1 year prospective study in 89 patients with use of minimally invasive tubular retractor system for lumbar discectomy
|IJOCP | Volume 2015| Issue – 2015| Article ID – 2015:46
Conference: Poona Orthopaedic Society Annual Conference POSAC-2015, India [Click for Full details]
Authors: Rajesh Parasnis, Sachin Pathak, Uday Pote
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Background: Low back pain and associated radicular pain are common symptoms of herniated nucleus pulposus. The conventional midline open technique injures surrounding structures like pars or facets and may lead to persistent low back pain post operatively. We present our experiences with the translaminar approach for lumbar disc herniation using a tubular retractor system.
Aim: To evaluate surgical outcomes, complications, blood loss, surgical time and days of post op hospital admission needed after using tubular retractor system for lumbar discectomy.
Method: 89 patients underwent surgery for lumbar disc herniation in which we used translaminar approach using tubular retractor system from March 2013-March 2014. All patients were followed prospectively. All underwent pre operative one day before hospital admission and general anesthesia was induced in all patients. Surgical outcomes were measured using Visual analog Scale (VAS) and Short Form-36 (SF-36) questionnaires. The data was collected on day of admission, on day of discharge, on 15th day, 3 months and 6 months post operatively. The improvement was seen on the VAS and SF-36 scales. The mean operative time was 45 minutes and mean operative blood loss was 30 ml. Complications included were one case of durotomy and two superficial wound infection. The hospital stay was average 2 days postoperatively.
Conclusions: Minimally invasive surgery using tubular retractor system for lumbar disc herniation has shown promising results over conventional open technique. The post op patient satisfaction is good and hospital admission days are less. The learning curve for such system is steep but by gaining experience it’s a good option over conventional open technique on carefully selected patients.
|How to Cite this Abstract|
|Parasnis R, Pathak S, Pote U. 1 year prospective study in 89 patients with use of minimally invasive tubular retractor system for lumbar discectomy International Journal of Conference Proceedings 2015;(2015):46|