Lumbar Endoscopic Percutaneous Discectomy - Clinical Outcome. Prospective Study

Sebben, André Luís; Graells, Xavier Soler i; Benato, Marcel Luiz; Santoro, Pedro Grein Del; Kulcheski, Álynson Larocca

doi:10.1590/s1808-185120171603166520

Cited by 3 publications

(2 citation statements)

References 21 publications

(12 reference statements)

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“…In a prospective study comparing the clinical outcomes of 55 patients with lumbar disc herniation treated with lumbar endoscopic percutaneous discectomy, Sebben el al., showed good results in more than 90% of the patients [27].…”

Section: Resultsmentioning

confidence: 91%

Spine Endoscopy

Kulcheski¹,

Graells²,

Sebben³

2019

Endoscopy - Novel Techniques and Recent Advancements

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The evolution of medicine has led to the appearance of increasingly invasive surgeries. Inside the spine area was no different. Currently, there are minimally invasive procedures in the spine, and endoscopic spine surgery has been the peak of these procedures. This procedure was initially described for the treatment of lumbar disc herniations, but with the technical improvement, the materials used are already being made for other pathologies such as lumbar stenosis, thoracic disc hernias, spinal infections, posterior cervical decompression, and cervical herniations. It has a long learning curve, but the benefits of endoscopic surgery are remarkable, such as less postoperative pain, less bleeding, smaller scars, lower infection rate, less injury to the operated tissues, and a return to earlier work activities, among others. In this way, we must follow the evolution of medicine with the learning of these new techniques.

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Section: Resultsmentioning

confidence: 91%

Spine Endoscopy

Kulcheski¹,

Graells²,

Sebben³

2019

Endoscopy - Novel Techniques and Recent Advancements

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“…Wasinpongwanich et al 14 had a recurrence rate of 12.1%, while Ruetten et al 20 reported a recurrence rate lower than our study, with an incidence of 6.6%. Sebben et al 21 had a reoperation rate of only 3.6%, but the 6-month follow-up of the patients must be taken into consideration.…”

Section: Discussionmentioning

confidence: 99%

Interlaminar Endoscopic Lumbar Discectomy - Clinical Outcome

et al. 2023

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Objective: Evaluate the clinical outcome of patients with lumbar disc herniation (HDL) operated by endoscopic interlaminar microdiscectomy. We evaluated epidemiology, time to return to work, and technique-related complications as secondary outcomes. Method: Prospective longitudinal study, where patients with HDL with surgical indications were evaluated. They underwent endoscopic discectomy exclusively using the interlaminar technique. Clinical results were evaluated using the Oswestry 2.0 questionnaire (ODI) and the visual analog scale (VAS). In this study, we inserted the Macnab postoperative satisfaction index. In parallel with these indices, we analyzed the results regarding epidemiology variables, time to return to work, and complications. Such questionnaires were applied preoperatively, postoperatively the day after surgery, and one year after. Results: In 132 patients selected for the study, we obtained significant clinical improvement in the ODI and VAS questionnaires, and 81.3% of the patients had excellent and good Macnab index. The hospital stay was 22.7 hours, and the return to work was 30 days. The rate of complications with the method was 12.8%, with recurrence of disc herniation being the most common complication with 9.8% of cases. Conclusion: The endoscopic technique proved effective in treating lumbar spinal disc herniation with significant clinical improvement in the analyzed period, low incidence of complications, early postoperative rehabilitation, and results close to or superior to the gold standard technique. Level of Evidence III; Prospective cohort study

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Validation of an endoscopic flavectomy training model

Kulcheski

Filho

Nunes

et al. 2021

Rev. Col. Bras. Cir.

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Objective: to validate a lumbar spine endoscopic flavectomy simulator using the construct method and to assess the acceptability of the simulator in medical education. Methods: thirty medical students and ten video-assisted surgery experienced orthopedists performed an endoscopic flavectomy procedure in the simulator. Time, look-downs, lost instruments, respect for the stipulated edge of the ligamentum flavum, regularity of the incision, GOALS checklist (Global Operative Assessment of Laparoscopic Skills), and responses to the Likert Scale adapted for this study were analyzed. Results: all variables differed between groups. Procedure time was shorter in the physician group (p < 0.001). Look-downs and instrument losses were seven times greater among students than physicians. Half of the students respected the designated incision limits, compared to 80% of the physicians. In the student group, about 30% of the incisions were regular, compared to 100% in the physician group (p < 0.001). The physicians performed better in all GOALS checklist domains. All the physicians and more than 96% of the students considered the activity enjoyable, and approximately 90% believed that the model was realistic and could contribute to medical education. Conclusions: the simulator could differentiate the groups’ experience level, indicating construct validity, and both groups reported high acceptability.

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Lumbar Endoscopic Percutaneous Discectomy - Clinical Outcome. Prospective Study

Cited by 3 publications

References 21 publications

Spine Endoscopy

Spine Endoscopy

Interlaminar Endoscopic Lumbar Discectomy - Clinical Outcome

Validation of an endoscopic flavectomy training model

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