A Novel Microendoscopically Assisted Approach for the Treatment of Recurrent Lumbar Disc Herniation: Transosseous Discectomy Surgery

Abstract

TD is a safe and effective surgical approach for the treatment of recurrent lumbar disc herniation. Operative time, intraoperative blood loss, and clinical results compare favorably with MED.

Full‐endoscopic technique for posterior fossa decompression in Chiari malformation type I: An anatomical feasibility study in human cadavers

“…Further, mastering the endoscopic approach might be time-consuming for surgeons. With the technical advancements in the introduction of the full-endoscopic procedure and increased experience in lumbar disc herniation and stenosis surgeries, other surgeries, such as the posterior fossa approach, can be performed safely and effectively (Bhatele et al, 2013;Nomura et al, 2014). recurrences after PFD without dural opening, especially with tonsillar herniation reaching the C2 level with accompanying syringomyelia (Gürbüz et al, 2015;Krishna et al, 2014).…”

“…Further, mastering the endoscopic approach might be time‐consuming for surgeons. With the technical advancements in the introduction of the full‐endoscopic procedure and increased experience in lumbar disc herniation and stenosis surgeries, other surgeries, such as the posterior fossa approach, can be performed safely and effectively (Bhatele et al, 2013; Nomura et al, 2014).…”

Comparison of the clinical efficacy of percutaneous transforaminal endoscopic discectomy and traditional laminectomy in the treatment of recurrent lumbar disc herniation

“…When the operation is performed via the original surgical approach, the muscle tissue needs to be re-incised, and the structure of the posterior lamina and the facet joint is further destroyed; at the same time, the probability of damage to the dorsal branch of the spinal nerve is increased. [ 10 , 11 ] In addition, when the original surgical approach is used during reoperation, the scar tissue at the dura mater and the nerve root needs to be peeled off. If the operation is not performed properly, the dura mater may be torn (three cases in the TL group), or nerve root damage may be aggravated (two cases in the TL group).…”

“…In the past, for those who had not been diagnosed with lumbar instability, most surgical methods used the original surgical approach. When the operation is performed via the original surgical approach, the muscle tissue needs to be re-incised, and the structure of the posterior lamina and the facet joint is further destroyed; at the same time, the probability of damage to the dorsal branch of the spinal nerve is increased [10,11] . In addition, when the original surgical approach is used during reoperation, the scar tissue at the dura mater and the nerve root needs to be peeled off.…”

Functional Outcomes After Discectomy for Recurrent Lumbar Herniation Using the Destandau Endospine System: A Retrospective Study of 44 Patients

“…Over the last decade, microendoscopic discectomy (MED), PETD, and PEID have been applied to treat recurrent LDH [17][18][19][20][21][22]. The endoscopic lumbar discectomy (DELD) procedure using the Destandau endospine system (DES) for recurrent disc herniation has not been reported in the literature to date.…”