Microdiscectomia lombar tubular com o uso de seringas descartáveis de diâmetros progressivos: resultados cirúrgicos

Abstract

OBJETIVO: descrever técnica minimamente invasiva para abordagem das hérnias discais com material de baixo custo. MÉTODOS: estudo prospectivo da avaliação dos resultados cirúrgicos de dez pacientes submetidos à microdiscectomia lombar tubular com uso de seringas descartáveis de diâmetros progressivos. RESULTADOS: utilizando os critérios de MacNab modificados, 60% dos pacientes apresentaram resultados considerados excelentes, 30% bons e 10% razoáveis. O tempo médio de cirurgia foi de 70 minutos e o de permanência hospitalar, de 14 horas. CONCLUSÃO: o uso de seringas descartáveis para microdiscectomia tubular foi seguro, de baixo custo e com resultados preliminares semelhantes aos da literatura para o tratamento minimamente invasivo da hérnia discal lombar.

Degree of Satisfaction With the Endoscopic Treatment of Lumbar Disc Herniation

“…invasive techniques, modern discectomy techniques have recently gained popularity, as is the case with endoscopic surgery. [17][18][19] In this study, we conducted a retrospective evaluation of patients submitted to endoscopic surgery with an average follow-up of 14 months, ranging from 6 to 34 months. Using the MacNab questionnaire, approximately 82% of the patients had excellent and good results, similar to open technique success rates in the literature that range from 70 to 84% good results.…”

“…The interlaminar approach was indicated for patients with central or central-lateral herniations, while we opted for the transforaminal approach in patients with foraminal and extraforaminal herniations. The clinical assessment was conducted by means of the MacNab questionnaire, 17 with the addition of four yes or no questions to be answered by the patients, as shown in Table 1. 18 Epidemiological data such as age, sex, return to work, were evaluated together with postoperative complications, including infection of the surgical site, neurological changes (pareses, paresthesias), neural lesions, and iatrogenic durotomy.…”