Our experience of endoscopic microdiscectomy in hernias of intervertebral discs


Keywords: transverse osteochondrosis; hernia of intervertebral disc; еndoscopic microdiscectomy

Abstract

Objective. To estimate the efficacy of transforamenal endoscopic microdiscectomy, to reveal the faults and advantages of this method, comparing with standard procedures, basing on the data obtained, the main indications and contraindications for this procedure must be determined.

Маterials and methods. There were analyzed 290 cases of the disease іn patients with hernias of lumbar part of vertebral column, who were stationary treated in Regional Centre of Orthopedics, Traumatology and Vertebrology of the Rivne Regional Clinical Hospital and in the Department of Vertebral Surgery of the Institute of Traumatology and Orthopedics NAMS of Ukraine from April 2016 till April 2018 yr. Among them were 156 women and 134 men, ageing 20 - 84 yrs old. Preoperatively in all the patients a magnet-resonance tomography or computeric tomography of lumbar part of vertebral column, functional rentgenography, and general clinical examination were conducted.

Results. In postoperative period in accordance to international questionnaire for the quality of life (Oswestry) a median index, concerning the investigated patients, have constituted 21.1%, what means a good result. Preoperative pain syndrome in accordance to a visual-analogue scale was estimated as 8.5 points, аnd in 6 mo postoperatively - as 1.5 points (lumbalgia prevailed and a radiculitis pain was almost absent). Significant practical experience of the endoscopic transforamenal microdiscectomy performance have witnessed, that a surgeon may meet a certain difficulties in a case of a sequester cranial or caudal migration, in some observations the operative access on level of L5 - S1 is complicated because of high localization of iliac crest, but if correct indications applied this procedure makes possible to eliminate the compressive radicular syndrome in a short term.

Conclusion. Application of transforamenal endoscopic microdiscectomy in treatment of patients with hernias of intervertebral discs have confirmed a quite high efficacy of this procedure and its advantages.

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Author Biographies


V. K. Piontkovskyi, Rivne Regional Clinical Hospital,

Piontkovskiy Valentyn -  PhD., orthopedist,

Head of the Regional Center for Orthopedics, Traumatology and Vertebrology

Rivne Regional Clinical Hospital

Address: Rivne, st. Kievskaya, 78, 33007, Ukraine.

Phone: +380(67) 381 07 99

E-mail: pion_val@ukr.net

https://orcid.org/0000-0002-0080-3327


Ya. V. Fishchenko, Іnstitute of Traumatology and Orthopedics, Kyiv

Fishchenko Yakiv - D.SC, orthopedist, neurosurgeon.

Leading Researcher Department of Spinal Surgery,

Institute of Traumatology and Orthopedics

27 Boulvarno - Kudryavskaya str.,Kiev, 01601 Ukraine.

Phone: +380(50) 3808725 (044) 221- 08-30

E-mail: fishchenko@gmail.com

ORCID: 0000-0001-7446-0016 


L. D. Kravchuk, Іnstitute of Traumatology and Orthopedics, Kyiv

Kravchuk Lyudmila - PhD, Associate Professor

Physical Rehabilitation Department,

National University of Physical Education and Sports of Ukraine

 1 Fizkultury st., Kyiv, Ukraine, 03680.

Phone: +380(097)8774167

kravchukwww@gmail.com

ORCID: https://orcid.org/0000-0002-5317-0420

Published
2019-01-30
How to Cite
Piontkovskyi, V. K., Fishchenko, Y. V., & Kravchuk, L. D. (2019). Our experience of endoscopic microdiscectomy in hernias of intervertebral discs. Klinicheskaia Khirurgiia, 86(1), 49-51. https://doi.org/10.26779/2522-1396.2019.01.49
Section
General Problems of Surgery