Discectomy is the most common surgery used for herniated discs.
is the treatment. Intervertebral discs, bones of the spine
located between the vertebrae and connecting the vertebrae
They are tightly adhered substances. ‘Annulus fibrosus’ of the disc
The outer surface, called the so-called
When it becomes weak, ruptures occur. inner part of the disc
soft, flexible and called ‘nucleus pulposus’
There is deterioration in the named part and it moves out of place.
and protrudes out of the tears in the outer layer. disk
Slipping, sagging and bulging are called herniation.
In the medical literature, disc herniation is called disc herniation.
is named. The posterior outer surface border of the inner disc material
If it exceeds it, it can put pressure on very sensitive nerve tissue.
A bulging disc can compress or damage a nerve root.
and as a result, pain reflected in one or both legs,
depending on the nerve root or nerve roots it affects
may cause loss of strength and drowsiness. discectomy,
herniated disc parts and damaged parts
removal, thus relieving pressure on the nerve root and
It is done to relieve pain.
Disc surgery, small lesions in the skin at the top of the spine
incision, removal of some ligament and bone materials
and involves eliminating disk fragments.
Open discectomy has been performed for the last 60 years. physicians
advanced diagnostic facilitating methods ‘magnetic
resonance imaging (MRI) and computed tomography
This surgery can be improved by making better surgical plans with (CT).
developed the approach.
Microdiscectomy involves a smaller skin incision (1.5-2 cm).
makes. Very little muscle tissue is stripped, less bone is removed.
Microdiscectomy microscope and microsurgical instruments
Since it is performed using
is quite low. After surgery, the patient goes to work faster
rotary.
WHO NEEDS DISCECTOMY?
All patients with disc herniation are candidates for open discectomy.
It is not. In most people, rest, physical therapy, use of analgesics, anti-inflammatory drugs, and epidural injections
Pain relief may be observed with conservative treatments such as:
However, sometimes pain does not respond to such treatments and
Surgical interventions may be required.b
Waist or leg pain does not respond to conservative treatments
and if it persists for 4-6 weeks or longer, physicians
diagnostic tests to identify the source of pain;
imaging methods such as plain radiograph, MRI or CT
They may want to. On if the diagnosis of disc herniation is confirmed
Discectomy or microdiscectomy may be recommended.
Some disc herniations can be removed endoscopically, through a smaller incision, under local anesthesia using special tools. But open discectomy or
microdiscectomy, disc protrusion becomes evident or
A lot of pain and weakness as a result of a ruptured disc
Surgical treatment of disc herniation as it may cause
It is still considered the “gold standard” for
Open discectomy allows the surgeon to examine the surgical area in the best way possible.
It allows you to see and explore.
HOW ARE OPEN DISCECTOMY AND MICRODISCECTOMY PERFORMED?
Open discectomy is usually performed under general anesthesia (patient
It is performed under the unconscious (asleep) state and
typically requires a one-day hospital stay. Patient
lying face down or crouching with elbows on knees
It is performed while in position. Application, spine
opened in the skin over the affected area, approximately
It is performed through a 2-4 cm incision. Muscle tissue affected
The disc is stripped from the bones above and below the disc, the retractor
removes muscle and skin from the surgical site and thus
The surgeon can see the spine and disc more easily. Some
gaining a better perspective on situations
bones and ligaments can be eliminated so that
bulged, distorted without damaging the nerve root
access to the disk is achieved. This process involves removing the bone
laminectomy or laminotomy depending on the amount
It is called. The surgeon examines the vertebra, disc and other
can see surrounding structures this way. These transactions
followed by disc fragments protruding from the disc wall and
Disk fragments that can be removed from the disk are eliminated.
Microdiscectomy: This procedure is often performed under magnification.
Surgery is performed with a microscope. A smaller incision is made, the muscle
The tissue is less stripped and better visibility is achieved.
No substance replaces the removed disc tissue.
not used. The incision is then closed with stitches and
The patient is taken to the recovery room.
WHAT HAPPENS AFTER SURGERY?
Pain in the incision area after surgery
You may feel pain right after surgery
It may not disappear completely. your doctor surgery
Pain management to ease your post-operative period
can edit. Deep breathing techniques
You will learn and the problems that may occur due to general anesthesia.
coughing to remove secretions from your lungs
will be requested. Walking as soon as you recover from anesthesia
start (usually after 6 hours) and help you recover.
It is recommended that you have a companion to help you.
Before leaving the hospital, climbing stairs, sitting
and activities such as getting out of bed or driving
What should you pay attention to to make you feel comfortable during
You are told what to do. When you are discharged from the hospital,
Your doctor may recommend physical therapy appropriate to your condition.
can adjust.
For a long time in the first 4 weeks after surgery
not sitting, not lifting objects weighing more than 5 kilograms,
some restrictions, such as not bending or stretching excessively
can be brought. Also, until your doctor gives permission
You should not try to drive.
WHAT ACTIVITIES CAN I DO AFTER SURGERY?
Walking is the first physical activity you will try. Walk,
It will reduce the risk of tissue wounds in the surgical area
It will also allow the spine to maintain its mobility. bike in a few weeks
You may also be allowed to use it and swim. Smooth
physical therapy can maximize your recovery.
Those who work in a profession that does not require physical effort 2-4
They can return to work in a week or less.
Control heavy lifting or strong vibrating machinery
Those who are engaged in professions related to being able to return
You have to wait 6-8 weeks after surgery for
They can stay. Physical therapy may play a role in your recovery.
ARE COMPLICATIONS POSSIBLE?
Possible complications resulting from open discectomy
complications bleeding, infection, cerebrospinal
fluid leakage in the arteries and veins near the spine
injury to the vessels, at or surrounding the nerve root
occurring in the protective layer (dura mater)
Includes damage.
Also recurrence after surgery on the same disc
disc herniation may occur. Recurrent disc herniation, open
It is a condition seen in 96% of 5-10 patients after discectomy.
situation.
All surgical methods carry the risk of complications and all
Talk to your surgeon about the risks before surgery.
should be talked about. Excessive bleeding, rash, surgery
leakage from the area, fever, weakness, legs
drowsiness or problems with urination are certain warning signs
signs. If you experience any worrying symptoms
Mention this to your doctor.
ARE COMPLICATIONS POSSIBLE?
Medical studies suggest open discectomy treatment
showed success in 9680-90 cases.
This rate is slightly higher in microdiscectomy.
According to studies, radicular pain (that radiates to the legs)
open discectomy due to low back pain)
They benefit more from those who do.
To increase effectiveness, open discectomy is recommended for persistent, severe
experiencing hip and leg pain or weakness
It is suitable for humans. This is your back or leg pain.
If not, open discectomy is recommended for you.
may not be an acceptable method, so conservative
well with treatments or less invasive therapies
you can be.
If you have back or leg pain, use any method.
Before the application, talk to your doctor about your pain.
discuss all possible treatment possibilities
You should evaluate.
