Clinical and health economic benefits of out-patient lumbar microdiscectomies in Australia

Magee, Alison; Bhaskar, Ivan P; Ilett, Paul; Murphy, Michael A.; Wang, Yi-Yuen

doi:10.21307/ajon-2017-129

Cited by 4 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In our study, 21 (70%) patients got satisfactory results and 7 (23%) patients got Good result, in 2 (7%) case had fair outcome according to the Modified Odom's Criteria. In our series, there was no radio-logical progression after surgery [9][10][11][12][13][14][15].…”

Section: Discussionmentioning

confidence: 99%

Functional & Neurological outcome of Lumbar Microdiscectomy at L4/5 and L5/S1

Islam¹,

Saha²

2022

Prog Orthop Sci

View full text Add to dashboard Cite

Objectives: To evaluate the Functional & Neurological outcome of Lumbar Microdiscectomy at L4/5 and L5/ S1 Background: Lumbar disc herniation (LDH) is the most common specific cause for low back pain (LBP). It is a degenerative process causing annular tear with extrusion of the nucleus pulposus through posterior midline or posterolateral aspect of the disc leading to compression of the thecal sac and nerve roots with radicular symptoms. Surgery is reserved for only those who are refractory for a fair trial of nonsurgical management for at least 6 weeks, need of decompression for conus and cauda equina compression, needing immediate attention. There have been various modalities of treatment that have evolved over the years. Micro-lumbar discectomy is one of the latest additions of surgical management modality. Materials & Method: Retrospectively we reviewed 30 cases from january 2019 to december 2021 in Bangabandhu Sheikh Mujib Medical university & other private hospitals in Dhaka, Bangladesh. All the patients had back pain & some neurological deficit with positive MRI findings, underwent lumbar microdiscectomy al L4/5 & L5/S1. Functional improvement was assessed by the ODI Score & categorized into excellent, good, fair & poor, Neurological improvement was assessed by the Nurick Score improvement of pain control by VAS score & overall functional assessment by modified Odom’s score. Results: Total number of patients was 30. Average age was 36 years (range 22-50). Average follow-up period was 9 months. Pre-operative ODI score was 54.6±12.8 & Post-operative score was improved to 10.2±3.3. In our series we have no chair bound or bedridden patients after surgery. The Pre-operative & Postoperative nurick score was 2.9 & 0.8 respectively. There was no difference in neurological outcomes comparing patients older and younger than 40 years. There was significant improvement in Pre-operative & Post- operative VAS score for leg pain was 6.90 ± 1.9 & 2.0 ± 0.8 respectively & for low back pain was 5.8±1.2 & 2.2±0.8 respectively. Conclusion: Lumbar Microdiscectomy is a safe & effective method to treat the patients with lumbar disc prolapse with shorter hospital stay & better prognosis with minimum & considerable complications.

show abstract

Section: Discussionmentioning

confidence: 99%

Functional & Neurological outcome of Lumbar Microdiscectomy at L4/5 and L5/S1

Islam¹,

Saha²

2022

Prog Orthop Sci

View full text Add to dashboard Cite

show abstract

“…La MLA en nuestra serie demostró una disminución en 7 días en el tiempo. A. Magee et al, evaluaron el ahorro de costos entre 62 pacientes, 21 ambulatorios y 41 hospitalizados 47 ; usaron su sistema informático de registros (PowerPerformance Manager system) para entrar en el detalle de cada costo de atención y calcularon a su vez los costos indirectos, encontrando diferencias estadísticamente significativas entre los grupos. Ellos descubrieron que el ahorro se debió a la disminución de los costos por cuidados de auxiliares de enfermería, enfermeras y médicos.…”

Section: Discussionunclassified

Microdiscectomía lumbar ambulatoria en el hospital de Puerto Montt: segura, alta satifacción usuaria y menor costo

Vottero

2019

revchilneurocir

View full text Add to dashboard Cite

Desde julio de 2007 el tratamiento quirúrgico de radiculopatías por hernia del núcleo pulposo (HNP) lumbares formó parte del sistema de garantías explícitas de salud (GES). Objetivo: Comparar de forma retrospectiva los resultados de dos cohortes de pacientes con indicación de cirugía discal lumbar seleccionados por el protocolo del Hospital de Puerto Montt para microdiscectomía lumbar ambulatoria (MLA). Métodos: Se incluyeron todos los pacientes seleccionados por el protocolo, que se operaron de microdiscectomía lumbar (ML) entre julio de 2015 hasta febrero de 2017. Se comparó de forma retrospectiva la homogeneidad de la cohorte de pacientes ambulatorios con la de hospitalizados. Se analizó: alivio del dolor, complicaciones, días camas, tiempo de espera a la cirugía, costos y satisfacción usuaria. Resultados: 253 pacientes operados de ML desde el inicio del protocolo hasta febrero de 2017, 126 fueron seleccionados para MLA por el protocolo, de estos 41 fueron efectivamente ambulatorios y 85 requirieron hospitalización, generándose dos cohortes homogéneas. La tasa total de complicaciones para ambos grupos fue de 4,9% y 16% respectivamente, no hubo complicaciones mayores. En los pacientes ambulatorios se ahorraron $3.145.110 pesos chilenos y se liberaron 82 días camas. El tiempo de espera para ser operados fue significativamente menor en el grupo ambulatorio. La satisfacción usuaria fue similar en ambos grupos. Conclusiones: El realizar MLAha sido seguro para nuestros pacientes sin mayores complicaciones o cambios en la satisfacción usuaria. El protocolo ha disminuido el número de días cama, los costos y el tiempo de espera para acceder a la cirugía.

show abstract

“…While domestic dromedaries provided all the advantages of the possession of a strong load-carrying animal (69) . This animal can roughly travel between 25 and 30 km a day (70) . The discovery of large numbers of camel figurines in Rumeilah and a camel figurine with a saddle from Muweilah, explain the use of the camel as a mean for transportation (71) .…”

Section: The Impact Of Camel Domestication On Economymentioning

confidence: 99%

The contribution of the domesticated camel and advanced irrigation techniques (the horizontal well/Falaj system) to the Iron Age economy and settlement patterns of the Oman Peninsula and Arabia.

Moussa

2019

Journal of the General Union of Arab Archaeologists

View full text Add to dashboard Cite

Iron Age II is considered the classical period of the Iron Age (figure: 2 (1)). This period shows sudden increase in distribution and diversification in settlement pattern, in Southeastern Arabia (2). The settlements during this period expanded to include inland (3) , mountains (4) and coastal sites (5). Settlements became more diverse to include non-residential architecture. An appearance of irrigation technology (Falaj) along with camel domestication coincides with this increase. This increase was accompanied by

show abstract

Clinical and health economic benefits of out-patient lumbar microdiscectomies in Australia

Abstract: Successful relief of sciatica occurs in over 90% of surgical candidates and recovery classically entails an overnight stay (1-2 nights) admission to hospital and gentle mobilization in the ensuing 4-6 weeks (Aichmair,

Cited by 4 publications

References 9 publications

Functional & Neurological outcome of Lumbar Microdiscectomy at L4/5 and L5/S1

Functional & Neurological outcome of Lumbar Microdiscectomy at L4/5 and L5/S1

Microdiscectomía lumbar ambulatoria en el hospital de Puerto Montt: segura, alta satifacción usuaria y menor costo

The contribution of the domesticated camel and advanced irrigation techniques (the horizontal well/Falaj system) to the Iron Age economy and settlement patterns of the Oman Peninsula and Arabia.

Contact Info

Product

Resources

About