Full Endoscopic Interlaminar Lumbar Discectomy And Spinal Decompression The purpose of this retrospective study was to investigate the clinical outcomes of full endoscopic discectomy via the interlaminar approach in the treatment of lumbar disc herniation (ldh) at l4 l5 under general anesthesia. eighty four patients who underwent full endoscopic discectomy via the interlaminar approach at l4 l5 or l5 s1 were included. [7,9] according to the literature regarding endoscopic discectomy via interlaminar approach, the mean durations of surgery was 29 to 68.5 minutes. [4,5,15,21] because of the learning curve associated with full endoscopic discectomy, the duration of earlier surgeries was longer.
Percutaneous Endoscopic Lumbar Discectomy For Lumbar Disc Herniation Since the introduction of spinal endoscopic surgery 30 years ago, both techniques and instruments have been evolving together. 2 when it was first introduced, the neutral foramen approach was the only approach. 2–4 although the standard surgical technique used the interlaminar window, the idea of approaching the spinal canal with a spinal. The interlaminar approach for lumbar discectomy has been done with the aid of microscope since 1970s ( 20 22) and microendoscopic system since late 1990s ( 23 25 ). spine surgeons have been familiar with this corridor by posterior approach to do lumbar spine surgeries. Full endoscopic spine surgery has been developed to decrease approach related morbidity and provide superior visualization. using a working channel endoscope, lumbar disc herniations can be approached via two complementary corridors: the transforaminal approach and the interlaminar approach. indications, contraindications, surgical technique, complications, and outcomes are discussed in this. Because its interlaminar space is relatively wider, it has anatomical advantages for the posterior approach for spinal endoscopic discectomy [9, 13]. the interlaminar approach of full endoscopic surgery is more in line with the routine surgical path, and the procedure that targets the spinal protruding disc tissue is also safe [9, 14].
Transforaminal Endoscopic Lumbar Discectomy Basic Concepts And Full endoscopic spine surgery has been developed to decrease approach related morbidity and provide superior visualization. using a working channel endoscope, lumbar disc herniations can be approached via two complementary corridors: the transforaminal approach and the interlaminar approach. indications, contraindications, surgical technique, complications, and outcomes are discussed in this. Because its interlaminar space is relatively wider, it has anatomical advantages for the posterior approach for spinal endoscopic discectomy [9, 13]. the interlaminar approach of full endoscopic surgery is more in line with the routine surgical path, and the procedure that targets the spinal protruding disc tissue is also safe [9, 14]. Two major approaches can be used for fed: interlaminar (il) or transforaminal (tf). 10 full endoscopic spine surgery emerged when an endoscope was integrated into percutaneous nucelotomy, and the first tf approach developed. 11 because tf endoscopic lumbar discectomy (teld) could not solve all the diseases of ldh, a full endoscopic technique. Minimally invasive techniques accurately targeting pathological tissue are being developed for spine surgery. percutaneous endoscopic laminar discectomy (peld) is a typical representative minimally invasive discectomy surgery that can be classified into percutaneous endoscopic transforaminal discectomy (petd) and percutaneous endoscopic interlaminar discectomy (peid), according to the approach.
Comments are closed.