Feasibility of endoscopic discectomy by inter laminar approach at a high volume tertiary public hospital in a developing country

Soman, Shardul Madhav; Modi, Jigar; Chokshi, Jimmy

doi:10.21037/jss.2017.03.10

Cited by 4 publications

(4 citation statements)

References 16 publications

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“…The interlaminar approach has the advantage of direct insertion under endoscopic guidance [78,82]. However, compared to the aforementioned approaches, interlaminar resection requires nerve root and thecal sac retraction which may present a particular challenge in large LDH [78].…”

Section: Interlaminar Approachmentioning

confidence: 99%

“…However, compared to the aforementioned approaches, interlaminar resection requires nerve root and thecal sac retraction which may present a particular challenge in large LDH [78]. However, both Soman et al and Tonusu et al demonstrate significant improvement in outcome indices following LDH resection via this method [78,82]. However, Tonusu et al via the shoulder approach had three neurologic perioperative complications, and as such recommend that in large disc herniations with caudal extrusion access via the axillary approach should be obtained.…”

Section: Interlaminar Approachmentioning

confidence: 99%

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Lumbar Disc Herniation

Amin

Andrade

Neuman³

2017

Curr Rev Musculoskelet Med

243

202

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Purpose of Review Substantial advancements have been made in the cause, diagnosis, imaging, and treatment options available for patients with lumbar disc herniation (LDH). We examined the current evidence and highlight the concepts on the frontline of discovery in LDH. Recent Findings There are a myriad of novel etiologies of LDH detailed in recent literature including inflammatory factors and infectious microbes. In the clinical setting, recent data focuses on improvements in computer tomography as a diagnostic tool and non-traditional injection options including tumor necrosis alpha inhibitors and platelet-rich plasma. Operative treatment outcomes have focused on minimally invasive endoscopic approaches and demonstrated robust 5-year post-operative outcomes. Summary Advances in the molecular etiology of LDH will continue to drive novel treatment options. The role of endoscopic treatment for LDH will continue to evolve. Further research into10-year outcomes will be necessary as this surgical approach continues to gain widespread popularity.

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Section: Interlaminar Approachmentioning

confidence: 99%

Section: Interlaminar Approachmentioning

confidence: 99%

Lumbar Disc Herniation

Amin

Andrade

Neuman³

2017

Curr Rev Musculoskelet Med

243

202

View full text Add to dashboard Cite

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“…Conservative treatment and surgical treatment are mainly adopted clinically. After the failure of conservative treatment, surgery is the main treatment for LDH patients (3). In the past 10 years, due to the rapid development of medical devices and the strong demand of patients, spinal endoscopy has developed rapidly (4).…”

Section: Introductionmentioning

confidence: 99%

Comparison of the application value of two commonly used minimally invasive spinal surgery in the treatment of lumbar disc herniation

et al. 2021

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The aim of the study was to compare the application value of percutaneous transforaminal endoscopic discectomy (PTED) and microendoscopic discectomy (MED) in the treatment of lumbar disc herniation (LDH). From January 2017 to July 2018, 108 LDH patients undergoing surgical treatment in our hospital were collected and divided into PTED group (treated with PTED, n=50) and MED group (treated with MED, n=58). The operation parameter index level, complications, recurrence and pain score (VAS), Oswestry disability index (ODI) and Japanese Orthopaedic Association Scale (JOA) were compared between the two groups. VAS, ODI and JOA scores of the two groups were significantly decreased after operation (P<0.05), but there was no significant difference between the two groups (P>0.05). Complications and recurrence of the two groups were similar (P>0.05). MED was superior to PTED in the number of intraoperative fluoroscopy and operation time, while PTED was superior to MED in intraoperative blood loss, incision length, length of hospital stay and bed rest time (P<0.05). Both PTED and MED can effectively treat LDH. Referring to clinical data, PTED may be the first choice for LDH treatment.

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“…7,8 Later, other authors including Wani et al from Sher-i-Kashmir Institute of Medical Sciences and other centers also showed excellent outcomes with microendoscopic techniques. [9][10][11][12][13][14] Innovative methods like the use of a knee-joint arthroscope for lumbar discs by Kaushal et al and the development of indigenous endoscopic discectomy set: "Endospine plus" by Chhabra et al have proved useful and reduced the costs of these procedures. 15,16…”

Section: Endoscopic Interlaminar Approach To Lumbar Discmentioning

confidence: 99%

History of Endoscopic Spine Surgery in India

Bajaj

Yadav

2022

Indian Journal of Neurosurgery

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Endoscopic spine surgeries provide distinct advantages and is therefore a viable alternative to open or microscopic techniques. Indian surgeons have shown their expertise from craniovertebral junction to lumbosacral spine with these techniques. Many novel approaches like endoscopic transcervical, partial corpectomy, and others have been designed, and many technological innovations for these surgeries have been made. With different training programs attracting both native and international surgeons, the future of endoscopic spine surgery is bright.

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Feasibility of endoscopic discectomy by inter laminar approach at a high volume tertiary public hospital in a developing country

Abstract: Endoscopic discectomy using tubular retractor has a potential to become a gold standard in catering this patient groups. It has great feasibility and shows equivalent results to all other techniques with lesser learning curve being an added advantage.

Cited by 4 publications

References 16 publications

Lumbar Disc Herniation

Lumbar Disc Herniation

Comparison of the application value of two commonly used minimally invasive spinal surgery in the treatment of lumbar disc herniation

History of Endoscopic Spine Surgery in India

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