Transforaminal Endoscopic Microdiscectomy

Mathews, Hallett H.

doi:10.1016/s1042-3680(18)30405-4

Cited by 127 publications

(62 citation statements)

References 14 publications

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“…[2][3][4][11][12][13][20][21][22]26,49 Also, full endoscopic techniques have been used for the treatment of LDH via an interlaminar or transforaminal (endoscopic transforaminal discectomy [ETD]) approach. 16,[28][29][30][36][37][38][39][40][41]53 Over the last decade, MED and ETD have been applied to treat recurrent LDH 1,7,14,15,24,25,32,39,43 (Table 1). The outcomes were reported to be equal and sometimes favorable compared with open microdiscectomy for recurrent LDH.…”

mentioning

confidence: 99%

Minimally invasive tubular microdiscectomy for recurrent lumbar disc herniation

Hubbe¹,

Franco-Jimenez²,

Klingler³

et al. 2016

SPI

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OBJECT The aim of the study was to investigate the safety and efficacy of minimally invasive tubular microdiscectomy for the treatment of recurrent lumbar disc herniation (LDH). As opposed to endoscopic techniques, namely microendoscopic and endoscopic transforaminal discectomy, this microscopically assisted technique has never been used for the treatment of recurrent LDH. METHODS Thirty consecutive patients who underwent minimally invasive tubular microdiscectomy for recurrent LDH were included in the study. The preoperative and postoperative visual analog scale (VAS) scores for pain, the clinical outcome according to modified Macnab criteria, and complications were analyzed retrospectively. The minimum follow-up was 1.5 years. Student t-test with paired samples was used for the statistical comparison of pre- and postoperative VAS scores. A p value < 0.05 was considered to be statistically significant. RESULTS The mean operating time was 90 ± 35 minutes. The VAS score for leg pain was significantly reduced from 5.9 ± 2.1 preoperatively to 1.7 ± 1.3 postoperatively (p < 0.001). The overall success rate (excellent or good outcome according to Macnab criteria) was 90%. Incidental durotomy occurred in 5 patients (16.7%) without neurological consequences, CSF fistula, or negative influence to the clinical outcome. Instability occurred in 2 patients (6.7%). CONCLUSIONS The clinical outcome of minimally invasive tubular microdiscectomy is comparable to the reported success rates of other minimally invasive techniques. The dural tear rate is not associated to higher morbidity or worse outcome. The technique is an equally effective and safe treatment option for recurrent LDH.

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mentioning

confidence: 99%

Minimally invasive tubular microdiscectomy for recurrent lumbar disc herniation

Hubbe¹,

Franco-Jimenez²,

Klingler³

et al. 2016

SPI

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“…15,16,17,20 However, studies of TEPD for LDH describing its safety and efficacy are limited. There are two systematic reviews which conclude that TPED appears to be a safe and effective intervention for LDH and has similar clinical outcomes compared to conventional open microdiscectomy.…”

Section: Discussionmentioning

confidence: 99%

“…15,16,17 No paraspinal muscle is cut or detached from the insertion. The minimal tissue damage during TEPD could make a difference in effectiveness, faster rehabilitation and thus lower costs for society.…”

Section: Introductionmentioning

confidence: 99%

Comparison of quality of life between men and women who underwent Transforaminal Percutaneous Endoscopic Discectomy for lumbar disc herniation

et al. 2017

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“…The FEES differs from other percutaneous discectomy procedures in that direct visualization of the epidural space, pathology, and neuroanatomic structures is possible. 5 These microendoscopic discectomies were developed to minimize the tissue trauma seen with open procedures, enabling cervical and lumbar discectomy through a tubular retractor, with endoscopic observation. 6 Traditionally, the whole procedure is carried out under local anesthesia and the patient is fully awake during surgery.…”

Section: Introductionmentioning

confidence: 99%

Rami Communicans Block Prior to Transforaminal Endoscopic Discectomy relieves Procedure Pain Significantly and adds Safety: A Case–control Study

Das

Dey

Sharma

et al. 2017

Journal on Recent Advances in Pain

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Background: The ability to isolate and visualize the "pain" generators in the foramen and treat persistent pain by visualizing inflammation and compression of nerves serves as the basis for transforaminal endoscopic (TFE) surgery.It provides a least invasive basic access to the disc. One of the important steps is the insertion of dilator and working sleeve followed by introduction of endoscope. Often this step is carried out with the help of a hammer, which is agonizing for the patients undergoing surgery. This study aims at analyzing the efficacy of the rami communicans nerve block in reducing the intraoperative pain in patients undergoing TFE discectomy.

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Transforaminal Endoscopic Microdiscectomy

Cited by 127 publications

References 14 publications

Minimally invasive tubular microdiscectomy for recurrent lumbar disc herniation

Minimally invasive tubular microdiscectomy for recurrent lumbar disc herniation

Comparison of quality of life between men and women who underwent Transforaminal Percutaneous Endoscopic Discectomy for lumbar disc herniation

Rami Communicans Block Prior to Transforaminal Endoscopic Discectomy relieves Procedure Pain Significantly and adds Safety: A Case–control Study

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