Current technique of endoscopic transforaminal percutaneous discectomy for lumbar disc herniation
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STUPAC, Ion, CAPROŞ, Nicolae, STUPAC, Ilie, ERHAN, Nicolae, ROŞU, Gheorghe. Current technique of endoscopic transforaminal percutaneous discectomy for lumbar disc herniation. In: Perspectives of the Balkan medicine in the post COVID-19 era: The 37th Balkan Medical Week. The 8th congress on urology, dialysis and kidney transplant from the Republic of Moldova “New Horizons in Urology”, Ed. 37, 7-9 iunie 2023, Chişinău. București: Balkan Medical Union, 2023, Ediția 37, p. 114. ISSN Print: ISSN 1584-9244 ISSN-L 1584-9244 Online: ISSN 2558-815X.
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Perspectives of the Balkan medicine in the post COVID-19 era
Ediția 37, 2023
Congresul "Perspectives of the Balkan medicine in the post COVID-19 era"
37, Chişinău, Moldova, 7-9 iunie 2023

Current technique of endoscopic transforaminal percutaneous discectomy for lumbar disc herniation


Pag. 114-114

Stupac Ion1, Caproş Nicolae1, Stupac Ilie2, Erhan Nicolae1, Roşu Gheorghe1
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 Central Military Hospital
 
 
Disponibil în IBN: 20 decembrie 2023


Rezumat

Introduction. Transforaminal percutaneous endoscopic discectomy (DEPT) is an innovative technique with local anesthesia and minimally invasive incision from lateral approach, allows safe removal of lumbar disc herniations under endoscopic visualization with early rehabilitation. Objective. To analyse the efficiency of surgical treatment in patients with lumbar disc herniation using the transforaminal percutaneous endoscopic method. Material and methods. This is a prospective study of 55 patients (39 males, 16 females) with different localizations of lumbar disc herniation: level L5 - 25 subjects, level L4 in 28 subjects, level L3 - 2 patients; central, paracentral, intraforaminal extraforaminal herniations were found in nine (16.36%), 18 (32.72%), 26 (47.27%) and two (3.63%) cases, using exclusion criteria. Patients’ age range 20–62 years, mean ±38 years. Follow-up at 1, 3, 6, 12 months after DEPT was done using VAS and MacNab scales. Results. The findings of our study showed that MacNab score was excellent 47 (85.45%) cases, good seven (12.72%) cases, and satisfactory one (1.81%) case. The preoperative mean was VAS 6.71±1.52, postoperative mean VAS 3.1±1.3 and rebound 2.2±1.3 (P < 0.0001). Regarding complications, recurrence occurred in two (3.63%) patients, but there were no cases of conversion to open surgery, infection or discitis. The operating time 58±4.6 min and intraoperative hemorrhage 9±1.2 ml. Average verticalization in 2.2 ± 0.5 hours. Sameday or next-day discharged with normal activity in 7-10 days postoperatively. Conclusion. DEPT is safe and complete removal of lumbar disc. Superiority in outcomes, gives the potential as a golden standard for lumbar disc disease.