A Study of Early Reoperation after Microendoscopic Discectomy for Lumbar Disc Herniation

Sameshima, Koji; Kawauchi, Yoshihisa; Yoshino, Shinji; Tomimura, Natsuko; Kawasoe, Yasuomi; Ishido, Yasuhiro; Komiya, Setsuro

doi:10.5035/nishiseisai.61.539

Cited by 1 publication

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“…Kulkarni et al 16 ) reported a recurrence rate of 1.6% after MED with an average recurrence period of 22 months. Saejima et al 6 ) reported a 4.7% recurrence rate after MED. In the reoperation group, PED was more common than MED and patients were discharged the day after surgery with a mean hospital stay of 7.5 ± 3.5 days.…”

Section: Discussionmentioning

confidence: 96%

“…Although minimally invasive surgery allows patients to get out of bed, out of the hospital, and return to work sooner than with conventional surgery, some reports suggest slightly higher rates of hernia recurrence 4 , 5 ) . Although some reports discuss early reoperation 6 , 7 ) , motor function, postoperative quality of life (QOL), and patient-centered outcomes remain unclear.…”

Section: Introductionmentioning

confidence: 99%

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Symptom recurrence and associated factors in postoperative patients with lumbar degenerative disease

Matsushima,

Tsuchida,

Muta

et al. 2023

J Phys Ther Sci

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[Purpose] This study aimed to examine gradual changes in and relationships among preoperative and 3-month postoperative endpoints in patients with lumbar degenerative disease. [Participants and Methods] The study included 160 diagnosed with lumbar degenerative diseases who underwent surgery. Patients were divided into two groups: “good progress” and “recrudescence”. Changes in the Japan Orthpedics Associations (JOA) score, JOA back pain evaluation questionnaire (JOABPEQ), and numeric rating scale (NRS) preoperatively and 3 months postoperatively, and their associations, were analyzed. [Results] Differences were found in preoperative NRS for low back pain, JOA score (other findings) at 3 months postoperatively, and NRS for low back pain at 3 months postoperatively. The causal analysis yielded paths for “daily life”, “pain”, and “social/psychological aspects”, starting with “lumbar spine disorders”. [Conclusion] The subjective symptoms, objective findings, lumbar spine dysfunction, gait dysfunction, and numbness at 3 months postoperatively yielded relevant information regarding the participants activities of daily living, pain, and social and psychological aspects, providing a perspective for monitoring postoperative patients.

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Section: Discussionmentioning

confidence: 96%