How long does a fully closed herniated disc surgery last?
Although the duration of the procedure varies, it takes about an hour. Since the procedure is performed under general anesthesia, the patient is usually hospitalized for a day, but it is possible to be discharged on the same day in appropriate cases.
Spinal anesthesia can be preferred instead of general anesthesia for risky patients in terms of anesthesia, and these patients can be discharged after the same day.
What are the advantages of fully closed herniated disc surgery over other methods?
In the closed method, the operation is performed through a small incision, so there is no intense muscle pain afterwards and the patient's hospital stay is shortened. Thanks to this procedure, there are fewer muscle incisions compared to the open method, so there is less postoperative pain and limitation of movement. In short, thanks to closed surgery, patients' recovery speed increases and it becomes easier for them to return to their daily lives.
Özl;especially in açık lumbar hernia surgeries, as a result of removing more bone tissue to reach the hernia, the so-called postoperative lumbar slippage (instability) is not an issue.
Lumbar hernia surgery can also be performed easily with the closed system in obese patients.
In which cases is the procedure applied?
The procedure can be easily applied to everyone. In addition to lumbar herniated discs, this method can also be used in spinal problems and cervical herniated discs that occur due to canal narrowing or dirt. Surgery with this method is generally effective in the treatment of symptoms such as low back pain, leg pain, numbness and muscle weakness.
In patients for whom endoscopic surgery is not suitable, treatment is continued with other surgical techniques.
Fully closed disc surgery can also be used in the treatment of other spinal diseases such as spinal stenosis (spinal canal narrowing) in addition to herniated discs.
Who cannot undergo closed herniated disc surgery?
The microsurgical method may be more advantageous in patients with a severely narrowed canal, in patients with two separate problems such as canal stenosis and hernia, and in patients with slipped discs.
Does the hernia recur after surgery? It is necessary to look at the causes that cause hernia and eliminate them. For example, it is important to lose excess weight, quit smoking, exercise regularly, make sure that the patient's bed is orthopedic, and pay attention to the way of sitting and the quality of the chair if the patient has a desk-based profession. Patients should also take care of themselves and maintain their quality of life after surgery.
What is fully closed herniated disc surgery?
The medical name of fully closed herniated disc surgery is "endoscopic disc surgery". Endoscopic disc surgery is a minimally invasive method of spine surgery with minimal skin incisions and tissue damage. In this method, the surgeon uses endoscopic equipment to access the spinal disc through a small incision. Compared to traditional open surgery, fully closed disc surgery provides faster recovery with less tissue damage.
Herniated disc surgeries were historically open surgical procedures. With the development of microscopes and their use in spine surgery, microsurgery has brought successful results. Nowadays, closed spine surgeries are performed with advanced camera systems called endoscopes. Endoscopic systems were previously used in general surgery operations (laparoscopic surgeries). Making a small incision in a part of our body and performing surgery by entering with an endoscope through the incision is called closed surgery. With the development of technology, closed surgery method has started to be preferred for patients with herniated discs instead of microsurgical method. With the closed method, after entering through the skin incision, the cartilage fragments that have caused herniated discs are cleaned and the compression on the nerve is removed. Depending on the compression on the nerve, the patient may develop serious health problems such as loss of strength, sensation and reflexes or urinary incontinence. Thanks to the fully closed herniated disc surgery, all symptoms disappear and the patient's pain is relieved.
