were operated. Of the cases; 657 were primary while 89 were previously operated. Totally 43 (6.15%) segments of the primary cases and 3 (3.37%) segments of the relapsed cases were reoperated. Tertiary surgery was performed in totally 4 (0.51%) segments. The rates of the complications such as hemorrhage, dural laceration and root injury, postoperative complaints associated with effect of surgical technique on facet joint and their outcomes have been evaluated.

    Conclusions: The differences due to application of an identical surgical technique by multiple surgeons in the single or multicentered studies as a general routine, additional operations performed during training process in the training clinics cause mosaic outcomes about the investigated surgical technique. This study has aimed to analyze the pure surgical outcomes of the lumbar microdiscectomy method performed by an identical operator using a single-technique in the same clinic. Patient beneficence has been evaluated as early-term (first 3 weeks) and late-term (6 months and further) by VAS and ODI scores.

    Patient Care: Recognise pure surgical outcomes of the lumbar microdiscectomy method performed by an identical operator using a single-technique. By improve surgical procedure.

    Learning Objectives: 1. Learn the factors affecting the results of surgical treatment of lumbar disc herniation. 2. Learn complications in the surgical treatment of lumbar disc herniation. 3. Recognise pure surgical outcomes of the lumbar microdiscectomy method performed by an identical operator using a single-technique in the same clinic.

    References:

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