How I do it: percutaneous transforaminal endoscopic discectomy for lumbar disk herniation.
other · Level V
Where this comes from
- Record sourced from PubMed, PMID 30417203.
- Also identified by DOI 10.1007/s00701-018-3723-5 and PMC identifier 6267719.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
Percutaneous transforaminal endoscopic discectomy (PTED) has emerged as a less invasive technique to treat symptomatic lumbar disk herniation (LDH). PTED is performed under local anesthesia with the advantage of immediate intraoperative feedback of the patient. In this paper, the technique is described as conducted in our hospital. PTED is performed under local anesthesia in prone position on thoracopelvic supports. The procedure is explained stepwise: e.g. marking, incision, introduction of the 18-gauge needle and guidewire to the superior articular process, introduction of the TomShidi needle and foraminotomy up to 9 mm, with subsequently removal of disk material through the endoscope. Scar size is around 8 mm. PTED seems a promising alternative to conventional discectomy in patients with LDH and can be performed safely.
Medical subject headings
- Diskectomy, Percutaneous
- Endoscopy
- Foraminotomy
- Intervertebral Disc Degeneration
- Intervertebral Disc Displacement
- Lumbar Vertebrae
- Postoperative Complications