Discectomy. Prices, reviews, ratings
General information
Discectomy is the optimal method for removing intervertebral hernia. It is performed at all stages of the formation of a herniated disc.
The most common procedure is lumbar discectomy.
This operation has the following options:
- microdiscectomy;
- classical discectomy;
- endoscopic microdiscectomy.
Discectomy can be:
- partial - part of the intervertebral disc is removed;
- complete - the entire disc is removed (occurs in 95% of cases).
Complete removal creates more favorable conditions for the formation of fusion (fibrous ankylosis) between the vertebrae. The space between the vertebrae is replaced by scar-connective tissue. But the unremoved areas that remain after incomplete discectomy, on the contrary, lead to a relapse of the disease.
Procedure
Preparation
Before the intervention is scheduled, the patient must pass the following tests:
- urine and blood tests;
- magnetic resonance imaging.
On the day of the operation, the patient is examined by an anesthesiologist to select the optimal dose and method of anesthesia. Eating is prohibited 8 hours before the operation.
If you have concomitant diseases (heart, liver, kidneys, lungs), you need to consult with the relevant specialists.
Discectomy procedure
This procedure is performed under general anesthesia. Depending on the location of the intervertebral hernia, the skin area is disinfected. After this, the doctor makes an incision and performs the necessary surgical manipulations.
If necessary, intervertebral disc plastic surgery is performed during the operation using special transplants. They are made from artificial tissues or by taking a fragment of the ilium (its crest).
The duration of the procedure depends on the type of operation and can take from 10 minutes to 1.5-2 hours.
Rehabilitation period
After the procedure, the patient should lie on his back for 24 hours. Antibacterial therapy is also prescribed to prevent the development of infections. If the patient feels normal and there are no complications, he is discharged after 7-10 days.
After discectomy, rehabilitation lasts three weeks. During this time, it is forbidden to sit, do light physical exercises and lift weights.
Rehabilitation after lumbar discectomy involves wearing a special support corset for two months. For a month after the operation, it is forbidden to make sudden movements, drive a car and lift heavy loads.
Indications and contraindications
This procedure is prescribed in the following situations:
- severe pain syndrome;
- impaired bowel and bladder function;
- the appearance of paralysis or paresis;
- impaired skin sensitivity;
- calcification of the intervertebral hernia and its large size;
- stenosis of the spinal canal.
Contraindications
Discectomy is contraindicated in the following situations:
- blood diseases, oncology;
- infectious or inflammatory diseases;
- pregnancy, diabetes;
- cardiac and respiratory failure (in the stages of decompensation);
- in the stage of decompensation.
Complications
Possible consequences:
- impaired support function;
- damage to the meninges.
- impaired bowel and bladder function.
- bleeding.
Who performs and where?
Discectomy is performed by neurosurgeons in equipped rooms of specialized clinics. You can find out more detailed information on the medical portal
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