Lumbar discectomy technique [Neurosurgery Wiki]

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====== Lumbar discectomy technique ======

===== Latest Pubmed Related Articles =====

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The [[lumbar discectomy]] [[technique]] may vary depending on the [[location]] and severity of the [[disc herniation]]. However, in general, the [[procedure]] involves the following steps:

===== Anesthesia =====

[[Lumbar discectomy anesthesia]] 


===== Instruments =====

[[Lumbar discectomy instruments]].


===== Position =====

[[Lumbar discectomy position]] 


===== Skin Incision =====

o Clip fur at least 15 cm wide of incision

o Permanent marker prior to prep or sterile marker after draping (if needed)

{{::skin_incision_lumbar.jpg?300|}}

A small [[skin incision]] is made in the back at the level of the affected disc.

[[Subcutaneous dissection]]

===== Exposure =====

[[Self-retaining retractor]].

The surgeon uses a [[Cobb Spinal Elevator]] to gently pull the muscles and tissues aside to expose the affected disc and surrounding structures.

===== Discectomy =====

The surgeon carefully removes the herniated or damaged portion of the [[disc]] using a surgical instrument

{{::discectomy_rongeur.jpg?200|}}

===== Closure =====

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[[Wound closure]] with [[suture]]s or [[staple]]s, and a sterile bandage is applied.